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 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.
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.
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。
第六十一条の四（特例特定入所者介護予防サービス費の支給）
A Municipality, in the following cases, pay an Exceptional Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility to a Specified Person Admitted to a Facility:
when a Municipality determines it necessary in a case when Specified Person Admitted to a Facility receives Specified 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;
特定入所者が、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特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 otherwise specified by Cabinet Order.
その他政令で定めるとき。
The amount of Exceptional Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility to a Specified Person Admitted to a Facility is established by a Municipality based on the total sum of the amount with regard to the expenses required of providing said meals that is the result of deducting the Base Allowance for Food Expense from the Maximum Cost for Food Expense, and the amount with regard to the expenses required for said stay that is the result of deduction of the Base Allowance for Stay from the Maximum Cost for Stay.
Section 5 Municipal Special Benefits
第五節 市町村特別給付
第六十二条
A Municipality may pay a Municipal Special Benefit pursuant to the provisions of a municipal ordinance to an Insured Person Requiring Long-Term Care or an Insured In-Home Person Requiring Support (herein referred to as "Insured Person Requiring Long-Term Care, etc.") in addition to the insurance benefits as set forth in the preceding two sections.
Section 6 Limitation of Insurance Benefits
第六節 保険給付の制限等
Article 63Limitation of Insurance Benefits
第六十三条（保険給付の制限）
With regard to a person that is confined to penal institution, work facility, or other facility mutatis mutandis as these, a Long-Term Care Benefit, etc., pertaining to said period of confinement is not paid.
刑事施設、労役場その他これらに準ずる施設に拘禁された者については、その期間に係る介護給付等は、行わない。
第六十四条
With regard to the Condition of Need for Long-Term Care, etc., of an Insured Person that caused the accident that caused a Condition of Need for Long-Term Care, etc., or the cause of said condition, or who increased the degree of Condition of Need for Long-Term Care, etc., by not obeying instructions for the use of Service Covered by Long-Term Care Benefits, etc., or for a Home Modification pertaining to an Allowance for Home Modification for In-Home Long-Term Care or Allowance for Preventive Long-Term Care Home Modification due to an intentional criminal act or gross negligence or without justifiable reasons, a Municipality may not pay the whole or a part of a Long-Term Care Benefit, etc., for which the reason for payment is said Condition of Need for Long-Term Care, etc.
市町村は、自己の故意の犯罪行為若しくは重大な過失により、又は正当な理由なしに介護給付等対象サービスの利用若しくは居宅介護住宅改修費若しくは介護予防住宅改修費に係る住宅改修の実施に関する指示に従わないことにより、要介護状態等若しくはその原因となった事故を生じさせ、又は要介護状態等の程度を増進させた被保険者の当該要介護状態等については、これを支給事由とする介護給付等は、その全部又は一部を行わないことができる。
第六十五条
A Municipality, when a person that receives a Long-Term Care Benefit, etc., fails to respond to a request pursuant to the provisions of Article 23 (in a case when it is entrusted pursuant to the provisions of Article 24-2, paragraph (1), item (i), including a request pertaining to said entrustment) or refuses to answer without a justifiable reason, may not pay the whole or a part of a Long-Term Care Benefit, etc.
市町村は、介護給付等を受ける者が、正当な理由なしに、第二十三条の規定による求め（第二十四条の二第一項第一号の規定により委託された場合にあっては、当該委託に係る求めを含む。）に応ぜず、又は答弁を拒んだときは、介護給付等の全部又は一部を行わないことができる。
第六十六条（保険料滞納者に係る支払方法の変更）
A Municipality, in a case when an Insured Person Requiring Long-Term Care, etc. who is a Primary Insured Person delinquent in payment of an insurance premium (excluding those who can receive payment of a medical allowance for general disease pursuant to the Atomic Bomb Survivors' Assistance Act (Act No. 117 of 1994) and other benefits for medical care as determined by Order of the Ministry of Health, Labour and Welfare) fails to pay said insurance premium from the payment due date of said insurance premium until the expiry of the period as determined by Order of the Ministry of Health, Labour and Welfare, except for a case when it is found that there is a special circumstance for said delinquency of insurance premium payment such as a disaster or other circumstances provided by a Cabinet Order, is to request said Insured Person Requiring Long-Term Care, etc. to submit the Certificate of Insured Person, pursuant to the provisions of Order of the Ministry of Health, Labour and Welfare, and to enter on said Certificate of Insured Person that 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) and Article 61-3, paragraph (4) do not apply (hereinafter referred to as "Entry of Change of Payment Method" in this Article and paragraph (3) of the following Article).
市町村は、保険料を滞納している第一号被保険者である要介護被保険者等（原子爆弾被爆者に対する援護に関する法律（平成六年法律第百十七号）による一般疾病医療費の支給その他厚生労働省令で定める医療に関する給付を受けることができるものを除く。）が、当該保険料の納期限から厚生労働省令で定める期間が経過するまでの間に当該保険料を納付しない場合においては、当該保険料の滞納につき災害その他の政令で定める特別の事情があると認める場合を除き、厚生労働省令で定めるところにより、当該要介護被保険者等に対し被保険者証の提出を求め、当該被保険者証に、第四十一条第六項、第四十二条の二第六項、第四十六条第四項、第四十八条第四項、第五十一条の三第四項、第五十三条第四項、第五十四条の二第六項、第五十八条第四項及び第六十一条の三第四項の規定を適用しない旨の記載（以下この条及び次条第三項において「支払方法変更の記載」という。）をするものとする。
A Municipality, although in a case when the period as determined by Order of the Ministry of Health, Labour, and Welfare as prescribed in the preceding paragraph has not yet expired, except for a case it is determined that said person delinquent in payment is due to special circumstances provided by a Cabinet Order as prescribed in the same paragraph, may request the Insured Person Requiring Long-Term Care, etc., as prescribed in the same paragraph to submit the Certificate of Insured Person, and include the Entry of Change of Payment Method on said Certificate of Insured Person.
A Municipality, when an Insured Person Requiring Long-Term Care, etc., that has received an Entry of Change of Payment Method pursuant to the provisions of the preceding two paragraphs and has completed payment of said delinquent insurance premium or when it is determined that the delinquent payment amount pertaining to said Insured Person Requiring Long-Term Care, etc., has decreased significantly or due to a disaster or other special circumstances provided by a Cabinet Order, is to delete said Entry of Change of Payment Method.
With regard to the payment of an Allowance for In-Home Long-Term Care Service, Allowance for Community-Based Long-Term Care Service, Allowance for In-Home Long-Term Care Service Plan, Allowance for Long-Term Care Facility Service, Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility, Allowance for Preventive Long-Term Care Service, Allowance for Community-Based Preventive Long-Term Care Service, Allowance for Preventive Long-Term Care Service Plan, and Allowance for Preventive Long-Term Care Service to a Person Admitted to a Specified Facility, pertaining to Designated In-Home Service, Designated Community-Based Service, Designated In-Home Long-Term Care Support, Designated Facility Service, etc., Designated Preventive Long-Term Care Service, Designated Community-Based Service for Preventive Long-Term Care, and Designated Preventive Long-Term Care Support that an Insured Person Requiring Long-Term Care, etc. who received an Entry of Change of Payment Method pursuant to the provisions of paragraph (1) or paragraph (2) receives during the period said Entry of Change of Payment Method remains, 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), and Article 61-3, paragraph (4) do not apply.
第一項又は第二項の規定により支払方法変更の記載を受けた要介護被保険者等が、当該支払方法の変更の記載がなされている間に受けた指定居宅サービス、指定地域密着型サービス、指定居宅介護支援、指定施設サービス等、指定介護予防サービス、指定地域密着型介護予防サービス及び指定介護予防支援に係る居宅介護サービス費の支給、地域密着型介護サービス費の支給、居宅介護サービス計画費の支給、施設介護サービス費の支給、特定入所者介護サービス費の支給、介護予防サービス費の支給、地域密着型介護予防サービス費の支給、介護予防サービス計画費の支給及び特定入所者介護予防サービス費の支給については、第四十一条第六項、第四十二条の二第六項、第四十六条第四項、第四十八条第四項、第五十一条の三第四項、第五十三条第四項、第五十四条の二第六項、第五十八条第四項及び第六十一条の三第四項の規定は適用しない。
Article 67Temporary Suspension of Payment of Insurance Benefit
第六十七条（保険給付の支払の一時差止）
A Municipality, when an Insured Person Requiring Long-Term Care, etc., that is a Primary Insured Person that can receive an insurance benefit becomes a person delinquent in the payment of an insurance premium and fails to pay said insurance premium from the due date of payment of said insurance premium until the period as determined by Order of the Ministry of Health, Labour, and Welfare expires, is to temporarily suspend the payment of the whole or a part of an insurance benefit, pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare, except for a case when it is determined that said delinquency of payment of an insurance premium is due to a disaster or other special circumstance as determined by a Cabinet Order.
A Municipality, in a case when an Insured Person Requiring Long-Term Care, etc., who is a Primary Insured Person that can receive an insurance benefit becomes a person delinquent in the payment of an insurance premium although the period as determined by Order of the Ministry of Health, Labour, and Welfare as prescribed in the preceding paragraph has not yet expired, except for a case when it is determined that said delinquency of an insurance premium is due to a disaster or other special circumstance as determined by a Cabinet Order as prescribed, may temporarily suspend the whole or a part of an insurance benefit pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare.
A Municipality, in a case when an Insured Person Requiring Long-Term Care, etc., that has received an Entry of Change of Payment Method pursuant to the provisions of paragraph (1) or paragraph (2) of the preceding Article and whose insurance benefit has been temporarily suspended in whole or in part pursuant to the provisions of the preceding two paragraphs and who has not yet paid the delinquent insurance premium, may notify in advance said Insured Person Requiring Long-Term Care, etc., pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare, and deduct the amount of delinquent insurance premium of said Insured Person Requiring Long-Term Care, etc., from the amount of insurance benefit pertaining to said temporary suspension.