The process to identify the extent of care needs begins when the family submits an application to the municipal govern-
ment, which then sends a staff member to identify the de- gree of care needed by the applicant. Based on the results of this investigation and comments from the physician in charge, a special committee authorizes the extent of care needed by the applicant. The committee’s judgment of health care needs then is funded within established cost limits that determine the number and kind of services re- ceived. The CILE covers two types of services: home care and institutional care. The care recipient and family can choose to develop a care plan themselves or ask profes- sionals to do it.