Long-Term Care Insurance Act

The term "Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care" as used in this Act means an Intensive Care Home for the Elderly prescribed in Article 20-5 of the Act on Social Welfare for the Elderly (limited to a facility for which the capacity of residents is twenty-nine (29) or less; the same applies hereinafter in this paragraph) that aims to provide care for bathing, bodily waste elimination, meals, etc., and other care for performing daily activities, functional training, health management, and medical care to a Person Requiring Long-Term Care who is staying in said Intensive Care Home for the Elderly (limited to a person in a condition falling under a Category of Condition of Need for Long-Term Care specified by Order of the Ministry of Health, Labour and Welfare and other persons specified by Order of the Ministry of Health, Labour and Welfare as having difficulty in performing daily activities at home; the same applies hereinafter in this paragraph and paragraph (2627)) based on a Community-Based Facility Service Plan (meaning a plan that sets out the content of services provided by a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care to a Person Requiring Long-Term Care who is staying in said facility, the personnel in charge of said services, and other matters as determined by Order of the Ministry of Health, Labour and Welfare; the same applies hereinafter in this paragraph), and the term "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" means care for bathing, bodily waste elimination, meals, etc., and other care for performing daily activities, functional training, health management, and medical care that is provided to a Person Requiring Long-Term Care who is staying in a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care, based on a Community-Based Facility Service Plan.

The term "In-Home Long-Term Care Support" as used in this Act means, in order for an In-Home Person Requiring Long-Term Care (excluding a person who receives care in a residence room in a registered Fee-Based Home for the Elderly) to be able to make appropriate use, etc., of Designated In-Home Service prescribed in Article 41, paragraph (1), In-Home Service pertaining to Exceptional Allowance for In-Home Long-Term Care Service or equivalent services, Designated Community-Based Service prescribed in Article 42-2, paragraph (1), Community-Based Service pertaining to Exceptional Allowance for Community-Based Long-Term Care Service or equivalent services, In-Home Service pertaining to a project for In-Home Services, etc. in a Specified Area prescribed in Article 115-45, paragraph (3) or equivalent services, and other health and medical services or welfare services necessary for performing daily activities at home (hereinafter referred to as "Designated In-Home Service, etc." in this paragraph), to prepare, at the request of said In-Home Person Requiring Long-Term Care and in consideration of his or her mental and physical condition, the environmentexcluding a residence room in which he or she is placed, anda registered Fee-Based Home for the preferences, etc., of said In-Home Person Requiring Long-Term Care and his or her family, a planElderly) (hereinafter referred to as an "In-Home Service Plan" in this paragraph, item (iii) of paragraph (2) of that Article and the Appended Table) that sets out the types and content of the "Designated In-Home Service, etc. to be used, the personnel in charge of them, and other matters as determined by Order of the Ministry of Health, Labour and Welfare, and also to provide liaison and coordination with Designated In-Home Service Providers prescribed in Article 41, paragraph (1), Designated Community-Based Service Providers prescribed" in Article 42-2,this paragraph (1) and other persons, and ), to provide other conveniences, so as to ensure the provision of Designated In-Home Service, etc. based on said In-Home Service Plan, and, infollowing support at the case whererequest of said In-Home Person Requiring Long-Term Care requires admission to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care, a Facility Covered by Long-Term Care Insurance or a Long-Term Care Insurance Facility in a Specified Area (hereinafter referred to as a "Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care, etc." in this paragraph), to provide referral to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care, etc. and other conveniences, and the term "In-Home Long-Term Care Support Business" means a business that provides In-Home Long-Term Care Support.

to prepare a plan (hereinafter referred to as the "In-Home Service Plan") that, taking into account the mental and physical condition and environment of said In-Home Person Requiring Long-Term Care and the wishes, etc. of said In-Home Person Requiring Long-Term Care and his or her family, sets forth the type and content of the Designated In-Home Service, etc. to be used, the persons in charge thereof, and other matters determined by Order of the Ministry of Health, Labour and Welfare;

to coordinate with the Designated In-Home Service Provider prescribed in Article 41, paragraph (1), the Designated Community-Based Service Provider prescribed in Article 42-2, paragraph (1), and other persons (referred to as "Designated In-Home Service Provider, etc." in item (ii), (a) of the following paragraph), and to provide other conveniences, in order to ensure the provision of Designated In-Home Service, etc. based on the In-Home Service Plan;

in the case where said In-Home Person Requiring Long-Term Care requires admission to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care, a Facility Covered by Long-Term Care Insurance or a Long-Term Care Insurance Facility in a Specified Area (hereinafter referred to as "Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care, etc." in this item and item (iii) of the following paragraph), to provide referral to the Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care, etc. and other conveniences.

The term "Facility Covered by Long-Term Care Insurance" as used in this Act means a Designated Facility Covered by Public Aid Providing In this Act, "registered facility long-term care support" means to provide the following support, upon the request of a Person Requiring Long-Term Care in a registered facility (meaning a Person Requiring Long-Term Care to the Elderly prescribedwho receives care in Article 48, paragraph (1), item (ia residence room of a registered Fee-Based Home for the Elderly), a so that said Person Requiring Long-Term Care Health Facility (excluding a Long-Term Care Health Facility in a registered facility can make appropriate use, etc. of the Designated In-Home Service prescribed in Article 4941, paragraph (1), item (iii)), and or the In-Home Service pertaining to an integrated facilityExceptional Allowance for medical and long-term care (excluding an integrated facility for medical and long-term careIn-Home Long-Term Care Service or services equivalent thereto, the Designated Community-Based Service prescribed in Article 4942-2, paragraph (1), item (iv)), and or the term "Long-Term Care Insurance Facility in a Specified Area" means a Facility Covered by Public Aid Providing Long-Term Care Community-Based Service pertaining to an Exceptional Allowance for Community-Based Long-Term Care Service or services equivalent thereto, the In-Home Service pertaining to the Elderly project for In-Home Services, etc. in a Specified Area prescribed in Article 49115-45, paragraph (1), item (ii), a Long-Term Care Health Facility prescribed 3) or services equivalent thereto, and other health and medical services or welfare services necessary for leading daily life in item (iii) a residence room of that paragraph, and an integrated facility for medical a registered Fee-Based Home for the Elderly (hereinafter referred to as "Designated Registered Facility Service, etc." in this paragraph), and "registered facility long-term care prescribed in item (iv) ofsupport business" means a business that paragraphprovides registered facility long-term care support.

to hear the mental and physical condition and environment of said Person Requiring Long-Term Care in a registered facility, and other circumstances of said person, from the founder of the registered Fee-Based Home for the Elderly that said person enters, and, after taking into account those circumstances and the wishes, etc. of said Person Requiring Long-Term Care in a registered facility and his or her family, to prepare a plan (hereinafter referred to as the "registered Facility Service Plan") that sets forth the type and content of the Designated Registered Facility Service, etc. to be used, the persons in charge thereof, and other matters determined by Order of the Ministry of Health, Labour and Welfare;

to provide the following support in order to ensure the provision of Designated Registered Facility Service, etc. based on the registered Facility Service Plan:

to coordinate with the Designated In-Home Service Provider, etc. and to provide other conveniences;

to assist said Person Requiring Long-Term Care in a registered facility in participating in activities conducted by community residents, etc. (meaning community residents, etc. prescribed in Article 4, paragraph (2) of the Social Welfare Act (Act No. 45 of 1951); the same applies in item (ii), (b) of paragraph (17) of the following Article) to reduce the Condition of Need for Long-Term Care or prevent its worsening, and activities for leading an independent daily life in the community.

in the case where said Person Requiring Long-Term Care in a registered facility requires admission to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care, etc., to provide referral to the Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care, etc. and other conveniences.

The term "Facility ServiceCovered by Long-Term Care Insurance" as used in this Act means a Designated Facility Service for Covered by Public Aid Providing Long-Term Care Covered by Public Aid, to the Elderly prescribed in Article 48, paragraph (1), item (i), a Long-Term Care Health Facility Service, and service at (excluding a Long-Term Care Health Facility prescribed in Article 49, paragraph (1), item (iii)), and an integrated facility for medical and long-term care, (excluding an integrated facility for medical and the term "Facility Service Plan" means a plan for a Person Requiring long-term care prescribed in Article 49, paragraph (1), item (iv)), and the term "Long-Term Care who is staying at Insurance Facility in a Specified Area" means a Facility Covered by Public Aid Providing Long-Term Care to the Elderly, a Long-Term Care Health Facility, or an integrated facility for medical and long-term care, that sets out the content of services provided by said facilities, the personnel in a Specified Area prescribed in Article 49, paragraph (1), item (ii), a Long-Term Care Health Facility prescribed in charge item (iii) of said servicesthat paragraph, and other matters as determined by Order of the Ministry of Health, Labour and Welfarean integrated facility for medical and long-term care prescribed in item (iv) of that paragraph.

The term "Facility Covered by Public Aid Providing Long-Term Care to the ElderlyService" as used in this Act means an Intensive Care Home for the Elderly provided in Article 20-5 of the Act on Social WelfareFacility Service for the Elderly (limited to a facility with a capacity of thirty (30) residents or more; the same applies hereinafter in this paragraph). The purpose of saidLong-Term Care Covered by Public Aid, Long-Term Care Health Facility Service, and service at an integrated facility is to provide care for bathing, bodily waste elimination, meals, etc.medical and long-term care, and for other daily activities, functional training, health management, and medical care tothe term "Facility Service Plan" means a plan for a Person Requiring Long-Term Care who is staying in said Intensive Care Home for the Elderly based onat a Facility Service Plan. The term "Facility Service for Long-Term Care Covered by Public Aid" as used in this Act means care that is provided based on a Facility Service Plan Providing Long-Term Care to the Elderly, a Long-Term Care Health Facility, or an integrated facility for bathing, bodily waste elimination, meals, etc., and for other daily activities, functional training, health management, and medical care to a Person Requiring Long-Term Care who is staying in said Facility Coveredmedical and long-term care, that sets out the content of services provided by said facilities, the personnel in charge of said services, and other matters as determined by Public Aid Providing Long-Term Care to the ElderlyOrder of the Ministry of Health, Labour and Welfare.

The term "Facility Covered by Public Aid Providing Long-Term Care Health Facilityto the Elderly" as used in this Act means a facility which has obtained permission from the prefectural governor as set forth in Article 94, paragraph (1) asan Intensive Care Home for the Elderly provided in Article 20-5 of the Act on Social Welfare for the Elderly (limited to a facility with the purposea capacity of providing, based on a Facility Service Plan, nursing, long-term care and functional training under medical management, and other necessary medical care, as well asthirty (30) residents or more; the same applies hereinafter in this paragraph). The purpose of said facility is to provide care for performing daily activities, to a Person Requiring Long-Term Care who requires support primarily to maintain and recover mental or physical functions andbathing, bodily waste elimination, meals, etc., and for other daily activities, functional training, health management, and medical care to enable him or her to live at home (limited to those specified by Order ofa Person Requiring Long-Term Care who is staying in said Intensive Care Home for the Ministry of Health, Labour and Welfare with regard to the degree of needElderly based on a Facility Service Plan. The term "Facility Service for medical treatment; hereinafter simply referred to as "Person Requiring Long-Term Care"Long-Term Care Covered by Public Aid" as used in this paragraph), and the term "Long-Term Care Health Facility Service" means nursing, long-term care and functional training under medical managementAct means care that is provided based on a Facility Service Plan for bathing, bodily waste elimination, meals, etc., and other necessary medical care, as well as care for performing daily activities, that are providedfor other daily activities, functional training, health management, and medical care to a Person Requiring Long-Term Care who is staying in a Long-Term Care Health Facility, based on a Facility Service Plansaid Facility Covered by Public Aid Providing Long-Term Care to the Elderly.

The term "integrated facility for medical and long-term careLong-Term Care Health Facility" as used in this Act means a facility which has obtained permission from the prefectural governor as set forth in Article 10794, paragraph (1) as a facility with the purpose of providing, based on a Facility Service Plan, medical care management, nursing, long-term care and functional training under medical management, and other necessary medical care, as well as care for performing daily activities, to a Person Requiring Long-Term Care who requires support primarily requires medical care over a long period to maintain and recover mental or physical functions and to enable him or her to live at home (limited to those specified by Order of the Ministry of Health, Labour and Welfare with regard to the degree of need for medical treatment; hereinafter simply referred to as "Person Requiring Long-Term Care" in this paragraph), and the term "service at an integrated facility for medical and long-term careLong-Term Care Health Facility Service" means medical care management, nursing, long-term care and functional training under medical management, and other necessary medical care, as well as care for performing daily activities, that are provided to a Person Requiring Long-Term Care who is staying in an integrated facility for medical and long-term carea Long-Term Care Health Facility, based on a Facility Service Plan.

The term "integrated facility for medical and long-term care" as used in this Act means a facility which has obtained permission from the prefectural governor as set forth in Article 107, paragraph (1) as a facility with the purpose of providing, based on a Facility Service Plan, medical care management, nursing, long-term care and functional training under medical management, and other necessary medical care, as well as care for performing daily activities, to a Person Requiring Long-Term Care who primarily requires medical care over a long period (limited to those specified by Order of the Ministry of Health, Labour and Welfare with regard to the degree of need for medical treatment; hereinafter simply referred to as "Person Requiring Long-Term Care" in this paragraph), and the term "service at an integrated facility for medical and long-term care" means medical care management, nursing, long-term care and functional training under medical management, and other necessary medical care, as well as care for performing daily activities, that are provided to a Person Requiring Long-Term Care who is staying in an integrated facility for medical and long-term care, based on a Facility Service Plan.