Long-Term Care Insurance Act

A Municipality is to conduct, in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare, the following projects (hereinafter referred to as "Comprehensive Project for Long-Term Care Prevention and Daily Life Support") as a Community Support Project, in order to comprehensively and integrally implement measures for preventing Insured Persons (excluding Insured Persons to Whom the Domicile Exception Applies by Long-Term Care Insurance provided by said Municipality, and including Insured Persons to Whom the Domicile Exception Applies who are undergoing Admission, etc. to a Facility Subject to Domicile Exception located within the area of said Municipality; the same applies hereinafter in this Chapter, except for item (vii) of the following paragraph, item (iii) of paragraph (3), Article 115-47, paragraph (10) and Article 115-49) from falling into a Condition of Need for Long-Term Care, etc., or reducing or preventing deterioration of a Condition of Need for Long-Term Care, etc., and for supporting independent daily life in the community.

a project to conduct the following projects for Insured In-Home Persons Requiring Support and other Insured Persons specified by Order of the Ministry of Health, Labour and Welfare (hereinafter referred to as "Insured In-Home Person Requiring Support, etc.") (hereinafter referred to as "category 1 project"):

a project, for the purpose of Prevention of Long-Term Care of Insured In-Home Persons Requiring Support, etc., to provide support for daily life at the residences of said Insured In-Home Persons Requiring Support, etc. over a period specified by Order of the Ministry of Health, Labour and Welfare, in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare (hereinafter referred to as "category 1 home-visit project" in this paragraph);

a project, for the purpose of Prevention of Long-Term Care of Insured In-Home Persons Requiring Support, etc., to provide support for daily life or functional training at a facility specified by Order of the Ministry of Health, Labour and Welfare, over a period specified by Order of the Ministry of Health, Labour and Welfare, in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare (hereinafter referred to as "category 1 day service project" in this paragraph);

a project to provide, in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare, support for the independent daily life in the community of Insured In-Home Persons Requiring Support, etc. that is specified by Order of the Ministry of Health, Labour and Welfare as being found to be effective when provided integrally with the Preventive Long-Term Care Service Business, the Community-Based Preventive Long-Term Care Business, the category 1 home-visit project, or the category 1 day service project (referred to as "category 1 daily life support project" in (d));

a project, for the purpose of Prevention of Long-Term Care of Insured In-Home Persons Requiring Support, etc. (excluding those who receive Designated Preventive Long-Term Care Support or Preventive Long-Term Care Support pertaining to an Exceptional Allowance for Preventive Long-Term Care Service Plan), to provide necessary assistance, in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare, according to their mental and physical condition, the environment in which they are placed, and other circumstances, and based on their choice, so that the category 1 home-visit project, the category 1 day service project, the category 1 daily life support project, or other appropriate projects are provided comprehensively and effectively (hereinafter referred to as "category 1 Preventive Long-Term Care Support project");

a project necessary for preventing an Insured Person (limited to a Primary Insured Person) from falling into a Condition of Need for Long-Term Care, etc., or for reducing or preventing deterioration of a Condition of Need for Long-Term Care, etc. (excluding the Preventive Long-Term Care Service Business and the Community-Based Preventive Long-Term Care Business, and the category 1 home-visit project and the category 1 day service project).

A Municipality is to implement, in addition to the Comprehensive Project for Long-Term Care Prevention and Daily Life Support, the following projects as Community Support Projects in order to prevent an Insured Person from falling into a Condition of Need for Long-Term Care, etc., and to support said person to be able to live an independent daily life in the community as much as possible even if said person falls into a Condition of Need for Long-Term Care, etc.:

a project to understand the mental and physical conditions of an Insured Person, the actual living status in his or her home, and other necessary actual conditions, to provide comprehensive information concerning health and medical care, public health, social public aid service and other relevant measures, to coordinate with relevant facilities, and to provide comprehensive support in order to improve health and medical care of Insured Person and to promote public aid service;

a project to provide the necessary assistance for prevention of abuse of an Insured Person, a business for early detection of said abuse and other advocacy for an Insured Person;

a project to provide comprehensive and continuous support, through verification by persons with expert knowledge concerning health and medical care and public aid of the In-Home Service Plan, Facility Service Plan, and Preventive Long-Term Care Service Plan of an Insured Person, periodical consultation concerning the mental and physical condition of said Insured Person, the status of use of Services Covered by Long-Term Care Benefits, etc., and other circumstances, and other efforts, so that said Insured Person can live an independent daily life in the community;

a project specified by Order of the Ministry of Health, Labour and Welfare under which persons with expert knowledge concerning medical care promote cooperation among Long-Term Care Service Providers, medical institutions that provide medical care at home, and other relevant persons (excluding the project listed in the preceding item);

a project to promote the support of the independent daily life of Insured Persons in the community and the prevention of falling into a Condition of Need for Long-Term Care, etc. or the reduction or prevention of deterioration of a Condition of Need for Long-Term Care, etc., such as the development of a system pertaining thereto;

a project to provide comprehensive support, by persons with expert knowledge concerning health and medical care and public aid, to Insured Persons who have Dementia or are suspected of having it, such as support for preventing deterioration of the symptoms of Dementia at an early stage;

a project to promote the sharing and utilization of information concerning Insured Persons by Insured Persons, Long-Term Care Service Providers, and other relevant persons, in order to improve health and medical care of Insured Persons and to promote public aid service.

A Municipality may, in addition to the Comprehensive Project for Long-Term Care Prevention and Daily Life Support and the projects listed in the items of the preceding paragraph, conduct the following projects as Community Support Projects, as provided by Order of the Ministry of Health, Labour and Welfare:

a project to ensure the appropriateness of allowances necessary for Long-Term Care Benefit, etc.;

a project necessary for supporting the guidance of long-term care method and for supporting personnel that are actually providing care to the Insured Persons Requiring Long-Term Care;

any other project necessary for stabilizing the operation of the Long-Term Care Insurance business and for supporting the independent daily life in the community of Insured Persons (including Insured Persons to Whom the Domicile Exception Applies who are undergoing Admission, etc. to a Facility Subject to Domicile Exception located within the area of said Municipality).

A Community Support Project is to be implemented within the scope of an amount specified by Cabinet Order, taking into consideration the current conditions of projects concerning Prevention of Long-Term Care in said Municipality, the operating conditions of Long-Term Care Insurance, the number of Insured Persons aged 75 or older, and other conditions.

A Municipality is to endeavor, in conducting Community Support Projects, to implement them appropriately and effectively by utilizing the long-term care insurance-related information prescribed in Article 118-2, paragraph (1) and other necessary information.

A Municipality is to endeavor, in conducting Community Support Projects, to cooperate with the Association of Medical Care Systems for the Elderly Aged 75 and older (meaning the Association of Medical Care Systems for the Elderly Aged 75 and older prescribed in Article 48 of that Act; the same applies hereinafter in this Article) that conducts health services for the elderly (meaning the health services for the elderly prescribed in Article 125, paragraph (1) of the Act on Assurance of Medical Care for Elderly People; the same applies hereinafter in this Article and in Article 117, paragraph (3), item (x)), and, taking into account the physical, mental, and social characteristics of the elderly, to implement Community Support Projects integrally with health services for the elderly and the projects tailored to the physical and mental characteristics of the elderly prescribed in Article 82, paragraph (5) of the National Health Insurance Act (referred to as "National Health Insurance health services" in Article 117, paragraph (3), item (x)), in order to make Community Support Projects effective, efficient, and finely tailored to the circumstances of Insured Persons.

A Municipality may, when deeming it necessary in conducting Community Support Projects pursuant to the provisions of the preceding paragraph, request other Municipalities and Associations of Medical Care Systems for the Elderly Aged 75 and older to provide information concerning health and medical services or welfare services pertaining to Insured Persons, information concerning medical treatment under the provisions of the Act on Assurance of Medical Care for Elderly People, copies of records concerning health examinations or health guidance prescribed in Article 125, paragraph (1) of that Act, or copies of records concerning specified health examinations or specified health guidance prescribed in Article 18, paragraph (1) of that Act, or information concerning medical treatment under the provisions of the National Health Insurance Act, and other information specified by Order of the Ministry of Health, Labour and Welfare as necessary for implementing Community Support Projects effectively and efficiently.

Municipalities and Associations of Medical Care Systems for the Elderly Aged 75 and older that have been requested pursuant to the provisions of the preceding paragraph to provide information or copies of records must provide that information or those copies of records as provided by Order of the Ministry of Health, Labour and Welfare.

A Municipality may, in order to implement Community Support Projects pursuant to the provisions of paragraph (6), utilize, in addition to the information or copies of records provided pursuant to the provisions of the preceding paragraph, information it holds concerning health and medical services or welfare services pertaining to the relevant Insured Persons, records concerning specified health examinations or specified health guidance prescribed in Article 18, paragraph (1) of the Act on Assurance of Medical Care for Elderly People, or information concerning medical treatment under the provisions of the National Health Insurance Act.

A Municipality may request a fee to user of a Community Support Project pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare.

The Minister of Health, Labour and Welfare is to publish the guidelines necessary for the appropriate and effective implementation of the Comprehensive Project for Long-Term Care Prevention and Daily Life Support conducted by Municipalities.

A Municipality is to endeavor to periodically conduct investigation, analysis, and evaluation of the implementation status of the Comprehensive Project for Long-Term Care Prevention and Daily Life Support, and to endeavor to take necessary measures based on the results.