Article 47Payment of an Exceptional Allowance for In-Home Long-Term Care Service Plan
第四十七条（特例居宅介護サービス計画費の支給）
A Municipality, in the following cases, pay an Allowance for an Exceptional Allowance for In-Home Long-Term Care Service Plan to an Insured In-Home Person Requiring Long-Term Care:
when the Municipality determines it necessary in a case when an Insured In-Home Person Requiring Long-Term Care receives In-Home Long-Term Care Support other than Designated In-Home Long-Term Care Support or an equivalent service (limited to those provided by a Business Office conducting a business that is found to satisfy, among the number of employees specified by Municipal Ordinance as set forth in Article 81, paragraph (1) pertaining to the business of Designated In-Home Long-Term Care Support and the standards concerning the operation of the business of Designated In-Home Long-Term Care Support prescribed in paragraph (2) of the same Article, those specified by the Municipal Ordinance of said Municipality; hereinafter referred to as "In-Home Long-Term Care Support Applicable to Standards" in the following item and the following paragraph);
when the Municipality determines it necessary in a case when an Insured In-Home Person Requiring Long-Term Care who is domiciled on an isolated island or other area where it is significantly difficult to secure Designated In-Home Long-Term Care Support or In-Home Long-Term Care Support Applicable to Standards and in a location that qualifies pursuant to standards as determined by the Minister of Health, Labour, and Welfare receives In-Home Long-Term Care other than Designated In-Home Long-Term Care Support and Designated In-Home Long-Term Care Support that qualifies with standards or service equivalent to those services;
指定居宅介護支援及び基準該当居宅介護支援の確保が著しく困難である離島その他の地域であって厚生労働大臣が定める基準に該当するものに住所を有する居宅要介護被保険者が、指定居宅介護支援及び基準該当居宅介護支援以外の居宅介護支援又はこれに相当するサービスを受けた場合において、必要があると認めるとき。
when provided by a Cabinet Order.
その他政令で定めるとき。
A Municipality, in establishing the Municipal Ordinance set forth in item (i) of the preceding paragraph, is to establish the following matters in accordance with the standards determined by Order of the Ministry of Health, Labour and Welfare, and is to take into consideration the standards determined by Order of the Ministry of Health, Labour and Welfare for other matters:
standards pertaining to employees engaging in In-Home Long-Term Care Support Applicable to Standards and the number of such employees;
基準該当居宅介護支援に従事する従業者に係る基準及び当該従業者の員数
matters concerning the operation of the business of In-Home Long-Term Care Support Applicable to Standards that are closely related to ensuring the appropriate use of services, appropriate treatment and safety of Persons Requiring Long-Term Care who use them, and maintaining confidentiality, etc., and that are specified by Order of the Ministry of Health, Labour and Welfare.
基準該当居宅介護支援の事業の運営に関する事項であって、利用する要介護者のサービスの適切な利用、適切な処遇及び安全の確保並びに秘密の保持等に密接に関連するものとして厚生労働省令で定めるもの
The amount of Allowance for an Exceptional Allowance for In-Home Long-Term Care Service Plan is specified by the Municipality based on the expenses calculated by standards determined by the Minister of Health, Labour, and Welfare as set forth in paragraph (2) of the preceding Article for said Designated In-Home Long-Term Care Support or equivalent service (in a case said calculated amount exceeds the amount of actual expenses of said Designated In-Home Long-Term Care Support or equivalent service, the base amount is to be the actual expenses required for said Designated In-Home Long-Term Care Support or equivalent service).
A Municipality, when it determines the necessity for payment of an Exceptional Allowance for In-Home Long-Term Care Service Plan, may order a person that has been in charge of the Designated In-Home Long-Term Care Support pertaining to said payment or equivalent service (herein referred to as "Person, etc., in Charge of Designated In-Home Long-Term Care Support" in this paragraph) to report, submit, or present record books and documents, appear, or direct its personnel to question the relevant person and to enter the Business Office of the provider of said Person, etc., in Charge of Designated In-Home Long-Term Care Support pertaining to said payment in order to inspect said books, documents, and other items.
市町村長は、特例居宅介護サービス計画費の支給に関して必要があると認めるときは、当該支給に係る居宅介護支援若しくはこれに相当するサービスを担当する者若しくは担当した者（以下この項において「居宅介護支援等を担当する者等」という。）に対し、報告若しくは帳簿書類の提出若しくは提示を命じ、若しくは出頭を求め、又は当該職員に関係者に対して質問させ、若しくは当該居宅介護支援等を担当する者等の当該支給に係る事業所に立ち入り、その帳簿書類その他の物件を検査させることができる。
The 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.
Read this with the articles around it
(Presentation of Record Books and Documents)
In a case of asking questions pursuant to the provisions of the preceding two paragraphs, said personnel must carry identification and present the same if required by the relevant person to be…
前二項の規定による質問を行う場合においては、当該職員は、その身分を示す証明書を携帯し、かつ、関係人の請求があるときは、これを提示しなければならない。
Open this provision(Presentation of Record Books and Documents)
The authority granted pursuant to the provisions of paragraphs (1) and (2) may not be construed as an approval of a criminal investigation.
第一項及び第二項の規定による権限は、犯罪捜査のために認められたものと解釈してはならない。
Open this provision(Payment of an Allowance for In-Home Long-Term Care Service Plan)
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…
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。
Open this provision(Payment of an Exceptional Allowance for In-Home Long-Term Care Service Plan)
when the Municipality determines it necessary in a case when an Insured In-Home Person Requiring Long-Term Care receives In-Home Long-Term Care Support other than Designated In-Home Long-Term Care…
居宅要介護被保険者が、指定居宅介護支援以外の居宅介護支援又はこれに相当するサービス（指定居宅介護支援の事業に係る第八十一条第一項の市町村の条例で定める員数及び同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のうち、当該市町村の条例で定めるものを満たすと認められる事業を行う事業所により行われるものに限る。次…
Open this provision(Payment of an Exceptional Allowance for In-Home Long-Term Care Service Plan)
when the Municipality determines it necessary in a case when an Insured In-Home Person Requiring Long-Term Care who is domiciled on an isolated island or other area where it is significantly…
指定居宅介護支援及び基準該当居宅介護支援の確保が著しく困難である離島その他の地域であって厚生労働大臣が定める基準に該当するものに住所を有する居宅要介護被保険者が、指定居宅介護支援及び基準該当居宅介護支援以外の居宅介護支援又はこれに相当するサービスを受けた場合において、必要があると認めるとき。
Open this provision(Payment of an Exceptional Allowance for In-Home Long-Term Care Service Plan)
A Municipality, in establishing the Municipal Ordinance set forth in item (i) of the preceding paragraph, is to establish the following matters in accordance with the standards determined by Order of…
市町村が前項第一号の条例を定めるに当たっては、次に掲げる事項については厚生労働省令で定める基準に従い定めるものとし、その他の事項については厚生労働省令で定める基準を参酌するものとする。
Open this provision(Payment of an Exceptional Allowance for In-Home Long-Term Care Service Plan)
A Municipality, when it determines the necessity for payment of an Exceptional Allowance for In-Home Long-Term Care Service Plan, may order a person that has been in charge of the Designated In-Home…
市町村長は、特例居宅介護サービス計画費の支給に関して必要があると認めるときは、当該支給に係る居宅介護支援若しくはこれに相当するサービスを担当する者若しくは担当した者（以下この項において「居宅介護支援等を担当する者等」という。）に対し、報告若しくは帳簿書類の提出若しくは提示を命じ、若しくは出頭を求め…
Open this provisionA Designated In-Home Long-Term Care Support Provider must employ the number of Long-Term Care Support Specialists as determined by Municipal Ordinance for each Business Office pertaining to said…
指定居宅介護支援事業者は、当該指定に係る事業所ごとに、市町村の条例で定める員数の介護支援専門員を有しなければならない。
Open this provisionIn addition to the provisions in the preceding paragraph, standards concerning Management of a Designated In-Home Long-Term Care Support Business are prescribed by Municipal Ordinance.
前項に規定するもののほか、指定居宅介護支援の事業の運営に関する基準は、市町村の条例で定める。
Open this provisionPerson Requiring Long-Term Care
「要介護者」
A person in a condition of need for long-term care (要介護状態) who is aged 65 or over, or aged 40 to 64 where the physical or mental disability causing it arose from a specified disease (特定疾病), an illness set by Cabinet Order (政令) that is caused by the physical and mental changes that come with ageing.
Defined inArticle 7, paragraph (3)· applies throughout the law
In-Home Long-Term Care Supportmachine translation
「居宅介護支援」
Support given, at the request of a person requiring long-term care living at home (居宅要介護者), so that they can make proper use of designated in-home services (指定居宅サービス), designated community-based services (指定地域密着型サービス) and other health, medical or welfare services needed for daily life at home: drawing up an in-home service plan (居宅サービス計画), liaising with designated providers and others so that the services in it are provided, and, where the person needs to enter a facility, referring them to a community-based welfare facility for the elderly (地域密着型介護老人福祉施設) or a long-term care insurance facility (介護保険施設).
Defined inArticle 8, paragraph (24)· applies throughout the law
Municipality
「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)
Insured In-Home Person Requiring Long-Term Care
「居宅要介護被保険者」
An insured person certified as needing long-term care (要介護被保険者) who receives that care at home.
Short name set inArticle 41, 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)
In-Home Long-Term Care Support Applicable to Standardsmachine translation
「基準該当居宅介護支援」
In Article 47, in-home long-term care support (居宅介護支援), or an equivalent service, other than designated support, given by a place of business found to meet those of the staffing numbers and operating standards for designated in-home long-term care support that the municipal ordinance (市町村の条例) names.
Short name set inArticle 47, paragraph (1), item (i)· applies only in this provision and in Article 47, paragraph (1), item (ii); and Article 47, paragraph (2)
Person, etc., in Charge of In-Home Long-Term Care Support, etc.machine translation
「居宅介護支援等を担当する者等」
In Article 47, paragraph (4), a person who provides or provided the in-home long-term care support (居宅介護支援), or a service equivalent to it, for which a special allowance for an in-home service plan (特例居宅介護サービス計画費) is paid.
Short name set inArticle 47, paragraph (4)· applies only in this paragraph
Prefectural or Municipal Ordinance
条例
A rule a local government makes for itself: a prefecture (都道府県), a city, town or village (市町村), or one of Tokyo's special wards (特別区) (Local Autonomy Act, Articles 1-3, 281 and 283). Its assembly (議会), whose members the residents elect, passes it (Articles 89 and 96, paragraph (1), item (i)), and its head — the governor or the mayor (Article 139) — promulgates it, that is, makes it public so that it can take effect (Article 16). The Constitution lets local governments make them within the limits of Acts (Constitution, Article 94), and one may not go against the national laws and regulations (法令), such as Acts, Cabinet Orders (政令) and Ministerial Orders (省令) (Local Autonomy Act, Article 14, paragraph (1)). Unless national laws and regulations provide otherwise, a local government can impose a duty or restrict a right only by one of these (Article 14, paragraph (2)), and it may write into one penalties for breaking it, within limits the Local Autonomy Act sets (Article 14, paragraph (3)). It is made for that local government's own affairs (Article 2, paragraph (2) and Article 14, paragraph (1)), so the same matter can be handled differently from one place to the next. It is a local rule, not a national one: an "ordinance" in the name of a national rule, such as an Ordinance for Enforcement of an Act, is usually a Ministerial Order (省令) or another national instrument.
Written by AI using Constitution, Art. 94 and Local Autonomy Act, Arts. 1-3, 2, 14, 16, 89, 96, 139, 281, 283 as a reference.