\u200b\u200bL\u2019instruction n\u00b0 CNSA\/DFO\/PMRT\/2026\/124 du 14 octobre 2026 pr\u00e9cise les objectifs, les conditions d\u2019utilisation et la r\u00e9partition des cr\u00e9dits que la Caisse nationale de solidarit\u00e9 pour l\u2019autonomie (CNSA) alloue aux agences r\u00e9gionales de sant\u00e9 (ARS) pour financer des actions de pr\u00e9paration au d\u00e9ploiement de la r\u00e9forme SERAFIN-PH. Cette r\u00e9forme concerne le financement des \u00e9tablissements et services m\u00e9dico-sociaux (ESMS) pour personnes en situation de handicap. Le d\u00e9ploiement de la r\u00e9forme est pr\u00e9vu au 1er janvier 2027.<\/p>\n
La contribution de la CNSA est destin\u00e9e sp\u00e9cifiquement \u00e0 l\u2019organisation, par les ARS, d\u2019\u00e9v\u00e9nements relatifs \u00e0 la r\u00e9forme SERAFIN-PH. Les ARS doivent organiser des journ\u00e9es r\u00e9gionales d\u2019information, d\u2019\u00e9changes ou de travail et participer \u00e0 un retour d\u2019exp\u00e9rience national sur la pr\u00e9paration de la r\u00e9forme. Les institutions et organismes gestionnaires d\u2019ESMS pour personnes handicap\u00e9es constituent la cible principale de ces actions, aux c\u00f4t\u00e9s notamment des maisons d\u00e9partementales des personnes handicap\u00e9es (MDPH), de l\u2019\u00e9ducation nationale, des caisses primaires d\u2019assurance maladie (CPAM) et des autres acteurs concern\u00e9s du champ du handicap.<\/p>\n
L\u2019instruction comprend une annexe pr\u00e9cisant la r\u00e9partition r\u00e9gionale des cr\u00e9dits pour l\u2019organisation de ces \u00e9v\u00e9nements. Les ARS sont tenues de prendre en compte les dispositions de cette instruction d\u00e8s r\u00e9ception. Le texte s\u2019applique en l\u2019\u00e9tat \u00e0 l\u2019ensemble des territoires ultramarins. La base juridique de ce dispositif renvoie notamment \u00e0 l\u2019article 114 de la loi n\u00b0 2025-1403 du 30 d\u00e9cembre 2025 de financement de la s\u00e9curit\u00e9 sociale pour 2026, ainsi qu\u2019\u00e0 l\u2019article L. 14-10-5 du Code de l\u2019action sociale et des familles. Il s\u2019inscrit dans la continuit\u00e9 des travaux et pr\u00e9conisations issus du rapport conjoint de l\u2019Inspection g\u00e9n\u00e9rale des finances et de l\u2019Inspection g\u00e9n\u00e9rale des affaires sociales d\u2019octobre 2012 sur les \u00e9tablissements et services pour personnes handicap\u00e9es, ainsi que de la feuille de route du 27 novembre 2014 sur la r\u00e9forme de la tarification des ESMS pour personnes handicap\u00e9es.<\/p>\n
Le dispositif ne remplace ni n\u2019abroge aucune circulaire ou instruction ant\u00e9rieure. Il vise principalement \u00e0 soutenir la pr\u00e9paration op\u00e9rationnelle du changement de mod\u00e8le de financement des ESMS pour personnes handicap\u00e9es, en structurant un accompagnement r\u00e9gional et un partage d\u2019exp\u00e9riences \u00e0 l\u2019\u00e9chelle nationale. Un point de contact est identifi\u00e9 au sein de la CNSA pour le suivi de la mise en \u0153uvre (adresse fonctionnelle serafin-ph@cnsa.fr).\u00a0 (contenu r\u00e9sum\u00e9 en fran\u00e7ais par l’IA) Lire la Suite<\/a><\/p>","protected":false},"excerpt":{"rendered":" \u200b\u200bL\u2019instruction n\u00b0 CNSA\/DFO\/PMRT\/2026\/124 du 14 octobre 2026 pr\u00e9cise les objectifs, les conditions d\u2019utilisation et la r\u00e9partition des cr\u00e9dits que la Caisse nationale de solidarit\u00e9 pour l\u2019autonomie (CNSA) alloue aux agences 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