Article 54Payment of an Exceptional Allowance for Preventive Service of Long-Term Care
第五十四条(特例介護予防サービス費の支給)
A Municipality, in the following cases, pays an Exceptional Allowance for 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 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 receives Preventive Long-Term Care Service other than Designated Preventive Long-Term Care Service or equivalent service (limited to those provided by a Business Office conducting a business that is found to satisfy the standards specified by Prefectural Ordinance as set forth in Article 115-4, paragraph (1) pertaining to the business of Designated Preventive Long-Term Care Service, the number of employees specified by Prefectural Ordinance as set forth in the same paragraph, and, among the standards concerning effective methods of support for Prevention of Long-Term Care pertaining to Designated Preventive Long-Term Care Service and the standards concerning facilities and management of the business of Designated Preventive Long-Term Care Service prescribed in paragraph (2) of the same Article, those specified by Prefectural Ordinance; herein referred to as "Preventive Long-Term Care Service Applicable to Standards" in the following item and the following paragraph);
居宅要支援被保険者が、指定介護予防サービス以外の介護予防サービス又はこれに相当するサービス(指定介護予防サービスの事業に係る第百十五条の四第一項の都道府県の条例で定める基準及び同項の都道府県の条例で定める員数並びに同条第二項に規定する指定介護予防サービスに係る介護予防のための効果的な支援の方法に関する基準及び指定介護予防サービスの事業の設備及び運営に関する基準のうち、都道府県の条例で定めるものを満たすと認められる事業を行う事業所により行われるものに限る。次号及び次項において「基準該当介護予防サービス」という。)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 who is domiciled on an isolated island or other location where it is significantly difficult to secure Designated Preventive Service of Long-Term Care and Preventive Long-Term Care Service Applicable to Standards and is in a location that is subject to standards as determined by the Minister of Health, Labour, and Welfare receives Preventive Service of Long-Term Care other than Designated Preventive Service of Long-Term Care and Preventive Long-Term Care Service Applicable to Standards or equivalent services;
指定介護予防サービス及び基準該当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、指定介護予防サービス及び基準該当介護予防サービス以外の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。
A prefecture, in establishing the Prefectural Ordinance set forth in item (ii) of the preceding paragraph, is to establish the matters listed in items (i) through (iii) in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare, is to establish the matters listed in item (iv) using the standards specified by Order of the Ministry of Health, Labour and Welfare as the standard, and is to take into consideration the standards specified by Order of the Ministry of Health, Labour and Welfare for other matters.
都道府県が前項第二号の条例を定めるに当たっては、第一号から第三号までに掲げる事項については厚生労働省令で定める基準に従い定めるものとし、第四号に掲げる事項については厚生労働省令で定める基準を標準として定めるものとし、その他の事項については厚生労働省令で定める基準を参酌するものとする。
standards pertaining to employees engaging in Preventive Long-Term Care Service Applicable to Standards and the number of such employees;
基準該当介護予防サービスに従事する従業者に係る基準及び当該従業者の員数
the floor area of residence rooms pertaining to the business of Preventive Long-Term Care Service Applicable to Standards;
基準該当介護予防サービスの事業に係る居室の床面積
matters concerning the operation of the business of Preventive Long-Term Care Service Applicable to Standards that are closely related to ensuring the appropriate use of services, appropriate treatment and safety of Persons Requiring Support who use them, and maintaining confidentiality, etc., and that are specified by Order of the Ministry of Health, Labour and Welfare;
基準該当介護予防サービスの事業の運営に関する事項であって、利用する要支援者のサービスの適切な利用、適切な処遇及び安全の確保並びに秘密の保持等に密接に関連するものとして厚生労働省令で定めるもの
the number of maximum users pertaining to the business of Preventive Long-Term Care Service Applicable to Standards;
基準該当介護予防サービスの事業に係る利用定員
The amount of Exceptional Allowance for Preventive Long-Term Care Service is to be determined by a Municipality based on the amount equivalent to 90 percent of the amount of expenses calculated 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 pertaining to said Preventive Long-Term Care Service or equivalent service (when the calculated amount exceeds the actual expenses required for said Preventive Long-Term Care Service or equivalent service (except for the expenses required to purchase Specified Equipment for Preventive Long-Term Care Covered by Public Aid and excluding the expenses necessary to provide meals, residence, and other expenses as determined by Order of the Ministry of Health, Labour and Welfare as necessary for daily life with regard to the expenses required for Outpatient Rehabilitation for Preventive Long-Term Care, Short-Term Admission for Daily Preventive Long-Term Care, Short-Term Admission for Recuperation for Preventive Long-Term Care and Daily Preventive Long-Term Care Admitted to a Specified Facility, and services equivalent to these), said calculated amount is to be the actual expenses required for said Preventive Long-Term Care Service or equivalent service).
特例介護予防サービス費の額は、当該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(特定介護予防福祉用具の購入に要した費用を除き、介護予防通所リハビリテーション、介護予防短期入所生活介護、介護予防短期入所療養介護及び介護予防特定施設入居者生活介護並びにこれらに相当するサービスに要した費用については、食事の提供に要する費用、滞在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を基準として、市町村が定める。
The mayor of a Municipality, when he or she determines the necessity of payment of an Exceptional Allowance for Preventive Service of Long-Term Care, may order a person that has been in charge of the Preventive Service of Long-Term Care pertaining to said payment or equivalent service (herein referred to as "Person, etc., in Charge of Providing Preventive Long-Term Care Service" in this paragraph) to report, submit, or present record books and documents, appear, or direct personnel to question the relevant Person or enter the Business Office of the provider of said Person, etc., in Charge of said 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「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 or inspections as prescribed in the preceding paragraph, and the provisions of paragraph (4) of the same Article apply mutatis mutandis to the authority granted as prescribed in the preceding paragraph.
Read this with the articles around it
A Designated Provider of Preventive Long-Term Care Service must have, for each Business Office pertaining to said designation, in accordance with the standards specified by Prefectural Ordinance…
指定介護予防サービス事業者は、当該指定に係る事業所ごとに、都道府県の条例で定める基準に従い都道府県の条例で定める員数の当該指定介護予防サービスに従事する従業者を有しなければならない。
Open this provisionIn addition to the provisions in the preceding paragraph, the standards concerning effective methods of support for Prevention of Long-Term Care pertaining to Designated Preventive Long-Term Care…
前項に規定するもののほか、指定介護予防サービスに係る介護予防のための効果的な支援の方法に関する基準及び指定介護予防サービスの事業の設備及び運営に関する基準は、都道府県の条例で定める。
Open this provision(Presentation of Record Books and Documents)
In a case of asking questions pursuant to the provisions of the preceding two paragraphs, said personnel must carry identification and present the same if required by the relevant person to be…
前二項の規定による質問を行う場合においては、当該職員は、その身分を示す証明書を携帯し、かつ、関係人の請求があるときは、これを提示しなければならない。
Open this provision(Presentation of Record Books and Documents)
The authority granted pursuant to the provisions of paragraphs (1) and (2) may not be construed as an approval of a criminal investigation.
第一項及び第二項の規定による権限は、犯罪捜査のために認められたものと解釈してはならない。
Open this provision(Payment of an Allowance for Preventive Long-Term Care Service)
The amount of Allowance for Preventive Long-Term Care Service is to according to the categories of Preventive Service of Long-Term Care listed in each item of the following and the amount as…
介護予防サービス費の額は、次の各号に掲げる介護予防サービスの区分に応じ、当該各号に定める額とする。
Open this provision(Payment of an Exceptional Allowance for Preventive Service of Long-Term Care)
when a Municipality determines it necessary in a case when an Insured In-Home Person Requiring Support receives Preventive Long-Term Care Service other than Designated Preventive Long-Term Care…
居宅要支援被保険者が、指定介護予防サービス以外の介護予防サービス又はこれに相当するサービス(指定介護予防サービスの事業に係る第百十五条の四第一項の都道府県の条例で定める基準及び同項の都道府県の条例で定める員数並びに同条第二項に規定する指定介護予防サービスに係る介護予防のための効果的な支援の方法に関する基準及び指定介護…
Open this provision(Payment of an Exceptional Allowance for Preventive Service of Long-Term Care)
when a Municipality determines it necessary in a case when an Insured In-Home Person Requiring Support who is domiciled on an isolated island or other location where it is significantly difficult to…
指定介護予防サービス及び基準該当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、指定介護予防サービス及び基準該当介護予防サービス以外の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。
Open this provision(Payment of an Exceptional Allowance for Preventive Service of Long-Term Care)
A prefecture, in establishing the Prefectural Ordinance set forth in item (ii) of the preceding paragraph, is to establish the matters listed in items (i) through (iii) in accordance with the…
都道府県が前項第二号の条例を定めるに当たっては、第一号から第三号までに掲げる事項については厚生労働省令で定める基準に従い定めるものとし、第四号に掲げる事項については厚生労働省令で定める基準を標準として定めるものとし、その他の事項については厚生労働省令で定める基準を参酌するものとする。
Open this provision(Payment of an Exceptional Allowance for Preventive Service of Long-Term Care)
standards pertaining to employees engaging in Preventive Long-Term Care Service Applicable to Standards and the number of such employees;
基準該当介護予防サービスに従事する従業者に係る基準及び当該従業者の員数
Open this provision(Payment of an Exceptional Allowance for Preventive Service of Long-Term Care)
the floor area of residence rooms pertaining to the business of Preventive Long-Term Care Service Applicable to Standards;
基準該当介護予防サービスの事業に係る居室の床面積
Open this provision(Payment of an Exceptional Allowance for Preventive Service of Long-Term Care)
matters concerning the operation of the business of Preventive Long-Term Care Service Applicable to Standards that are closely related to ensuring the appropriate use of services…
基準該当介護予防サービスの事業の運営に関する事項であって、利用する要支援者のサービスの適切な利用、適切な処遇及び安全の確保並びに秘密の保持等に密接に関連するものとして厚生労働省令で定めるもの
Open this provision(Payment of an Exceptional Allowance for Preventive Service of Long-Term Care)
the number of maximum users pertaining to the business of Preventive Long-Term Care Service Applicable to Standards;
基準該当介護予防サービスの事業に係る利用定員
Open this provision(Payment of an Exceptional Allowance for Preventive Service of Long-Term Care)
The mayor of a Municipality, when he or she determines the necessity of payment of an Exceptional Allowance for Preventive Service of Long-Term Care, may order a person that has been in charge of the…
市町村長は、特例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「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…
Open this provisionPerson Requiring Support
「要支援者」
A person in a condition needing support (要支援状態) who is aged 65 or over, or aged 40 to 64 where the physical or mental disability causing it arose from a specified disease (特定疾病).
Defined inArticle 7, paragraph (4)· 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
Prevention of Long-Term Caremachine translation
「介護予防」
Easing, or preventing the worsening of, a condition in which a person, because of a physical or mental disability, constantly needs care for all or part of the basic acts of daily life such as bathing, toileting and eating, or has difficulty carrying on daily life.
Defined inArticle 8-2, paragraph (2)
Outpatient Rehabilitation for Preventive Long-Term Caremachine translation
「介護予防通所リハビリテーション」
Physical therapy, occupational therapy and other necessary rehabilitation given, for the prevention of long-term care and for a period a Ministry of Health, Labour and Welfare Order (厚生労働省令) sets, to a person needing in-home support (居宅要支援者) whose attending physician finds that their need for treatment meets the standards such an Order sets, and who comes to a long-term care health facility (介護老人保健施設), an integrated facility for medical and long-term care (介護医療院), a hospital, a clinic or another facility such an Order names.
Defined inArticle 8-2, paragraph (6)· applies throughout the law
Short-Term Admission for Daily Preventive Long-Term Care
「介護予防短期入所生活介護」
A short stay of a person needing in-home support (居宅要支援者), for the prevention of long-term care, at a facility a Ministry of Health, Labour and Welfare Order (厚生労働省令) names under Article 5-2, paragraph (4) of the Act on Social Welfare for the Elderly or at a short-term admission facility for the elderly (老人短期入所施設) under Article 20-3 of that Act, where they receive bathing, toileting, eating and other daily-life support and functional training for a period such an Order sets.
Defined inArticle 8-2, paragraph (7)· applies throughout the law
Short-Term Admission for Recuperation for Preventive Long-Term Caremachine translation
「介護予防短期入所療養介護」
A short stay of a person needing in-home support (居宅要支援者) whose need for treatment is of the degree a Ministry of Health, Labour and Welfare Order (厚生労働省令) sets, for the prevention of long-term care, at a long-term care health facility (介護老人保健施設), an integrated facility for medical and long-term care (介護医療院) or another facility such an Order names, where they receive nursing, care under medical supervision, functional training, other necessary medical care and daily-life support for a period such an Order sets.
Defined inArticle 8-2, paragraph (8)· applies throughout the law
Daily Preventive Long-Term Care Admitted to a Specified Facilitymachine translation
「介護予防特定施設入居者生活介護」
Bathing, toileting, eating and other daily-life support a Ministry of Health, Labour and Welfare Order (厚生労働省令) names, functional training and care in the course of medical treatment, given for the prevention of long-term care to a person needing support (要支援者) who lives in a specified facility (特定施設), other than one reserved for people requiring long-term care (介護専用型特定施設), under a plan setting out the facility's services, who provides them and other matters such an Order names.
Defined inArticle 8-2, paragraph (9)· applies throughout the law
Specified Equipment for Preventive Long-Term Care Covered by Public Aidmachine translation
「特定介護予防福祉用具」
Welfare equipment (福祉用具) that helps prevent the need for long-term care (介護予防) and is used for bathing or toileting, or other welfare equipment the Minister of Health, Labour and Welfare designates, for a person requiring support living at home (居宅要支援者).
Short name set inArticle 8-2, paragraph (11)
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 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)
Insured In-Home Person Requiring Supportmachine translation
「居宅要支援被保険者」
An insured person certified as needing support (要支援認定) who receives that support at home.
Short name set inArticle 53, paragraph (1)
Designated Preventive Long-Term Care Servicemachine translation
「指定介護予防サービス」
A service to prevent long-term care (介護予防サービス) provided by a business a prefectural governor has designated (指定介護予防サービス事業者), at its place of business covered by the designation, as Article 53, paragraph (1) of the Long-Term Care Insurance Act provides.
Short name set inArticle 53, paragraph (1)
Preventive Long-Term Care Service Applicable to Standardsmachine translation
「基準該当介護予防サービス」
In Article 54, a preventive long-term care service (介護予防サービス), or an equivalent service, other than a designated one, given by a place of business found to meet those of the standards and staffing numbers for designated preventive long-term care services, including those on effective preventive support methods, facilities and operation, that the prefectural ordinance (都道府県の条例) names.
Short name set inArticle 54, paragraph (1), item (ii)· applies only in this provision and in Article 54, paragraph (1), item (iii); and Article 54, paragraph (2)
Person, etc., in Charge of Providing Preventive Long-Term Care Servicemachine translation
「介護予防サービス等を担当する者等」
In Article 54, paragraph (4), a person who provides or provided the preventive long-term care service (介護予防サービス), or an equivalent service, for which an exceptional preventive long-term care service allowance (特例介護予防サービス費) is paid.
Short name set inArticle 54, paragraph (4)· applies only in this paragraph
Prefectural or Municipal Ordinance
条例
A rule a local government makes for itself: a prefecture (都道府県), a city, town or village (市町村), or one of Tokyo's special wards (特別区) (Local Autonomy Act, Articles 1-3, 281 and 283). Its assembly (議会), whose members the residents elect, passes it (Articles 89 and 96, paragraph (1), item (i)), and its head — the governor or the mayor (Article 139) — promulgates it, that is, makes it public so that it can take effect (Article 16). The Constitution lets local governments make them within the limits of Acts (Constitution, Article 94), and one may not go against the national laws and regulations (法令), such as Acts, Cabinet Orders (政令) and Ministerial Orders (省令) (Local Autonomy Act, Article 14, paragraph (1)). Unless national laws and regulations provide otherwise, a local government can impose a duty or restrict a right only by one of these (Article 14, paragraph (2)), and it may write into one penalties for breaking it, within limits the Local Autonomy Act sets (Article 14, paragraph (3)). It is made for that local government's own affairs (Article 2, paragraph (2) and Article 14, paragraph (1)), so the same matter can be handled differently from one place to the next. It is a local rule, not a national one: an "ordinance" in the name of a national rule, such as an Ordinance for Enforcement of an Act, is usually a Ministerial Order (省令) or another national instrument.
Written by AI using Constitution, Art. 94 and Local Autonomy Act, Arts. 1-3, 2, 14, 16, 89, 96, 139, 281, 283 as a reference.