Eligible in a hospital network: medudoc under funding category 5

• Part of your project, not a project of its own

  The Transformation Fund does not fund software on its own. medudoc is funded as an IT measure that supports your core measure, such as forming a hospital network.

• Funding category 5 first

  Regional hospital networks are preparing their applications now. This is where medudoc is easiest to justify. Telemedicine networks under FTB 3 are likely to follow later.

• Legally assessed

  A short legal opinion assesses medudoc against the Hospital Financing Act (KHG) and the Transformation Fund Ordinance (KHTFV). You can attach it to your application.

• One-off costs eligible

  Implementation, configuration and integration count as eligible costs. Ongoing operating costs are excluded from funding.

1. 1

   Permanent network agreement

   At least two legally independent hospitals agree on permanent cooperation. It aims to reduce duplicate structures in service groups; ownership does not matter.

   Up to your network

2. 2

   Real concentration

   The project bundles or reduces duplicate structures in one or more service groups, for example by bringing elective procedures together at one network site.

   Up to your network

3. 3

   One shared platform for all hospitals

   medudoc is introduced as a shared multi-tenant platform. It standardises patient intake, patient education and consent across the entire network.

   We implement it with you

Source: short legal opinion on the funding eligibility of medudoc under the KHVVG, Lyck+Pätzold. healthcare.recht, April 20, 2026, section V. The federal state and the Federal Office for Social Security decide on funding case by case.

→We list the one-off costs as a separate item in the cost estimate. This allows the federal state and the BAS to assess them separately from ongoing use.

1. 1

   1. Define the project

   The network partners agree which service groups they will bundle at which site.

2. 2

   2. Plan medudoc in

   We describe the IT measure, its contribution to the project and the cost estimate. You attach the legal opinion.

3. 3

   3. Register with the federal state

   Your operator registers the project with the responsible federal state. The state selects projects and applies to the BAS.

4. 4

   4. Await the decision

   Allow about six months until the funding decision. The BAS grants the funds to the state, the state to your operator.

5. 5

   5. Award and roll out

   Public operators usually award the contract under procurement law. We then roll out medudoc hospital by hospital.

Result: one standard for intake, patient education and consent in every hospital of your network.

funding volume for restructuring the hospital landscape, provided by the federal government and the federal states

€50 billion

term of the fund

2026–2035

federal share from the special fund for infrastructure and climate neutrality

€29 billion

Hospital operators submit projects to their federal state. The state applies to the Federal Office for Social Security (BAS).

State → BAS

• →From 2026 to 2029, the federal states, where applicable together with hospital operators, bear at least 30% of the eligible costs, and from 2030 at least 50%.
• →The BAS reviews the applications, issues the funding decisions and approved the first funds on April 17, 2026.

Source: German Federal Ministry of Health, press release of April 17, 2026.

1. KHVVGIn force since the end of 2024

   Krankenhausversorgungsverbesserungsgesetz (German Hospital Care Improvement Act)

   Sets out the foundations of the reform.

   • Divides hospital services into service groups with quality requirements.
   • Introduces standby funding (Vorhaltevergütung), which pays part of the budget independently of case numbers.
   • Creates cross-sector care facilities.
   • Establishes the Transformation Fund with eight funding categories (Section 12b of the Hospital Financing Act, KHG).
2. KHAGIn force since April 15, 2026

   Krankenhausreformanpassungsgesetz (German Hospital Reform Adjustment Act)

   Adapts the reform to implementation in the federal states.

   • Revises service groups and quality criteria.
   • Introduces standby funding at a later date.
   • Extends exemptions and cooperation options for the federal states.
   • Finances the federal share of the fund from the special fund instead of from statutory health insurance funds.

→The funding categories come from the KHVVG. Financing and deadlines follow the version as amended by the KHAG.

• FTB 5Now

  Regional hospital networks

  In a network, shared standards count. medudoc maps one uniform preparation pathway per procedure for all hospitals. Eligible if the three conditions are met.

• FTB 1Possible

  Concentration across sites

  If a hospital concentrates acute inpatient services across two or more sites, medudoc harmonises preparation in addition to the construction measures. Preparation from home offsets longer journeys.

• FTB 3Likely later

  Telemedicine network structures

  A central anaesthesia team reviews complete cases from all sites and resolves queries in a targeted way. The legal opinion considers the conditions met in principle; the Federal Ministry of Health's minimum requirements are decisive.

• FTB 2Case by case

  Cross-sector care facilities

  Medical history, findings and consent are available before admission. This requires the federal state to designate the site as such a facility and medudoc to be aligned with its internal medicine and geriatric workflows.

• FTB 4Case by case

  Centres for rare, complex or serious diseases

  Patients often travel long distances and prepare completely and in several languages beforehand. Eligible together with a university hospital if medudoc ensures interoperability in the centre.

The remaining funding categories concern integrated emergency care structures (FTB 6), the closure of sites (FTB 7) and additional training capacity (FTB 8). The article KHAG funding eligibility summarises the legal assessment.