Article 54-3Payment of an Exceptional Allowance for Community-Based Preventive Service of Long-Term Care
第五十四条の三（特例地域密着型介護予防サービス費の支給）
A Municipality, in the following cases, pay an Exceptional Allowance for Community-Based Preventive Service of Long-Term Care to an Insured In-Home Person Requiring Support:
when a Municipality determines it necessary in a case when an Insured Person Requiring Support receives Designated Community-Based Preventive Service of Long-Term Care prior to the date said Certification of Needed Support becomes effective due to an emergency or other compelling reason;
居宅要支援被保険者が、当該要支援認定の効力が生じた日前に、緊急その他やむを得ない理由により指定地域密着型介護予防サービスを受けた場合において、必要があると認めるとき。
when a Municipality determines it necessary in a case when an Insured In-Home Person Requiring Support that is domiciled on an isolated island or other location where it is significantly difficult to secure Designated Community-Based Preventive Service of Long-Term Care and where it is defined by standards provided by the Minister of Health, Labour, and Welfare, receives Community-Based Preventive Service of Long-Term Care other than Designated Community-Based Preventive Service of Long-Term Care or equivalent services;
指定地域密着型介護予防サービスの確保が著しく困難である離島その他の地域であって厚生労働大臣が定める基準に該当するものに住所を有する居宅要支援被保険者が、指定地域密着型介護予防サービス以外の地域密着型介護予防サービス又はこれに相当するサービスを受けた場合において、必要があると認めるとき。
when provided by a Cabinet Order.
その他政令で定めるとき。
The amount of an Exceptional Allowance for Community-Based Preventive Long-Term Care Service is to be provided by a Municipality based on the amount equivalent to 90 percent of the amount of expenses calculated, with regard to said Community-Based Service for Preventive Long-Term Care or equivalent service, based on standards provided by the Minister of Health, Labour and Welfare as set forth in each item of paragraph (2) of the preceding Article (when said calculated amount exceeds the amount of actual expenses required for said Community-Based Service for Preventive Long-Term Care or equivalent service (excluding the expenses necessary to provide meals and other necessary expenses as determined by Order of the Ministry of Health, Labour and Welfare as necessary for daily life), the allowance is to be the actual amount of expenses required for said Community-Based Service for Preventive Long-Term Care or equivalent service), or based on the amount provided by a Municipality (or, for the amount of an Exceptional Allowance for Community-Based Preventive Long-Term Care Service (limited to that pertaining to a Specified Community-Based Service for Preventive Long-Term Care) for an Insured In-Home Person Requiring Support to Whom the Domicile Exception Applies who has received a Designated Community-Based Service for Preventive Long-Term Care from a Designated Provider of Community-Based Service for Preventive Long-Term Care designated by the mayor of the Municipality Where the Facility Is Located under the main clause of paragraph (1) of the same Article, or another person determined by Order of the Ministry of Health, Labour and Welfare, the Municipality Where the Facility Is Located) pursuant to the provisions of paragraph (4) of the same Article.
特例地域密着型介護予防サービス費の額は、当該地域密着型介護予防サービス又はこれに相当するサービスについて前条第二項各号の厚生労働大臣が定める基準により算定した費用の額（その額が現に当該地域密着型介護予防サービス又はこれに相当するサービスに要した費用（食事の提供に要する費用その他の日常生活に要する費用として厚生労働省令で定める費用を除く。）の額を超えるときは、当該現に地域密着型介護予防サービス又はこれに相当するサービスに要した費用の額とする。）の百分の九十に相当する額又は同条第四項の規定により市町村（施設所在市町村の長が同条第一項本文の指定をした指定地域密着型介護予防サービス事業者から指定地域密着型介護予防サービスを受けた住所地特例適用居宅要支援被保険者その他の厚生労働省令で定める者に係る特例地域密着型介護予防サービス費（特定地域密着型介護予防サービスに係るものに限る。）の額にあっては、施設所在市町村）が定めた額を基準として、市町村が定める。
The mayor of a Municipality, when he or she determines the necessary for payment of an Exceptional Allowance for Community-Based Preventive Service of Long-Term Care, may order a person that has been in charge of the Community-Based Preventive Service of Long-Term Care pertaining to said payment or equivalent service (hereinafter referred to as "Person, etc., in Charge of Community-Based Preventive Long-Term Care, etc." in this paragraph) to report, submit or present record books and documents, appear, or direct its personnel to question the relevant person or enter the Business Office of the provider of said Person, etc., in Charge of said Community-Based Preventive Service of Long-Term Care pertaining to said payment in order to inspect said equipment, record books and documents, and other items.
市町村長は、特例地域密着型介護予防サービス費の支給に関して必要があると認めるときは、当該支給に係る地域密着型介護予防サービス若しくはこれに相当するサービスを担当する者若しくは担当した者（以下この項において「地域密着型介護予防サービス等を担当する者等」という。）に対し、報告若しくは帳簿書類の提出若しくは提示を命じ、若しくは出頭を求め、又は当該職員に関係者に対して質問させ、若しくは当該地域密着型介護予防サービス等を担当する者等の当該支給に係る事業所に立ち入り、その設備若しくは帳簿書類その他の物件を検査させることができる。
The provisions of Article 24, paragraph (3) apply mutatis mutandis to questions and inspections pursuant to the provisions of the preceding paragraph, and the provisions of paragraph (4) of the same Article apply mutatis mutandis to the authority granted pursuant to the provisions of the preceding paragraph.
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