Children with Cerebral Palsy (CP) are eligible for a disabled child benefit according to their level of functioning.
- In accordance with the National Insurance Institute circular the decision regarding eligibility can be made on the basis of tests conducted at the Child Development Centers:
- The motor functioning of the child's upper limbs is determined according to the Manual Ability Classification System (Macs).
- The motor functioning of the child's lower limbs is determined according to the Gross Motor Function Classification System (Gmfcs).
- In cases where the child has not yet been diagnosed with CP (generally with young children), eligibility for the benefit can be determined based on the section that includes a functional disorder in two limbs (detailed on the Disabled Child Benefit for Children Requiring Special Medical Treatment page) or based on the dependency test.
- A child with dysfunction in both limbs is eligible for a benefit of 50%.
- A child with total dysfunction in both limbs or with a development lag (until age 3) is eligible for a benefit of 100%.
- A child age 3 and above who is completely dependent on another person is eligible for a benefit of 188%.
- The general process for receiving the benefit and the details of each step of the process are found in the charts below.
for a child up to the age of 3
for a child above age 3
In some cases a
committee meeting without the presence of the child may be possible
If you are not satisfied with the answer you may appeal the a decision of the medical committee
as well as
appeal the a decision of the appeals committee
Who is Eligible?
- A child from age 91 days through 18 years and 3 months who has Cerebral Palsy (CP).
Additional Conditions of Eligibility
- Populations of children that meet the specified criteria must, in addition, meet the following conditions:
- The child's parent must be insured and an Israeli resident (or someone who was insured and passed away as an Israeli citizen).
- A child who made aliyah without parents may be eligible if he/she made aliyah with a legal guardian that is one of the following family members: brother/sister, grandparent, aunt/uncle.
- The child is in Israel. Eligibility will be allowed under certain conditions for a child out of the country.
- The child does not live in an institution or dormitory that provides therapy services, nursing care or rehabilitation, except in the following cases which may be filed for a child who is in an institution.
- The parents cover the cost of keeping the child in an institution.
- The family has another child receiving the disabled child benefit.
- The child will be released from the institution and confirmation of the release date, and programs that integrate the child into the community.
- Children who receive regular medical treatment in the hospital may be eligible for the benefit in certain circumstances.
- A child who is entitled to a benefit and is hospitalized, will continue to receive the benefit for one year from the date of admission. At the end of this year, their eligibility will be reviewed, depending on the reasons for hospitalization:
- A child is not living with a foster family. Since December 2016, a foster child on a respirator is eligible for an additional allowance for a disabled child on a respirator and Disabled Child Benefit and Related Benefits.
- The child does not receive a mobility allowance, except in cases specified below.
- Before Submitting a Disabled Child Benefit Claim you should prepare all relevant tests and documentation.
- Before submitting a claim or appearing in front of a medical committee you can get free guidance at the Yad Mechavenet centers that are run on behalf of the National Insurance Institute.
Necessary medical tests
- Exam by a pediatric neurologist or a doctor who specializes in child development.
- The Gross Motor Function Classification System test (Gmfcs) with the classification of level of functioning, that was performed at a Child Development Center.
- The Manual Ability Classification System test (Macs) that was performed at a Child Development Center.
How to Claim It?
|What Now?||For Further Details||Notes|
|Submit a claim||Submitting a Disabled Child Benefit Claim||It is important to remember to send all required documents|
|After filing the claim, it will be decided if a decision on the amount of disability can be made without the presence of the child.||Medical Committee Hearing Without the Presence of the Child.||If the committee decides on eligibility based on documentation only, you can request that the child be checked by the committee within 45 days.|
|If it is decided after filing the claim that there is a need to check the child then an invitation to a medical committee hearing will be sent according to the age of the child.||*Medical Committee for a Disabled Child up to Age 3|| *It is important to arrive at the prescribed time, or to report the inability to attend in advance.
|The committee's decision||Within 45 days of receiving the claim with all relevant documents, you will be sent the decision, together with the minutes of the medical committee meeting.|| In certain situations, temporary eligibility may be established (relevant cases are detailed in the Specific Information for Eligible Populations section.
|If eligibility is granted, the benefit will be paid from the month in which the claim was submitted||The benefit will be transferred to the eligible recipient's bank account on the 28th of each month.|
|Retroactive Payment|| Retroactive payment for up to a year before the claim was submitted may granted if the conditions for eligibility existed before submission. The time is determined based on the earlier of these two dates:
|| *A child receiving the benefit because of a developmental delay (until age 3) may receive a retroactive benefit for up to half a year before the claim was filed.
|If you are not satisfied with the decision (if eligibility was rejected or only partially/temporarily established), you can appeal within 90 days from the day it was received.||Appealing the Decision of the Medical Committee for a Disabled Child|
|If you are not satisfied with the decision of the Appeals Committee, you can appeal within 60 days to the Regional Labor Court.||Appealing the Decision of the Medical Appeals Committee of the National Insurance Institute||You may requestfree legal assistance from the legal assistance division of the Ministry of Justice.|
|A repeat claim may be filed after 6 months, or if there has been a deterioration in health status - with no waiting period.||Submitting a Disabled Child Benefit Repeat Claim|
|If your child (above age 3) is totally dependent on the assistance of others for daily activities (in a way that is significantly more than his/her peers) and the child receives a disabled child benefit without relating to this dependence, a dependence evaluation can be requested.||Dependence Evaluation for a Disabled Child Benefit Recipient||A request for a dependence evaluation can be submitted from age 2 years and 10 months.|
- The rates of the disabled child benefit are determined based on on the percentage of the full benefit amount of a single person which is 2,222 NIS, correct as of 2019.
- Benefit rates (50%, 100%, or 188%) are determined, in part, according to the child's level of functioning, the degree of dependence on the help of others, and medical treatment that the child requires.
- Children above age 3 who are completely dependent on others and children (according to specific conditions) from birth who receive regular treatment in the hospital, are entitled to a benefit at the rate of 188%.
- A child with more than one disability is entitled to receive one benefit - that which entitles him/her to a higher entitlement.
Disabled Child Benefit at a rate of 50%
- The Disabled Child Benefit at the rate of 50% is 1,264 NIS, correct as of 2019. The amount includes a supplement of 153 NIS (the supplement is paid retroactively from January 2018).
- A child who has 3 conditions that entitle him to a pension of 50% is entitled to a pension of 100%. For more information see the National Insurance Institute website.
Disabled Child Benefit at a rate of 100%
- The Disabled Child Benefit at the rate of 100% is 2,600 NIS (this amount includes the supplement amount of 378 NIS), correct as of 2019.
Disabled Child Benefit at a rate of 188%
- The Disabled Child Benefit at the rate of 188% is 4,757 NIS (this amount includes the supplement amount of 580 NIS), correct as of 2019. (The supplement was raised retroactively from January 2018).
Supplement amount for children who are ventilated with a tracheostomy
- A child who receives at least a 100% disability benefit and is in need of a respirator at all times, is entitled to a supplemental benefit of 1,844 NIS, correct as of 2019.
- For more information see Additional disabled child benefit for children ventilated with a tracheostomy.
- For information on benefit rates from previous years see the National Insurance Institute's website.
Families with two or more disabled children
- Families with two or more children entitled to the disabled child benefit are entitled to an increased benefit amount for each of the children.
- The addition for each child is an additional 50% of entitled amount established for the child.
- The child that is entitled to a benefit of 100% will receive an increased benefit of 150%.
- The child that is entitled to a benefit of 50% will receive an increased rate of 75%.
- Families with two children with disabilities who only receive a Disabled Child Benefit for one of them are entitled to an increased benefit amount if the child for which they are not receiving the benefit is not eligible for it due to one of the following reasons:
- S/he lives in an institution or other facility outside the home.
- S/he is over the age of 18 and received a Disabled Child Benefit before reaching the age of 18.
- Families where two children are eligible for a Disabled Child Benefit or where one child is eligible for a Disabled Child Benefit and the second is eligible for a Mobility Benefit may be entitled to both a Disabled Child Benefit and a Mobility Benefit for each of the children in accordance with each benefit's conditions of eligibility.
- A calculator on the National Insurance Institute website can be used to check eligibility to receive two benefits simultaneously.
- A child up to age 3 who is eligible for a Disabled Child Benefit may be admitted to a Rehabilitative Daycare Centers.
- According to the law, it is illegal to seize a Disabled Child Benefit. If there is a hold on a bank account, you must contact the executing offices and obtain confirmation of specific removal of the hold for Disabled Child Benefit funds and then submit it to the appropriate parties (bank, etc.).
- The National Insurance Institute sends a Certificate of Disability to anyone eligible for a Disabled Child Benefit.
Laws and Regulations
- The National Insurance Institute Circular no. 1958 - from 20.10.2014 - determining eligibility for children with C.P. on the basis of documentation according to their level of functioning.
- National Insurance Law
- National Insurance Regulations (Disabled Child)
- National Insurance Regulations (Disability Insurance) (Appeals Committee for Special Services and Disabled Children)
English translation and maintenance by The Shira Pransky Project.