Article 181Authority of examination committee for Long-Term Care Benefit expenses, etc.
第百八十一条（給付費等審査委員会の権限）
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, after obtaining the approval of the prefectural governor, may request said Designated In-Home Service Provider, Designated Provider of Preventive Long-Term Care Service, or Facility Covered by Long-Term Care Insurance to report, or to submit or present record books and documents, or may request an Establisher or manager, or the head, of said Designated In-Home Service Provider, Designated Provider of Preventive Long-Term Care Service, or Facility Covered by Long-Term Care Insurance, or a Person in Charge of Service Covered by Long-Term Care Benefits, etc. at a Business Office pertaining to the business of said Designated In-Home Service or the business of Designated Preventive Long-Term Care Service or at a Facility Covered by Long-Term Care Insurance, to appear or provide an explanation.
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、指定介護予防サービス事業者若しくは介護保険施設の開設者若しくは管理者若しくはその長若しくは当該指定居宅サービスの事業若しくは指定介護予防サービスの事業に係る事業所若しくは介護保険施設における介護給付等対象サービス担当者に対して、出頭若しくは説明を求めることができる。
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 Project for Long-Term Care Prevention and Daily Life Support expenses, after obtaining the approval of the mayor of the Municipality, may request said Designated Community-Based Service Provider, Designated In-Home Long-Term Care Support Provider, Designated Provider of Community-Based Service for Preventive Long-Term Care, Designated Preventive Long-Term Care Support Provider, Designated Provider, or trustee to report, or to submit or present record books and documents, or may request said Designated Community-Based Service Provider, Designated In-Home Long-Term Care Support Provider, Designated Provider of Community-Based Service for Preventive Long-Term Care, Designated Preventive Long-Term Care Support Provider, Designated Provider, or trustee, or a Person in Charge of Service Covered by Long-Term Care Benefits, etc. at a Business Office pertaining to the business of said Designated Community-Based Service, the Designated In-Home Long-Term Care Support Business, the business of Designated Community-Based Service for Preventive Long-Term Care, or the business of Designated Preventive Long-Term Care Support, or a Person in Charge of Comprehensive Project for Long-Term Care Prevention and Daily Life Support at a Designated Provider or trustee, to appear or provide an explanation.
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、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若しくは当該指定地域密着型サービスの事業、指定居宅介護支援の事業、指定地域密着型介護予防サービスの事業若しくは指定介護予防支援の事業に係る事業所における介護給付等対象サービス担当者若しくは指定事業者若しくは受託者における介護予防・日常生活支援総合事業担当者に対して、出頭若しくは説明を求めることができる。
An Association must pay the travel expenses, a daily allowance, and accommodation charges of a person that appears before an examination committee for Long-Term Care Benefit expenses, etc. pursuant to the provisions of the preceding two paragraphs, however, provided that this provision does not apply to those who appear pursuant to a request for appearance due to a defective or improper entry of an invoice for Long-Term Care Benefit expenses, an invoice for Comprehensive Project for Long-Term Care Prevention and Daily Life Support expenses, or the record books and documents that are submitted by said Designated In-Home Service Provider, Designated Provider of Preventive Long-Term Care Service, Facility Covered by Long-Term Care Insurance, Designated Community-Based Service Provider, Designated In-Home Long-Term Care Support Provider, Designated Provider of Community-Based Service for Preventive Long-Term Care, or Designated Preventive Long-Term Care Support Provider, or Designated Provider or trustee.
連合会は、前二項の規定により給付費等審査委員会に出頭した者に対し、旅費、日当及び宿泊料を支給しなければならない。ただし、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、介護保険施設、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又は指定事業者若しくは受託者が提出した介護給付費請求書若しくは介護予防・日常生活支援総合事業費請求書又は帳簿書類の記載が不備又は不当であったため出頭を求められて出頭した者に対しては、この限りでない。
Authority 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 provisionFacility Covered by Long-Term Care Insurancemachine translation
「介護保険施設」
A designated facility covered by public aid providing long-term care to the elderly (指定介護老人福祉施設) under Article 48, paragraph (1), item (i), a long-term care health facility (介護老人保健施設) or an integrated facility for medical and long-term care (介護医療院).
Defined inArticle 8, paragraph (25)· applies throughout the law
Prevention of Long-Term Caremachine translation
「介護予防」
Easing, or preventing the worsening of, a condition in which a person, because of a physical or mental disability, constantly needs care for all or part of the basic acts of daily life such as bathing, toileting and eating, or has difficulty carrying on daily life.
Defined inArticle 8-2, paragraph (2)
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 In-Home Service Provider
「指定居宅サービス事業者」
A person a prefectural governor designates, under Article 41, paragraph (1), to provide in-home services (居宅サービス) at a business office covered by the designation.
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 Community-Based Service Providermachine translation
「指定地域密着型サービス事業者」
A person the mayor of a municipality designates, under Article 42-2, paragraph (1), to provide community-based services (地域密着型サービス) at a business office covered by the designation; for specified community-based services to an insured person covered by the domicile exception, the mayor of the municipality where their facility is located may designate too.
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 In-Home Long-Term Care Support Providermachine translation
「指定居宅介護支援事業者」
A person the mayor of a municipality, or of another municipality, designates under Article 46, paragraph (1) to provide in-home long-term care support (居宅介護支援) at a business office covered by the designation.
Short name set inArticle 46, 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 Provider of Preventive Long-Term Care Servicemachine translation
「指定介護予防サービス事業者」
A person a prefectural governor designates, under Article 53, paragraph (1), to provide preventive long-term care services (介護予防サービス) at a business office covered by the designation.
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 Provider of Community-Based Service for Preventive Long-Term Caremachine translation
「指定地域密着型介護予防サービス事業者」
A person the mayor of a municipality designates, under Article 54-2, paragraph (1), to provide community-based preventive long-term care services (地域密着型介護予防サービス) at a business office covered by the designation; for specified community-based preventive services to an insured person covered by the domicile exception, the mayor of the municipality where their facility is located may designate too.
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)
Designated Preventive Long-Term Care Support Providermachine translation
「指定介護予防支援事業者」
A person the mayor of a municipality designates, under Article 58, paragraph (1), to provide preventive long-term care support (介護予防支援) at a business office covered by the designation; for an insured in-home person requiring support covered by the domicile exception, the mayor of the municipality where their facility is located.
Short name set inArticle 58, paragraph (1)
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)