CIZ, Centrum indicatiestelling zorg

What CIZ, Centrum indicatiestelling zorg does

CIZ (Centrum indicatiestelling zorg) is the Dutch government's statutory assessment body (uitvoeringsorganisatie) for long-term care, operating under the Ministry of Health, Welfare and Sport (VWS). Its sole function is to investigate whether individuals qualify for care under the Wet langdurige zorg (Wlz), whether involuntary admission is warranted under the Wet zorg en dwang (Wzd), and whether children with intensive care needs qualify for double child benefit (advice to the SVB). CIZ is the legally mandated single gateway for Wlz/Wzd indications in the Netherlands and serves both individual citizens and the care-provider ecosystem (zorgaanbieders, zorgkantoren, GGZ and VV institutions, municipalities).

The operating backbone is a digital application and decision workflow centered on the Portero case management system (used by care providers) and the publicly visible Wlz-check and Wzd-check self-service tools, supported by Zivver for privacy-sensitive communications and the CIZ Databank for longitudinal statistics from 2018 onward. CIZ is in the middle of a phased migration to a new client system called Apoyo, which comprises CIZorgportaal for healthcare providers and the upcoming MijnCIZ portal for citizens. The DKIZ module has been successfully migrated; the larger Wlz/Wzd phase, representing roughly 85% of workload, has been postponed from June 2026 to later in 2026. Other integrations include DigiD for citizen identity, ZorgDomein for GP referrals, and MEE NL for IQ testing.

CIZ is a non-commercial, publicly funded organization. It charges no fees to citizens or providers; its budget flows from the Ministry of VWS. Distribution is nationwide via a single contact center, the Portero/CIZorgportaal channel for providers, and the website (ciz.nl) for citizens. The organization operates as a monopoly by statute, with governance exercised through a Board of Directors (currently led by interim Chair Ditte Hak following Remco Bakker's June 2026 departure to chair COA).

Name

CIZ, Centrum indicatiestelling zorg

Legal name

CIZ Centrum Indicatiestelling Zorg

Website

https://ciz.nl

Company type

Private

Founded year

2005

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

CIZ is the Dutch government's statutory assessment body that determines eligibility for long-term care under the Wlz and involuntary care under the Wzd, and advises the SVB on double child benefit, serving citizens, care providers, and the Ministry of VWS exclusively.

Ownership category

akta.pro rank

Product category

Long-term care assessment services

NAICS

Services for the Elderly and Persons with Disabilities (62412), Health Care and Social Assistance (62)

SIC

Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Comprehensive Geriatric Assessment & Care Planning (HSABAIAA)

akta.pro secondary industry

Family Communication, Care Updates & Scheduling Support (HSABAAAK)

Keywords

• Long-term care assessment
• Healthcare eligibility evaluation
• Care needs indication
• Involuntary care assessment
• Long-term care administration

Headquarters

HQ city

Driebergen

HQ country

Netherlands

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure

Revenue model

1. Government funding (Ministry of VWS): CIZ is a government execution organization funded by the Dutch Ministry of Health, Welfare and Sport (VWS). As a public body performing statutory tasks (indicatiestelling under the Wlz and Wzd, and advising on double child benefit), it does not generate commercial revenue. Services to citizens and care providers are free of charge.

Go-to-market motion2 records

Distribution channels5 records

Marketing channels6 records

Core offering

CIZ is the independent Dutch government organization that performs statutory care needs assessments (indicatiestelling) to determine eligibility for the Wet langdurige zorg (Wlz, Long-Term Care Act) and the Wet zorg en dwang (Wzd, Care and Compulsion Act). It assigns legally binding care profiles (zorgprofielen), advises the SVB on double child benefit (dubbele kinderbijslag) for children with intensive care needs, and operates the Portero portal (being replaced by Apoyo/CIZorgportaal) for care providers and self-service Wlz-check and Wzd-check tools for citizens. All services are provided free of charge and funded by the Ministry of Health, Welfare and Sport (VWS).

Product overview

CIZ operates as a government-funded healthcare assessment organization (Centrum Indicatiestelling Zorg) administering the Wet langdurige zorg (Wlz - Long-Term Care Act) and Wet zorg en dwang (Wzd - Care and Compulsion Act). The core platform consists of Portero, the current online application system for healthcare providers, which is being replaced by the new Apoyo platform consisting of MijnCIZ (client portal) and CIZorgportaal (provider portal). Supporting products include the Wlz-check and Wzd-check self-assessment tools, the CIZ Databank for statistics, Zivver secure communication for privacy-sensitive information, care profile (zorgprofielen) designations, IQ-testing coordination via MEE, and the Dubbele Kinderbijslag (DKIZ) advisory service for the SVB. The organization is transitioning from Portero to Apoyo in phases, with DKIZ successfully migrated and Wlz/Wzd pending later in 2026.

Differentiator

Problem solved

Functional benefit

Products and services

• Portero Online application system used by registered healthcare providers to submit Wlz (Long-Term Care Act) and Wzd (Care and Compulsion Act) applications to CIZ, upload supporting documents, and track indication request status. Access requires registration and acceptance of terms of use; provided free of charge.
• Apayo Client System New client system replacing Portero, comprising MijnCIZ (client portal for citizens) and CIZorgportaal (provider portal for healthcare professionals). Being deployed in phases: DKIZ/Double Child Benefit first, then Wlz/Wzd.
• CIZorgportaal New healthcare provider portal within the Apoyo system that replaces Portero, through which healthcare professionals submit Wlz and Wzd applications and manage indication workflows.
• MijnCIZ

Quantifiable outcome

• CIZ processes approximately 38,530 decisions per quarter (Q4 2022 figures)
• +2 more outcomes

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

Feature6 records

Partnerships

Nine partnerships are on record, tiered core and minor.

• IGJ (Inspectie Gezondheidszorg en Jeugd)coreStrategic or Co-development PartnerCIZ coordinates with the Dutch Healthcare and Youth Inspectorate (IGJ) on matters relating to involuntary care admissions under the Wzd. IGJ and CIZ have made agreements about the timing of client admissions relative to legal statuses (besluit tot opname en verblijf vs. rechterlijke machtiging). IGJ does not enforce compliance during the pendency of a valid CIZ application for admission and residence.
• SVB (Sociale Verzekeringsbank)coreStrategic or Co-development PartnerCIZ advises the SVB on whether children with a Wlz indication require intensive care for the purpose of double child benefit (dubbele kinderbijslag). Since 1 July 2024, CIZ automatically informs the SVB of children's Wlz indications (with parental consent), initiating the double child benefit process.
• Stichting IKZcoreStrategic or Co-development PartnerStichting IKZ (Informatie Knooppunt Zorg) aggregates healthcare fraud information and complements it with data from chain partners. CIZ collaborates with Stichting IKZ and 7 other partners to address healthcare fraud in the long-term care sector.
• Zorginstituut NederlandcoreStrategic or Co-development PartnerCIZ coordinates with the Dutch Healthcare Institute on ADL-assistance (ADL-assistentie) subsidy assessments and aligns its policy rules (beleidsregels) for Wlz indication-setting with the Ministry of VWS and Zorginstituut Nederland.
• AtoscoreTechnology or IntegrationAtos was awarded the contract to build and implement CIZ's new case management system (replacing Portero) following a public procurement process. Atos is responsible for the technical development and deployment of the new system (initially planned for early 2024).
• MEE NLcoreImplementation/ SI/ Consulting PartnerMEE NL conducts IQ tests on behalf of CIZ for clients applying for Wlz indications. MEE NL schedules the test appointments, administers the assessment, and shares the report with CIZ only upon client consent.
• Zorgkantoren (Care Offices)coreChannel Partner/ Reseller/ DistributorZorgkantoren (care offices) are responsible for arranging and funding Wlz care for their clients. They receive CIZ's indication decisions and use them to arrange care provision. CIZ works with zorgkantoren regionally to coordinate long-term care delivery.
• ZivvercoreTechnology or IntegrationCIZ uses Zivver as its secure email and file-sharing platform for sending and receiving privacy-sensitive information (personal data, medical records, reports). Zivver provides end-to-end encryption ensuring only sender and recipient can read the content.
• COA (Centraal Orgaan opvang asielzoekers)minorStrategic or Co-development PartnerCOA is the Dutch Central Agency for the Reception of Asylum Seekers. On 19 June 2026, Remco Bakker (Chair of CIZ's Board of Directors) was appointed as Chair of COA's Board of Directors, creating a governance-level connection between the two organizations.

Scale indicators4 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• UWV (Uitvoeringsinstituut Werknemersverzekeringen): Major Dutch government execution organization administering employee insurance schemes. Comparable as a large-scale, publicly-funded execution agency with nationwide citizen-facing assessment, digital transformation, and ministerial oversight.
• Zorginstituut Nederland: Dutch Healthcare Institute that defines the care package (basispakket) and quality standards. CIZ aligns its policy rules with Zorginstituut Nederland on Wlz indication-setting, making it a directly comparable regulatory and advisory counterpart.
• CAK (Centraal Administratiekantoor): Dutch government execution organization under VWS that collects the 'eigen bijdrage' (personal contribution) for Wlz care and administers other statutory health-related financial processes. Directly comparable as a peer public-sector agency embedded in the Dutch long-term care chain.
• SVB (Sociale Verzekeringsbank): Dutch social insurance administration that disburses benefits including the double child benefit (dubbele kinderbijslag) on which CIZ formally advises. Directly comparable as a statutory Dutch social/health execution body with similar governance and citizen-service mandate.
• Zorgkantoren (collective of Dutch care offices): Regional Dutch care offices that receive CIZ indication decisions and arrange/fund Wlz care provision. Directly comparable as statutory downstream counterparties in the same long-term care value chain, dependent on CIZ outputs.
• IGJ (Inspectie Gezondheidszorg en Jeugd): Dutch Healthcare and Youth Inspectorate that supervises care quality and compliance, including Wzd-related involuntary admissions coordinated with CIZ. Comparable as a statutory health oversight and enforcement body under VWS.
• Nederlandse Zorgautoriteit (NZa): Dutch Healthcare Authority that regulates healthcare markets and tariffs. Comparable as a statutory Dutch healthcare oversight body operating under VWS with similar governance, transparency obligations, and citizen-facing mandate.

Broad incumbents

• Belastingdienst: Dutch Tax and Customs Administration. Comparable as a peer public-sector execution organization with nationwide mandate, large headcount, complex legacy IT, and ongoing multi-year digital transformation programs.
• DUO (Dienst Uitvoering Onderwijs): Large Dutch government execution organization administering education-related grants and benefits. Comparable as a peer public-sector execution agency with similar citizen-facing digital services, ministerial oversight, and large-scale IT systems.

Regional players

• NHS Continuing Healthcare (CHC) — UK: NHS-funded long-term care eligibility assessment framework for England, functionally analogous to CIZ's Wlz assessments. Comparable as a statutory long-term care needs assessment system in another jurisdiction with similar eligibility gating and care profile assignment.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/CIZwebcare
• Facebookfacebook.com/profile.php

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about CIZ, Centrum indicatiestelling zorg