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Article 61-3Payment of an Allowance for Preventive Long-Term Care Service to a Person Admitted to a Specified Facility

第六十一条の三(特定入所者介護予防サービス費の支給)

A Municipality, when a person specified by Order of the Ministry of Health, Labour and Welfare in consideration of the status of income and assets and other circumstances from among Insured In-Home Persons Requiring Support receives any of the following Designated Preventive Long-Term Care Service (hereinafter referred to as "Specified Preventive Long-Term Care Service" in this Article and paragraph (1) of the following Article), pays to said Insured In-Home Person Requiring Support (hereinafter referred to as a "Specified Person Admitted to a Facility" in this Article and paragraph (1) of the following Article) an Allowance for Preventive Long-Term Care Service to a Person Admitted to a Specified Facility for the expenses required to provide meals and the expenses required for stay at a Designated Provider of Preventive Long-Term Care Service that provides said Specified Preventive Long-Term Care Service (hereinafter referred to as a "Specified Provider of Preventive Long-Term Care Service" in this Article); provided, however, that this does not apply when said Specified Person Admitted to a Facility, in a case where he or she has been issued a designation pursuant to the provisions of Article 37, paragraph (1), receives Specified Preventive Long-Term Care Service other than the type pertaining to said designation:

市町村は、居宅要支援被保険者のうち所得及び資産の状況その他の事情をしん酌して厚生労働省令で定めるものが、次に掲げる指定介護予防サービス(以下この条及び次条第一項において「特定介護予防サービス」という。)を受けたときは、当該居宅要支援被保険者(以下この条及び次条第一項において「特定入所者」という。)に対し、当該特定介護予防サービスを行う指定介護予防サービス事業者(以下この条において「特定介護予防サービス事業者」という。)における食事の提供に要した費用及び滞在に要した費用について、特定入所者介護予防サービス費を支給する。ただし、当該特定入所者が、第三十七条第一項の規定による指定を受けている場合において、当該指定に係る種類以外の特定介護予防サービスを受けたときは、この限りでない。

The amount of Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility is to be the total of the amount as prescribed in item (i) and the amount as prescribed in item (ii):

特定入所者介護予防サービス費の額は、第一号に規定する額及び第二号に規定する額の合計額とする。

the amount remaining after the amount determined by the Minister of Health, Labour, and Welfare after considering the status of food expenses for an average household budget, the income status of the Specified Person Admitted to a Facility, and other circumstances (herein referred to as "Maximum Allowance for Meal Expense" in this Article and paragraph (2) of the following Article) is deducted from the amount of expenses determined by the Minister of Health, Labour, and Welfare after considering the average expenses required to provide meals at a Long-Term Care Preventive Service Specified Provider (in a case when said amount exceeds the actual expenses of providing said meals, this amount is to be the amount of the actual expenses of providing said meals, herein referred to as "Base Cost for Meal Expense" in this Article and paragraph (2) of the following Article);

特定介護予防サービス事業者における食事の提供に要する平均的な費用の額を勘案して厚生労働大臣が定める費用の額(その額が現に当該食事の提供に要した費用の額を超えるときは、当該現に食事の提供に要した費用の額とする。以下この条及び次条第二項において「食費の基準費用額」という。)から、平均的な家計における食費の状況及び特定入所者の所得の状況その他の事情を勘案して厚生労働大臣が定める額(以下この条及び次条第二項において「食費の負担限度額」という。)を控除した額

the amount remaining after the amount determined by the Minister of Health, Labour, and Welfare after considering the income status of the Special Insured Person Admitted to the Facility and other circumstances (herein referred to as "Maximum Allowance for Room and Board Expense") is deducted from the amount determined by the Minister of Health, Labour, and Welfare after considering the average expenses necessary for a stay in the Long-Term Care Preventive Service Specified Provider, the status of said facility, and other circumstances (in a case when said amount exceeds the actual expenses for said stay, this amount is to be the amount of the actual expenses for said stay; herein referred to as "Base Costs for Room and Board" in this Article and paragraph (2) of the following Article).

特定介護予防サービス事業者における滞在に要する平均的な費用の額及び事業所の状況その他の事情を勘案して厚生労働大臣が定める費用の額(その額が現に当該滞在に要した費用の額を超えるときは、当該現に滞在に要した費用の額とする。以下この条及び次条第二項において「滞在費の基準費用額」という。)から、特定入所者の所得の状況その他の事情を勘案して厚生労働大臣が定める額(以下この条及び次条第二項において「滞在費の負担限度額」という。)を控除した額

The Minister of Health, Labour, and Welfare, when the expenses necessary of providing meals and for a stay incurred by a Long-Term Care Preventive Service Specified Provider and other circumstances have changed significantly after the Base Cost for Meal Expense or the Maximum Allowance for Meal Expense, or the Base Costs for Room and Board or the Maximum Allowance for Stay Expense were determined, must revise those amount immediately.

厚生労働大臣は、食費の基準費用額若しくは食費の負担限度額又は滞在費の基準費用額若しくは滞在費の負担限度額を定めた後に、特定介護予防サービス事業者における食事の提供に要する費用又は滞在に要する費用の状況その他の事情が著しく変動したときは、速やかにそれらの額を改定しなければならない。

When a Specified Person Admitted to a Facility receives Specified Preventive Service of Long-Term Care from a Long-Term Care Preventive Service Specified Provider, a Municipality may pay the expenses required to provide meals and residence that said Specified Person Admitted to a Facility should pay to said Long-Term Care Preventive Service Specified Provider, within the limit of amount to be paid to said Specified Person Admitted to a Facility as an Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility to said Long-Term Care Preventive Service Specified Provider on behalf of said Specified Person Admitted to a Facility.

特定入所者が、特定介護予防サービス事業者から特定介護予防サービスを受けたときは、市町村は、当該特定入所者が当該特定介護予防サービス事業者に支払うべき食事の提供に要した費用及び滞在に要した費用について、特定入所者介護予防サービス費として当該特定入所者に対し支給すべき額の限度において、当該特定入所者に代わり、当該特定介護予防サービス事業者に支払うことができる。

When the allowance is paid pursuant to the provisions of the preceding paragraph, it is to be deemed that an Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility is paid to the Specified Person Admitted to a Facility.

前項の規定による支払があったときは、特定入所者に対し特定入所者介護予防サービス費の支給があったものとみなす。

A Municipality, notwithstanding the provisions of paragraph (1) in a case when Specified Person Admitted to a Facility pays to a Long-Term Care Preventive Service Specified Provider the amount exceeding the Base Cost for Meal Expense or the Base Costs for Room and Board (with regard to a Specified Person Admitted to a Facility that was deemed to be paid an Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility pursuant to the provisions of the preceding paragraph, the Maximum Allowance for Meal Expense or the Maximum Allowance for Stay Expense) as the expenses necessary of providing meals or for stay, does not pay the Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility.

市町村は、第一項の規定にかかわらず、特定入所者が特定介護予防サービス事業者に対し、食事の提供に要する費用又は滞在に要する費用として、食費の基準費用額又は滞在費の基準費用額(前項の規定により特定入所者介護予防サービス費の支給があったものとみなされた特定入所者にあっては、食費の負担限度額又は滞在費の負担限度額)を超える金額を支払った場合には、特定入所者介護予防サービス費を支給しない。

A Municipality, when a Long-Term Care Preventive Service Specified Provider requests an Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility provided to a Specified Person Admitted to a Facility, pays said allowance after conducting an examination according to provisions of paragraph (1), paragraph (2) and the preceding paragraph.

市町村は、特定介護予防サービス事業者から特定入所者介護予防サービス費の請求があったときは、第一項、第二項及び前項の定めに照らして審査の上、支払うものとする。

The provisions of Article 41, paragraph (3), paragraph (10), and paragraph (11) apply mutatis mutandis to payment of an Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility and the provisions of paragraph (8) of the same Article apply mutatis mutandis to a Long-Term Care Preventive Service Specified Provider. In this case, the necessary technical replacement of terms in these provisions is specified by a Cabinet Order.

第四十一条第三項、第十項及び第十一項の規定は特定入所者介護予防サービス費の支給について、同条第八項の規定は特定介護予防サービス事業者について準用する。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。

In addition to those matters as prescribed in each preceding paragraph, other necessary matters payment of an Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility and for the request of an Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility by a Long-Term Care Preventive Service Specified Provider are prescribed by Order of the Ministry of Health, Labour, and Welfare.

前各項に規定するもののほか、特定入所者介護予防サービス費の支給及び特定介護予防サービス事業者の特定入所者介護予防サービス費の請求に関して必要な事項は、厚生労働省令で定める。

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