The initial equipment costs required during the definition, testing, and introduction phases of the TI, as well as the costs incurred during the ongoing operation of the TI, are reimbursed to care facilities by the long-term care insurance (Section 106 b SGB XI). The costs of procuring an eHealth connector, an inpatient eHealth card terminal, and the institutional ID card are also reimbursed to care facilities. Nursing facilities are granted a so-called TI start-up flat rate for the costs of online connection to the TI via VPN access service, implementation of the connector functions, and installation of the components. The nursing facility also receives a quarterly flat-rate operating fee for the operating costs incurred during ongoing operation and for the ongoing costs of the SMC-B institutional ID card. The entitlement to payment of the lump sums arises in the quarter in which the technical commissioning takes place. The proof is provided by the nursing facility to the billing office of the GKV-Spitzenverband using written confirmation from the respective service provider or comparable proof. The flat rates for operating costs are reduced by one-third in the first quarter of use for each full month in which the facility was not yet connected to the telematics infrastructure. The current reimbursement flat rates can be obtained from the GKV.