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Article 115-45-3Implementation of Category 1 Projects by Designated Providers

第百十五条の四十五の三(指定事業者による第一号事業の実施)

A Municipality may conduct the category 1 project (limited, for the category 1 Preventive Long-Term Care Support project, to that pertaining to Insured In-Home Persons Requiring Support) by paying a category 1 project payment to an Insured In-Home Person Requiring Support, etc. for the expenses required for the category 1 project, in the case where said Insured In-Home Person Requiring Support, etc. has used the category 1 project provided by a Business Office conducting the category 1 project pertaining to the designation of a person designated by the head of said Municipality (hereinafter referred to as a "Designated Provider").

市町村は、第一号事業(第一号介護予防支援事業にあっては、居宅要支援被保険者に係るものに限る。)については、居宅要支援被保険者等が、当該市町村の長が指定する者(以下「指定事業者」という。)の当該指定に係る第一号事業を行う事業所により行われる当該第一号事業を利用した場合において、当該居宅要支援被保険者等に対し、当該第一号事業に要した費用について、第一号事業支給費を支給することにより行うことができる。

The amount of the category 1 project payment under the preceding paragraph (hereinafter referred to as "category 1 project payment") is to be the amount calculated, as provided by Order of the Ministry of Health, Labour and Welfare, in consideration of the amount of the expenses required for the category 1 project.

前項の第一号事業支給費(以下「第一号事業支給費」という。)の額は、第一号事業に要する費用の額を勘案して、厚生労働省令で定めるところにより算定する額とする。

When an Insured In-Home Person Requiring Support, etc. has used the category 1 project provided by a Business Office conducting the category 1 project pertaining to the designation of a Designated Provider, the Municipality may, on behalf of said Insured In-Home Person Requiring Support, etc., pay to said Designated Provider the expenses required for said category 1 project that said Insured In-Home Person Requiring Support, etc. is to pay to said Designated Provider, up to the amount to be paid to said Insured In-Home Person Requiring Support, etc. as the category 1 project payment.

居宅要支援被保険者等が、指定事業者の当該指定に係る第一号事業を行う事業所により行われる当該第一号事業を利用したときは、市町村は、当該居宅要支援被保険者等が当該指定事業者に支払うべき当該第一号事業に要した費用について、第一号事業支給費として当該居宅要支援被保険者等に対し支給すべき額の限度において、当該居宅要支援被保険者等に代わり、当該指定事業者に支払うことができる。

When payment has been made pursuant to the provisions of the preceding paragraph, the category 1 project payment is deemed to have been paid to the Insured In-Home Person Requiring Support, etc.

前項の規定による支払があったときは、居宅要支援被保険者等に対し第一号事業支給費の支給があったものとみなす。

A Municipality, when a Designated Provider requests the category 1 project payment, is to make payment after conducting an examination as provided by Order of the Ministry of Health, Labour and Welfare.

市町村は、指定事業者から第一号事業支給費の請求があったときは、厚生労働省令で定めるところにより審査した上、支払うものとする。

A Municipality may entrust an examination and payment affairs prescribed in the preceding paragraph to an Association.

市町村は、前項の規定による審査及び支払に関する事務を連合会に委託することができる。

An Association that undertakes entrustment pursuant to the provisions of the preceding paragraph, after obtaining the consent of the Municipality that delegated said entrustment and pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, may entrust a part of the affairs that are under said entrustment to a not-for-profit juridical person that qualifies with requirements as determined by Order of the Ministry of Health, Labour and Welfare.

前項の規定による委託を受けた連合会は、当該委託をした市町村の同意を得て、厚生労働省令で定めるところにより、当該委託を受けた事務の一部を、営利を目的としない法人であって厚生労働省令で定める要件に該当するものに委託することができる。

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