Article 37Specification of Type of Service Covered by Long-Term Care Benefits
第三十七条（介護給付等対象サービスの種類の指定）
A Municipality, when providing a Certification of Needed Long-Term Care; a Renewal of Certification of Needed Long-Term Care; a Certification of Change of Category of Condition of Need for Long-Term Care pursuant to the provisions of Article 27, paragraph (7) or Article 30, paragraph (1) as applied mutatis mutandis pursuant to Article 29, paragraph (2); a Certification of Needed Support; a Renewal of Certification of Needed Support; a Certification of Change of Category of Needed Support Condition pursuant to the provisions of Article 32, paragraph (6) or Article 33-3, paragraph (1) as applied mutatis mutandis pursuant to Article 33-2, paragraph (2); (hereinafter simply referred to as "Certification" in this paragraph) may specify the type of services to be performed for an Insured Person pertaining to said Certification, including In-Home Service pertaining to Allowance for In-Home Long-Term Care Service or Exceptional Allowance for In-Home Long-Term Care Service, Community-Based Service pertaining to Allowance for Community-Based Long-Term Care Service or Exceptional Allowance for Community-Based Long-Term Care Service, Facility Service pertaining to Allowance for Long-Term Care Facility Service or Exceptional Allowance for Long-Term Care Facility Service, Preventive Long-Term Care Service pertaining to Allowance for Preventive Long-Term Care Service or Exceptional Allowance for Preventive Service of Long-Term Care, or Community-Based Service for Preventive Long-Term Care pertaining to Allowance for Community-Based Preventive Long-Term Care Service, or Exceptional Allowance for Community-Based Preventive Service of Long-Term Care, based on the opinion of the Certification Committee pertaining to the matter listed in Article 27, paragraph (5), item (i) (including a case it is applied mutatis mutandis pursuant to Article 28, paragraph (4), Article 29, paragraph (2), or Article 30, paragraph (2)) or Article 32, paragraph (4), item (i) (including a case it is applied mutatis mutandis pursuant to Article 33, paragraph (4), Article 33-2, paragraph (2), or Article 33-3, paragraph (2)). In this case, the Municipality is to enter on the Certificate of Insured Person of said Insured Person the type of services pertaining to said specification including In-Home Service, Community-Based Service, Facility Service, Preventive Long-Term Care Service, or Community-Based Service for Preventive Long-Term Care together with an entry pursuant to the provisions of Article 27, paragraph (7) second sentence (including a case it is applied mutatis mutandis pursuant to Article 28, paragraph (4) or Article 29, paragraph (2)), Article 30, paragraph (1), second sentence, Article 35, paragraph (4), second sentence, or Article 32, paragraph (6) second sentence (including a case it is applied mutatis mutandis pursuant to Article 33, paragraph (4) or Article 33-2, paragraph (2)), Article 33-3, paragraph (1) second sentence, Article 35, paragraph (2), second sentence, or paragraph (6), second sentence.
市町村は、要介護認定、要介護更新認定、第二十九条第二項において準用する第二十七条第七項若しくは第三十条第一項の規定による要介護状態区分の変更の認定、要支援認定、要支援更新認定又は第三十三条の二第二項において準用する第三十二条第六項若しくは第三十三条の三第一項の規定による要支援状態区分の変更の認定（以下この項において単に「認定」という。）をするに当たっては、第二十七条第五項第一号（第二十八条第四項、第二十九条第二項及び第三十条第二項において準用する場合を含む。）又は第三十二条第四項第一号（第三十三条第四項、第三十三条の二第二項及び第三十三条の三第二項において準用する場合を含む。）に掲げる事項に係る認定審査会の意見に基づき、当該認定に係る被保険者が受けることができる居宅介護サービス費若しくは特例居宅介護サービス費に係る居宅サービス、地域密着型介護サービス費若しくは特例地域密着型介護サービス費に係る地域密着型サービス、施設介護サービス費若しくは特例施設介護サービス費に係る施設サービス、介護予防サービス費若しくは特例介護予防サービス費に係る介護予防サービス又は地域密着型介護予防サービス費若しくは特例地域密着型介護予防サービス費に係る地域密着型介護予防サービスの種類を指定することができる。この場合において、市町村は、当該被保険者の被保険者証に、第二十七条第七項後段（第二十八条第四項及び第二十九条第二項において準用する場合を含む。）、第三十条第一項後段若しくは第三十五条第四項後段又は第三十二条第六項後段（第三十三条第四項及び第三十三条の二第二項において準用する場合を含む。）、第三十三条の三第一項後段若しくは第三十五条第二項後段若しくは第六項後段の規定による記載に併せて、当該指定に係る居宅サービス、地域密着型サービス、施設サービス、介護予防サービス又は地域密着型介護予防サービスの種類を記載するものとする。
An Insured Person specified pursuant to the provisions of the preceding paragraph, first sentence, may apply for a change of type of services pertaining to said specification including In-Home Service, Community-Based Service, Facility Service, Preventive Long-Term Care Service, or Community-Based Service for Preventive Long-Term Care.
The application as prescribed in the preceding paragraph is to be submitted with the Certificate of Insured Person, pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare.
前項の申請は、厚生労働省令で定めるところにより、被保険者証を添付して行うものとする。
In a case when the application as set forth in paragraph (2) is submitted, a Municipality, pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare, when it hears the opinion of the Certification Committee and determines it necessary, may change the type of services pertaining to said specification including In-Home Service, Community-Based Service, Facility Service, Preventive Long-Term Care Service, or Community-Based Service for Preventive Long-Term Care.
When a Municipality, with regard to an Insured Person pertaining to the application as set forth in paragraph (2), has changed the type of services pertaining to the specification pursuant to the provisions of paragraph (1), first sentence, including In-Home Service, Community-Based Service, Facility Service, Preventive Long-Term Care Service, or Community-Based Service for Preventive Long-Term Care pursuant to the provisions of the preceding paragraph, it is to notify said Insured Person of said result, enter the type of services, including In-Home Service, Community-Based Service, Facility Service, Preventive Long-Term Care Service, or Community-Based Service for Preventive Long-Term Care after amending the Certificate of Insured Person of said Insured Person, and return the Certificate of Insured Person to the Insured Person.
Read this with the articles around it
(Certification of Needed Long-Term Care)
matters concerning the necessary medical care for the reduction or prevention of deterioration of the Condition of Need for Long-Term Care of said Insured Person;
当該被保険者の要介護状態の軽減又は悪化の防止のために必要な療養に関する事項
Open this provision(Certification of Needed Long-Term Care)
A Municipality, when providing a Certification of Needed Long-Term Care based on the results of an examination and judgment of a Certification Committee as notified pursuant to the provisions of the…
市町村は、第五項前段の規定により通知された認定審査会の審査及び判定の結果に基づき、要介護認定をしたときは、その結果を当該要介護認定に係る被保険者に通知しなければならない。この場合において、市町村は、次に掲げる事項を当該被保険者の被保険者証に記載し、これを返付するものとする。
Open this provision(Renewal of Certification of Needed Long-Term Care)
The provisions of the preceding Article (except paragraph (8)) apply mutatis mutandis to an application as set forth in the preceding two paragraphs and to an application for Renewal of Certification…
前条（第八項を除く。）の規定は、前二項の申請及び当該申請に係る要介護更新認定について準用する。この場合において、同条の規定に関し必要な技術的読替えは、政令で定める。
Open this provision(Certification of Change of Category of Condition of Need for Long-Term Care)
The provisions of Article 27 and the preceding Article, paragraphs (5) to (8) apply mutatis mutandis to an application as prescribed in the preceding paragraph and to a Certification of Change of…
第二十七条及び前条第五項から第八項までの規定は、前項の申請及び当該申請に係る要介護状態区分の変更の認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。
Open this provisionA Municipality, when it is determined that an Insured Person that was issued a Certification of Needed Long-Term Care, qualifies for a Category of Condition of Need for Long-Term Care other than the…
市町村は、要介護認定を受けた被保険者について、その介護の必要の程度が低下したことにより当該要介護認定に係る要介護状態区分以外の要介護状態区分に該当するに至ったと認めるときは、要介護状態区分の変更の認定をすることができる。
Open this provisionThe provisions of Article 27, paragraphs (2) to (6), the first sentence of paragraph (7), and Article 28, paragraphs (5) to (8) apply mutatis mutandis to a Certification of Change of Category of…
第二十七条第二項から第六項まで及び第七項前段並びに第二十八条第五項から第八項までの規定は、前項の要介護状態区分の変更の認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。
Open this provision(Certification of Needed Support)
matters of necessary medical care for or support pertaining to domestic home duties for the reduction or prevention of deterioration of a Needed Support Condition of said Insured Person;
当該被保険者の要支援状態の軽減又は悪化の防止のために必要な療養及び家事に係る援助に関する事項
Open this provision(Certification of Needed Support)
A Municipality, when providing Certification of Needed Support based on the results of an examination and judgment of a Certification Committee that is notified pursuant to the provisions of the…
市町村は、第四項前段の規定により通知された認定審査会の審査及び判定の結果に基づき、要支援認定をしたときは、その結果を当該要支援認定に係る被保険者に通知しなければならない。この場合において、市町村は、次に掲げる事項を当該被保険者の被保険者証に記載し、これを返付するものとする。
Open this provision(Certification of Change of Category of Needed Support Condition)
The provisions of Article 28, paragraph (5) to paragraph (8), and Article 32 apply mutatis mutandis to an application as prescribed in the preceding paragraph and change of Category of Needed Support…
第二十八条第五項から第八項まで及び第三十二条の規定は、前項の申請及び当該申請に係る要支援状態区分の変更について準用する。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。
Open this provisionA Municipality, when it is determined that an Insured Person that has been issued a Certification of Needed Support qualifies for a Category of Needed Support Condition other than the Category of…
市町村は、要支援認定を受けた被保険者について、その支援の必要の程度が低下したことにより当該要支援認定に係る要支援状態区分以外の要支援状態区分に該当するに至ったと認めるときは、要支援状態区分の変更の認定をすることができる。
Open this provisionThe provisions of Article 28, paragraph (5) to paragraph (8), Article 32, paragraph (2) to paragraph (5), and the first sentence of paragraph (6), apply mutatis mutandis to a certification of Change…
第二十八条第五項から第八項まで並びに第三十二条第二項から第五項まで及び第六項前段の規定は、前項の要支援状態区分の変更の認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。
Open this provision(Renewal of Certification of Needed Support)
The provisions of the preceding Article (except for paragraph (7)) and Article 28, paragraphs (5) to (8) apply mutatis mutandis to an application as prescribed in the preceding two paragraphs and a…
前条（第七項を除く。）及び第二十八条第五項から第八項までの規定は、前二項の申請及び当該申請に係る要支援更新認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。
Open this provision(Exception for Procedures of Certification of Needed Long-Term Care)
A Municipality, when a notification was issued pursuant to the provisions of the preceding paragraph, may deem that the Insured Person pertaining to said notification has submitted an application as…
市町村は、前項の規定による通知があったときは、当該通知に係る被保険者について、第三十二条第一項の申請がなされ、同条第三項の規定により認定審査会に審査及び判定を求め、同条第四項の規定により認定審査会の通知を受けたものとみなし、要支援認定をすることができる。
Open this provision(Exception for Procedures of Certification of Needed Long-Term Care)
A Municipality, when a notification is issued pursuant to the provisions of the preceding paragraph, may deem that the Insured Person pertaining to said notification submitted an application as set…
市町村は、前項の規定による通知があったときは、当該通知に係る被保険者について、第二十七条第一項の申請がなされ、同条第四項の規定により認定審査会に審査及び判定を求め、同条第五項の規定により認定審査会の通知を受けたものとみなし、要介護認定をすることができる。
Open this provision(Exception for Procedures of Certification of Needed Long-Term Care)
A Municipality, when a notification is issued pursuant to the provisions of the preceding paragraph, may deem that the Insured Person pertaining to said notification submitted an application as set…
市町村は、前項の規定による通知があったときは、当該通知に係る被保険者について、第三十二条第一項の申請がなされ、同条第三項の規定により認定審査会に審査及び判定を求め、同条第四項の規定により認定審査会の通知を受けたものとみなし、要支援認定をすることができる。
Open this provision(Specification of Type of Service Covered by Long-Term Care Benefits)
A Municipality, when providing a Certification of Needed Long-Term Care; a Renewal of Certification of Needed Long-Term Care; a Certification of Change of Category of Condition of Need for Long-Term…
市町村は、要介護認定、要介護更新認定、第二十九条第二項において準用する第二十七条第七項若しくは第三十条第一項の規定による要介護状態区分の変更の認定、要支援認定、要支援更新認定又は第三十三条の二第二項において準用する第三十二条第六項若しくは第三十三条の三第一項の規定による要支援状態区分の変更の認定（以下この項において単…
Open this provision(Specification of Type of Service Covered by Long-Term Care Benefits)
An Insured Person specified pursuant to the provisions of the preceding paragraph, first sentence, may apply for a change of type of services pertaining to said specification including In-Home…
前項前段の規定による指定を受けた被保険者は、当該指定に係る居宅サービス、地域密着型サービス、施設サービス、介護予防サービス又は地域密着型介護予防サービスの種類の変更の申請をすることができる。
Open this provision(Specification of Type of Service Covered by Long-Term Care Benefits)
In a case when the application as set forth in paragraph (2) is submitted, a Municipality, pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare…
市町村は、第二項の申請があった場合において、厚生労働省令で定めるところにより、認定審査会の意見を聴き、必要があると認めるときは、当該指定に係る居宅サービス、地域密着型サービス、施設サービス、介護予防サービス又は地域密着型介護予防サービスの種類の変更をすることができる。
Open this provisionCategory of Condition of Need for Long-Term Care
「要介護状態区分」
Each of the categories, set by a Ministry of Health, Labour and Welfare Order (厚生労働省令) according to how much care a person needs, one of which a condition of need for long-term care (要介護状態) must fall in (Article 7, paragraph (1)).
Short name set inArticle 7, paragraph (1)
Category of Needed Support Condition
「要支援状態区分」
Each of the categories, set by a Ministry of Health, Labour and Welfare Order (厚生労働省令) according to how much support a person needs, one of which a condition needing support (要支援状態) must fall in (Article 7, paragraph (2)).
Short name set inArticle 7, paragraph (2)
In-Home Service
「居宅サービス」
Any of the services this Act groups as in-home services: home-visit long-term care, bathing, nursing and rehabilitation; guidance for management of in-home medical care; outpatient day long-term care and outpatient rehabilitation; short-term admission for daily-life care or for medical care; daily-life care for residents of specified facilities; and the rental of welfare equipment and the sale of specified welfare equipment.
Defined inArticle 8, paragraph (1)· applies throughout the law
Community-Based Servicemachine translation
「地域密着型サービス」
Any of the services this Act groups as community-based services: periodic patrol and on-demand home-visit long-term care and nursing, home-visit long-term care at night, community-based outpatient day care, outpatient care for people with dementia, multifunctional care in a small group home, communal daily care for people with dementia, daily-life care for residents of community-based specified facilities and of community-based facilities for the elderly covered by public aid requiring long-term care, and combined services (複合型サービス).
Defined inArticle 8, paragraph (14)· applies throughout the law
Facility Servicemachine translation
「施設サービス」
A facility service (施設サービス) as defined in Article 8, paragraph (26) of the Long-Term Care Insurance Act: welfare facility services for the elderly requiring long-term care, long-term care health facility services, and integrated medical and long-term care facility services (介護医療院サービス).
Defined inArticle 8, paragraph (26)· applies throughout the law
Preventive Long-Term Care Servicemachine translation
「介護予防サービス」
Any of the services this Act groups as preventive long-term care services: preventive home-visit bathing, home-visit nursing and home-visit rehabilitation, preventive management and guidance for in-home medical care, preventive outpatient rehabilitation, preventive short-term admission for daily-life care or for medical care, preventive daily-life care for residents of specified facilities, rental of welfare equipment for preventive care, and the sale of specified welfare equipment for preventive care.
Defined inArticle 8-2, paragraph (1)· applies throughout the law
Community-Based Service for Preventive Long-Term Caremachine translation
「地域密着型介護予防サービス」
Preventive outpatient care for people with dementia (介護予防認知症対応型通所介護), multifunctional preventive care in a small group home (介護予防小規模多機能型居宅介護) and preventive communal living care for people with dementia (介護予防認知症対応型共同生活介護).
Defined inArticle 8-2, paragraph (12)· applies throughout the law
Municipality
「市町村」
A city, town or village, together with a special ward (特別区): the bodies that run long-term care insurance (介護保険) under this Act, whose insured persons Article 9 names.
Short name set inArticle 9, paragraph (1)
Certification Committee
「認定審査会」
The Certification Committee of Needed Long-Term Care (介護認定審査会) that each municipality sets up to examine and judge cases for certification of needed long-term care or support, the work Articles 27 to 35 and 37 give it (審査判定業務, Article 38, paragraph (2)).
Short name set inArticle 14, paragraph (1)
Certification of Needed Long-Term Care
「要介護認定」
A municipality's certification that an insured person who wants long-term care benefits (介護給付) is a person requiring long-term care (要介護者), and of the category of need for long-term care (要介護状態区分) the person falls in (Article 19, paragraph (1)).
Short name set inArticle 19, paragraph (1)
Certification of Needed Support
「要支援認定」
A municipality's certification that an insured person who wants prevention benefits (予防給付) is a person requiring support (要支援者), and of the category of need for support (要支援状態区分) the person falls in (Article 19, paragraph (2)).
Short name set inArticle 19, paragraph (2)
Renewal of Certification of Needed Long-Term Care
「要介護更新認定」
The renewal of a certification of needed long-term care (要介護認定), which a person who has one may apply to the municipality for when they are expected still to need long-term care after its valid period ends (Article 28, paragraph (2)).
Short name set inArticle 28, paragraph (2)
Renewal of Certification of Needed Support
「要支援更新認定」
The renewal of a certification of needed support (要支援認定), which a person who has one may apply to the municipality for when they are expected still to need support after its valid period ends (Article 33, paragraph (2)).
Short name set inArticle 33, paragraph (2)
Certification
「認定」
In Article 37, paragraph (1) and Article 69, paragraph (1), any of these municipal certifications: a certification of needed long-term care (要介護認定) or of needed support (要支援認定), its renewal (要介護更新認定, 要支援更新認定), or a certification changing the category of need for long-term care (要介護状態区分) under Article 27, paragraph (7) as applied by Article 29, paragraph (2) or under Article 30, paragraph (1), or the category of need for support (要支援状態区分) under Article 32, paragraph (6) as applied by Article 33-2, paragraph (2) or under Article 33-3, paragraph (1).
Short name set inArticle 37, paragraph (1)· applies only in this paragraph