Long-Term Care Insurance Act

Home-Visit at Night for Long-Term Care, Community-Based Outpatient Day Long-Term Care and outpatient long-term care for a Dementia patient: for each type of these Community-Based Services, an amount equivalent to 90 percent of the amount of expenses calculated in accordance with the standards determined by the Minister of Health, Labour and Welfare (when said calculated amount exceeds the amount of expenses actually required for said Designated Community-Based Service, the amount of expenses actually required for said Designated Community-Based Service) in consideration of the average expenses required for said Designated Community-Based Service, calculated in consideration of the content of the Designated Community-Based Service pertaining to the type of said Community-Based Service, the area where the Business Office conducting said Designated Community-Based Service business is located, etc. (in the case of the expenses required for Community-Based Outpatient Day Long-Term Care and outpatient long-term care for a Dementia patient, excluding the expenses necessary to provide meals and other expenses necessary for daily life as determined by Order of the Ministry of Health, Labour and Welfare);

In the case where, by payment of an Allowance for In-Home Long-Term Care Service, an Exceptional Allowance for In-Home Long-Term Care Service, an Allowance for Community-Based Long-Term Care Service or an Exceptional Allowance for Community-Based Long-Term Care Service, the total amount prescribed in paragraph (1) exceeds the amount equivalent to 90 percent prescribed in the same paragraph, or the total amount prescribed in paragraph (4) exceeds the amount equivalent to 90 percent prescribed in the same paragraph, the amount of said Allowance for In-Home Long-Term Care Service, Exceptional Allowance for In-Home Long-Term Care Service, Allowance for Community-Based Long-Term Care Service or Exceptional Allowance for Community-Based Long-Term Care Service is to be the amount calculated pursuant to the provisions of a Cabinet Order, notwithstanding the provisions of each item of Article 41, paragraph (4), Article 42, paragraph (34), each item of Article 42, paragraph (5), each item of Article 42-2, paragraph (2), Article 42-2, paragraph (4), or paragraph (2) of the preceding Article.

The amount of Allowance for purchasing Equipment for In-Home Long-Term Care Covered by Public Aid is to be the amount equivalent to 90 percent of the amount of expenses calculated according to the standards determined by the Minister of Health, Labour and Welfare after taking into consideration the average expenses required for the purchase of Specified Equipment Covered by Public Aid, calculated by taking into consideration the item of Specified Equipment Covered by Public Aid and the area, etc., where the Business Offices selling Specified Equipment Covered by Public Aid are located (if that amount exceeds the actual expenses required for the purchase of said Specified Equipment Covered by Public Aid, the amount of those actual expenses).

The total Allowance for purchasing Equipment for In-Home Long-Term Care Covered by Public Aid that is paid monthly for Specified Equipment Covered by Public Aid purchased by an Insured In-Home Person Requiring Long-Term Care during the period as determined by Order of the MinistryMinister of Health, Labour, and Welfare may not exceed the amount equivalent, when intending to 90 percent ofdetermine the amount calculated pursuantstandards referred to the provision of Order ofin the Ministry of Health, Labour, and Welfare based onpreceding paragraph, must hear the base amountopinion of maximum payment for Allowance for purchasing Equipment for In-Home Long-Term Care Covered by Public Aidthe Social Security Council in advance.

The basetotal amount of maximum payment for Allowance for purchasing Equipment for In-Home Long-Term Care Covered by Public Aid as prescribed in the preceding paragraph is to be that is paid for Specified Equipment Covered by Public Aid purchased by an amount provided by the Minister of Health, Labour, and Welfare Insured In-Home Person Requiring Long-Term Care during the period, in units of months, as prescribed in determined by Order of the same paragraph after considering the average expenses required forMinistry of Health, Labour and Welfare may not exceed the purchase of said Specified Equipment Covered by Public Aid during the period as determined byamount equivalent to 90 percent of the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare based on the base amount of maximum payment for Allowance for purchasing Equipment for In-Home Long-Term Care Covered by Public Aid.

A Municipality, notwithstanding the provisions of the preceding paragraph, in lieu of theThe base amount of maximum payment for Allowance for purchasing Equipment for In-Home Long-Term Care Covered by Public Aid as set forthprescribed in the preceding paragraph (4), may determineis to be an amount that exceeds said base amount as determined by the Minister of Health, Labour and Welfare after considering the base amount standards, etc., determined by the Minister of maximum payment for Allowance for purchasing Equipment for In-Home Long-Term Care Health, Labour and Welfare as set forth in paragraph (3) pertaining to the purchase of Specified Equipment Covered by Public Aid during the period as determined by Order of the Ministry of Health, Labour and Welfare as prescribed in said Municipalitythe same paragraph.

In a case whenA Municipality, notwithstanding the total sum as prescribed inprovisions of the preceding paragraph (4) exceeds the amount equivalentand pursuant to 90 percentthe provisions of the calculated amount as prescribed ina municipal ordinance, in lieu of the same paragraph for payment of anbase amount of maximum payment for Allowance for purchasing Equipment for In-Home Long-Term Care Covered by Public Aid, the amount of said Allowance for purchasing Equipment for In-Home Long-Term Care Covered by Public Aid is to be the amount calculated pursuant to the provisions of a Cabinet Order, notwithstanding the provision of paragraph (3) as set forth in paragraph (5), may determine an amount that exceeds said base amount as the base amount of maximum payment for Allowance for purchasing Equipment for In-Home Long-Term Care Covered by Public Aid in said Municipality.

In a case when the total sum as prescribed in paragraph (5) exceeds the amount equivalent to 90 percent of the calculated amount as prescribed in the same paragraph for payment of an Allowance for purchasing Equipment for In-Home Long-Term Care Covered by Public Aid, the amount of said Allowance for purchasing Equipment for In-Home Long-Term Care Covered by Public Aid is to be the amount calculated pursuant to the provisions of a Cabinet Order, notwithstanding the provision of paragraph (3).

when the Municipality determines it necessary in a case when an Insured In-Home Person Requiring Long-Term Care receives In-Home Long-Term Care Support other than Designated In-Home Long-Term Care Support or an equivalent service (limited to thosethat is provided by a Business Office conducting a business that is found to satisfy, among the number of employees specified by Municipal Ordinance as set forth in Article 81, paragraph (1) pertaining to the business of Designated In-Home Long-Term Care Support and the standards concerning the operation of the business of Designated In-Home Long-Term Care Support prescribed in paragraph (2) of the same Article, those specified by (referred to as the Municipal Ordinance "Standards for the Business of said Municipality; Designated In-Home Long-Term Care Support" in the following item), those specified by Municipal Ordinance (hereinafter referred to as "In-Home Long-Term Care Support Applicable to Standards" in the following item and the following paragraphthis Article);

when the Municipality determines it necessary in a case when an Insured In-Home Person Requiring Long-Term Care who is domiciled on an isolated island orreceives In-Home Long-Term Care Support other area where it is significantly difficult to securethan Designated In-Home Long-Term Care Support orand In-Home Long-Term Care Support Applicable to Standards and in a location , or any service equivalent thereto, that qualifies pursuant to standards as determined by the Minister of Health, Labour, and Welfare receives In-Home Long-Term Care other than Designated In-Home Long-Term Care Support and is provided by a Business Office conducting a business that is located in a Specified Area and is found to satisfy those of the Standards for the Business of Designated In-Home Long-Term Care Support that qualifies with standards or service equivalent are specified by Municipal Ordinance (hereinafter referred to those servicesas "In-Home Long-Term Care Support in a Specified Area" in this Article);

when provided the Municipality determines it necessary in a case when an Insured In-Home Person Requiring Long-Term Care who is domiciled on an isolated island or other area where it is significantly difficult to secure Designated In-Home Long-Term Care Support, In-Home Long-Term Care Support Applicable to Standards and In-Home Long-Term Care Support in a Specified Area, and which falls under the standards as determined by a Cabinet Order.the Minister of Health, Labour and Welfare, receives In-Home Long-Term Care Support other than Designated In-Home Long-Term Care Support, In-Home Long-Term Care Support Applicable to Standards and In-Home Long-Term Care Support in a Specified Area, or service equivalent to those services;

when otherwise provided by a Cabinet Order.

A Municipality, in establishing the Municipal Ordinance set forth inpursuant to the provisions of item (i) of the preceding paragraph, is to establish the following matters in accordance with the standards determined by Order of the Ministry of Health, Labour and Welfare, and is to take into consideration the standards determined by Order of the Ministry of Health, Labour and Welfare for other matters:

The amount of Allowance for an Exceptional Allowance for In-Home Long-Term Care Service Plan A Municipality, in establishing a Municipal Ordinance pursuant to the provisions of paragraph (1), item (ii), is to establish the matters listed in item (i) in accordance with the standards specified by Order of the Municipality based on Ministry of Health, Labour and Welfare, taking into consideration the expenses calculated by status of population decline in areas that fall under the standards determinedspecified by Order of the MinisterMinistry of Health, Labour, and Welfare as set forth inprescribed in Article 42, paragraph (2) of 1), item (iii), the preceding Article for said Designatedstatus of employees engaging in In-Home Long-Term Care Support or equivalent service (in a case said calculated amount exceeds the amount of actual expenses of said Designated In-Home Long-Term Care Support or equivalent service, the base amount and other circumstances; is to establish the matters listed in item (ii) in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare; and is to be take into consideration the actual expenses required for said Designated In-Home Long-Term Care Support or equivalent service)standards specified by Order of the Ministry of Health, Labour and Welfare for other matters.

standards pertaining to employees engaging in In-Home Long-Term Care Support in a Specified Area and the number of such employees;

matters concerning the operation of the business of In-Home Long-Term Care Support in a Specified Area that are closely related to ensuring the appropriate use of services, appropriate treatment and safety of Persons Requiring Long-Term Care who use them, and maintaining confidentiality, etc., and that are specified by Order of the Ministry of Health, Labour and Welfare.

A Municipality, when it determines the necessity for paymentThe amount of an Exceptional Allowance for In-Home Long-Term Care Service Plan, may order a person that has been in charge of the Designated In-Home Long-Term Care Support pertaining to said payment or equivalent service (herein referred to as "Person, etc., in Charge in the cases listed in paragraph (1), item (i), item (iii) or item (iv) is specified by the Municipality based on the expenses calculated by standards determined by the Minister of Designated In-Home Long-Term Care Support" in this Health, Labour and Welfare as set forth in paragraph) to report, submit, or present record books and documents, appear, (2) of the preceding Article for said In-Home Long-Term Care Support or direct its personnel to question the relevant person and to enterequivalent service (in a case said calculated amount exceeds the Business Officeamount of the provideractual expenses of said Person, etc., in Charge of Designated In-Home Long-Term Care Support pertainingIn-Home Long-Term Care Support or equivalent service, the base amount is to said payment in order to inspectbe the actual expenses required for said books, documents, and other itemsIn-Home Long-Term Care Support or equivalent service).

The provisionsamount of Article 24, Exceptional Allowance for In-Home Long-Term Care Service Plan in the case listed in paragraph (3) apply mutatis mutandis 1), item (ii) is specified by the Municipality based on the amount of expenses calculated according to questions or inspections as prescribed the standards determined by the Minister of Health, Labour and Welfare after taking into consideration the average expenses required for In-Home Long-Term Care Support in a Specified Area, calculated by taking into consideration the preceding paragraph, andarea, etc., where the provisions of paragraph (4) Business Offices conducting the business of the same Article apply mutatis mutandis to In-Home Long-Term Care Support in a Specified Area are located (if that amount exceeds the authority granted as prescribed actual expenses required for said In-Home Long-Term Care Support in a Specified Area, the preceding paragraphamount of those actual expenses).

The Minister of Health, Labour and Welfare, when intending to determine the standards referred to in the preceding paragraph, must hear the opinion of the Social Security Council in advance.

The mayor of a Municipality, when the mayor determines it necessary for the payment of an Exceptional Allowance for In-Home Long-Term Care Service Plan, may order a person that is or has been in charge of the In-Home Long-Term Care Support or equivalent service pertaining to said payment (herein referred to as "Person, etc., in Charge of In-Home Long-Term Care Support, etc." in this paragraph) to report, to submit or present record books and documents, or to appear, or may direct its personnel to question the relevant persons or to enter the Business Office of said Person, etc., in Charge of In-Home Long-Term Care Support, etc., pertaining to said payment and inspect the books, documents, and other items.

The provisions of Article 24, paragraph (3) apply mutatis mutandis to questions or inspections as prescribed in the preceding paragraph, and the provisions of paragraph (4) of the same Article apply mutatis mutandis to the authority granted as prescribed in the preceding paragraph.

Long-Term Care Health Facility Service (excluding Long-Term Care Health Facility Service in a Specified Area prescribed in paragraph (1), item (iii) of the following Article);

service at an integrated facility for medical and long-term care. (excluding Service at an Integrated Facility for Medical and Long-Term Care in a Specified Area prescribed in paragraph (1), item (iv) of the following Article);

A Municipality, in the following cases, paypays to an Insured Person Requiring Long-Term Care, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, an Exceptional Allowance for Long-Term Care Facility Service:

when the Municipality determines it necessary in a case when an Insured Person Requiring Long-Term Care receives Facility Service for Long-Term Care Covered by Public Aid (hereinafter referred to as "Facility Service for Long-Term Care Covered by Public Aid in a Specified Area" in this Article) provided by a Cabinet Order.Facility Covered by Public Aid Providing Long-Term Care to the Elderly, other than a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly, that is located in a Specified Area and is found to satisfy, among the number of employees specified by Prefectural Ordinance as set forth in Article 88, paragraph (1) pertaining to a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly and the standards concerning facilities and management of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly prescribed in paragraph (2) of the same Article, those specified by Prefectural Ordinance (hereinafter referred to as "Facility Covered by Public Aid Providing Long-Term Care to the Elderly in a Specified Area" in the following paragraph);

when the Municipality determines it necessary in a case when an Insured Person Requiring Long-Term Care receives Long-Term Care Health Facility Service provided by a Long-Term Care Health Facility located in a Specified Area (limited to one pertaining to a person that has received the notification under Article 94, paragraph (5); hereinafter referred to as "Long-Term Care Health Facility Service in a Specified Area" in paragraph (4));

when the Municipality determines it necessary in a case when an Insured Person Requiring Long-Term Care receives service at an integrated facility for medical and long-term care provided by an integrated facility for medical and long-term care located in a Specified Area (limited to one pertaining to a person that has received the notification under Article 107, paragraph (5); hereinafter referred to as "Service at an Integrated Facility for Medical and Long-Term Care in a Specified Area" in paragraph (4));

when otherwise provided by a Cabinet Order.

The amount of Exceptional Allowance for Long-Term Care Facility Service A prefecture, in establishing a Prefectural Ordinance pursuant to the provisions of paragraph (1), item (ii), is to be specified by the Municipality based on 90 percent ofestablish the matters listed in item (i) in accordance with the amount equivalent to standards specified by Order of the expenses calculated with regard to said Facility Service according to Ministry of Health, Labour and Welfare, taking into consideration the status of population decline in areas that fall under the standards as prescribedspecified by Order of the MinisterMinistry of Health, Labour, and Welfare (in a case when said calculated expenses exceedprescribed in Article 42, paragraph (1), item (iii), the actual expenses required for saidstatus of employees engaging in Facility Service (excluding the expenses necessary to provide meals, residence,for Long-Term Care Covered by Public Aid and other necessary expenses for daily life as determined circumstances; is to establish the matters listed in items (ii) and (iii) in accordance with the standards specified by Order of the Ministry of Health, Labour, and Welfare), ; and is to take into consideration the base amount is to bestandards specified by Order of the actual expenses required for said Facility Service)Ministry of Health, Labour and Welfare for other matters.

employees engaging in Facility Service for Long-Term Care Covered by Public Aid in a Specified Area and the number of such employees;

the floor area of residence rooms pertaining to a Facility Covered by Public Aid Providing Long-Term Care to the Elderly in a Specified Area;

matters concerning the operation of a Facility Covered by Public Aid Providing Long-Term Care to the Elderly in a Specified Area that are closely related to ensuring the appropriate use of services, appropriate treatment and safety of Persons Requiring Long-Term Care who are admitted, and maintaining confidentiality, and that are specified by Order of the Ministry of Health, Labour and Welfare.

The mayoramount of a Municipality, when he or she determines Exceptional Allowance for Long-Term Care Facility Service in the necessity for payment of an Exceptional Allowance for Long-Term Care Facility Service, may order a person that has been in chargecases listed in paragraph (1), item (i) or item (v) is to be specified by the Municipality based on 90 percent of the amount equivalent to the expenses calculated with regard to said Facility Service pertainingaccording to said payment or equivalent service (herein referred to the standards determined by the Minister of Health, Labour and Welfare as "Person, etc.,set forth in Charge paragraph (2) of Facility Service" the preceding Article (in this paragraph) to report, submit or present record books and documents, appear, or direct its personnel to question the relevant person or enter the Business Office of the provider of said Person, etc., in Charge a case when said calculated expenses exceed the actual expenses required for said Facility Service (excluding the expenses necessary to provide meals, residence, and other necessary expenses for daily life as determined by Order of the Ministry of Facility Service pertaining to said payment in orderHealth, Labour and Welfare), the base amount is to inspect said equipment, books, documents, and other itemsbe the actual expenses required for said Facility Service).

The provisionsamount of Article 24, Exceptional Allowance for Long-Term Care Facility Service in the cases listed in paragraph (3) apply mutatis mutandis 1), items (ii) through (iv) is to questions be specified by the Municipality, for each Facility Service for Long-Term Care Covered by Public Aid in a Specified Area, Long-Term Care Health Facility Service in a Specified Area or Service at an Integrated Facility for Medical and inspections pursuant Long-Term Care in a Specified Area, based on 90 percent of the amount of expenses calculated according to the provisions standards determined by the Minister of Health, Labour and Welfare after taking into consideration the preceding paragraph average expenses required for the Facility Service (excluding the expenses required for the provision of meals, the expenses required for residence, and other expenses required for daily life as specified by Order of the provisionsMinistry of paragraph (4) Health, Labour and Welfare), which average expenses are calculated by taking into consideration the Category of Condition of Need for Long-Term Care and the same Article apply mutatis mutandis area, etc., where the Long-Term Care Insurance Facility in a Specified Area pertaining to those Facility Services is located (if that amount exceeds the authority granted pursuant toactual expenses required for the provisions Facility Service (excluding the expenses required for the provision of meals, the preceding paragraphexpenses required for residence, and other expenses required for daily life as specified by Order of the Ministry of Health, Labour and Welfare), the amount of those actual expenses required for the Facility Service).

The Minister of Health, Labour and Welfare, when intending to determine the standards referred to in the preceding paragraph, must hear the opinion of the Social Security Council in advance.

The mayor of a Municipality, when he or she determines it necessary for the payment of an Exceptional Allowance for Long-Term Care Facility Service, may order a person that is or has been in charge of the Facility Service pertaining to said payment (herein referred to as "Person, etc., in Charge of Facility Service" in this paragraph) to report, to submit or present record books and documents, or to appear, or may direct its personnel to question the relevant persons or to enter the facility of said Person, etc., in Charge of Facility Service pertaining to said payment and inspect the equipment, books, documents, and other items.

The provisions of Article 24, paragraph (3) apply mutatis mutandis to questions or inspections pursuant to the provisions of the preceding paragraph, and the provisions of paragraph (4) of the same Article apply mutatis mutandis to the authority granted pursuant to the provisions of the preceding paragraph.

payment of an Exceptional Allowance for In-Home Long-Term Care Service:Article 42, paragraph (34), and paragraph (5), item (i) and item (ii), and Article 43, paragraph (1), paragraph (4) and paragraph (6);

payment of an Exceptional Allowance for Long-Term Care Facility Service:paragraph (23) and paragraph (4) of the preceding Article;

payment of an Allowance for Purchasing Equipment for In-Home Long-Term Care Covered by Public Aid:Article 44, paragraph (3), paragraph (45), and paragraph (78);

A Municipality, in the following cases, pays to an Exceptional Allowance for Preventive Service Insured In-Home Person Requiring Support, pursuant to the provisions of Long-Term Care to Order of the Ministry of Health, Labour and Welfare, an Insured In-Home Person Requiring SupportExceptional Allowance for Preventive Long-Term Care Service:

when a Municipality determines it necessary in a case when an Insured In-Home Person Requiring Support receives Preventive Long-Term Care Service other than Designated Preventive Long-Term Care Service or equivalent service (limited to thosethat is provided by a Business Office conducting a business that is found to satisfy the standards specified by Prefectural Ordinance as set forth in Article 115-4, paragraph (1) pertaining to the business of Designated Preventive Long-Term Care Service, the number of employees specified by Prefectural Ordinance as set forth in the same paragraph, and, among the standards concerning effective methods of support for Prevention of Long-Term Care pertaining to Designated Preventive Long-Term Care Service and the standards concerning facilities and management of the business of Designated Preventive Long-Term Care Service prescribed in paragraph (2) of the same Article (herein referred to as "Standards for the Business of Designated Preventive Long-Term Care Service" in the following item), those specified by Prefectural Ordinance; (herein referred to as "Preventive Long-Term Care Service Applicable to Standards" in the following item and the following paragraphthis Article);

when a Municipality determines it necessary in a case when an Insured In-Home Person Requiring Support who is domiciled on an isolated island orreceives Preventive Long-Term Care Service other location where it is significantly difficult to securethan Designated Preventive Service of Long-Term Care Service and Preventive Long-Term Care Service Applicable to Standards and is in a location, or any service equivalent thereto, that is subject to standards as determined by the Minister of Health, Labour, provided by a Business Office conducting a business that is located in a Specified Area and Welfare receives Preventive Service is found to satisfy those of Long-Term Care other than the Standards for the Business of Designated Preventive Long-Term Care Service of Long-Term Care and that are specified by Prefectural Ordinance (hereinafter referred to as "Preventive Long-Term Care Service Applicable to Standards or equivalent servicesin a Specified Area" in this Article);

when provided a Municipality determines it necessary in a case when an Insured In-Home Person Requiring Support who is domiciled on an isolated island or other location where it is significantly difficult to secure Designated Preventive Long-Term Care Service, Preventive Long-Term Care Service Applicable to Standards and Preventive Long-Term Care Service in a Specified Area, and which falls under the standards as determined by a Cabinet Order.the Minister of Health, Labour and Welfare, receives Preventive Long-Term Care Service other than Designated Preventive Long-Term Care Service, Preventive Long-Term Care Service Applicable to Standards and Preventive Long-Term Care Service in a Specified Area, or equivalent services;

when otherwise provided by a Cabinet Order.

A prefecture, in establishing the Prefectural Ordinance set forth inpursuant to the provisions of item (ii) of the preceding paragraph, is to establish the matters listed in items (i) through (iii) in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare, is to establish the matters listed in item (iv) using the standards specified by Order of the Ministry of Health, Labour and Welfare as the standard, and is to take into consideration the standards specified by Order of the Ministry of Health, Labour and Welfare for other matters.

The amount of Exceptional Allowance for Preventive Long-Term Care Service isA prefecture, in establishing a Prefectural Ordinance pursuant to be determined by a Municipality based on the amount equivalentthe provisions of paragraph (1), item (iii), is to 90 percent of the amount of expenses calculated based on establish the matters listed in item (i) in accordance with the standards providedspecified by Order of the MinisterMinistry of Health, Labour and Welfare as set forth in each item of paragraph (2), taking into consideration the status of the preceding Article pertaining to said Preventive Long-Term Care Service or equivalent service (whenpopulation decline in areas that fall under the standards specified by Order of the calculated amount exceeds the actual expenses required for said Preventive Long-Term Care Service or equivalent service (except forMinistry of Health, Labour and Welfare prescribed in Article 42, paragraph (1), item (iii), the expenses required to purchase Specified Equipment forstatus of employees engaging in Preventive Long-Term Care Covered by Public Aid and excluding the expenses necessary to provide meals, residence,Service and other circumstances; is to establish the matters listed in items (ii) and other expenses as determined (iii) in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare as necessary for daily life with regard; is to establish the expenses required for Outpatient Rehabilitation for Preventive Long-Term Care, Short-Term Admission for Daily Preventive Long-Term Care, Short-Term Admission for Recuperation for Preventive Long-Term Carematters listed in item (iv) using the standards specified by Order of the Ministry of Health, Labour and Daily Preventive Long-Term Care Admitted to a Specified Facility,Welfare as the standard; and services equivalentis to these), said calculated amount is to be the actual expenses required for said Preventive Long-Term Care Service or equivalent service)take into consideration the standards specified by Order of the Ministry of Health, Labour and Welfare for other matters.

standards pertaining to employees engaging in Preventive Long-Term Care Service in a Specified Area and the number of such employees;

the floor area of residence rooms pertaining to the business of Preventive Long-Term Care Service in a Specified Area;

matters concerning the operation of the business of Preventive Long-Term Care Service in a Specified Area that are closely related to ensuring the appropriate use of services, appropriate treatment and safety of Persons Requiring Support who use them, and maintaining confidentiality, etc., and that are specified by Order of the Ministry of Health, Labour and Welfare;

the maximum number of users pertaining to the business of Preventive Long-Term Care Service in a Specified Area.

The mayoramount of a Municipality, when he Exceptional Allowance for Preventive Long-Term Care Service in the cases listed in paragraph (1), item (i), item (ii), item (iv) or she determines item (v) is to be determined by a Municipality based on the necessity amount equivalent to 90 percent of payment the amount of an Exceptional Allowance for Preventive Service of Long-Term Care, may order a person that has been expenses calculated based on standards provided by the Minister of Health, Labour and Welfare as set forth in charge of the Preventive Serviceeach item of paragraph (2) of Long-Term Care the preceding Article pertaining to said payment Preventive Long-Term Care Service or equivalent service (herein referred to as "Person, etc., in Charge of Providing when the calculated amount exceeds the actual expenses required for said Preventive Long-Term Care Service" in this paragraph) or equivalent service (except for the expenses required to report, submit, or present record books purchase Specified Equipment for Preventive Long-Term Care Covered by Public Aid and documents, appear, or direct personnel to question excluding the expenses necessary to provide meals, residence, and other expenses as determined by Order of the relevant Person or enter the Business Office of Ministry of Health, Labour and Welfare as necessary for daily life with regard to the provider of said Person, etc., in Charge of said expenses required for Outpatient Rehabilitation for Preventive Long-Term Care, Short-Term Admission for Daily Preventive Long-Term Care, Short-Term Admission for Recuperation for Preventive Service of Long-Term Care and Daily Preventive Long-Term Care pertainingAdmitted to said payment in order a Specified Facility, and services equivalent to inspectthese), said equipment, record books and documents, and other itemscalculated amount is to be the actual expenses required for said Preventive Long-Term Care Service or equivalent service).

The provisionsamount of Article 24, Exceptional Allowance for Preventive Long-Term Care Service in the case listed in paragraph (3) apply mutatis mutandis1), item (iii) is to questions or inspections as prescribed in the preceding paragraph, and the provisionsbe specified by a Municipality, based on the amount provided in each of paragraph (4) of the following items according to the same Article apply mutatis mutandis to the authority granted as prescribedcategory of Preventive Long-Term Care Service in a Specified Area listed in the preceding paragraphthose items.

Preventive Long-Term Care Service in a Specified Area that falls under the Preventive Long-Term Care Service listed in paragraph (2), item (i) of the preceding Article or services equivalent thereto: for each type of that Preventive Long-Term Care Service, the amount equivalent to 90 percent of the amount of expenses calculated according to the standards determined by the Minister of Health, Labour and Welfare after taking into consideration the average expenses required for the Preventive Long-Term Care Service in a Specified Area that falls under that Preventive Long-Term Care Service (excluding, with regard to the expenses required for Outpatient Rehabilitation for Preventive Long-Term Care, the expenses required for the provision of meals and other expenses required for daily life as specified by Order of the Ministry of Health, Labour and Welfare), which average expenses are calculated by taking into consideration the content of the Preventive Long-Term Care Service in a Specified Area that falls under that Preventive Long-Term Care Service, the Category of Needed Support Condition, and the area, etc., where the Business Offices conducting the business of that Preventive Long-Term Care Service in a Specified Area are located (if that amount exceeds the actual expenses required for the Preventive Long-Term Care Service in a Specified Area that falls under that Preventive Long-Term Care Service or services equivalent thereto (excluding, with regard to the expenses required for Outpatient Rehabilitation for Preventive Long-Term Care and services equivalent thereto, the expenses required for the provision of meals and other expenses required for daily life as specified by Order of the Ministry of Health, Labour and Welfare), the amount of those actual expenses required for the Preventive Long-Term Care Service in a Specified Area)

Preventive Long-Term Care Service in a Specified Area that falls under the Preventive Long-Term Care Service listed in paragraph (2), item (ii) of the preceding Article or services equivalent thereto: for each type of that Preventive Long-Term Care Service, the amount equivalent to 90 percent of the amount of expenses calculated according to the standards determined by the Minister of Health, Labour and Welfare after taking into consideration the average expenses required for the Preventive Long-Term Care Service in a Specified Area that falls under that Preventive Long-Term Care Service (excluding the expenses required for the provision of meals, the expenses required for accommodation, and other expenses required for daily life as specified by Order of the Ministry of Health, Labour and Welfare), which average expenses are calculated by taking into consideration the Category of Needed Support Condition and the area, etc., where the Business Offices conducting the business of the Preventive Long-Term Care Service in a Specified Area that falls under that Preventive Long-Term Care Service are located (if that amount exceeds the actual expenses required for the Preventive Long-Term Care Service in a Specified Area that falls under that Preventive Long-Term Care Service or services equivalent thereto (excluding the expenses required for the provision of meals, the expenses required for accommodation, and other expenses required for daily life as specified by Order of the Ministry of Health, Labour and Welfare), the amount of those actual expenses required for the Preventive Long-Term Care Service in a Specified Area)

The Minister of Health, Labour and Welfare, when intending to determine the standards set forth in each item of the preceding paragraph, must hear the opinion of the Social Security Council in advance.

The mayor of a Municipality, when he or she determines it necessary for the payment of an Exceptional Allowance for Preventive Long-Term Care Service, may order a person that is or has been in charge of the Preventive Long-Term Care Service or equivalent service pertaining to said payment (herein referred to as "Person, etc., in Charge of Providing Preventive Long-Term Care Service" in this paragraph) to report, to submit or present record books and documents, or to appear, or may direct personnel to question the relevant persons or to enter the Business Office of said Person, etc., in Charge of Providing Preventive Long-Term Care Service pertaining to said payment and inspect the equipment, record books and documents, and other items.

The provisions of Article 24, paragraph (3) apply mutatis mutandis to questions or inspections as prescribed in the preceding paragraph, and the provisions of paragraph (4) of the same Article apply mutatis mutandis to the authority granted as prescribed in the preceding paragraph.

In a case when the total amount as prescribed in paragraph (1) exceeds the amount equivalent to 90 percent of the amount as prescribed in the same paragraph or when the total amount as prescribed in paragraph (4) exceeds the amount equivalent to 90 percent of the amount as prescribed in the same paragraph by payment of an Allowance for Preventive Long-Term Care Service or Exceptional Allowance for Preventive Long-Term Care Service, or an Allowance for Community-Based Preventive Long-Term Care Service or an Exceptional Allowance for Community-Based Preventive Long-Term Care Service, the amount of said Allowance for Preventive Long-Term Care Service or Exceptional Allowance for Preventive Long-Term Care Service, or Allowance for Community-Based Preventive Long-Term Care Service or Exceptional Allowance for Community-Based Preventive Long-Term Care Service is to be the amount calculated pursuant to the provisions of a Cabinet Order, notwithstanding the provisions of each item of Article 53, paragraph (2), Article 54, paragraph (3)4), each item of paragraph (5) of that Article, each item of Article 54-2, paragraph (2), paragraph (4) of that Article, or paragraph (2) of the preceding Article.

The amount of Allowance for Purchasing Equipment for Preventive Long-Term Care Covered by Public Aid is to be the amount equivalent to 90 percent of the amount of expenses calculated according to the standards determined by the Minister of Health, Labour and Welfare after taking into consideration the average expenses required to purchase Specified Equipment for Preventive Long-Term Care Covered by Public Aid, calculated by taking into consideration the item of Specified Equipment for Preventive Long-Term Care Covered by Public Aid and the area, etc., where the Business Offices selling Specified Equipment for Preventive Long-Term Care Covered by Public Aid are located (if that amount exceeds the actual expenses required to purchase said Specified Equipment for Preventive Long-Term Care Covered by Public Aid, the amount of those actual expenses).

The total amount of Allowance for Purchasing Equipment for Preventive Long-Term Care Covered by Public Aid that is paid monthly for Specified Equipment for Preventive Long-Term Care Covered by Public Aid that an Insured In-Home Person Requiring Support purchases during the period as determined by Order of the MinistryMinister of Health, Labour, and Welfare may not exceed the amount equivalent, when intending to 90 percent ofdetermine the amount calculated pursuantstandards referred to the provisions of Order ofin the Ministry of Health, Labour, and Welfare based onpreceding paragraph, must hear the base amount of maximum paymentopinion of the Allowance for Purchasing Equipment for Preventive Long-Term Care Covered by Public Aid Social Security Council in advance.

The basetotal amount of maximum payment of the Allowance Allowance for Purchasing Equipment for Preventive Long-Term Care Covered by Public Aid that is paid for PurchasingSpecified Equipment for Preventive Long-Term Care Covered by Public Aid as set forth in the preceding paragraph is to bethat an Insured In-Home Person Requiring Support purchases during the amount period, in units of months, as determined by Order of the MinisterMinistry of Health, Labour, and Welfare after considering the expenses normally requiredmay not exceed the amount equivalent to purchase Specified Equipment for Preventive Long-Term Care Covered by Public Aid during90 percent of the amount calculated pursuant to the period as determined byprovisions of Order of the Ministry of Health, Labour, and Welfare as set forth in based on the base amount of maximum payment of the same paragraphAllowance for Purchasing Equipment for Preventive Long-Term Care Covered by Public Aid.

A Municipality, notwithstanding the provisions of the preceding paragraph and pursuant to the provisions of a municipal ordinance, in lieu of theThe base amount of maximum payment of the Allowance for Purchasing Equipment for Preventive Long-Term Care Covered by Public Aid as set forth in the preceding paragraph (4), may stipulate anis to be the amount that exceeds said base amount as determined by the Minister of Health, Labour and Welfare after considering the base amount standards, etc., determined by the Minister of maximum payment for Health, Labour and Welfare as set forth in paragraph (3) pertaining to the Allowance for Purchasingpurchase of Specified Equipment for Preventive Long-Term Care Covered by Public Aid during the period as determined by Order of the Ministry of Health, Labour and Welfare as set forth in said Municipalitythe same paragraph.

In a case whenA Municipality, notwithstanding the total amount as prescribed inprovisions of the preceding paragraph (4) exceeds the amount equivalentand pursuant to 90 percentthe provisions of the amount as prescribeda municipal ordinance, in lieu of the same paragraph due tobase amount of maximum payment of anthe Allowance for Purchasing Equipment for Preventive Long-Term Care Covered by Public Aid , the amount of said Allowance for Purchasing Equipment for Preventive Long-Term Care Covered by Public Aid is to be the amount calculated pursuant to the provisions of a Cabinet Order, notwithstanding the provisions of paragraph (3)as set forth in paragraph (5), may stipulate an amount that exceeds said base amount as the base amount of maximum payment for the Allowance for Purchasing Equipment for Preventive Long-Term Care Covered by Public Aid in said Municipality.

In a case when the total amount as prescribed in paragraph (5) exceeds the amount equivalent to 90 percent of the amount as prescribed in the same paragraph due to payment of an Allowance for Purchasing Equipment for Preventive Long-Term Care Covered by Public Aid, the amount of said Allowance for Purchasing Equipment for Preventive Long-Term Care Covered by Public Aid is to be the amount calculated pursuant to the provisions of a Cabinet Order, notwithstanding the provisions of paragraph (3).

The amount of the Allowance for Preventive Long-Term Care Service Plan is to be the amount of expenses calculated by standards as prescribed by the Minister of Health, Labour, and Welfare after considering the average expenses necessary for Designated Support for Prevention ofPreventive Long-Term Care that isSupport, calculated after considering the area, etc., where a provider that performs the Designated Support for Prevention ofbusiness of Designated Preventive Long-Term Care BusinessSupport is located (in a case when said calculated amount exceeds the actual expenses necessary for said Designated Support for Prevention ofPreventive Long-Term Care Support, the allowance areamount is to be the actual expenses necessary for said Designated Support for Prevention ofPreventive Long-Term Care Support).

when a Municipality determines it necessary in a case when an Insured In-Home Person Requiring Support receives Preventive Long-Term Care Support other than Designated Preventive Long-Term Care Support, or equivalentany service (limited to services equivalent thereto, that is provided by a provider that performsBusiness Office conducting a business that is found to satisfy those, among the standards determined by Municipal Ordinance as set forth in Article 115-24, paragraph (1) pertaining to the business of Designated Preventive Long-Term Care Support and the number of employees determined by Municipal Ordinance as set forth in the same paragraph, and the standards concerning effective support methods for Prevention of Long-Term Care pertaining to Designated Preventive Long-Term Care Support as prescribed in paragraph (2) of the same Article and the standards concerning the management of the business of Designated Preventive Long-Term Care Support, that are determined by the Municipal Ordinance (referred to as "Standards for the Business of said Municipality; herein Designated Preventive Long-Term Care Support" in the following item), those determined by Municipal Ordinance (hereinafter referred to as "Preventive Long-Term Care Support Applicable to Standards" in the following item and the following paragraphthis Article);

when a Municipality determines it necessary in a case when an Insured In-Home Person Requiring Support that is domiciled on an isolated island orreceives Preventive Long-Term Care Support other location where it is significantly difficult to securethan Designated Support for Prevention ofPreventive Long-Term Care, Support and Preventive Long-Term Care Support Applicable to Standards, and where it or any service equivalent thereto, that is definedprovided by standards as determined by the Minister of Health, Labour, and Welfare, receives Preventive Long-Term Care Support or equivalent service other than Designated Supporta Business Office conducting a business that is located in a Specified Area and is found to satisfy those of the Standards for Prevention the Business of Designated Preventive Long-Term Care or Support that are specified by Municipal Ordinance (hereinafter referred to as "Preventive Long-Term Care Support Applicable to Standardsin a Specified Area" in this Article);

when provided a Municipality determines it necessary in a case when an Insured In-Home Person Requiring Support who is domiciled on an isolated island or other location where it is significantly difficult to secure Designated Preventive Long-Term Care Support, Preventive Long-Term Care Support Applicable to Standards and Preventive Long-Term Care Support in a Specified Area, and which falls under the standards as determined by a Cabinet Order.the Minister of Health, Labour and Welfare, receives Preventive Long-Term Care Support other than Designated Preventive Long-Term Care Support, Preventive Long-Term Care Support Applicable to Standards and Preventive Long-Term Care Support in a Specified Area, or service equivalent thereto;

when otherwise provided by a Cabinet Order.

A Municipality, in establishing the Municipal Ordinance set forth inpursuant to the provisions of item (i) of the preceding paragraph, is to establish the following matters in accordance with the standards determined by Order of the Ministry of Health, Labour and Welfare, and is to take into consideration the standards determined by Order of the Ministry of Health, Labour and Welfare for other matters:

The amount of Exceptional Allowance for Preventive Long-Term Care Service Plan A Municipality, in establishing a Municipal Ordinance pursuant to the provisions of paragraph (1), item (ii), is to be establish the matters listed in item (i) in accordance with the standards specified by a Municipality based on Order of the Ministry of Health, Labour and Welfare, taking into consideration the expenses calculated by status of population decline in areas that fall under the standards determinedspecified by Order of the MinisterMinistry of Health, Labour, and Welfare as set forth inprescribed in Article 42, paragraph (2) of 1), item (iii), the preceding Article for said status of employees engaging in Preventive Long-Term Care Support or equivalent service (in a case said calculated amount exceeds the amount of actual expenses of said Preventive Long-Term Care Support or equivalent service, the base amount and other circumstances; is to establish the matters listed in item (ii) in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare; and is to be take into consideration the actual expenses required for said Preventive Long-Term Care Support or equivalent service)standards specified by Order of the Ministry of Health, Labour and Welfare for other matters.

standards pertaining to employees engaging in Preventive Long-Term Care Support in a Specified Area and the number of such employees;

matters concerning the operation of the business of Preventive Long-Term Care Support in a Specified Area that are closely related to ensuring the appropriate use of services, appropriate treatment and safety of Persons Requiring Support who use them, and maintaining confidentiality, etc., and that are specified by Order of the Ministry of Health, Labour and Welfare.

The mayor of a Municipality, when he or she determines the necessity for the paymentamount of an Exceptional Allowance for Preventive Long-Term Care Service Plan, may order a person that is or was in charge of the Preventive Long-Term Care Support pertaining to said payment or equivalent service (herein referred to as "Person, etc., in Charge in the cases listed in paragraph (1), item (i), item (iii) or item (iv) is to be specified by a Municipality based on the expenses calculated by standards determined by the Minister of Preventive Long-Term Care Support, etc." in this Health, Labour and Welfare as set forth in paragraph") to report, submit or present record books and documents, appear, (2) of the preceding Article for said Preventive Long-Term Care Support or direct its personnel to question the relevant Person or enterequivalent service (in a case said calculated amount exceeds the Business Officeamount of the provideractual expenses of said Person, etc., in Charge of Preventive Long-Term Care Support, etc., pertaining or equivalent service, the base amount is to said payment in order to inspectbe the actual expenses required for said record books and documents, and other itemsPreventive Long-Term Care Support or equivalent service).

The provisionsamount of Article 24, Exceptional Allowance for Preventive Long-Term Care Service Plan in the case listed in paragraph (3) apply mutatis mutandis 1), item (ii) is specified by a Municipality based on the amount of expenses calculated according to questions or inspections as prescribed the standards determined by the Minister of Health, Labour and Welfare after taking into consideration the average expenses required for Preventive Long-Term Care Support in a Specified Area, calculated by taking into consideration the preceding paragraph, andarea, etc., where the provisions of paragraph (4) Business Offices conducting the business of the same Article apply mutatis mutandis to Preventive Long-Term Care Support in a Specified Area are located (if that amount exceeds the authority granted as prescribed actual expenses required for said Preventive Long-Term Care Support in a Specified Area, the preceding paragraphamount of those actual expenses).

The Minister of Health, Labour and Welfare, when intending to determine the standards referred to in the preceding paragraph, must hear the opinion of the Social Security Council in advance.

The mayor of a Municipality, when he or she determines it necessary for the payment of an Exceptional Allowance for Preventive Long-Term Care Service Plan, may order a person that is or has been in charge of the Preventive Long-Term Care Support or equivalent service pertaining to said payment (herein referred to as "Person, etc., in Charge of Preventive Long-Term Care Support, etc." in this paragraph) to report, to submit or present record books and documents, or to appear, or may direct its personnel to question the relevant persons or to enter the Business Office of said Person, etc., in Charge of Preventive Long-Term Care Support, etc., pertaining to said payment and inspect the record books and documents, and other items.

The provisions of Article 24, paragraph (3) apply mutatis mutandis to questions or inspections as prescribed in the preceding paragraph, and the provisions of paragraph (4) of the same Article apply mutatis mutandis to the authority granted as prescribed in the preceding paragraph.

payment of an Exceptional Allowance for Preventive Long-Term Care Service:Article 54, paragraph (3)4) and paragraph (5), items (i) and (ii), and Article 55, paragraph (1), paragraph (4), and paragraph (6);

payment of an Allowance for Purchasing Equipment for Preventive Long-Term Care Covered by Public Aid:Article 56, paragraph (3), paragraph (45), and paragraph (78);

payment of an Exceptional Allowance for In-Home Long-Term Care Service:Article 42, paragraph (3)4) and paragraph (5), item (i) and item (ii), and Article 43, paragraph (1), paragraph (4), and paragraph (6);

payment of an Exceptional Allowance for Long-Term Care Facility Service:Article 49, paragraph (23) and paragraph (4);

payment of an Exceptional Allowance for Preventive Long-Term Care Service:Article 54, paragraph (3)4) and paragraph (5), item (i) and item (ii), and Article 55, paragraph (1), paragraph (4), and paragraph (6);

payment of an Allowance for Purchasing Equipment for In-Home Long-Term Care Covered by Public Aid:Article 44, paragraph (3), paragraph (45), and paragraph (78);

payment of an Allowance for Purchasing Equipment for Preventive Long-Term Care Covered by Public Aid:Article 56, paragraph (3), paragraph (45), and paragraph (78);

A Designated In-Home Service Provider, when it has confirmed, through the presentation of the certificate of insured person, etc. by an Insured Person that intends to receive Designated In-Home Service, an opinion pertaining to said Insured Person, which is an opinion as listed in Article 27, paragraph (7), item (ii) (including a case applied mutatis mutandis pursuant to Article 28, paragraph (4) or Article 29, paragraph (2)) or Article 32, paragraph (6), item (ii) (including a case applied mutatis mutandis pursuant to Article 33, paragraph (4) or Article 33-2, paragraph (2)), or an opinion as prescribed in the second sentence of Article 30, paragraph (1) or in the second sentence of Article 33-3, paragraph (1) (herein referred to as "Opinion of the Certification Committee") is entered on the Certificate of Insured Person that is presented by an Insured Person that intends to receive Designated In-Home Service, must engage in offering said Designated In-Home Service of said Insured Person in consideration of said Opinion of the Certification Committee.