Insurance benefits provided by this Act shall be the following insurance benefits:

①An Insured Person that intends to receive a Long-Term Care Benefit must obtain certification by a Municipality pertaining to the fact that said Insured Person qualifies as a Person Requiring Long-Term Care and as to the Category of Condition of Need for Long-Term Care for which said Insured Person qualifies (herein referred to as "Certification of Needed Long-Term Care").

②An Insured Person that intends to receive a Prevention Benefit must obtain certification by a Municipality pertaining to the fact that said Insured Person qualifies as a Person Requiring Support and as to the Category of Needed Support Condition for which said Insured Person qualifies (herein referred to as "Certification of Needed Support").

A Long-Term Care Benefit or Prevention Benefit (hereinafter referred to as a "Long-Term Care Benefit, etc.") is not provided, with regard to the relevant Condition of Need for Long-Term Care, etc., within the limit specified by Cabinet Order, when a benefit equivalent to a Long-Term Care Benefit, etc. can be received from among a medical compensation benefit, a medical benefit for multiple-business workers or a medical benefit under the provisions of the Industrial Accident Compensation Insurance Act (Act No. 50 of 1947) or other benefits specified by Cabinet Order that are based on laws and regulations, or within the limit of such benefit, when a benefit other than those benefits specified by Cabinet Order and equivalent to a Long-Term Care Benefit, etc. is provided at the expense of the national government or a local government.

①When the basis for benefit claim is caused by the act of a third party and a Municipality provides insurance benefits, the Municipality obtains the right to claim compensation for the damages which an Insured Person holds against the third party within the limit of the amount of said benefit.

②In a case as prescribed in the preceding paragraph, when a person to be granted an insurance benefit receives compensation for damages for the same reason from a third party, a Municipality is not responsible for payment of said insurance benefit within the limit of the compensation amount.

③A Municipality may entrust affairs of the collection or receipt of compensation for damages pertaining to the claim of right obtained pursuant to the provisions of paragraph (1) of this Article to the Federation of National Health Insurance Associations as prescribed in Article 45, paragraph (5) of the National Health Insurance Act (herein referred to as "Association") as determined by Order of the Ministry of Health, Labour, and Welfare.

①When there is a person who has received insurance benefits through deception or other wrongful act, a Municipality may collect the whole or a part of the amount of the benefit from that person and, in addition, when the insurance benefits received through the deception or other wrongful act are payment of an Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility pursuant to the provisions of Article 51-3, paragraph (1), payment of an Exceptional Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility pursuant to the provisions of Article 51-4, paragraph (1), payment of an Allowance for Preventive Long-Term Care Service to a Person Admitted to a Specified Facility pursuant to the provisions of Article 61-3, paragraph (1), or payment of an Exceptional Allowance for Preventive Long-Term Care Service to a Person Admitted to a Specified Facility pursuant to the provisions of Article 61-4, paragraph (1), the Municipality may, in accordance with standards determined by the Minister of Health, Labour and Welfare, collect from that person an amount equivalent to 200 percent or less of the amount paid to that person through the deception or other wrongful act.

②In the case prescribed in the preceding paragraph, when the insurance benefit was provided because a physician who diagnoses the degree of need for medical treatment with regard to Home-Visit Nursing, Home-Visit Rehabilitation, Outpatient Rehabilitation, Short-Term Admission for Recuperation, Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, Home-Visit Nursing Service for Preventive Long-Term Care, Home-Visit Rehabilitation Service for Preventive Long-Term Care, Outpatient Rehabilitation for Preventive Long-Term Care or Short-Term Admission for Recuperation for Preventive Long-Term Care, or another physician or dentist who engages in In-Home Service or equivalent services, Community-Based Service or equivalent services, Facility Service, or Preventive Long-Term Care Service or equivalent services, made a false entry in a medical certificate that is to be submitted to a Municipality, the Municipality may order said physician or dentist to pay the Levy prescribed in that paragraph jointly and severally with the person that received the insurance benefit.

③When a Designated In-Home Service Provider prescribed in Article 41, paragraph (1); a Designated Community-Based Service Provider prescribed in Article 42-2, paragraph (1); a Designated In-Home Long-Term Care Support Provider prescribed in Article 46, paragraph (1); a Facility Covered by Long-Term Care Insurance; a Designated Provider of Preventive Long-Term Care Service prescribed in Article 53, paragraph (1); a Designated Provider of Community-Based Service for Preventive Long-Term Care prescribed in Article 54-2, paragraph (1); or a Designated Preventive Long-Term Care Support Provider prescribed in Article 58, paragraph (1) (hereinafter referred to as a "Designated In-Home Service Provider, etc." in this paragraph) receives a payment pursuant to the provisions of Article 41, paragraph (6), Article 42-2, paragraph (6), Article 46, paragraph (4), Article 48, paragraph (4), Article 51-3, paragraph (4), Article 53, paragraph (4), Article 54-2, paragraph (6), Article 58, paragraph (4), or Article 61-3, paragraph (4) by deception or other wrongful act, a Municipality may collect from said Designated In-Home Service Provider, etc. the amount to be returned with regard to the amount paid, and may also collect the amount obtained by multiplying the amount to be returned by 40 percent.

A Municipality may, when it determines necessity with regard to an insurance benefit, demand or request submission or presentation of documents and other items, or direct its personnel to ask questions and inquiries to a person that receives said insurance benefit, a person that is in charge of In-Home Service, etc. pertaining to said insurance benefit (which means In-Home Service (including equivalent services), Community-Based Service (including equivalent services), In-Home Long-Term Care Support (including equivalent services), Facility Service, Preventive Long-Term Care Service (including equivalent services), Community-Based Service for Preventive Long-Term Care (including equivalent services), or a Preventive Long-Term Care Support (including equivalent services); the same applies hereinafter) , or a person that provides a house modification for in-home care as prescribed in Article 45, paragraph (1) which pertains to an insurance benefit, or a person that was said person (hereinafter referred to as "Person, etc., Subject to Inquiry").

①The Minister of Health, Labour, and Welfare or a prefectural governor may, when it is determined that it is necessary as pertaining to a Long-Term Care Benefit, etc. (except for payments of an Allowance for Home Modification for In-Home Long-Term Care and an Allowance for Preventive Long-Term Care Home Modification; the same applies in the following paragraph and Article 208), order a person that has provided In-Home Service, etc., or the employer thereof, to report and provide records of said In-Home Service, etc., to present record books and documents, and other items, and direct personnel to ask questions concerning the In-Home Service, etc., provided by said person.

②The Minister of Health, Labour, and Welfare or a prefectural governor, when it is determined that it is necessary, may order an Insured Person that received a Long-Term Care Benefit, etc., and a person that was the Insured Person to report and direct its personnel to ask questions concerning the content of the In-Home Service, etc., pertaining to said Long-Term Care Benefit, etc. (herein referred to as "Service Covered by Long-Term Care Benefits, etc.").

③In 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 questioned.

④The authority granted pursuant to the provisions of paragraphs (1) and (2) may not be construed as an approval of a criminal investigation.

①A Municipality may entrust a portion of the following affairs to a juridical person that qualifies as per the requirements as determined by Order of the Ministry of Health, Labour, and Welfare, and is designated by a prefectural governor as a person that can perform said affairs appropriately (herein referred to as "Designated and Entrusted Juridical Person for Municipal Affairs" in this Article):

②A Designated and Entrusted Juridical Person for Municipal Affairs, when performing affairs as set forth in item (ii) of the preceding paragraph, is to assign a Long-Term Care Support Specialist or other person as determined by Order of the Ministry of Health, Labour, and Welfare to implement the inspection pertaining to said entrustment.

③An Officer or personnel of a Designated and Entrusted Juridical Person for Municipal Affairs (including a Long-Term Care Support Specialist or other person as determined by Order of the Ministry of Health, Labour, and Welfare as set forth in the preceding paragraph; the same shall apply in the following paragraph) or a person that held that position must not divulge any confidential information learned pertaining to said entrusted affairs without a justifiable reason.

④An Officer or personnel of a Designated and Entrusted Juridical Person for Municipal Affairs who engage in said entrusted affairs is deemed as personnel engaged in public service pursuant to the provisions of laws and regulations with regard to the application of the Penal Code (Act No. 45 of 1907) and other penal provisions.

⑤When a Municipality has entrusted the affairs listed in item (i) or item (iii) of paragraph (1) pursuant to the provisions of that paragraph, it must issue public notice of this effect pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.

⑥In addition to the provisions as prescribed in each of the preceding paragraphs of this Article, other necessary matters pertaining to a Designated and Entrusted Juridical Person for Municipal Affairs are prescribed by a Cabinet Order.

①A prefecture may entrust a portion of the following affairs to a juridical person that qualifies as per the requirements as determined by Order of the Ministry of Health, Labour and Welfare, and is designated by the prefectural governor as a person that can perform said affairs appropriately (hereinafter referred to as a "Designated and Entrusted Juridical Person for Prefectural Affairs"):

②An Officer or personnel of a Designated and Entrusted Juridical Person for Prefectural Affairs, or a person that held such a position, must not divulge any confidential information learned pertaining to said entrusted affairs without a justifiable reason.

③An Officer or personnel of a Designated and Entrusted Juridical Person for Prefectural Affairs who is engaged in said entrusted affairs is deemed as personnel engaged in public service pursuant to the provisions of laws and regulations with regard to the application of the Penal Code and other penal provisions.

④A prefecture, when entrusting affairs pursuant to the provisions of paragraph (1), must issue public notice of this effect pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare.

⑤The provisions of Article 24, paragraph (3) apply mutatis mutandis to questions under the provisions of paragraphs (1) and (2) of that Article that are conducted upon entrustment pursuant to the provisions of paragraph (1).

⑥In addition to the provisions as prescribed in each of the preceding paragraphs, other necessary matters pertaining to a Designated and Entrusted Juridical Person for Prefectural Affairs are prescribed by a Cabinet Order.

The right to receive an insurance benefit may not be transferred, pledged as collateral, or levied.

Taxation and other public dues may not be imposed by establishing money or goods that are provided as an insurance benefit as a standard.