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Article 59Payment of an Exceptional Allowance for Preventive Long-Term Care Service Plan

第五十九条(特例介護予防サービス計画費の支給)

A Municipality, in the following cases, pay an Exceptional Allowance for Preventive Long-Term Care Service Plan to an Insured In-Home Person Requiring Support:

市町村は、次に掲げる場合には、居宅要支援被保険者に対し、特例介護予防サービス計画費を支給する。

when a Municipality determines it necessary in a case when an Insured In-Home Person Requiring Support receives Preventive Long-Term Care Support other than Designated Preventive Long-Term Care Support or equivalent service (limited to services provided by a provider that performs a business that is found to satisfy those, among the standards determined by Municipal Ordinance as set forth in Article 115-24, paragraph (1) pertaining to the business of Designated Preventive Long-Term Care Support and the number of employees determined by Municipal Ordinance as set forth in the same paragraph, and the standards concerning effective support methods for Prevention of Long-Term Care pertaining to Designated Preventive Long-Term Care Support as prescribed in paragraph (2) of the same Article and the standards concerning the management of the business of Designated Preventive Long-Term Care Support, that are determined by the Municipal Ordinance of said Municipality; herein referred to as "Preventive Long-Term Care Support Applicable to Standards" in the following item and the following paragraph);

居宅要支援被保険者が、指定介護予防支援以外の介護予防支援又はこれに相当するサービス(指定介護予防支援の事業に係る第百十五条の二十四第一項の市町村の条例で定める基準及び同項の市町村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支援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支援の事業の運営に関する基準のうち、当該市町村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者により行われるものに限る。次号及び次項において「基準該当介護予防支援」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 that is domiciled on an isolated island or other location where it is significantly difficult to secure Designated Support for Prevention of Long-Term Care, and Preventive Long-Term Care Support Applicable to Standards, and where it is defined by standards as determined by the Minister of Health, Labour, and Welfare, receives Preventive Long-Term Care Support or equivalent service other than Designated Support for Prevention of Long-Term Care or Preventive Long-Term Care Support Applicable to Standards;

指定介護予防支援及び基準該当介護予防支援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、指定介護予防支援及び基準該当介護予防支援以外の介護予防支援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 Municipality, in establishing the Municipal Ordinance set forth in item (i) of the preceding paragraph, is to establish the following matters in accordance with the standards determined by Order of the Ministry of Health, Labour and Welfare, and is to take into consideration the standards determined by Order of the Ministry of Health, Labour and Welfare for other matters:

市町村が前項第一号の条例を定めるに当たっては、次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、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。

the standards concerning the employees that engage in Preventive Long-Term Care Support Applicable to Standards and the number of said employees;

基準該当介護予防支援に従事する従業者に係る基準及び当該従業者の員数

matters concerning the management of the business of Preventive Long-Term Care Support Applicable to Standards that are determined by Order of the Ministry of Health, Labour and Welfare as being closely related to the appropriate use of services by Persons Requiring Support who use them, appropriate treatment, ensuring of safety, and maintenance of confidentiality, etc.

基準該当介護予防支援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 amount of Exceptional Allowance for Preventive Long-Term Care Service Plan is to be specified by a Municipality based on the expenses calculated by standards determined by the Minister of Health, Labour, and Welfare as set forth in paragraph (2) of the preceding Article for said Preventive Long-Term Care Support or equivalent service (in a case said calculated amount exceeds the amount of actual expenses of said Preventive Long-Term Care Support or equivalent service, the base amount is to be the actual expenses required for said Preventive Long-Term Care Support or equivalent service).

特例介護予防サービス計画費の額は、当該介護予防支援又はこれに相当するサービスについて前条第二項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支援又はこれに相当するサービスに要した費用の額を超えるときは、当該現に介護予防支援又はこれに相当するサービスに要した費用の額とする。)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 for the payment of an Exceptional Allowance for Preventive Long-Term Care Service Plan, may order a person that is or was in charge of the Preventive Long-Term Care Support pertaining to said payment or equivalent service (herein referred to as "Person, etc., in Charge of Preventive Long-Term Care Support, 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 Preventive Long-Term Care Support, etc., pertaining to said payment in order to inspect said record books and documents, and other items.

市町村長は、特例介護予防サービス計画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支援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「介護予防支援等を担当する者等」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支援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.

第二十四条第三項の規定は前項の規定による質問又は検査について、同条第四項の規定は前項の規定による権限について準用する。

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