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Care and Support Allowance (ACS) following tuberculosis disease

The service allows individuals to submit a claim to receive a care and support allowance due to their remuneration having been reduced to less than half. It is aimed at various types of individuals suffering from tuberculosis disease.
Addressed to:
Categories
Doctors- Patronage Institutes- People who have been affected by the tuberculosis disease
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Access to services for patronage institutes

Publication: 3 April 2017 Latest update: 28 April 2025

What is it?

The Care and Support Allowance (ACS) is a fixed allowance paid by INPS to persons whose earning capacity in relation to their abilities has been reduced to less than half owing to tuberculosis, if they are not receiving a normal, full-time continuous income.

Who is it aimed at? 

The Allowance can be claimed by persons who are already entitled to the Daily Allowance (IG), namely:

  • insured persons who can claim at least one year of contribution or 52 weekly contributions during their entire working life (Article 3, Law 419/1975). On 1 January 1999, the contribution required for compulsory tuberculosis insurance was abolished; the contribution requirement is considered satisfied if there are contributions payments in respect of the Insurance against Invalidity, Old Age and Survivors (IVS);
  • some categories of public sector workers;
  • some categories of pensioners and holders of allowances;
  • dependents of the insured even if they are not insured by INPS.

How does it work?

START DATE AND DURATION

The Allowance is paid:

  • from the day following the end of the Post Sanatorium Allowance (IPS) if the claim is submitted within 90 days;
  • from the day following the end of the previous Care and Support Allowance if the claim is submitted within 90 days;
  • from the first day of the month following the claim if it is submitted 90 days following the end of the IPS or the previous ACS.

The Allowance:

  • is paid for 24 months following the end of the Post Sanatorium Allowance (IPS);
  • is renewable every 24 months, without time limits, so long as the requirements continue to be met;
  • is interrupted in the event of a new treatment cycle;
  • restarts after a new cycle of care if the required requirements are still met.

WHAT AM I ENTITLED TO?

The benefit is paid in a fixed amount, established and updated annually by ministerial decree (INPS circular No. 3 of 3 January 2024 (in Italian)).

Claim

WHEN CAN I CLAIM?

The claim must be submitted within 90 days of the end of the IPS or the end of the previous ACS.

HOW CAN I CLAIM?

The claim must be submitted online to INPS based on the information contained in the INPS circular No. 45 of 27 March 2012 (in Italian).

Alternatively, claims can be made through:

  • the contact centre on 803 164 (free for landline calls from Italy) or 06 164 164 from mobile phones;
  •  using the telematic services offered by patronage institutes and intermediaries of the Institute.

Processing Time of the Measure

The ordinary deadline for issuing the measures is set at 30 days under Law no. 241/1990. In some cases the law may set different deadlines.

The table (in Italian) shows the deadlines exceeding thirty days, set by the Institute with a Regulation.

In addition to the terms for the issuance of the measures, the table (in Italian) also indicates the relevant manager.

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