Validation of ADI certifications

What is it

It is the service through which the competent public administration can validate the declaration, indicated in the ADI claim, relating to:

• certificates attesting to the disadvantaged conditions for the applicant and/or for the subjects belonging to their family;
• inclusion in care and assistance programmes with a date prior to the date of submitting the ADI claim.

Who is it aimed at

The service is aimed at healthcare facilities that have issued the relevant certifications and indicated by the same applicant in the ADI claim.

In fact, if there are disadvantaged members in the family unit, the claimant, when submitting the ADI claim, must self-declare the possession of the relevant certification (Article 4, paragraph 4, of Ministerial Decree 154/2023), specifying:

• the administration that issued it;
• the identification number, where available;
• the date of issue;
• the fact that the person has been taken into care and included in a personalised project or care programme, with an indication of the effective date and specifying the administration responsible for the project or programme, if different from the administration that certified the disadvantaged condition.

The service is reserved for professionals in authorised healthcare facilities.

To activate the authorisations, it is necessary to fill in the AP64 form available on the institutional website in the “Forms” section, to be completed and sent to the local INPS office, which will provide the necessary authorisations. 

At each health facility, it is therefore advisable to identify one or more operators dedicated to this verification service.

How does it work

Through the service, INPS makes the following available to the ASL (Local Health Authority) indicated by the applicant:

• a tax identification code;
• the ADI claim protocol;
• the other information listed above.

The operator of the health facility, when accessing the service, must certify whether the declaration reported is “Valid” or “Invalid”.

The service makes the list of requests to be validated available to the operator of the authorised health facility.

The requests can alternatively be referred to ascertaining the disadvantaged condition or inclusion in the care and assistance programmes only, or concern both.

In fact, in relation to the disadvantaged condition, it is possible that the subsequent inclusion in the care and assistance programme be managed by the same or by another health facility or be entrusted to the social services or to the external enforcement offices of the judicial administration.

Each structure addressed and of competence must, therefore, validate the disadvantaged condition or inclusion in the care and assistance programme as far as it is pertinent. 

The operating methods for using the features of the service are indicated in the User Manual (pdf 921KB).

SERVICE FUNCTIONS

The authorised healthcare facility operator has the functions to:

• process the relevant requests, made available on the basis of what was stated by the citizen in the ADI claim;
• view the requests already processed and, if necessary, review them.

The requests to be processed, collected in a list, contain the following information:

• tax identification code of the disadvantaged person;
• certificate protocol, if any;
• date of issuing the certificate;
• start date of the care programme;
• date of submitting the ADI claim;
• request status, including the following:
  
  • To be processed;
  • In progress;
  • To be reviewed.

Requests close to being time-barred are appropriately reported (with an alert signal) with evidence of the expiration date of 60 days, beyond which the request will be accepted for self-certification in silent consent.

The list is accompanied by some filters that allow you to perform a timely search, based on the tax identification code, the protocol number and the status.

For each request, the operator, entering the details of the request, can view the following data:

• tax code of the disadvantaged person and any tax identification code linked to the same person;
• name and surname of disadvantaged person;
• protocol number of the certificate, if any;
• date of submitting the ADI claim;
• date of issuing the certificate;
• start and end dates (if any) of the care programme.

The last two items of data may both be present or only the start date may be indicated.

The operator, after having read the data, can:

• supplement or change certain information, such as the protocol number of the certificate, the date of issue, or the start and end dates of the care programme. However, dates prior to that of the ADI claim may not be indicated as the end date of the care programme;
• certify that the citizen has a certification or inclusion in a care and assistance programme:
  
  • Valid
  • Invalid.

After confirming the operation, the certification made by the health care facility is automatically made available to the INPS systems for the completion of the ADI claim investigation.

The processed requests, collected in a list, report the following information:

• tax code of the disadvantaged person and any tax identification code linked to the same person;
• certificate protocol, if any;
• date of issuing the certificate;
• start date of the care programme;
• date of submitting the claim;
• request status, including the following:
  
  • Positive outcome;
  • Negative outcome;
  • Re-examined with positive outcome;
  • Re-examined with negative outcome;
  • Positive outcome for silent consent.

The operator can view the details of the individual request and, if necessary, activate the review of a certification already made (at the moment only one review is allowed and only for requests with a first negative outcome).

In relation to the outcomes of the checks, the ADI claim can only be continued if both the disadvantaged conditions and inclusion in the care and assistance programme are positively verified:

• by the health care facility alone, if both checks are related to this facility;
• by the health care facility and by the further administration concerned (a different health facility or the Social Services or Justice Offices), in the event that the disadvantaged condition has been indicated in the claim as certifying or responsible for the care and assistance programme.

The outcome of the check on the condition may be consulted in the ADI procedure, initially, with the overall final (positive and negative) result only, at the outcome of both checks, while through the intranet portal, the procedure will highlight to INPS operators the detail of the outcome of the checks.

It is worth remembering that if the administration concerned with one or both checks does not take a decision within 60 days, the request will pass by silent consent.