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Read the text in force →介護保険法
Section 3 Designated Community-Based Service Providers (Articles 78-11 to 78-17)
The law as Act Partially Amending the Social Welfare Act, etc. (Act No. 51 of 2026) leaves it, with the words it changes marked.
The main text is read a page at a time: a chapter to a page, and a long chapter in runs of articles. The whole main text, and the supplementary provisions and appended tables this amendment changes. Those it leaves untouched are on the page for the text in force.
A mayor of a Municipality must, without delay, provide notification of the name of said Designated Community-Based Service Provider, the location of the Business Office pertaining to said designation, and other matters specified by Order of the Ministry of Health, Labour and Welfare to the prefectural governor and give public notice thereof in the following cases:
市町村長は、次に掲げる場合には、遅滞なく、当該指定地域密着型サービス事業者の名称、当該指定に係る事業所の所在地その他の厚生労働省令で定める事項を都道府県知事に届け出るとともに、これを公示しなければならない。
when an appointment as service provider as set forth in the main clause of Article 42-2, paragraph (1) is determined;
第四十二条の二第一項本文の指定をしたとき。
when notification of abolishment of business has been provided pursuant to the provisions of Article 78-5, paragraph (2);
第七十八条の五第二項の規定による事業の廃止の届出があったとき。
when the appointment as service provider as set forth in the main clause of Article 42-2, paragraph (1) is declined pursuant to the provisions of Article 78-8;
第七十八条の八の規定による第四十二条の二第一項本文の指定の辞退があったとき。
when an appointment as service provider as set forth in the main clause of Article 42-2, paragraph (1) is rescinded, or the effect of the whole or a part of an appointment as service provider is suspended, pursuant to the provisions of the preceding Article.
前条の規定により第四十二条の二第一項本文の指定を取り消し、又は指定の全部若しくは一部の効力を停止したとき。
The provisions of Article 70-2, Article 71 and Article 72 apply mutatis mutandis to the designation set forth in the main clause of Article 42-2, paragraph (1). In this case, the term "the preceding Article" in Article 70-2, paragraph (4) is deemed to be replaced with "Article 78-2", and other necessary technical replacement of terms is provided by a Cabinet Order.
第七十条の二、第七十一条及び第七十二条の規定は、第四十二条の二第一項本文の指定について準用する。この場合において、第七十条の二第四項中「前条」とあるのは、「第七十八条の二」と読み替えるものとするほか、必要な技術的読替えは、政令で定める。
A mayor of a Municipality, when it is determined to be particularly necessary for securing the prospective volume of, and improving the quality of, Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, etc. (meaning a Community-Based Service other than Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, and 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, that is Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, Multifunctional Long-Term Care in a Small Group Home, or another service specified by Order of the Ministry of Health, Labour and Welfare; the same applies hereinafter in this paragraph) in said Municipality as provided for in the Municipal Insured Long-Term Care Service Plan that said Municipality provides pursuant to the provisions of Article 117, paragraph (1), or in the area that said Municipality provides pursuant to the provisions of paragraph (2), item (i) of the same Article, is to make, by public invitation, during the period that the mayor specifies (hereinafter referred to as the "Period Designated by the Mayor of a Municipality"), the designation set forth in the main clause of that paragraph pertaining to a Business Office located in an area that the mayor specifies as an area in which it is appropriate to make the designation set forth in the main clause of Article 42-2, paragraph (1) by public invitation in order to secure said prospective volume (hereinafter referred to as the "Area Designated by the Mayor of a Municipality") (limited to a Business Office that conducts the business of those among Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, etc., that said mayor specifies (hereinafter referred to as "Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, etc., Specified by the Mayor of a Municipality"); hereinafter referred to as a "Business Office for an Area and Service Designated by the Mayor of a Municipality").
市町村長は、第百十七条第一項の規定により当該市町村が定める市町村介護保険事業計画において定める当該市町村又は同条第二項第一号の規定により当該市町村が定める区域における定期巡回・随時対応型訪問介護看護等（認知症対応型共同生活介護、地域密着型特定施設入居者生活介護及び地域密着型介護老人福祉施設入所者生活介護以外の地域密着型サービスであって、定期巡回・随時対応型訪問介護看護、小規模多機能型居宅介護その他の厚生労働省令で定めるものをいう。以下この項において同じ。）の見込量の確保及び質の向上のために特に必要があると認めるときは、その定める期間（以下「市町村長指定期間」という。）中は、当該見込量の確保のため公募により第四十二条の二第一項本文の指定を行うことが適当な区域として定める区域（以下「市町村長指定区域」という。）に所在する事業所（定期巡回・随時対応型訪問介護看護等のうち当該市町村長が定めるもの（以下「市町村長指定定期巡回・随時対応型訪問介護看護等」という。）の事業を行う事業所に限る。以下「市町村長指定区域・サービス事業所」という。）に係る同項本文の指定を、公募により行うものとする。
With regard to the designation set forth in the main clause of Article 42-2, paragraph (1) pertaining to a Business Office for an Area and Service Designated by the Mayor of a Municipality during the Period Designated by the Mayor of a Municipality, the provisions of Article 78-2 do not apply.
市町村長指定期間中における市町村長指定区域・サービス事業所に係る第四十二条の二第一項本文の指定については、第七十八条の二の規定は適用しない。
A mayor of a Municipality, with regard to an application for designation as set forth in Article 78-2, paragraph (1) pertaining to a Business Office for an Area and Service Designated by the Mayor of a Municipality that was filed by the day before the start date of said Period Designated by the Mayor of a Municipality and for which no disposition as to whether to make the designation has been made at the start of said Period Designated by the Mayor of a Municipality, is to make a disposition on said application, notwithstanding the provisions of the preceding paragraph.
市町村長は、当該市町村長指定期間の開始日の前日までにされた市町村長指定区域・サービス事業所に係る第七十八条の二第一項の指定の申請であって、当該市町村長指定期間の開始の際、指定をするかどうかの処分がなされていないものについては、前項の規定にかかわらず、当該申請に対する処分を行うものとする。
The provisions of the preceding paragraph apply mutatis mutandis to a case where a mayor of a Municipality expands an Area Designated by the Mayor of a Municipality or adds Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, etc., Specified by the Mayor of a Municipality. In this case, the necessary technical replacement of terms is provided by a Cabinet Order.
前項の規定は、市町村長が市町村長指定区域を拡張する場合又は市町村長指定定期巡回・随時対応型訪問介護看護等を追加する場合について準用する。この場合において、必要な技術的読替えは、政令で定める。
The designation set forth in the main clause of Article 42-2, paragraph (1) that is made pursuant to the provisions of paragraph (1) of the preceding Article (hereinafter referred to as "Designation by Public Invitation") is to be made, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, for each type of Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, etc., Specified by the Mayor of a Municipality and each Business Office that conducts the business of Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, etc., Specified by the Mayor of a Municipality pertaining to the type of said Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, etc., Specified by the Mayor of a Municipality, and is to have an effect on the payment of an Allowance for Community-Based Long-Term Care Service or an Exceptional Allowance for Community-Based Long-Term Care Service to an Insured Person of Long-Term Care Insurance (in the case of a Designation by Public Invitation pertaining to a Specified Community-Based Service, including an Insured Person Requiring Long-Term Care to Whom the Domicile Exception Applies who is undergoing Admission, etc. to a Facility Subject to Domicile Exception located within the area of said Municipality) provided by a Municipality of which the mayor who makes said Designation by Public Invitation is the head.
前条第一項の規定により行われる第四十二条の二第一項本文の指定（以下「公募指定」という。）は、厚生労働省令で定めるところにより、市町村長指定定期巡回・随時対応型訪問介護看護等の種類及び当該市町村長指定定期巡回・随時対応型訪問介護看護等の種類に係る市町村長指定定期巡回・随時対応型訪問介護看護等の事業を行う事業所ごとに行い、当該公募指定をする市町村長がその長である市町村が行う介護保険の被保険者（特定地域密着型サービスに係る公募指定にあっては、当該市町村の区域内に所在する住所地特例対象施設に入所等をしている住所地特例適用要介護被保険者を含む。）に対する地域密着型介護サービス費及び特例地域密着型介護サービス費の支給について、その効力を有する。
A mayor of a Municipality, when intending to make a Designation by Public Invitation, is to conduct a selection by a fair method from among the applicants in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare, and determine the Designated Community-Based Service Provider.
市町村長は、公募指定をしようとするときは、厚生労働省令で定める基準に従い、その応募者のうちから公正な方法で選考をし、指定地域密着型サービス事業者を決定するものとする。
The provisions of Article 78-2, paragraph (2), paragraph (4) (excluding items (iv), (vi)-2, (x) and (xii)), paragraph (5), paragraph (6) (excluding item (i)-2, item (iii)-2 and items (iii)-4 through (v)), paragraph (7) and paragraph (8) apply mutatis mutandis to a Designation by Public Invitation. In this case, the necessary technical replacement of terms with regard to these provisions is provided by a Cabinet Order.
第七十八条の二第二項、第四項（第四号、第六号の二、第十号及び第十二号を除く。）、第五項、第六項（第一号の二、第三号の二及び第三号の四から第五号までを除く。）、第七項及び第八項の規定は、公募指定について準用する。この場合において、これらの規定に関し必要な技術的読替えは、政令で定める。
A Designation by Public Invitation, notwithstanding the provisions of Article 70-2 as applied mutatis mutandis in Article 78-12, ceases to be effective upon the lapse of a period that said mayor of the Municipality specifies within a range not exceeding six years counted from the day of the designation.
公募指定は、第七十八条の十二において準用する第七十条の二の規定にかかわらず、その指定の日から起算して六年を超えない範囲内で当該市町村長が定める期間を経過したときは、その効力を失う。
The provisions of Article 70-2 as applied mutatis mutandis in Article 78-12 do not apply to the designation set forth in the main clause of Article 42-2, paragraph (1) pertaining to a Business Office for an Area and Service Designated by the Mayor of a Municipality that is in effect at the start of the Period Designated by the Mayor of a Municipality (excluding a Designation by Public Invitation) and the designation set forth in the main clause of Article 42-2, paragraph (1) made pursuant to the provisions of Article 78-13, paragraph (3) (hereinafter referred to as "Designation Valid at the Start of the Designated Period" in the following paragraph).
第七十八条の十二において準用する第七十条の二の規定は、市町村長指定期間の開始の際現に効力を有する市町村長指定区域・サービス事業所に係る第四十二条の二第一項本文の指定（公募指定を除く。）及び第七十八条の十三第三項の規定により行われた第四十二条の二第一項本文の指定（次項において「指定期間開始時有効指定」という。）については、適用しない。
A Designation Valid at the Start of the Designated Period ceases to be effective when the period prescribed in each of the following items has elapsed, in accordance with the categories listed in those items:
指定期間開始時有効指定は、次の各号に掲げる区分に応じ、当該各号に定める期間を経過したときは、その効力を失う。
a Designation Valid at the Start of the Designated Period other than the Designation Valid at the Start of the Designated Period listed in the following item: six years from the day on which said Designation Valid at the Start of the Designated Period was made or the day following the day of expiry of the previous period set forth in Article 70-2, paragraph (1) as applied mutatis mutandis in Article 78-12 (referred to as the "Previous Effective Period of Designation" in the same item), whichever is the most recent;
次号に掲げる指定期間開始時有効指定以外の指定期間開始時有効指定 当該指定期間開始時有効指定がされた日又は従前の第七十八条の十二において準用する第七十条の二第一項の期間（同号において「従前の指定の有効期間」という。）の満了の日の翌日のうち直近の日から六年
said Designation Valid at the Start of the Designated Period in the case where a Designated Community-Based Service Provider that has received a Designation Valid at the Start of the Designated Period receives a Designation by Public Invitation pertaining to said Business Office for an Area and Service Designated by the Mayor of a Municipality: the period from the most recent of the day on which said Designation Valid at the Start of the Designated Period was made or the day following the day of expiry of the Previous Effective Period of Designation until the day before the day on which said Designation by Public Invitation was made.
指定期間開始時有効指定を受けている指定地域密着型サービス事業者が、当該市町村長指定区域・サービス事業所に係る公募指定を受ける場合における当該指定期間開始時有効指定 当該指定期間開始時有効指定がされた日又は従前の指定の有効期間の満了の日の翌日のうち直近の日から当該公募指定がされた日の前日までの期間
A mayor of a Municipality, with regard to an application for renewal of the appointment as service provider as set forth in Article 70-2, paragraph (1) as applied mutatis mutandis in Article 78-12 pertaining to a Business Office for an Area and Service Designated by the Mayor of a Municipality that was filed by the day before the start date of said Period Designated by the Mayor of a Municipality and for which no disposition as to whether to renew the appointment as service provider has been made at the start of said Period Designated by the Mayor of a Municipality, is to make a disposition on said application, notwithstanding the provisions of paragraph (2).
市町村長は、当該市町村長指定期間の開始日の前日までにされた市町村長指定区域・サービス事業所に係る第七十八条の十二において準用する第七十条の二第一項の指定の更新の申請であって、当該市町村長指定期間の開始の際、指定の更新をするかどうかの処分がなされていないものについては、第二項の規定にかかわらず、当該申請に対する処分を行うものとする。
The provisions of the preceding three paragraphs apply mutatis mutandis to a case where a mayor of a Municipality expands an Area Designated by the Mayor of a Municipality or adds Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, etc., Specified by the Mayor of a Municipality. In this case, the necessary technical replacement of terms is provided by a Cabinet Order.
前三項の規定は、市町村長が市町村長指定区域を拡張する場合又は市町村長指定定期巡回・随時対応型訪問介護看護等を追加する場合について準用する。この場合において、必要な技術的読替えは、政令で定める。
A mayor of a Municipality, when intending to specify the Period Designated by the Mayor of a Municipality, the Area Designated by the Mayor of a Municipality, and the Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, etc., Specified by the Mayor of a Municipality, must give public notice in advance of that fact and the date on which the effect arises with regard to the Area Designated by the Mayor of a Municipality and the Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, etc., Specified by the Mayor of a Municipality.
市町村長は、市町村長指定期間、市町村長指定区域及び市町村長指定定期巡回・随時対応型訪問介護看護等を定めようとするときは、あらかじめ、その旨並びに市町村長指定区域及び市町村長指定定期巡回・随時対応型訪問介護看護等に係る効力が生ずる日を公示しなければならない。
The provisions of the preceding paragraph apply mutatis mutandis to a change in the Period Designated by the Mayor of a Municipality, the Area Designated by the Mayor of a Municipality, or the Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, etc., Specified by the Mayor of a Municipality.
前項の規定は、市町村長指定期間、市町村長指定区域又は市町村長指定定期巡回・随時対応型訪問介護看護等の変更について準用する。
With regard to the application of Article 78-2, paragraphs (4), (6) and (11), Article 78-5, paragraph (2), and Article 78-9 through Article 78-11 to a Designation by Public Invitation, the phrase "excluding 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" in that paragraph is deemed to be replaced with "limited to Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, etc., Specified by the Mayor of a Municipality pertaining to a Designation by Public Invitation", and the phrase "by one month prior to" with "by the day specified by the mayor of the Municipality that is one month or more prior to", and other necessary technical replacement of terms is provided by a Cabinet Order.
公募指定に係る第七十八条の二第四項、第六項及び第十一項、第七十八条の五第二項並びに第七十八条の九から第七十八条の十一までの規定の適用については、同項中「地域密着型介護老人福祉施設入所者生活介護を除く」とあるのは「公募指定に係る市町村長指定定期巡回・随時対応型訪問介護看護等に限る」と、「一月前まで」とあるのは「一月以上前の日であって市町村長が定める日まで」とするほか、必要な技術的読替えは、政令で定める。