The designation set forth in the main clause of Article 42-2, paragraph (1) that is made pursuant to the provisions of paragraph (1) of the preceding Article (hereinafter referred to as "Designation by Public Invitation") is to be made, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, for each type of Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, etc., Specified by the Mayor of a Municipality and each Business Office that conducts the business of Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, etc., Specified by the Mayor of a Municipality pertaining to the type of said Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, etc., Specified by the Mayor of a Municipality, and is to have an effect on the payment of an Allowance for Community-Based Long-Term Care Service or an Exceptional Allowance for Community-Based Long-Term Care Service to an Insured Person of Long-Term Care Insurance (in the case of a Designation by Public Invitation pertaining to a Specified Community-Based Service, including an Insured Person Requiring Long-Term Care to Whom the Domicile Exception Applies who is undergoing Admission, etc. to a Facility Subject to Domicile Exception located within the area of said Municipality) provided by a Municipality of which the mayor who makes said Designation by Public Invitation is the head.
前条第一項の規定により行われる第四十二条の二第一項本文の指定（以下「公募指定」という。）は、厚生労働省令で定めるところにより、市町村長指定定期巡回・随時対応型訪問介護看護等の種類及び当該市町村長指定定期巡回・随時対応型訪問介護看護等の種類に係る市町村長指定定期巡回・随時対応型訪問介護看護等の事業を行う事業所ごとに行い、当該公募指定をする市町村長がその長である市町村が行う介護保険の被保険者（特定地域密着型サービスに係る公募指定にあっては、当該市町村の区域内に所在する住所地特例対象施設に入所等をしている住所地特例適用要介護被保険者を含む。）に対する地域密着型介護サービス費及び特例地域密着型介護サービス費の支給について、その効力を有する。
A mayor of a Municipality, when intending to make a Designation by Public Invitation, is to conduct a selection by a fair method from among the applicants in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare, and determine the Designated Community-Based Service Provider.
市町村長は、公募指定をしようとするときは、厚生労働省令で定める基準に従い、その応募者のうちから公正な方法で選考をし、指定地域密着型サービス事業者を決定するものとする。
The provisions of Article 78-2, paragraph (2), paragraph (4) (excluding items (iv), (vi)-2, (x) and (xii)), paragraph (5), paragraph (6) (excluding item (i)-2, item (iii)-2 and items (iii)-4 through (v)), paragraph (7) and paragraph (8) apply mutatis mutandis to a Designation by Public Invitation. In this case, the necessary technical replacement of terms with regard to these provisions is provided by a Cabinet Order.
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(Payment of an Allowance for Community-Based Long-Term Care Service)
A Municipality, when an Insured Person Requiring Long-Term Care has received, from a person designated by the mayor of said Municipality…
市町村は、要介護被保険者が、当該市町村（住所地特例適用被保険者である要介護被保険者（以下「住所地特例適用要介護被保険者」という。）に係る特定地域密着型サービスにあっては、施設所在市町村を含む。）の長が指定する者（以下「指定地域密着型サービス事業者」という。）から当該指定に係る地域密着型サービス事業を行う事業所により行…
Open this provisionDesignation by Public Invitation
A mayor of a Municipality, when it is determined to be particularly necessary for securing the prospective volume of, and improving the quality of, Periodic Patrol and On-Demand Home-Visit Long-Term…
市町村長は、第百十七条第一項の規定により当該市町村が定める市町村介護保険事業計画において定める当該市町村又は同条第二項第一号の規定により当該市町村が定める区域における定期巡回・随時対応型訪問介護看護等（認知症対応型共同生活介護、地域密着型特定施設入居者生活介護及び地域密着型介護老人福祉施設入所者生活介護以外の地域密着…
Open this provision(Appointment as service provider of Designated Community-Based Service Providers)
The mayor of a Municipality must, when providing an appointment as service provider as set forth in the main clause of Article 42-2, paragraph (1), provide notification of said fact to the…
市町村長は、第四十二条の二第一項本文の指定をしようとするときは、厚生労働省令で定めるところにより、あらかじめその旨を都道府県知事に届け出なければならない。
Open this provision(Appointment as service provider of Designated Community-Based Service Providers)
The mayor of a Municipality, in a case of an application as set forth in paragraph (1), when the application corresponds to any of the following items…
市町村長は、第一項の申請があった場合において、次の各号（病院又は診療所により行われる複合型サービス（厚生労働省令で定めるものに限る。第六項において同じ。）に係る指定の申請にあっては、第六号の二、第六号の三、第十号及び第十二号を除く。）のいずれかに該当するときは、第四十二条の二第一項本文の指定をしてはならない。
Open this provision(Appointment as service provider of Designated Community-Based Service Providers)
when the applicant (limited to an applicant for designation pertaining to Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based…
申請者（認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護に係る指定の申請者に限る。）が、法人で、その役員等のうちに第四号の二から第五号の三まで、第六号の二又は第七号から第八号までのいずれかに該当する者のあるものであるとき。
Open this provision(Appointment as service provider of Designated Community-Based Service Providers)
when the applicant (limited to an applicant for designation pertaining to Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based…
申請者（認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護に係る指定の申請者に限る。）が、法人でない事業所で、その管理者が第四号の二から第五号の三まで、第六号の二又は第七号から第八号までのいずれかに該当する者であるとき。
Open this provision(Appointment as service provider of Designated Community-Based Service Providers)
when the Business Office pertaining to said application is located outside the area of said Municipality and the consent of the mayor of the Municipality of said location…
当該申請に係る事業所が当該市町村の区域の外にある場合であって、その所在地の市町村長（以下この条において「所在地市町村長」という。）の同意を得ていないとき。
Open this provision(Appointment as service provider of Designated Community-Based Service Providers)
when the applicant (limited to an applicant for designation pertaining to Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based…
申請者（認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護に係る指定の申請者に限る。）が、第七十八条の十（第二号から第五号までを除く。）の規定により指定（認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護に係る指定…
Open this provision(Appointment as service provider of Designated Community-Based Service Providers)
A Municipality, in establishing the Municipal Ordinance set forth in item (i) of the preceding paragraph, is to establish it in accordance with the standards determined by Order of the Ministry of…
市町村が前項第一号の条例を定めるに当たっては、厚生労働省令で定める基準に従い定めるものとする。
Open this provision(Appointment as service provider of Designated Community-Based Service Providers)
The mayor of a Municipality, in a case when an application as set forth in paragraph (1) is filed and when it corresponds to any of the following items…
市町村長は、第一項の申請があった場合において、次の各号（病院又は診療所により行われる複合型サービスに係る指定の申請にあっては、第一号の二、第一号の三、第三号の二及び第三号の四から第五号までを除く。）のいずれかに該当するときは、第四十二条の二第一項本文の指定をしないことができる。
Open this provision(Appointment as service provider of Designated Community-Based Service Providers)
when the applicant (limited to an applicant for designation pertaining to Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based…
申請者（認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護に係る指定の申請者に限る。）が、第七十八条の十第二号から第五号までの規定により指定（認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護に係る指定に限る。）を…
Open this provision(Appointment as service provider of Designated Community-Based Service Providers)
when the applicant (limited to an applicant for designation pertaining to Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based…
申請者（認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護に係る指定の申請者に限る。）が、法人で、その役員等のうちに第一号の二又は第二号から第二号の三までのいずれかに該当する者のあるものであるとき。
Open this provision(Appointment as service provider of Designated Community-Based Service Providers)
when the applicant (limited to an applicant for designation pertaining to Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based…
申請者（認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護に係る指定の申請者に限る。）が、法人でない事業所で、その管理者が第一号の二又は第二号から第二号の三までのいずれかに該当する者であるとき。
Open this provision(Appointment as service provider of Designated Community-Based Service Providers)
in a case when an application as set forth in paragraph (1) was filed for Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based…
認知症対応型共同生活介護、地域密着型特定施設入居者生活介護又は地域密着型介護老人福祉施設入所者生活介護につき第一項の申請があった場合において、当該市町村又は当該申請に係る事業所の所在地を含む区域（第百十七条第二項第一号の規定により当該市町村が定める区域とする。以下この号及び次号イにおいて「日常生活圏域」という。）にお…
Open this provision(Appointment as service provider of Designated Community-Based Service Providers)
in a case when an application as set forth in paragraph (1) was filed for Community-Based Outpatient Day Long-Term Care or another Community-Based Service specified by Order of the Ministry of Health…
地域密着型通所介護その他の厚生労働省令で定める地域密着型サービスにつき第一項の申請があった場合において、第四十二条の二第一項本文の指定を受けて定期巡回・随時対応型訪問介護看護等（認知症対応型共同生活介護、地域密着型特定施設入居者生活介護及び地域密着型介護老人福祉施設入所者生活介護以外の地域密着型サービスであって、定期…
Open this provision(Appointment as service provider of Designated Community-Based Service Providers)
The mayor of a Municipality, when he or she intends to provide an appointment as service provider as set forth in the main clause of Article 42-2, paragraph (1)…
市町村長は、第四十二条の二第一項本文の指定を行おうとするとき、又は前項第四号若しくは第五号の規定により同条第一項本文の指定をしないこととするときは、あらかじめ、当該市町村が行う介護保険の被保険者その他の関係者の意見を反映させるために必要な措置を講ずるよう努めなければならない。
Open this provision(Appointment as service provider of Designated Community-Based Service Providers)
The mayor of a Municipality, when providing an appointment as service provider as set forth in the main clause of Article 42-2, paragraph (1), may add a provision that is determined to be necessary…
市町村長は、第四十二条の二第一項本文の指定を行うに当たって、当該事業の適正な運営を確保するために必要と認める条件を付することができる。
Open this provisionSpecified Community-Based Servicemachine translation
「特定地域密着型サービス」
The community-based services (地域密着型サービス) other than communal daily long-term care for persons with dementia (認知症対応型共同生活介護), community-based specified-facility care (地域密着型特定施設入居者生活介護) and community-based facility admission care (地域密着型介護老人福祉施設入所者生活介護): periodic patrol and on-demand home-visit long-term care and nursing (定期巡回・随時対応型訪問介護看護), night-time home-visit long-term care (夜間対応型訪問介護), community-based day long-term care (地域密着型通所介護), day long-term care for persons with dementia (認知症対応型通所介護), multifunctional long-term care in a small group home (小規模多機能型居宅介護) and combined services (複合型サービス).
Defined inArticle 8, paragraph (14)
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)
Facility Subject to Domicile Exceptionmachine translation
「住所地特例対象施設」
A facility covered by long-term care insurance (介護保険施設), a specified facility (特定施設) or a nursing home for the elderly (養護老人ホーム) under Article 20-4 of the Act on Social Welfare for the Elderly: the facilities for which Article 13 keeps a person who moves their address by entering one insured by the municipality (市町村) where they lived before.
Short name set inArticle 13, paragraph (1)
Admission, etc.machine translation
「入所等」
Entering, or moving into (入所又は入居), a facility subject to the domicile exception (住所地特例対象施設).
Short name set inArticle 13, paragraph (1)
Insured Person Requiring Long-Term Care to Whom the Domicile Exception Appliesmachine translation
「住所地特例適用要介護被保険者」
An insured person requiring long-term care (要介護被保険者) who is an insured person to whom the domicile exception applies (住所地特例適用被保険者).
Short name set inArticle 42-2, paragraph (1)
Designated Community-Based Service Providermachine translation
「指定地域密着型サービス事業者」
A person the mayor of a municipality designates, under Article 42-2, paragraph (1), to provide community-based services (地域密着型サービス) at a business office covered by the designation; for specified community-based services to an insured person covered by the domicile exception, the mayor of the municipality where their facility is located may designate too.
Short name set inArticle 42-2, paragraph (1)
Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, etc., Specified by the Mayor of a Municipalitymachine translation
「市町村長指定定期巡回・随時対応型訪問介護看護等」
Those of the periodic patrol and on-demand home-visit long-term care and nursing (定期巡回・随時対応型訪問介護看護) and the other community-based services a Ministry of Health, Labour and Welfare Order (厚生労働省令) names under Article 78-13, paragraph (1) that the mayor of a municipality specifies; designations of business offices running them in the area the mayor designates (市町村長指定区域) are made by public invitation (公募).
Short name set inArticle 78-13, paragraph (1)
Designation by Public Invitationmachine translation
「公募指定」
A designation under the main clause of Article 42-2, paragraph (1) that the mayor of a municipality (市町村長) makes by public invitation under Article 78-13, paragraph (1), during a period the mayor sets, for places of business in an area the mayor marks out that carry on the periodic patrol and on-demand home-visit care and nursing and other services (定期巡回・随時対応型訪問介護看護等) the mayor chooses, where that is especially needed to secure the expected volume and quality of those services.
Short name set inArticle 78-14, paragraph (1)