Article 42-3Payment of an Exceptional Allowance for Community-Based Long-Term Care Service

①A Municipality, in the following cases, pay an Exceptional Allowance for Community-Based Long-Term Care Service to an Insured Person Requiring Long-Term Care:

②The amount of an Exceptional Allowance for Community-Based Long-Term Care Service is to be specified by a Municipality based on the amount equivalent to 90 percent of the amount of expenses calculated, for said Community-Based Service or equivalent service, by the standards determined by the Minister of Health, Labour and Welfare under each item of paragraph (2) of the preceding Article (when said calculated amount exceeds the amount of the actual expenses required for said Community-Based Service or equivalent service (excluding, with regard to the expenses required for Community-Based Outpatient Day Long-Term Care, outpatient long-term care for a Dementia patient, Multifunctional Long-Term Care in a Small Group Home, Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care, and combined service, and services equivalent to these, the expenses necessary to provide meals, residence and other expenses necessary for daily life as determined by Order of the Ministry of Health, Labour and Welfare), said amount is to be the amount of the actual expenses required for said Community-Based Service or equivalent service), or the amount specified by the Municipality pursuant to the provisions of paragraph (4) of the same Article (in the case of an Exceptional Allowance for Community-Based Long-Term Care Service (limited to that pertaining to Specified Community-Based Service) for an Insured Person Requiring Long-Term Care to Whom the Domicile Exception Applies who received Designated Community-Based Service from a Designated Community-Based Service Provider for which the mayor of the Municipality Where the Facility Is Located made the designation in the main clause of paragraph (1) of the same Article, or another person specified by Order of the Ministry of Health, Labour and Welfare, the Municipality Where the Facility Is Located).

③The mayor of a Municipality, when he or she determines the necessity of payment of an Exceptional Allowance for Community-Based Long-Term Care Service, orders a person that has been in charge of said Community-Based Service pertaining to said payment or in charge of an equivalent service (herein referred to as "Person, etc., in Charge of Community-Based Service, etc." in this paragraph) to report, submit or present record books and documents, appear, or direct its personnel to question the relevant person or enter the Business Office of the provider of said Person, etc., in Charge of Community-Based Service, etc., pertaining to said payment in order to inspect said equipment, record books and documents, and other items.

④The provisions of Article 24, paragraph (3) apply mutatis mutandis to questions or inspections as prescribed in the preceding paragraph, and the provisions of paragraph (4) of the same Article apply mutatis mutandis to the authority granted as prescribed in the preceding paragraph.