The Minister of Health, Labour and Welfare shall designate providers in charge of in-home care services, preparation of in-home care support plans, furnishing of welfare equipment, facility care services, care prevention services, preparation of care prevention support plans, furnishing of welfare equipment for care prevention, or furnishing of care prevention and daily life support for long-term care assistance under this Act with regard to Community-Based Facilities for the Elderly Covered by Public Aid Requiring Long-Term Care, Facilities Covered by Public Aid Providing Long-Term Care to the Elderly, long-term care health facilities or integrated facilities for medical and long-term care established by the State, and a prefectural governor shall designate such providers with regard to any other Community-Based Facilities for the Elderly Covered by Public Aid Requiring Long-Term Care, Facilities Covered by Public Aid Providing Long-Term Care to the Elderly, long-term care health facilities or integrated facilities for medical and long-term care, persons who provide in-home care services as their business or persons who prepare in-home care support plans as their business, specified welfare equipment dealers, persons who provide care prevention services as their business or persons who prepare care prevention support plans as their business, specified care prevention welfare equipment dealers or care prevention and daily life support providers.
厚生労働大臣は、国の開設した地域密着型介護老人福祉施設、介護老人福祉施設、介護老人保健施設又は介護医療院について、都道府県知事は、その他の地域密着型介護老人福祉施設、介護老人福祉施設、介護老人保健施設若しくは介護医療院、その事業として居宅介護を行う者若しくはその事業として居宅介護支援計画を作成する者、特定福祉用具販売事業者、その事業として介護予防を行う者若しくはその事業として介護予防支援計画を作成する者、特定介護予防福祉用具販売事業者又は介護予防・日常生活支援事業者について、この法律による介護扶助のための居宅介護若しくは居宅介護支援計画の作成、福祉用具の給付、施設介護、介護予防若しくは介護予防支援計画の作成、介護予防福祉用具又は介護予防・日常生活支援の給付を担当させる機関を指定する。
When, for a long-term care provider, the designation or permission listed in the second column of Appended Table 2 has been given in accordance with the type of long-term care provider listed in the first column of that table, that long-term care provider is deemed to have received the designation under the preceding paragraph at the time of that designation or permission; provided, however, that this does not apply where that long-term care provider (excluding a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care and a Facility Covered by Public Aid Providing Long-Term Care to the Elderly) has, in advance and in accordance with the provisions of an Order of the Ministry of Health, Labour and Welfare, made a separate notification.
介護機関について、別表第二の第一欄に掲げる介護機関の種類に応じ、それぞれ同表の第二欄に掲げる指定又は許可があつたときは、その介護機関は、その指定又は許可の時に前項の指定を受けたものとみなす。ただし、当該介護機関（地域密着型介護老人福祉施設及び介護老人福祉施設を除く。）が、厚生労働省令で定めるところにより、あらかじめ、別段の申出をしたときは、この限りではない。
In the case of a long-term care provider designated pursuant to the provisions of paragraph (1) that has received the designation or permission listed in the second column of Appended Table 2 (including one deemed to have received the designation under paragraph (1) pursuant to the provisions of the main clause of the preceding paragraph; hereinafter referred to as a "designated long-term care provider under Appended Table 2" in this paragraph, the following paragraph and paragraph (7)), the designation under paragraph (1) ceases to be effective when that designated long-term care provider under Appended Table 2 falls under a case listed in the third column of that table.
The designation under paragraph (1) pertaining to a designated long-term care provider under Appended Table 2 is suspended in effect (limited to the part for which the effect of the designation or permission under the provision of the Long-Term Care Insurance Act listed in the same column has been suspended, in each case) for the period in which that designated long-term care provider under Appended Table 2 falls under a case listed in the fourth column of Appended Table 2.
The provisions of Article 49-2 (excluding paragraph (2), item (i)) apply mutatis mutandis to the designation under paragraph (1) (excluding that pertaining to a care prevention and daily life support provider), and the provisions of Article 50 to the preceding Article apply mutatis mutandis to a long-term care provider designated pursuant to the provisions of paragraph (1) (including one deemed to have received the designation under paragraph (1) pursuant to the provisions of the main clause of paragraph (2), and excluding a care prevention and daily life support provider that received the designation under paragraph (1) (including one deemed to have received the designation under paragraph (1) pursuant to the provisions of the main clause of paragraph (2))). In this case, the term "designated medical care provider" in Article 50, paragraph (1) is deemed to be replaced with "a long-term care provider designated pursuant to the provisions of Article 54-2, paragraph (1) (including one deemed to have received the designation under paragraph (1) of that Article pursuant to the provisions of the main clause of paragraph (2) of that Article, and excluding a care prevention and daily life support provider that received the designation under paragraph (1) of that Article (including one deemed to have received the designation under paragraph (1) of that Article pursuant to the provisions of the main clause of paragraph (2) of that Article); hereinafter referred to as a "designated long-term care provider" in this Chapter)", the term "designated medical care provider" in paragraph (2) of that Article and Article 50-2 with "designated long-term care provider", the term "designated medical care provider" in Article 51, paragraph (1) with "designated long-term care provider (excluding those pertaining to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care and a Facility Covered by Public Aid Providing Long-Term Care to the Elderly)", the term "designated medical care provider" in paragraph (2) of that Article, Article 52, paragraph (1) and Article 53, paragraphs (1) to (3) with "designated long-term care provider", the phrase "an examination committee prescribed in the Act on the Medical Information Infrastructure and Medical Fee Examination and Payment Organization (Act No. 129 of 1948) or an examination organ related to medical care that has been specified by Cabinet Order" in paragraph (3) of that Article with "an examination committee for Long-Term Care Benefit expenses, etc. prescribed in the Long-Term Care Insurance Act", the term "designated medical care provider" in paragraph (4) of that Article with "designated long-term care provider" and the phrase "the Medical Information Infrastructure and Medical Fee Examination and Payment Organization or a person specified by an Order of the Ministry of Health, Labour and Welfare" in that paragraph with "the Federation of National Health Insurance Associations", and the term "designated medical care provider" in paragraph (1) of the preceding Article with "designated long-term care provider", and necessary technical replacement of terms is to be specified by Cabinet Order.
第四十九条の二（第二項第一号を除く。）の規定は、第一項の指定（介護予防・日常生活支援事業者に係るものを除く。）について、第五十条から前条までの規定は、同項の規定により指定を受けた介護機関（第二項本文の規定により第一項の指定を受けたものとみなされたものを含み、同項の指定を受けた介護予防・日常生活支援事業者（第二項本文の規定により第一項の指定を受けたものとみなされたものを含む。）を除く。）について準用する。この場合において、第五十条第一項中「指定医療機関」とあるのは「第五十四条の二第一項の規定により指定を受けた介護機関（同条第二項本文の規定により同条第一項の指定を受けたものとみなされたものを含み、同項の指定を受けた介護予防・日常生活支援事業者（同条第二項本文の規定により同条第一項の指定を受けたものとみなされたものを含む。）を除く。以下この章において「指定介護機関」という。）」と、同条第二項及び第五十条の二中「指定医療機関」とあるのは「指定介護機関」と、第五十一条第一項中「指定医療機関」とあるのは「指定介護機関（地域密着型介護老人福祉施設及び介護老人福祉施設に係るものを除く。）」と、同条第二項、第五十二条第一項及び第五十三条第一項から第三項までの規定中「指定医療機関」とあるのは「指定介護機関」と、同項中「医療情報基盤・診療報酬審査支払機構法（昭和二十三年法律第百二十九号）に定める審査委員会又は医療に関する審査機関で政令で定めるもの」とあるのは「介護保険法に定める介護給付費等審査委員会」と、同条第四項中「指定医療機関」とあるのは「指定介護機関」と、「医療情報基盤・診療報酬審査支払機構又は厚生労働省令で定める者」とあるのは「国民健康保険団体連合会」と、前条第一項中「指定医療機関」とあるのは「指定介護機関」と読み替えるものとするほか、必要な技術的読替えは、政令で定める。
The provisions of Article 49-2, paragraphs (1) and (3) apply mutatis mutandis to the designation under paragraph (1) (limited to that pertaining to a care prevention and daily life support provider), and the provisions of Article 50, Article 50-2, Article 51 (excluding paragraph (2), items (i), (viii) and (x)), and Article 52 to the preceding Article apply mutatis mutandis to a long-term care provider designated pursuant to the provisions of paragraph (1) (limited to a care prevention and daily life support provider that received the designation under paragraph (1) (including one deemed to have received the designation under paragraph (1) pursuant to the provisions of the main clause of paragraph (2))). In this case, the phrase "the Minister of Health, Labour and Welfare" in Article 49-2, paragraphs (1) and (3) is deemed to be replaced with "a prefectural governor", the term "designated medical care provider" in Article 50, paragraph (1) with "a long-term care provider designated pursuant to the provisions of Article 54-2, paragraph (1) (limited to a care prevention and daily life support provider that received the designation under paragraph (1) of that Article (including one deemed to have received the designation under paragraph (1) of that Article pursuant to the provisions of the main clause of paragraph (2) of that Article); hereinafter referred to as a "designated long-term care provider" in this Chapter)", the term "designated medical care provider" in paragraph (2) of that Article and Article 50-2 with "designated long-term care provider", the phrase "the Minister of Health, Labour and Welfare or a prefectural governor" in paragraph (2) of Article 50 with "a prefectural governor" and the phrase "the Minister of Health, Labour and Welfare or prefectural governor" in Article 50-2 with "the prefectural governor", the term "designated medical care provider" in Article 51, paragraph (1) with "designated long-term care provider", the phrase "designated medical care provider falls under any of the following" in paragraph (2) of that Article with "designated long-term care provider falls under any of the following" and the phrase "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" in that paragraph with "a prefectural governor", the term "designated medical care provider" in items (ii) to (vii) and (ix) of that paragraph, Article 52, paragraph (1) and Article 53, paragraphs (1) to (3) with "designated long-term care provider", the phrase "an examination committee prescribed in the Act on the Medical Information Infrastructure and Medical Fee Examination and Payment Organization (Act No. 129 of 1948) or an examination organ related to medical care that has been specified by Cabinet Order" in paragraph (3) of that Article with "an examination committee for Long-Term Care Benefit expenses, etc. prescribed in the Long-Term Care Insurance Act", the term "designated medical care provider" in paragraph (4) of that Article with "designated long-term care provider" and the phrase "the Medical Information Infrastructure and Medical Fee Examination and Payment Organization or a person specified by an Order of the Ministry of Health, Labour and Welfare" in that paragraph with "the Federation of National Health Insurance Associations", the phrase "A prefectural governor (the Minister of Health, Labour and Welfare or a prefectural governor, in the case of a designated medical care provider designated by the Minister of Health, Labour and Welfare)" in paragraph (1) of the preceding Article with "A prefectural governor", the phrase "designated medical care provider, or a person who was the establisher, administrator, doctor, pharmacist or other worker of a designated medical care provider" in that paragraph with "designated long-term care provider, or a person who was the establisher, administrator, doctor, pharmacist or other worker of a designated long-term care provider", the phrase "articles, request the establisher, administrator, doctor, pharmacist or other worker of a designated medical care provider" in that paragraph with "articles, request the establisher, administrator, doctor, pharmacist or other worker of a designated long-term care provider", and the phrase "the designated medical care provider" in that paragraph with "the designated long-term care provider", and necessary technical replacement of terms is to be specified by Cabinet Order.
第四十九条の二第一項及び第三項の規定は、第一項の指定（介護予防・日常生活支援事業者に係るものに限る。）について、第五十条、第五十条の二、第五十一条（第二項第一号、第八号及び第十号を除く。）、第五十二条から前条までの規定は、第一項の規定により指定を受けた介護機関（同項の指定を受けた介護予防・日常生活支援事業者（第二項本文の規定により第一項の指定を受けたものとみなされたものを含む。）に限る。）について準用する。この場合において、第四十九条の二第一項及び第三項中「厚生労働大臣」とあるのは「都道府県知事」と、第五十条第一項中「指定医療機関」とあるのは「第五十四条の二第一項の規定により指定を受けた介護機関（同項の指定を受けた介護予防・日常生活支援事業者（同条第二項本文の規定により同条第一項の指定を受けたものとみなされたものを含む。）に限る。以下この章において「指定介護機関」という。）」と、同条第二項及び第五十条の二中「指定医療機関」とあるのは「指定介護機関」と、「厚生労働大臣又は都道府県知事」とあるのは「都道府県知事」と、第五十一条第一項中「指定医療機関」とあるのは「指定介護機関」と、同条第二項中「指定医療機関が、次の」とあるのは「指定介護機関が、次の」と、「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」とあるのは「都道府県知事は」と、同項第二号から第七号まで及び第九号、第五十二条第一項並びに第五十三条第一項から第三項までの規定中「指定医療機関」とあるのは「指定介護機関」と、同項中「医療情報基盤・診療報酬審査支払機構法（昭和二十三年法律第百二十九号）に定める審査委員会又は医療に関する審査機関で政令で定めるもの」とあるのは「介護保険法に定める介護給付費等審査委員会」と、同条第四項中「指定医療機関」とあるのは「指定介護機関」と、「医療情報基盤・診療報酬審査支払機構又は厚生労働省令で定める者」とあるのは「国民健康保険団体連合会」と、前条第一項中「都道府県知事（厚生労働大臣の指定に係る指定医療機関については、厚生労働大臣又は都道府県知事）」とあるのは「都道府県知事」と、「指定医療機関若しくは指定医療機関」とあるのは「指定介護機関若しくは指定介護機関」と、「命じ、指定医療機関」とあるのは「命じ、指定介護機関」と、「当該指定医療機関」とあるのは「当該指定介護機関」と読み替えるものとするほか、必要な技術的読替えは、政令で定める。
When a notification listed in the fifth column of Appended Table 2 has been made for a designated long-term care provider under Appended Table 2, a notification is deemed to have been made, based on those of the grounds pertaining to that notification that correspond to the grounds for notification under the provisions of Article 50-2 as applied mutatis mutandis pursuant to paragraph (5).
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