Revision admitted over private clinic inpatient reimbursement

BVerwG 5 B 26/13, 5 B 26/13 (5 C 36/13)Bverwg / Division 5Oct 7, 2013Granted

Extracted by Omnilex

Omnilex summary

The Federal Administrative Court upheld the defendant's complaint and allowed the revision. It found that the case raises a question of fundamental importance under § 132 Abs. 2 Nr. 1 VwGO, namely the reasonableness and reimbursement eligibility of costs for inpatient accommodation in a private clinic under § 5 Abs. 1 sentence 1 BVO BW. The decision does not resolve the merits of the beihilfe claim; it only opens the revision stage.

Omnilex headnote

§ 132 Abs. 2 Nr. 1 VwGO; leave to appeal for fundamental importance; reimbursement of inpatient treatment costs in a private clinic. A revision is to be admitted when the proceedings raise a legally significant, unresolved and generalizable question of law whose clarification is capable of affecting the outcome of the case. This may be the case where the assessment of the reasonableness of expenses for inpatient accommodation in a private clinic under § 5 Abs. 1 sentence 1 BVO BW requires clarification. The admissibility threshold is met if the appeal identifies a concrete abstract legal question needing review; the merits are not pre-judged by the admission decision.

Full text

BVerwG — 5 B 26/13, 5 B 26/13 (5 C 36/13), Beschluss

Entscheidungsdatum: 2013-10-07

Aktenzeichen: 5 B 26/13, 5 B 26/13 (5 C 36/13)

Dokumenttyp: Beschluss

Normen: § 5 Abs 1 S 1 BhV BW 1995, § 132 Abs 2 Nr 1 VwGO

Vorinstanz: vorgehend Verwaltungsgerichtshof Baden-Württemberg, 21. Dezember 2012, Az: 2 S 874/12, Urteil

Spruchkörper: 5. Senat

Titelzeile

Stationäre Unterbringung in einer Privatklinik; Beihilfefähigkeit der Aufwendungen; Revisionszulassung

Gründe

1 Die Beschwerde des Beklagten ist zulässig und begründet. Die Revision ist nach § 132 Abs. 2 Nr. 1 VwGO wegen grundsätzlicher Bedeutung der Rechtssache zugelassen.

2 Die Revision kann dem Senat Gelegenheit geben, die Frage der Angemessenheit von Aufwendungen gemäß § 5 Abs. 1 Satz 1 BVO BW bei der stationären Unterbringung in einer Privatklinik zu klären.

Keywords

revision leavefundamental importanceprivate clinicbeihilfeinpatient accommodationreasonableness

Extracted by Omnilex

Key legal question

Whether the requirements for leave to appeal based on fundamental importance are met under § 132 Abs. 2 Nr. 1 VwGO.

Extracted holding

Yes. The complaint is admissible and well-founded; revision is granted because the case raises a fundamental question.

Extracted reasoning

The court considered that revision could clarify the issue of whether expenses for inpatient accommodation in a private clinic are reasonable within the meaning of § 5 Abs. 1 sentence 1 BVO BW.

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