Medical assistance shall be provided by way of performance in kind; provided, however, that when this method cannot be used, when it is not appropriate to use this method, or when it is necessary in order to achieve the purpose of public assistance, medical assistance may be provided by way of performance in money.
Out of the performance in kind prescribed in the preceding paragraph, medical care shall be furnished by having the public assistance recipient use a medical facility for persons requiring public assistance or by entrusting such actions to a medical facility for persons requiring public assistance or a medical institution that has been designated pursuant to the provisions of Article 49 (hereinafter referred to as a "designated medical care provider").
Of the furnishing of medical care prescribed in the preceding paragraph, for that which a doctor or dentist in charge of medical care has found, based on medical knowledge, can be provided with a generic drug (meaning, among pharmaceuticals that have received authorization for manufacturing and marketing under Article 14 or Article 19-2 of the Act on Securing Quality, Efficacy and Safety of Products Including Pharmaceuticals and Medical Devices (Act No. 145 of 1960), those found to be identical in active ingredient, quantity, directions for use, dosage, indications and effects to the pharmaceuticals listed in the items of Article 14-4, paragraph (1) of that Act and specified by Order of the Ministry of Health, Labour and Welfare; the same applies hereafter in this paragraph), the furnishing is, in principle, to be made with generic drugs.
前項に規定する医療の給付のうち、医療を担当する医師又は歯科医師が医学的知見に基づき後発医薬品（医薬品、医療機器等の品質、有効性及び安全性の確保等に関する法律（昭和三十五年法律第百四十五号）第十四条又は第十九条の二の規定による製造販売の承認を受けた医薬品のうち、同法第十四条の四第一項各号に掲げる医薬品と有効成分、分量、用法、用量、効能及び効果が同一性を有すると認められたものであつて厚生労働省令で定めるものをいう。以下この項において同じ。）を使用することができると認めたものについては、原則として、後発医薬品によりその給付を行うものとする。
Of the furnishing of medical care prescribed in paragraph (2), the extent of the treatment that may be provided by an amma-massage practitioner, acupuncturist, moxa-cauterist or judo therapist (hereinafter referred to as a "practitioner") pursuant to the provisions of the Act on Amma-Massage Practitioners, Acupuncturists, and Moxa-cauterists, etc. (Act No. 217 of 1947) or the Judo Therapists Act (Act No. 19 of 1970) shall not be precluded from being furnished by way of entrusting said treatment to a practitioner who has been designated pursuant to the provisions of Article 55, paragraph (1).
When a public assistance recipient receives, out of the furnishing of medical care prescribed in paragraph (2), that which is provided by entrusting it to a designated medical care provider, the public assistance recipient is to, in accordance with the provisions of an Order of the Ministry of Health, Labour and Welfare, receive confirmation from that designated medical care provider, by electronic eligibility confirmation or any other method specified by Order of the Ministry of Health, Labour and Welfare, that the person is a public assistance recipient receiving medical assistance.
"Electronic eligibility confirmation" in the preceding paragraph means, for a public assistance recipient, to make an inquiry to a public assistance administrator about information concerning the public assistance recipient's eligibility to receive medical assistance (including information necessary for claiming the costs of the furnishing of medical care), by a method of transmitting an electronic certificate for user certification (meaning the electronic certificate for user certification prescribed in Article 22, paragraph (1) of the Act on Certification Business of the Japan Agency for Local Authority Information Systems in Relation to Electronic Signatures, etc. (Act No. 153 of 2002)) recorded on an Individual Number Card (meaning the Individual Number Card prescribed in Article 2, paragraph (7) of the Act on the Use of Numbers to Identify a Specific Individual in Administrative Procedures (Act No. 27 of 2013)) or by any other method specified by Order of the Ministry of Health, Labour and Welfare, to receive a response from the public assistance administrator by a method using an electronic data processing system or any other method using information and communications technology and provide that information to the medical care provider that is to furnish the medical care, and to receive confirmation from that medical care provider that the person is a public assistance recipient receiving medical assistance.
前項の「電子資格確認」とは、被保護者が、保護の実施機関に対し、個人番号カード（行政手続における特定の個人を識別するための番号の利用等に関する法律（平成二十五年法律第二十七号）第二条第七項に規定する個人番号カードをいう。）に記録された利用者証明用電子証明書（電子署名等に係る地方公共団体情報システム機構の認証業務に関する法律（平成十四年法律第百五十三号）第二十二条第一項に規定する利用者証明用電子証明書をいう。）を送信する方法その他の厚生労働省令で定める方法により、被保護者の医療扶助の受給資格に係る情報（医療の給付に係る費用の請求に必要な情報を含む。）の照会を行い、電子情報処理組織を使用する方法その他の情報通信の技術を利用する方法により、保護の実施機関から回答を受けて当該情報を医療の給付を受ける医療機関に提供し、当該医療機関から医療扶助を受給する被保護者であることの確認を受けることをいう。
In the case where there are urgent circumstances or other unavoidable circumstances, a public assistance recipient may be furnished with medical care by a medical institution that has not been designated or be furnished with treatment by a practitioner who has not been designated, notwithstanding the provisions of paragraphs (2) and (4).
The public assistance benefit for medical assistance shall be delivered to the public assistance recipient.
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