A designated medical care provider may decline the designation by giving advance notice of thirty days or more.
指定医療機関は、三十日以上の予告期間を設けて、その指定を辞退することができる。
When a designated medical care provider falls under any of the following items, the Minister of Health, Labour and Welfare, in the case of a medical care provider designated by the Minister of Health, Labour and Welfare, and a prefectural governor, in the case of a medical care provider designated by a prefectural governor, may rescind the designation or suspend the whole or part of the effect of the designation for a specified period:
指定医療機関が、次の各号のいずれかに該当するときは、厚生労働大臣の指定した医療機関については厚生労働大臣が、都道府県知事の指定した医療機関については都道府県知事が、その指定を取り消し、又は期間を定めてその指定の全部若しくは一部の効力を停止することができる。
When a designated medical care provider has come to fall under any of Article 49-2, paragraph (2), items (i) to (iii) or item (ix);
指定医療機関が、第四十九条の二第二項第一号から第三号まで又は第九号のいずれかに該当するに至つたとき。
When a designated medical care provider has come to fall under any of the items of Article 49-2, paragraph (3);
指定医療機関が、第四十九条の二第三項各号のいずれかに該当するに至つたとき。
When a designated medical care provider has violated the provisions of Article 50 or the following Article;
When there has been any impropriety in a claim for medical treatment fees by a designated medical care provider;
指定医療機関の診療報酬の請求に関し不正があつたとき。
When a designated medical care provider, having been ordered pursuant to the provisions of Article 54, paragraph (1) to make a report or to submit or present clinical records, books and documents or other articles, has failed to comply with the order, or has made a false report;
When an establisher or a worker of a designated medical care provider, having been requested to appear pursuant to the provisions of Article 54, paragraph (1), has failed to comply, has failed to answer or has given a false answer to questions under the provisions of that paragraph, or has refused, obstructed or avoided an inspection under the provisions of that paragraph; however, this excludes the case where, when a worker of the designated medical care provider has committed such an act, the establisher of the designated medical care provider has exercised due care and supervision in order to prevent the act;
When a designated medical care provider has received the designation under Article 49 by fraudulent means;
In addition to the cases listed in the preceding items, when a designated medical care provider has violated this Act, any other Act relating to the health, medical care or welfare of the people that is specified by Cabinet Order, or an order or disposition based on these Acts;
In addition to the cases listed in the preceding items, when a designated medical care provider has engaged in a fraudulent or grossly unjust act in relation to medical care for public assistance recipients;
When the administrator of a designated medical care provider is a person who engaged in a fraudulent or grossly unjust act in relation to medical care for public assistance recipients within five years before the time when the rescission of the designation or the suspension of the whole or part of the effect of the designation is about to be carried out.
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