Search

Search provisions, jump to a law or an article

1 article

Article 46Payment of an Allowance for In-Home Long-Term Care Service Plan

第四十六条(居宅介護サービス計画費の支給)

A Municipality, when an Insured In-Home Person Requiring Long-Term Care has received, from a person designated by the mayor of said Municipality or the mayor of another Municipality (hereinafter referred to as a "Designated In-Home Long-Term Care Support Provider"), In-Home Long-Term Care Support provided by a Business Office conducting the In-Home Long-Term Care Support Business pertaining to said designation (hereinafter referred to as "Designated In-Home Long-Term Care Support"), pays to said Insured In-Home Person Requiring Long-Term Care an Allowance for In-Home Long-Term Care Service Plan for the expenses required for said Designated In-Home Long-Term Care Support.

市町村は、居宅要介護被保険者が、当該市町村の長又は他の市町村の長が指定する者(以下「指定居宅介護支援事業者」という。)から当該指定に係る居宅介護支援事業を行う事業所により行われる居宅介護支援(以下「指定居宅介護支援」という。)を受けたときは、当該居宅要介護被保険者に対し、当該指定居宅介護支援に要した費用について、居宅介護サービス計画費を支給する。

The amount of Allowance for In-Home Long-Term Care Service Plan is to be the amount of expenses calculated by standards as prescribed by the Minister of Health, Labour, and Welfare after considering the average expenses necessary for the Designated In-Home Long-Term Care Support, calculated after considering the area, etc., where the provider that performs the Designated In-Home Long-Term Care Support Business is located (in a case when said calculated amount exceeds the actual expenses necessary for the Designated In-Home Long-Term Care Support, the amount of Allowance for In-Home Long-Term Care Service Plan is to be the actual expenses necessary for said Designated In-Home Long-Term Care Support.)

居宅介護サービス計画費の額は、指定居宅介護支援の事業を行う事業所の所在する地域等を勘案して算定される指定居宅介護支援に要する平均的な費用の額を勘案して厚生労働大臣が定める基準により算定した費用の額(その額が現に当該指定居宅介護支援に要した費用の額を超えるときは、当該現に指定居宅介護支援に要した費用の額とする。)とする。

The Minister of Health, Labour, and Welfare, when intending to specify standards as prescribed in the preceding paragraph, must hear the opinions of the Social Security Council in advance.

厚生労働大臣は、前項の基準を定めようとするときは、あらかじめ社会保障審議会の意見を聴かなければならない。

When an Insured In-Home Person Requiring Long-Term Care receives Designated In-Home Long-Term Care Support from a Designated In-Home Long-Term Care Support Provider (limited to a case when said Insured In-Home Person Requiring Long-Term Care has notified the Municipality in advance to receive said Designated In-Home Long-Term Care Support pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare), the Municipality may pay to said Designated In-Home Long-Term Care Support Provider on behalf of said Insured In-Home Person Requiring Long-Term Care the expenses required for said Designated In-Home Long-Term Care Support that said Insured In-Home Person Requiring Long-Term Care should pay to said Designated In-Home Long-Term Care Support Provider.

居宅要介護被保険者が指定居宅介護支援事業者から指定居宅介護支援を受けたとき(当該居宅要介護被保険者が、厚生労働省令で定めるところにより、当該指定居宅介護支援を受けることにつきあらかじめ市町村に届け出ている場合に限る。)は、市町村は、当該居宅要介護被保険者が当該指定居宅介護支援事業者に支払うべき当該指定居宅介護支援に要した費用について、居宅介護サービス計画費として当該居宅要介護被保険者に対し支給すべき額の限度において、当該居宅要介護被保険者に代わり、当該指定居宅介護支援事業者に支払うことができる。

When the payment pursuant to the provisions of the preceding paragraph is paid, it is to be deemed that an Allowance for In-Home Long-Term Care Service Plan is paid to the Insured In-Home Person Requiring Long-Term Care.

前項の規定による支払があったときは、居宅要介護被保険者に対し居宅介護サービス計画費の支給があったものとみなす。

A Municipality, when requested to pay an Allowance for In-Home Long-Term Care Service Plan by a Designated In-Home Long-Term Care Support Provider, conducts an examination according to standards provided by the Minister of Health, Labour, and Welfare as set forth in the paragraph (2) and the standards of business management of a Designated In-Home Long-Term Care Support Provider as prescribed in Article 81, paragraph (2) (limited to the part regarding the handling of Designated In-Home Long-Term Care Support).

市町村は、指定居宅介護支援事業者から居宅介護サービス計画費の請求があったときは、第二項の厚生労働大臣が定める基準及び第八十一条第二項に規定する指定居宅介護支援の事業の運営に関する基準(指定居宅介護支援の取扱いに関する部分に限る。)に照らして審査した上、支払うものとする。

The provisions of Article 41, paragraph (2), paragraph (3), paragraph (10) and paragraph (11) apply mutatis mutandis to the payment of an Allowance for In-Home Long-Term Care Service Plan and the provisions of paragraph (8) of the same Article apply mutatis mutandis to the Designated In-Home Long-Term Care Support Provider. In this case, the necessary technical replacement of terms in these provisions is specified by a Cabinet Order.

第四十一条第二項、第三項、第十項及び第十一項の規定は、居宅介護サービス計画費の支給について、同条第八項の規定は、指定居宅介護支援事業者について準用する。この場合において、これらの規定に関し必要な技術的読替えは、政令で定める。

In addition to the provisions of each preceding paragraph, other necessary matters for the payment of Allowance for In-Home Long-Term Care Service Plan and for requesting an Allowance for In-Home Long-Term Care Service Plan from a Designated In-Home Long-Term Care Support Provider are prescribed by Order of the Ministry of Health, Labour, and Welfare.

前各項に規定するもののほか、居宅介護サービス計画費の支給及び指定居宅介護支援事業者の居宅介護サービス計画費の請求に関して必要な事項は、厚生労働省令で定める。

Read this with the articles around it

© 2026 japanlaw.orgA copy for reading and reference — not an official source, and not legal advice. Only the Japanese text published by the government has legal effect.Run by Genjido LLC (Genjido 合同会社) · [email protected]ContactSourcesTermsPrivacy