Article 180Organization of examination committee for Long-Term Care Benefit expenses, etc.
第百八十条（給付費等審査委員会の組織）
An examination committee for Long-Term Care Benefit expenses, etc. is to be comprised of committee members that represent Persons in Charge of Service Covered by Long-Term Care Benefits, etc. (which means persons in charge of 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, or Designated Preventive Long-Term Care Support; the same applies in paragraph (3) and paragraphs (1) and (2) of the following Article) or Persons in Charge of Comprehensive Project for Long-Term Care Prevention and Daily Life Support (which means persons in charge of a category 1 project at a Designated Provider or persons in charge of the Comprehensive Project for Long-Term Care Prevention and Daily Life Support at a trustee; the same applies in paragraph (3) and paragraph (2) of the following Article), committee members that represent Municipalities, and committee members that represent the public interest, with each group having the same number of committee members, as prescribed by the constitution.
給付費等審査委員会は、規約で定めるそれぞれ同数の介護給付等対象サービス担当者（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又は指定介護予防支援を担当する者をいう。第三項並びに次条第一項及び第二項において同じ。）又は介護予防・日常生活支援総合事業担当者（指定事業者において第一号事業を担当する者又は受託者において介護予防・日常生活支援総合事業を担当する者をいう。第三項及び次条第二項において同じ。）を代表する委員、市町村を代表する委員及び公益を代表する委員をもって組織する。
Committee members are commissioned by an Association.
委員は、連合会が委嘱する。
The commission as set forth in the preceding paragraph, with regard to committee members who represent Persons in Charge of Service Covered by Long-Term Care Benefits, etc. or Persons in Charge of Comprehensive Project for Long-Term Care Prevention and Daily Life Support, and committee members who represent Municipalities, must be conducted by the nomination of concerned organizations, respectively.
前項の委嘱は、介護給付等対象サービス担当者又は介護予防・日常生活支援総合事業担当者を代表する委員及び市町村を代表する委員については、それぞれ関係団体の推薦によって行わなければならない。
Organization of examination committee for Long-Term Care Benefit expenses, etc.
Committee members are commissioned by an Association.
委員は、連合会が委嘱する。
Open this provisionOrganization of examination committee for Long-Term Care Benefit expenses, etc.
The commission as set forth in the preceding paragraph, with regard to committee members who represent Persons in Charge of Service Covered by Long-Term Care Benefits…
前項の委嘱は、介護給付等対象サービス担当者又は介護予防・日常生活支援総合事業担当者を代表する委員及び市町村を代表する委員については、それぞれ関係団体の推薦によって行わなければならない。
Open this provisionAuthority of examination committee for Long-Term Care Benefit expenses, etc.
An examination committee for Long-Term Care Benefit expenses, etc., when it is determined necessary for the examination of invoices for Long-Term Care Benefit expenses…
給付費等審査委員会は、介護給付費請求書の審査を行うため必要があると認めるときは、都道府県知事の承認を得て、当該指定居宅サービス事業者、指定介護予防サービス事業者若しくは介護保険施設に対して、報告若しくは帳簿書類の提出若しくは提示を求め、又は当該指定居宅サービス事業者…
Open this provisionAuthority of examination committee for Long-Term Care Benefit expenses, etc.
An examination committee for Long-Term Care Benefit expenses, etc., when it is determined necessary for the examination of invoices for Long-Term Care Benefit expenses or invoices for Comprehensive…
給付費等審査委員会は、介護給付費請求書又は介護予防・日常生活支援総合事業費請求書の審査を行うため必要があると認めるときは、市町村長の承認を得て、当該指定地域密着型サービス事業者、指定居宅介護支援事業者、指定地域密着型介護予防サービス事業者若しくは指定介護予防支援事業者若しくは指定事業者若しくは受託者に対して…
Open this provisionMunicipality
「市町村」
A city, town or village, together with a special ward (特別区): the bodies that run long-term care insurance (介護保険) under this Act, whose insured persons Article 9 names.
Short name set inArticle 9, paragraph (1)
Association
「連合会」
A Federation of National Health Insurance Associations (国民健康保険団体連合会) as provided in Article 45, paragraph (5) of the National Health Insurance Act.
Short name set inArticle 21, paragraph (3)
Designated In-Home Service
「指定居宅サービス」
An in-home service (居宅サービス) provided by a business a prefectural governor has designated (指定居宅サービス事業者), at its place of business covered by the designation, as Article 41, paragraph (1) of the Long-Term Care Insurance Act provides.
Short name set inArticle 41, paragraph (1)
Designated Community-Based Servicemachine translation
「指定地域密着型サービス」
A community-based service (地域密着型サービス) provided by a business the mayor of a municipality has designated (指定地域密着型サービス事業者), at its place of business covered by the designation, as Article 42-2, paragraph (1) of the Long-Term Care Insurance Act provides.
Short name set inArticle 42-2, paragraph (1)
Designated In-Home Long-Term Care Supportmachine translation
「指定居宅介護支援」
In-home long-term care support (居宅介護支援) provided by a person the mayor of the municipality or of another municipality has designated (指定居宅介護支援事業者), at a business office covered by the designation, for which the municipality pays an allowance for an in-home service plan (居宅介護サービス計画費) (Article 46, paragraph (1)).
Short name set inArticle 46, paragraph (1)
Designated Facility Service, etc.
「指定施設サービス等」
The facility services listed in Article 48, paragraph (1) of the Long-Term Care Insurance Act: welfare facility services for the elderly requiring long-term care given by a facility a prefectural governor has designated, long-term care health facility services, and integrated medical and long-term care facility services (介護医療院サービス).
Short name set inArticle 48, paragraph (1)
Designated Preventive Long-Term Care Servicemachine translation
「指定介護予防サービス」
A service to prevent long-term care (介護予防サービス) provided by a business a prefectural governor has designated (指定介護予防サービス事業者), at its place of business covered by the designation, as Article 53, paragraph (1) of the Long-Term Care Insurance Act provides.
Short name set inArticle 53, paragraph (1)
Designated Community-Based Service for Preventive Long-Term Caremachine translation
「指定地域密着型介護予防サービス」
A community-based preventive long-term care service (地域密着型介護予防サービス) provided by a person the mayor of a municipality has designated (指定地域密着型介護予防サービス事業者), at a business office covered by the designation, for which the municipality pays community-based preventive long-term care service allowances (地域密着型介護予防サービス費) (Article 54-2, paragraph (1)).
Short name set inArticle 54-2, paragraph (1)
Designated Preventive Long-Term Care Supportmachine translation
「指定介護予防支援」
Preventive long-term care support (介護予防支援) provided by a person designated by the mayor of the municipality (指定介護予防支援事業者) — for an insured person covered by the domicile exception, of the municipality where their facility is located — at a business office covered by the designation, for which the municipality pays an allowance for a preventive long-term care service plan (介護予防サービス計画費) (Article 58, paragraph (1)).
Short name set inArticle 58, paragraph (1)
Comprehensive Project for Long-Term Care Prevention and Daily Life Supportmachine translation
「介護予防・日常生活支援総合事業」
The projects a municipality (市町村) carries out as community support projects (地域支援事業), under standards a Ministry of Health, Labour and Welfare Order (厚生労働省令) sets, to prevent its insured persons (被保険者) from coming to need long-term care or support, to ease or stop the worsening of that need and to support independent daily life in the community: the item (i) projects (第一号事業) for insured persons needing in-home support and others such an Order names — home-visit and day-service support, daily-life support and preventive care management — and the item (ii) preventive projects for primary insured persons (第一号被保険者).
Short name set inArticle 115-45, paragraph (1)
category 1 projectmachine translation
「第一号事業」
The part of a municipality's comprehensive long-term care prevention and daily life support projects (介護予防・日常生活支援総合事業) that carries out, for insured persons requiring support at home and others a Ministry of Health, Labour and Welfare Order (厚生労働省令) specifies (居宅要支援被保険者等), the category 1 home-visit (第一号訪問事業), day service (第一号通所事業), daily life support (第一号生活支援事業) and preventive long-term care support (第一号介護予防支援事業) projects listed in Article 115-45, paragraph (1), item (i).
Short name set inArticle 115-45, paragraph (1), item (i)
Designated Providermachine translation
「指定事業者」
A person the mayor of a municipality designates, under Article 115-45-3, paragraph (1), to run category 1 projects (第一号事業) — home-visit, day-service and daily-life support projects and preventive care management for insured in-home persons requiring support and similar insured persons (居宅要支援被保険者等) — at a business office covered by the designation, for whose use the municipality pays category 1 project payments (第一号事業支給費).
Short name set inArticle 115-45-3, paragraph (1)
trusteemachine translation
「受託者」
In Article 115-47, paragraphs (7) and (9), Article 180, paragraph (1) and Article 181, paragraphs (2) and (3), a person to whom the mayor of a municipality (市町村長) has entrusted carrying out the comprehensive project for long-term care prevention and daily life support (介護予防・日常生活支援総合事業) under Article 115-47, paragraph (1) or (5).
Short name set inArticle 115-47, paragraph (7)· applies only in this provision and in Article 115-47, paragraph (9); Article 180, paragraph (1); and Article 181, paragraphs (2) and (3)
examination committee for Long-Term Care Benefit expenses, etc.machine translation
「給付費等審査委員会」
The committee for examining long-term care benefit expenses, etc. (介護給付費等審査委員会) that a Federation of National Health Insurance Associations (連合会) sets up to examine the invoices for long-term care benefit expenses (介護給付費請求書) and for comprehensive long-term care prevention and daily life support project expenses whose examination is entrusted to it under this Act (Article 179).
Short name set inArticle 179, paragraph (1)
Person in Charge of Comprehensive Project for Long-Term Care Prevention and Daily Life Supportmachine translation
「介護予防・日常生活支援総合事業担当者」
In Article 180 and Article 181, paragraph (2), a person in charge of item (i) projects (第一号事業) at a designated provider (指定事業者), or of the comprehensive project for long-term care prevention and daily life support (介護予防・日常生活支援総合事業) at a contractor the municipality has entrusted it to (受託者): one of the groups whose representatives sit on the examination committee for benefit expenses, etc. (給付費等審査委員会).
Defined inArticle 180, paragraph (1)· applies only in this provision and in Article 180, paragraph (3); and Article 181, paragraph (2)
Person in Charge of Service Covered by Long-Term Care Benefits, etc.machine translation
「介護給付等対象サービス担当者」
In Article 180 and Article 181, paragraphs (1) and (2), a person who provides designated in-home services, designated community-based services, designated in-home long-term care support, designated facility services, etc., designated preventive services, designated community-based preventive services or designated preventive long-term care support: one of the groups whose representatives sit on the examination committee for benefit expenses, etc. (給付費等審査委員会).
Defined inArticle 180, paragraph (1)· applies only in this provision and in Article 180, paragraph (3); and Article 181, paragraphs (1) and (2)