Ségur digital health for speech therapists in 2026

The Ségur digital health program: a €2 billion plan

The Ségur du numérique en santé (Ségur digital health program) is the digital component of the investment plan agreed under the ministerial commitments of 22 July 2020, which came out of the Ségur de la santé talks. Run by France's Agence du Numérique en Santé (ANS), it mobilises €2 billion to make the sharing of health data between professionals and patients fluid and secure, relying on core national services such as Mon espace santé (the patient's personal health space) and the secure messaging system MSSanté.

The programme rolls out in successive waves, one per sector: hospitals, labs and radiology, GPs and dentists, pharmacies, and then midwives and paramedical professions. Each wave is built around a technical specification — the REM, or "minimum requirements framework" — that software publishers must meet for their product to be considered "Ségur-referenced".

Where things actually stand for speech therapists in 2026

This is the part many speech therapists (orthophonistes) either don't know or confuse with the timeline of professions already covered: the part of the Ségur programme that concerns them, alongside other paramedical professions and midwives, is not operational yet.

The regulatory framework has only just been set. The French decree (arrêté) of 15 July 2026, on the financing programme for the digital equipment of midwives and paramedical professionals in private practice for "practice management software", was published in the Official Journal on 21 July 2026. It opens wave 2 of the Ségur programme for this group: nurses, advanced practice nurses, chiropodists-podiatrists, physiotherapists, orthoptists, speech therapists and midwives. According to the Fédération Nationale des Orthophonistes (FNO), which tracks this file for the profession, this switch to a Ségur-referenced version should start early 2027 — the ANS itself has not yet published this specific timeframe on its own site as of this article's writing.

In concrete terms, as of the publication date of this article: the specification exists and software publishers are beginning to work toward it, but no speech therapist can yet receive a Ségur payment under this wave — the scheme is not open. Be wary of any content presenting this aid as immediately available to the profession: at this stage, it is not.

What the Ségur aid will cover once it opens

The exact amount of the payment has not yet been published for the midwives-and-paramedical track: the ANS states it will be detailed in the relevant funding call. What is already defined at the level of the Ségur programme overall is what the funding covers: installation costs for the referenced version, the licence, data portability, maintenance, training and professional support, over a six-year period. It does not cover a full software replacement linked to an outdated version, nor any hardware (workstation, card reader) that might need replacing to install the referenced version.

Who will be covered once the scheme opens

According to the ANS, wave 2 for "midwives and paramedical professions" covers nurses and advanced practice nurses, chiropodists-podiatrists, physiotherapists, orthoptists, speech therapists and midwives, whether they are self-employed or salaried at a health centre.

What to do in the meantime

While the scheme is not yet open for the profession:

• Follow official sources: the ANS website (esante.gouv.fr) and the Fédération Nationale des Orthophonistes (FNO), which publishes progress updates, remain the references for the timeline and the amounts.
• Ask your practice-management software publisher about their roadmap for Ségur compliance — a serious publisher has visibility on this and plans ahead for certification.
• Do not start a claim with your health insurance fund (CPAM) at this stage for this specific aid: no application can succeed before the scheme officially opens for the paramedical track.

Ségur and télésoin (remote care): two separate schemes

The Ségur digital health programme should not be confused with télésoin, which is a real, already-active scheme for speech therapists since 2021. Amendment 17 to the national agreement for speech therapists, concluded on 29 January 2021 between the FNO and the French health insurance fund, sets the conditions for remote sessions and their reimbursement: they are valued under the same fee conditions as an in-person session (TMO code, same NGAP coefficients), capped at 20% of conventioned activity on an annual basis, and reserved for patients already known to the practice (an initial in-person assessment within the preceding twelve months, unless following a hospital discharge with a transmitted care plan).

For speech therapists who practise télésoin, connecting to Mon espace santé — a central objective of the Ségur programme — will eventually make it easier to share reports with prescribing doctors and coordinate with the other professionals involved in a patient's care.

Cabdivin and the Ségur framework

Cabdivin, the practice-management software built for speech therapists, is closely following the publication of the Ségur framework for paramedical professions and stands ready to comply once the ANS confirms the compliance timeline. You can browse our current features, including secure video consultation, which follows the same care-coordination logic the Ségur programme promotes.

FAQ: Ségur digital health program for speech therapists

Can I already apply for the Ségur aid as a speech therapist?

Not yet. The wave that concerns you (midwives and paramedical professions) was framed by the decree of 15 July 2026; the FNO announces a start in early 2027, but this timeline is not yet confirmed on the ANS website. No application can be filed before the scheme officially opens.

What will the amount of the aid be?

It has not been published yet for your profession. The ANS states it will be detailed in an upcoming funding call. Be cautious of any figure presented as final before that official publication.

Is télésoin covered by the Ségur programme?

They are two separate schemes. Télésoin has been reimbursed since 2021 (amendment 17), independently of the Ségur programme. Ségur will fund the upgrade of your software to better connect it with Mon espace santé and secure messaging — which will indirectly benefit your télésoin practice once the scheme is active.

How can I know if my software will be Ségur-compatible?

Contact your publisher directly: they are the ones who must have their solution certified by the ANS against the wave 2 "midwives and paramedical professions" specification. You can also follow updates from the Fédération Nationale des Orthophonistes, which relays progress on the file for the profession.

Key takeaway

• The Ségur digital health programme is a national €2 billion plan to secure health data sharing.
• Speech therapists are covered by wave 2 "midwives and paramedical professions", framed by the decree of 15 July 2026 — a scheme the FNO says will start early 2027 (a date not yet confirmed by the ANS), not open yet.
• The amount of the aid has not been published yet for this track.
• Télésoin, reimbursed since 2021, is a separate scheme, already active.
• Cabdivin is tracking the Ségur framework for paramedical professions and stands ready to comply. Discover our features and our secure video consultation.