Long-Term Care Insurance Act

A Designated Community-Based Service Provider, when an Opinion of the Certification Committee is entered onit has confirmed, through the presentation of the Certificatecertificate of Insured Person that is presentedinsured person, etc. by an Insured Person that intends to receive Designated Community-Based Service, an Opinion of the Certification Committee pertaining to said Insured Person, must engage in offering said Designated Community-Based Service of said Insured Person in consideration of said Opinion of the Certification Committee.

A person that performs the business of Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care under the appointment as service provider as set forth in the main clause of Article 42-2, paragraph (1) may, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, decline said appointment as service provider by offering one month or more of prior notice.

A Designated In-Home Long-Term Care Support Provider, when an Opinion of the Certification Committee is entered onit has confirmed, through the presentation of the Certificatecertificate of Insured Person that is presentedinsured person, etc. by an Insured Person that intends to receive Designated In-Home Long-Term Care Support, an Opinion of the Certification Committee pertaining to said Insured Person, must engage in offering said Designated Community-Based ServiceIn-Home Long-Term Care Support of said Insured Person in consideration of said Opinion of the Certification Committee.

Section 5 Facilities Covered by Long-Term Care Insurance, etc.

An establisher of a Designated Facility Service for Long-Term Care Covered by Public Aid, when an Opinion of Providing Long-Term Care to the Certification Committee is entered on Elderly, when it has confirmed, through the Certificatepresentation of Insured Person that is presented the certificate of insured person, etc. by an Insured Person that intends to receive Designated Facility Service for Long-Term Care Covered by Public Aid, an Opinion of the Certification Committee pertaining to said Insured Person, must engage in offering said Designated Facility Covered by Public Aid ProvidingService for Long-Term Care to the ElderlyCovered by Public Aid of said Insured Person in consideration of said Opinion of the Certification Committee.

A Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly may decline an appointment as service provider by offering one month or more of prior notice, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.

A prefectural governor may determine not With regard to the application of the provisions of the preceding paragraph to provide approval as set forth an application for the approval referred to in that paragraph (1) to that is made by a person that intends to establish or has established a Long-Term Care Health Facility for in a Specified Area and that corresponds to item (ii) or item (iii) of that paragraph, the purpose term "Article 97, paragraph (1)" in item (ii) of profitthat paragraph is deemed to be replaced with "Article 97, paragraph (5)", the term "paragraph (2) of the same Article" in that item is deemed to be replaced with "paragraph (6) of the same Article", and the term "Article 97, paragraph (3)" in item (iii) of that paragraph is deemed to be replaced with "Article 97, paragraph (7)".

In a caseA prefectural governor, when he or she has provided an approval as set forth in paragraph (1) andor an approval as set forth in paragraph (2) (limited to those pertaining to increase ofwhich the maximum numberprovisions of persons who may be admitted to the facility; hereinafter the same applies in thispreceding paragraph and the following paragraph) ishave been applied, the prefectural governor, when it is determined that total number of maximum number of persons who may be admitted to Long-Term Care Health Facility in the area (which means an area provided by said prefecture pursuant to the provisions of Article 118, paragraph (2), item (i)) includingnotify the location of facility pertainingperson that intends to said applicationestablish or has already reached the total number of necessary number of persons who may be admitted toestablished the Long-Term Care Health Facility in the area as prescribed by the Prefectural Insured Long-Term Care Support Project Plan provided by said prefecture pursuant to the provisions of paragraph (1) of the same Article, or will exceed said total number by establishment of the facility pertaining to said application or increase the maximum numberapproval of persons who may be admitted to the facility, or when it is determinedfact that it is likely to cause problems with accomplishment of said Prefectural Insured Long-Term Care Support Project Plan, may not provide an approval as set forth in paragraph (1) or an approval as set forth in paragraph (2)has been provided.

A prefectural governor, when he or she intends may refuse to provide an approval as set forth in paragraph (1) or an approval as set forth in paragraph (2), must provide notice of matters as determined by Order of the Ministry of Health, Labour, and Welfare to the mayor of the relevant Municipality, specify a reasonable period, and request opinions from the perspective of coordination with the Municipal Insureda person that intends to establish a Long-Term Care Service Plan as prescribed in Article 117, paragraph (1)Health Facility for the purpose of said relevant Municipalityprofit.

In a case when an approval as set forth in paragraph (1) or an approval as set forth in paragraph (2) (limited to those pertaining to increase of the maximum number of persons who may be admitted to the facility; hereinafter the same applies in this paragraph and the following paragraph) is applied for, the prefectural governor, when it is determined that total number of maximum number of persons who may be admitted to Long-Term Care Health Facility in the area (which means an area provided by said prefecture pursuant to the provisions of Article 118, paragraph (2), item (i)) including the location of facility pertaining to said application has already reached the total number of necessary number of persons who may be admitted to the Long-Term Care Health Facility in the area as prescribed by the Prefectural Insured Long-Term Care Support Project Plan provided by said prefecture pursuant to the provisions of paragraph (1) of the same Article, or will exceed said total number by establishment of the facility pertaining to said application or increase the maximum number of persons who may be admitted to the facility, or when it is determined that it is likely to cause problems with accomplishment of said Prefectural Insured Long-Term Care Support Project Plan, may refuse to provide an approval as set forth in paragraph (1) or an approval as set forth in paragraph (2).

A prefectural governor, when he or she intends to provide an approval as set forth in paragraph (1) or an approval as set forth in paragraph (2), must provide notice of matters as determined by Order of the Ministry of Health, Labour, and Welfare to the mayor of the relevant Municipality, specify a reasonable period, and request opinions from the perspective of coordination with the Municipal Insured Long-Term Care Service Plan as prescribed in Article 117, paragraph (1) of said relevant Municipality.

An Establisher of a Long-Term Care Health Facility must act in compliance with the standards concerning facilities and management of a Long-Term Care Health Facility as prescribed in paragraph (3) of the following Article, (paragraph (7) of the following Article, in the case of an Establisher of a Long-Term Care Health Facility that has received notice pursuant to the provisions of Article 94, paragraph (5)), offer appropriate Long-Term Care Health Facility Service according to the mental and physical condition, etc., of a Person Requiring Long-Term Care, and always engage in offering said services from the viewpoint of the person that receives Long-Term Care Health Facility Service by implementing self-evaluation of the quality of the Provider'sEstablisher's own Long-Term Care Health Facility Service and other measures.

An Establisher of a Long-Term Care Health Facility, when an Opinion of the Certification Committee is entered onit has confirmed, through the presentation of the Certificatecertificate of Insured Person that is presentedinsured person, etc. by an Insured Person that intends to receive Long-Term Care Health Facility Service, an Opinion of the Certification Committee pertaining to said Insured Person, must engage in offering said Long-Term Care Health Facility Service of said Insured Person in consideration of said Opinion of the Certification Committee.

A Long-Term Care Health Facility (excluding that prescribed in paragraph (5); the same applies in the following paragraph through paragraph (4)) must have, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, a medical care room, consultation room and functional training room, in addition to the facilities determined by Prefectural Ordinance.

The Minister ofA Long-Term Care Health, Labour and Welfare, when intending Facility (limited to those pertaining to establish the standards determined by Order of a person that has received notice pursuant to the Ministryprovisions of Health, Labour and Welfare prescribed Article 94, paragraph (5); the same applies in the precedingfollowing paragraph (limited to the part concerning the handling of, paragraph (7) and paragraph (8), item (ii)) must have a Long-Term Care Health Facility Service), must hear medical care room, a consultation room and a functional training room pursuant to the opinionprovisions of Order of the Social Security Council Ministry of Health, Labour and Welfare, in advanceaddition to facilities determined by Prefectural Ordinance.

An Establisher of aA Long-Term Care Health Facility, when it has provided notification of abolishment or suspension pursuant to must employ the provisions of Article 99, paragraph (2), must provide coordination with Establishersfixed minimum number, as determined by Order of other Long-Term Carethe Ministry of Health Facilities and other relevant persons, Labour, and provide other conveniences, to a person who was receiving said Long-Term Care Health Facility Service on the day before the date Welfare, of said notificationphysicians and who wishes to continue to be provided with services equivalent to saidnurses, and the fixed minimum number, as determined by Prefectural Ordinance, of Long-Term Care Health Facility Service on or after the date of said abolishment or suspension, soSupport Specialists and employees that necessary In-Home Service, etc. are provided continuouslyengage in long-term care or other operations.

An Establisher of a Long-Term Care Health Facility must respectIn addition to the personality of a Person Requiring Long-Term Care, actprovisions as prescribed in compliance with this Act or an Order based on this Act, and faithfully perform said duty for a Person Requiring Long-Term Carethe preceding two paragraphs, standards concerning facilities and management of a Long-Term Care Health Facility are to be provided by Prefectural Ordinance.

In establishing the Prefectural Ordinance set forth in the preceding three paragraphs, a prefecture is to establish the matters listed in item (i) in accordance with the standards determined by Order of the Ministry of Health, Labour and Welfare, taking into account the state of population decline in areas that fall under the standards determined by Order of the Ministry of Health, Labour and Welfare as prescribed in Article 42, paragraph (1), item (iii), the situation of Long-Term Care Support Specialists and employees that engage in long-term care or other operations at Long-Term Care Health Facilities, and other circumstances; to establish the matters listed in item (ii) in accordance with the standards determined by Order of the Ministry of Health, Labour and Welfare; and to take into consideration the standards determined by Order of the Ministry of Health, Labour and Welfare with regard to other matters.

Long-Term Care Support Specialists and employees that engage in long-term care or other operations, and the number thereof;

matters concerning the management of a Long-Term Care Health Facility that are determined by Order of the Ministry of Health, Labour and Welfare as being 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.

The Minister of Health, Labour and Welfare, when intending to establish the standards pursuant to the provisions of paragraph (4) or the preceding paragraph (limited to the part concerning the handling of a Long-Term Care Health Facility Service), must hear the opinion of the Social Security Council in advance.

An Establisher of a Long-Term Care Health Facility, when it has provided notification of abolishment or suspension pursuant to the provisions of Article 99, paragraph (2), must provide coordination with Establishers of other Long-Term Care Health Facilities and other relevant persons, and provide other conveniences, to a person who was receiving said Long-Term Care Health Facility Service on the day before the date of said notification and who wishes to continue to be provided with services equivalent to said Long-Term Care Health Facility Service on or after the date of said abolishment or suspension, so that necessary In-Home Service, etc. are provided continuously.

An Establisher of a Long-Term Care Health Facility must respect the personality of a Person Requiring Long-Term Care, act in compliance with this Act or an Order based on this Act, and faithfully perform said duty for a Person Requiring Long-Term Care.

An Establisher of a Long-Term Care Health Facility, except for matters pertaining to approval pursuant to the provisions ofunder Article 94, paragraph (2), when the domicile of an Establisher of said Long-Term Care Health Facility or other matters as determined by Order of the Ministry of Health, Labour and Welfare are changed, or when it recommences said Long-Term Care Health Facility that was suspended, must provide notification of said fact to the prefectural governor within ten days pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.

A prefectural governor or mayor of a Municipality, when it is determined to be necessary for an Establisher of a Long-Term Care Health Facility to smoothly provide the conveniences prescribed in Article 97, paragraph (610), may provide coordination among said Establisher of a Long-Term Care Health Facility, Establishers of other Long-Term Care Health Facilities, and other relevant persons, or advice and other assistance to said Establisher of a Long-Term Care Health Facility and said relevant persons.

The Minister of Health, Labour and Welfare, in a case when two or more prefectural governors provide coordination or assistance pursuant to the provisions of the preceding paragraph for the same Establisher of a Long-Term Care Health Facility, when it is determined to be necessary for said Establisher of a Long-Term Care Health Facility to smoothly provide the conveniences prescribed in Article 97, paragraph (610), may provide coordination among said prefectural governors, or advice and other assistance to said Establisher of a Long-Term Care Health Facility from a wide-area perspective beyond the areas of prefecturesprefectural areas.

A prefectural governor, when a Long-Term Care Health Facility no longer possesses the medical care rooms, consultation rooms and functional training rooms, and the facilities determined by Prefectural Ordinance as prescribed in Article 97, paragraph (1), (for a Long-Term Care Health Facility prescribed in paragraph (5) of the same Article, that paragraph), or no longer conforms with the standards concerning facilities and management of a Long-Term Care Health Facility as prescribed in paragraph (3) of the same Article (for a Long-Term Care Health Facility prescribed in paragraph (5) of the same Article, paragraph (7) of the same Article) (limited to the part concerning facilities), may, with regard to the Establisher of asaid Long-Term Care Health Facility, restrict or prohibit the use of the whole or a part of said facility for a specified period, or specify a due date and order repair or reconstruction.

A prefectural governor, when finding that a Long-Term Care Health Facility falls under any of the cases listed in the following item (i), item (ii) or item (v) (items (iii) through (v), for a Long-Term Care Health Facility prescribed in Article 97, paragraph (5)), may specify a due date and recommend to the Establisher of said Long-Term Care Health Facility that it take the measures specified in each of those items.

in the case where it the number of employees engaged in its operations does not properly provide satisfy the number determined by the convenience prescribed Order of the Ministry of Health, Labour and Welfare or the Prefectural Ordinance as set forth in Article 97, paragraph (6): to properly provide satisfy the number determined by said convenience.Order of the Ministry of Health, Labour and Welfare or said Prefectural Ordinance;

in the case where it does not conform to the standards pertaining to facilities and management of a Long-Term Care Health Facility as prescribed in Article 97, paragraph (7) (limited to the part pertaining to management): to conform to said standards pertaining to facilities and management of a Long-Term Care Health Facility;

in the case where it does not properly provide the convenience prescribed in Article 97, paragraph (10): to properly provide said convenience.

With regard to a Long-Term Care Health Facility that provided Long-Term Care Health Facility Service pertaining to an Insurance Benefit, a Municipality, when it is determined that said Long-Term Care Health Facility corresponds to any of the cases listed in the paragraph (1), item (i), item (ii) or item (v) (items (iii) through (v) of paragraph (1), for a Long-Term Care Health Facility prescribed in Article 97, paragraph (5)), must provide notification of said fact to the prefectural governor that governs the location of said Long-Term Care Health Facility.

when it is determined that an Establisher of a Long-Term Care Health Facility violates an obligation as prescribed in Article 97, paragraph (711);

when approval has been granted pursuant to the provisions ofunder Article 94, paragraph (1);

A prefectural governor may decline With regard to the application of the provisions of the preceding paragraph to give an application for the approval set forthreferred to in that paragraph (1) to that is made by a person whothat intends to establish or has established an integrated facility for medical and long-term care for in a Specified Area and that corresponds to item (ii) or item (iii) of that paragraph, the purpose term "Article 111, paragraph (1)" in item (ii) of profitthat paragraph is deemed to be replaced with "Article 111, paragraph (5)", the term "paragraph (2) of the same Article" in that item is deemed to be replaced with "paragraph (6) of the same Article", and the term "Article 111, paragraph (3)" in item (iii) of that paragraph is deemed to be replaced with "Article 111, paragraph (7)".

In a caseA prefectural governor, when an application for the he or she has provided an approval as set forth in paragraph (1) or thean approval as set forth in paragraph (2) (limited to those pertaining to an increase inwhich the maximum numberprovisions of persons who may be admitted to the facility; hereinafter the same applies in this paragraph and the followingpreceding paragraph) is filed, the prefectural governor, when it have been applied, is determined that the total number of the maximum number of persons who may be admitted to integrated facilities for medical and long-term care in the area (which means an area specified by said prefecture pursuant to the provisions of Article 118, paragraph (2), item (i)) includingnotify the location of the facility pertainingperson that intends to said applicationestablish or has already reached the total number ofestablished the required number of persons who may be admitted to integrated facilitiesfacility for medical and long-term care in the area as prescribed in the Prefectural Insured Long-Term Care Support Project Plan specified by said prefecture pursuant to the provisions of paragraph (1) of the same Article, or will exceed said total number by the establishment of the facility pertaining to said application or the increase in the maximum numberapproval of persons who may be admitted to the facility, or when it is determinedfact that it is likely to cause problems with the accomplishment of said Prefectural Insured Long-Term Care Support Project Plan, may decline to give the approval set forth in paragraph (1) or the approval set forth in paragraph (2)has been provided.

A prefectural governor, when he or she intends may decline to give the approval set forth in paragraph (1) or the approval set forth in paragraph (2), must provide notice of matters specified by Order of the Ministry of Health, Labour and Welfareto a person who intends to the mayor of the relevant Municipality, specify a reasonable period,establish an integrated facility for medical and request opinions from the perspective of coordination withlong-term care for the Municipal Insured Long-Term Care Service Plan as prescribed in Article 117, paragraph (1)purpose of said relevant Municipalityprofit.

In a case when an application for the approval set forth in paragraph (1) or the approval set forth in paragraph (2) (limited to those pertaining to an increase in the maximum number of persons who may be admitted to the facility; hereinafter the same applies in this paragraph and the following paragraph) is filed, the prefectural governor, when it is determined that the total number of the maximum number of persons who may be admitted to integrated facilities for medical and long-term care in the area (which means an area specified by said prefecture pursuant to the provisions of Article 118, paragraph (2), item (i)) including the location of the facility pertaining to said application has already reached the total number of the required number of persons who may be admitted to integrated facilities for medical and long-term care in the area as prescribed in the Prefectural Insured Long-Term Care Support Project Plan specified by said prefecture pursuant to the provisions of paragraph (1) of the same Article, or will exceed said total number by the establishment of the facility pertaining to said application or the increase in the maximum number of persons who may be admitted to the facility, or when it is determined that it is likely to cause problems with the accomplishment of said Prefectural Insured Long-Term Care Support Project Plan, may decline to give the approval set forth in paragraph (1) or the approval set forth in paragraph (2).

A prefectural governor, when he or she intends to give the approval set forth in paragraph (1) or the approval set forth in paragraph (2), must provide notice of matters specified by Order of the Ministry of Health, Labour and Welfare to the mayor of the relevant Municipality, specify a reasonable period, and request opinions from the perspective of coordination with the Municipal Insured Long-Term Care Service Plan as prescribed in Article 117, paragraph (1) of said relevant Municipality.

An establisherEstablisher of an integrated facility for medical and long-term care must endeavor to provide appropriate service at an integrated facility for medical and long-term care, in accordance with the standards concerning facilities and management of an integrated facility for medical and long-term care as prescribed in paragraph (3) of the following Article, (paragraph (7) of the following Article, for an Establisher of an integrated facility for medical and long-term care that has received notification pursuant to the provisions of Article 107, paragraph (5)), according to the mental and physical condition, etc., of a Person Requiring Long-Term Care, and to always provide said service from the viewpoint of the person that receives service at an integrated facility for medical and long-term care, by implementing self-evaluation of the quality of the service at an integrated facility for medical and long-term care that the establisherEstablisher provides and by other measures.

An establisherEstablisher of an integrated facility for medical and long-term care, when an Opinion of the Certification Committee is entered onit has confirmed the certificateOpinion of insured person that is presented bythe Certification Committee concerning an Insured Person that intends to receive service at an integrated facility for medical and long-term care through the presentation of the certificate of insured person, etc. by said Insured Person, must endeavor to provide said service at an integrated facility for medical and long-term care to said Insured Person in consideration of said Opinion of the Certification Committee.

An integrated facility for medical and long-term care (excluding that prescribed in paragraph (5); the same applies in the following paragraph through paragraph (4)) must have medical care rooms, consultation rooms, treatment rooms and functional training rooms pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, as well as facilities specified by Prefectural Ordinance.

The Minister of Health, LabourAn integrated facility for medical and Welfare, when intendinglong-term care (limited to provide the standards specified by Order of one pertaining to a person that has received the Ministry of Health, Labour and Welfare as prescribednotification under Article 107, paragraph (5); the same applies in the precedingfollowing paragraph (limited to the part pertaining to the handling of service at an integrated facility for medical, paragraph (7) and paragraph (8), item (ii)) must have medical care rooms, consultation rooms, treatment rooms and long-term care), must hear functional training rooms pursuant to the opinionprovisions of Order of the Social Security Council in advanceMinistry of Health, Labour and Welfare, as well as facilities specified by Prefectural Ordinance.

An establisher of an integrated facility for medical and long-term care, when it has submitted a notification of abolition or suspension pursuant to must have physicians and nurses in the number specified by Order of the provisionsMinistry of Article 113, paragraph (2), must provide convenience, such Health, Labour and Welfare, as coordination with the establishers of other integrated facilities for medical and long-term carewell as Long-Term Care Support Specialists and other persons concerned, to persons who were receiving said service at an integrated facility for medical and long-termemployees that engage in care on the day before the date of said notification and who wish to continue to be provided with service equivalent to said service at an integrated facility for medical and long-term care on or afterother duties in the date of said abolition or suspension, so that necessary In-Home Service, etc. is continuously providednumber specified by Prefectural Ordinance.

An establisher of an integrated facility for medical and long-term care must respectIn addition to what is prescribed in the personality of a Person Requiring Long-Term Care, act in compliance with this Act orpreceding two paragraphs, the standards concerning facilities and management of an order based on this Act,integrated facility for medical and faithfully perform its duties for a Person Requiring Long-Term Carelong-term care are specified by Prefectural Ordinance.

A prefecture, in establishing the Prefectural Ordinance set forth in the preceding three paragraphs, is to establish the matters listed in item (i) in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare, taking into consideration the status of population decline in areas that fall under the standards specified by Order of the Ministry of Health, Labour and Welfare prescribed in Article 42, paragraph (1), item (iii), the status of Long-Term Care Support Specialists and employees that engage in care and other duties at an integrated facility for medical and long-term care, 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 take into consideration the standards specified by Order of the Ministry of Health, Labour and Welfare for other matters.

Long-Term Care Support Specialists and employees that engage in care and other duties, and their number;

matters concerning the management of an integrated facility for medical and long-term care that are specified by Order of the Ministry of Health, Labour and Welfare as being closely related to the appropriate use of services by Persons Requiring Long-Term Care who are admitted, appropriate treatment, ensuring of safety, and maintaining of confidentiality.

The Minister of Health, Labour and Welfare, when intending to provide the standards pursuant to the provisions of paragraph (4) or the preceding paragraph (limited to the part pertaining to the handling of service at an integrated facility for medical and long-term care), must hear the opinion of the Social Security Council in advance.

An Establisher of an integrated facility for medical and long-term care, when it has submitted a notification of abolition or suspension pursuant to the provisions of Article 113, paragraph (2), must provide convenience, such as coordination with the Establishers of other integrated facilities for medical and long-term care and other persons concerned, to persons who were receiving said service at an integrated facility for medical and long-term care on the day before the date of said notification and who wish to continue to be provided with service equivalent to said service at an integrated facility for medical and long-term care on or after the date of said abolition or suspension, so that necessary In-Home Service, etc. is continuously provided.

An Establisher of an integrated facility for medical and long-term care must respect the personality of a Person Requiring Long-Term Care, act in compliance with this Act or an order based on this Act, and faithfully perform its duties for a Person Requiring Long-Term Care.

An establisherEstablisher of an integrated facility for medical and long-term care must, excluding matters pertaining to the approval pursuant to the provisions ofunder Article 107, paragraph (2), when there is a change in the address of the establisherEstablisher of said integrated facility for medical and long-term care or other particulars specified by Order of the Ministry of Health, Labour and Welfare, or when it resumes said integrated facility for medical and long-term care that had been suspended, notify the prefectural governor to that effect within 10 days, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.

A prefectural governor or the mayor of a Municipality, when he or she determines it is necessary in order for the provision of convenience prescribed in Article 111, paragraph (610) by an establisherEstablisher of an integrated facility for medical and long-term care to be carried out smoothly, may provide coordination among said establisherEstablisher of an integrated facility for medical and long-term care, the establishersEstablishers of other integrated facilities for medical and long-term care and other relevant persons, or advice and other assistance to said establisherEstablisher of an integrated facility for medical and long-term care and said relevant persons.

The Minister of Health, Labour and Welfare, in a case where two or more prefectural governors provide the coordination or assistance pursuant to the provisions of the preceding paragraph with regard to the same establisherEstablisher of an integrated facility for medical and long-term care, when he or she determines it is necessary in order for the provision of convenience prescribed in Article 111, paragraph (610) by said establisherEstablisher of an integrated facility for medical and long-term care to be carried out smoothly, may provide coordination among said prefectural governors or advice and other assistance to said establisherEstablisher of an integrated facility for medical and long-term care from a wide-area perspective beyond the prefectural area.

A prefectural governor, when an integrated facility for medical and long-term care has ceased to have the medical care rooms, consultation rooms, treatment rooms and functional training rooms prescribed in Article 111, paragraph (1), (that paragraph, for an integrated facility for medical and long-term care prescribed in paragraph (5) of the same Article), and the facilities specified by Prefectural Ordinance, or has ceased to conform to the standards concerning facilities and management of an integrated facility for medical and long-term care prescribed in paragraph (3) of the same Article (paragraph (7) of the same Article, for an integrated facility for medical and long-term care prescribed in paragraph (5) of the same Article) (limited to the part pertaining to facilities), may order the establisherEstablisher of said integrated facility for medical and long-term care, specifying a period, to restrict or prohibit the use of the whole or a part of it, or, setting a due date, to repair or rebuild it.

A prefectural governor, when it is determined that an integrated facility for medical and long-term care corresponds to any of the cases listed in the following item (i), item (ii) or item (v) (items, (iii) through (v), for an integrated facility for medical and long-term care prescribed in Article 111, paragraph (5)), may recommend to the establisherEstablisher of said integrated facility for medical and long-term care, setting a due date, that it take the measures specified in the respective items.

in the case where it does not properly provide satisfy, with regard to the convenience prescribed number of employees engaged in its operations, the number specified by Order of the Ministry of Health, Labour and Welfare or Prefectural Ordinance as set forth in Article 111, paragraph (6): to properly provide satisfy the number specified by said convenience.Order of the Ministry of Health, Labour and Welfare or Prefectural Ordinance;

in the case where it does not conform to the standards pertaining to facilities and management of an integrated facility for medical and long-term care as prescribed in Article 111, paragraph (7) (limited to the part pertaining to management): to conform to the standards pertaining to facilities and management of said integrated facility for medical and long-term care;

in the case where it does not properly provide the convenience prescribed in Article 111, paragraph (10): to properly provide said convenience.

A Municipality, when it determines that an integrated facility for medical and long-term care that provided service at an integrated facility for medical and long-term care pertaining to an insurance benefit corresponds to any of the cases listed in the paragraph (1), item (i), item (ii) or item (v) (items (iii) through (v) of paragraph (1), for an integrated facility for medical and long-term care prescribed in Article 111, paragraph (5)), must provide notification of said fact to the prefectural governor that governs the location of said integrated facility for medical and long-term care.

when it is determined that an Establisher of an integrated facility for medical and long-term care violates the obligation prescribed in Article 111, paragraph (711);

when the approval under the provisions of Article 107, paragraph (1) has been given;

A Designated Provider of Preventive Long-Term Care Service, when an Opinion of the Certification Committee is entered onit has confirmed, through the presentation of the Certificatecertificate of Insured Person that is presentedinsured person, etc. by an Insured Person that intends to receive Designated Preventive Long-Term Care Service , the Opinion of Long-Term Carethe Certification Committee pertaining to said Insured Person, must engage in offeringendeavor to provide said Designated Preventive Service of Long-Term Care ofService to said Insured Person in consideration of said Opinion of the Certification Committee.

A Designated Provider of Community-Based Service for Preventive Long-Term Care, when an Opinion of the Certification Committee is entered onit has confirmed, through the presentation of the Certificatecertificate of Insured Person that is presentedinsured person, etc. by an Insured Person that intends to receive Designated Community-Based Preventive Service of for Preventive Long-Term Care, the Opinion of the Certification Committee pertaining to said Insured Person, must engage in offeringendeavor to provide said Designated Community-Based Preventive Service of for Preventive Long-Term Care ofto said Insured Person in consideration of said Opinion of the Certification Committee.

A Designated Provider of Support for Prevention ofPreventive Long-Term Care, when an Opinion of the Certification Committee is entered on Support Provider, when it has confirmed, through the presentation of the Certificatecertificate of Insured Person that is presentedinsured person, etc. by an Insured Person that intends to receive Designated Preventive Long-Term Care Support for Prevention, the Opinion of Long-Term Carethe Certification Committee pertaining to said Insured Person, must engage in offeringendeavor to provide said Designated Support for Prevention ofPreventive Long-Term Care ofSupport to said Insured Person in consideration of said Opinion of the Certification Committee.

A Designated In-Home Service Provider, Designated Community-Based Service Provider, Designated In-Home Long-Term Care Support Provider, Designated Provider of Preventive Long-Term Care Service, Designated Provider of Community-Based Service for Preventive Long-Term Care, and Designated Preventive Long-Term Care Support Provider, and the establishersEstablishers of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly, a Long-Term Care Health Facility, and an integrated facility for medical and long-term care (hereinafter referred to as a "Long-Term Care Service Provider"), must establish an operational control system in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare, so as to ensure the performance of the obligations prescribed in Article 74, paragraph (6), Article 78-4, paragraph (8), Article 81, paragraph (6), Article 88, paragraph (6), Article 97, paragraph (711), Article 111, paragraph (711), Article 115-4, paragraph (6), Article 115-14, paragraph (8), or Article 115-24, paragraph (6).

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 (34), 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 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 reducingconduct the project set forth in (a) or preventing deterioration of a Condition of Need(b) below 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).Insured Persons (limited to Primary Insured Persons):

a project necessary for preventing a 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 project to operate a base for integrally conducting the project set forth in (a) and other projects 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, for the purpose of preventing a person 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 promoting mutual exchange among local residents.

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 facilitiesorganizations, and to provide comprehensive support implemented in accordance with the family circumstances of an Insured Person and other circumstances in order to improve health and medical care of Insured Person and to promote public aid service;

a project to provide comprehensive and continuous support implemented in accordance with the family situation of an Insured Person and other circumstances, 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 Municipality in whose area there is a Specified Area may, in addition to the Comprehensive Project for Long-Term Care Prevention and Daily Life Support and the projects listed set forth in the items of the preceding paragraph, conduct in accordance with the following projects standards specified by Order of the Ministry of Health, Labour and Welfare, conduct, as a Community Support Projects, as provided by Order ofProject, a project to provide to the Ministry persons set forth in each of Health, Labour and Welfare:the following items the In-Home Service or Preventive Long-Term Care Service specified in the relevant item, or services equivalent thereto (hereinafter referred to as "project for In-Home Services, etc. in a Specified Area").

a project to ensure Among Insured Persons who have a domicile in the area of a Specified Area within the appropriatenessarea of allowances necessary for said Municipality and have received Certification of Needed Long-Term Care Benefit, etc., those who receive care at their residences: Home-Visit Long-Term Care, Home-Visit Bathing Long-Term Care, Outpatient Day Long-Term Care or Short-Term Admission for Daily Life Long-Term Care;

a project necessary for supporting Among Insured Persons who have a domicile in the guidancearea of long-term care method a Specified Area within the area of said Municipality and for supporting personnel that are actually providing care to the Insured Persons Requiring have received Certification of Needed Support, those who receive support at their residences: Home-Visit Bathing Service for Preventive Long-Term Care; or Short-Term Admission for Daily Preventive 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 isMunicipality may, in addition to be implemented within the scope of an amount specified by Cabinet Order, taking into consideration the current conditionsthe Comprehensive Project for Long-Term Care Prevention and Daily Life Support, the projects listed in the items of projects concerning Prevention of Long-Term Care paragraph (2), and the project for In-Home Services, etc. in said Municipality, a Specified Area, conduct the operating conditions of Long-Term Care Insurance, the number of Insured Persons aged 75 or older, and other conditions.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 the expenses required for Long-Term Care Benefit, etc.;

a project necessary for the guidance of long-term care methods and other support for persons that are actually providing care to the Insured Persons Requiring Long-Term Care;

any other project necessary for the stabilization of 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 Municipality Community Support Project is to endeavor, in conducting Community Support Projects, to implement them appropriately and effectively by utilizing be implemented within the scope of an amount specified by Cabinet Order, taking into consideration the long-term care insurance-related information prescribed current conditions of projects concerning Prevention of Long-Term Care in Article 118-2, paragraph (1) said Municipality, the operating conditions of Long-Term Care Insurance, the number of Insured Persons aged 75 or older, and other necessary informationconditions.

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 elderlythem appropriately and the projects tailored toeffectively by utilizing the physical and mental characteristics of the elderlylong-term care insurance-related information prescribed in Article 82, paragraph (5) of the National Health Insurance Act (referred to as "National Health Insurance health services" in Article 117118-2, paragraph (3), item (x)), in order to make Community Support Projects effective, efficient, 1) and finely tailored to the circumstances of Insured Personsother necessary information.

A Municipality may, when deeming it necessaryis to endeavor, in conducting Community Support Projects pursuant, to cooperate with the provisionsAssociation of the preceding paragraph, request other Municipalities Medical Care Systems for the Elderly Aged 75 and Associations older (meaning the Association 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 prescribed in Article 48 of that Act; the same applies hereinafter in this Article) that conducts health services for the elderly (meaning the provisions health services for the elderly prescribed in Article 125, paragraph (1) of the Act on Assurance of Medical Care for Elderly People, copies of records concerning health examinations or health guidance prescribed; the same applies hereinafter in this Article and in Article 125117, paragraph (1) of that Act, or copies 3), item (x)), and, taking into account the physical, mental, and social characteristics 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 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 provisions elderly prescribed in Article 82, paragraph (5) of the National Health Insurance Act, and other information specified by Order of the Ministry of Health, Labour and Welfare as necessary for implementing (referred to as "National Health Insurance health services" in Article 117, paragraph (3), item (x)), in order to make Community Support Projects effectively effective, efficient, and efficientlyfinely 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 that have been requested pursuant to provide information concerning health and medical services or welfare services pertaining to Insured Persons, information concerning medical treatment under the provisions of the preceding Act on Assurance of Medical Care for Elderly People, copies of records concerning health examinations or health guidance prescribed in Article 125, paragraph to provide information (1) of that Act, or copies of records must provide concerning specified health examinations or specified health guidance prescribed in Article 18, paragraph (1) of that informationAct, or those copies information concerning medical treatment under the provisions of records as provided 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.

A Municipality may, in order to implement Community Support Projects pursuant toMunicipalities and Associations of Medical Care Systems for the provisions of paragraph (6), utilize, in addition to the information or copies of records providedElderly Aged 75 and older that have been requested pursuant to the provisions of the preceding paragraph, information it holds concerning health and medical services to provide information or welfare services pertaining to the relevant Insured Persons,copies of records concerning specified health examinationsmust provide that information or specified health guidance prescribed in Article 18, paragraph (1)those copies of records as provided by Order of the Act on AssuranceMinistry of Medical Care for Elderly People, or information concerning medical treatment under the provisions of the National Health Insurance ActHealth, Labour and Welfare.

A Municipality may request a fee , in order to implement Community Support Projects pursuant to user the provisions of a Community Support Project paragraph (7), utilize, in addition to the information or copies of records provided pursuant to the provisions of Order 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 Ministry Act on Assurance of Health, Labour, and WelfareMedical 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.