French Public Health Code
In forceWhen a Groupement de Coopération Sanitaire is a health establishment, it is financed on the basis of the rules applicable to health establishments.
However, when the activity carried out comes under 1° of article L. 162-22 of the Social Security Code, article 33 of the Social Security Funding Act for 2004 (no. 2003-1199 of 18 December 2003) does not apply to the funding of the group, with the exception of I, with the exception of the fourth paragraph, and II of this article.
When the grouping is made up, on the one hand, of health establishments mentioned in a, b or c of article L. 162-22-6 of the Social Security Code and, on the other hand, of health establishments mentioned in d of the same article, it may opt either for the application of the tariffs for hospital services of the establishments mentioned in a, b and c of the same article, or for that of the tariffs applicable to the health establishments mentioned in d of the same article, in accordance with the procedures defined by regulation. The Director General of the Regional Health Agency decides on the applicable scale of charges.
By way of derogation from article L. 162-2 of the same code, the remuneration of natural or legal persons practising the profession of doctor on a self-employed basis is paid by the health cooperation grouping when the latter is financed by applying the tariffs for hospital services of the establishments mentioned in a, b and c of article L. 162-22-6 of the same code. The fee for the procedure thus paid to the doctor or legal entity is reduced by a fee corresponding to the resources made available to it by the Groupement de Coopération Sanitaire.
When the Groupement de Coopération Sanitaire is financed by applying the tariffs for hospital services of the establishments mentioned in d of the same article L. 162-22-6, the remuneration of natural or legal persons practising the profession of doctor is paid in the form of fees. These fees are paid directly by the health insurance scheme to the doctor when the latter is self-employed or to the legal entity practising the profession of doctor on a self-employed basis and to the health cooperation grouping when the doctor is an employee.
