Article 54Payment of an Exceptional Allowance for Preventive Service of Long-Term Care
第五十四条（特例介護予防サービス費の支給）
A Municipality, in the following cases, pays an Exceptional Allowance for Preventive Service of Long-Term Care to an Insured In-Home Person Requiring Support:
when a Municipality determines it necessary in a case when an Insured Person Requiring Support receives Designated Preventive Service of Long-Term Care prior to the date said Certification of Needed Support becomes effective due to an emergency or other compelling reason;
居宅要支援被保険者が、当該要支援認定の効力が生じた日前に、緊急その他やむを得ない理由により指定介護予防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 a Municipality determines it necessary in a case when an Insured In-Home Person Requiring Support receives Preventive Long-Term Care Service other than Designated Preventive Long-Term Care Service or equivalent service (limited to those provided by a Business Office conducting a business that is found to satisfy the standards specified by Prefectural Ordinance as set forth in Article 115-4, paragraph (1) pertaining to the business of Designated Preventive Long-Term Care Service, the number of employees specified by Prefectural Ordinance as set forth in the same paragraph, and, among the standards concerning effective methods of support for Prevention of Long-Term Care pertaining to Designated Preventive Long-Term Care Service and the standards concerning facilities and management of the business of Designated Preventive Long-Term Care Service prescribed in paragraph (2) of the same Article, those specified by Prefectural Ordinance; herein referred to as "Preventive Long-Term Care Service Applicable to Standards" in the following item and the following paragraph);
居宅要支援被保険者が、指定介護予防サービス以外の介護予防サービス又はこれに相当するサービス（指定介護予防サービスの事業に係る第百十五条の四第一項の都道府県の条例で定める基準及び同項の都道府県の条例で定める員数並びに同条第二項に規定する指定介護予防サービスに係る介護予防のための効果的な支援の方法に関する基準及び指定介護予防サービスの事業の設備及び運営に関する基準のうち、都道府県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。次号及び次項において「基準該当介護予防サービス」という。）を受けた場合において、必要があると認めるとき。
when a Municipality determines it necessary in a case when an Insured In-Home Person Requiring Support who is domiciled on an isolated island or other location where it is significantly difficult to secure Designated Preventive Service of Long-Term Care and Preventive Long-Term Care Service Applicable to Standards and is in a location that is subject to standards as determined by the Minister of Health, Labour, and Welfare receives Preventive Service of Long-Term Care other than Designated Preventive Service of Long-Term Care and Preventive Long-Term Care Service Applicable to Standards or equivalent services;
指定介護予防サービス及び基準該当介護予防サービス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支援被保険者が、指定介護予防サービス及び基準該当介護予防サービス以外の介護予防サービス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 prefecture, in establishing the Prefectural Ordinance set forth in item (ii) of the preceding paragraph, is to establish the matters listed in items (i) through (iii) in accordance with the standards specified by Order of the Ministry of Health, Labour and Welfare, is to establish the matters listed in item (iv) using the standards specified by Order of the Ministry of Health, Labour and Welfare as the standard, and is to take into consideration the standards specified by Order of the Ministry of Health, Labour and Welfare for other matters.
都道府県が前項第二号の条例を定めるに当たっては、第一号から第三号まで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、第四号に掲げる事項については厚生労働省令で定める基準を標準として定めるものとし、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。
standards pertaining to employees engaging in Preventive Long-Term Care Service Applicable to Standards and the number of such employees;
基準該当介護予防サービスに従事する従業者に係る基準及び当該従業者の員数
the floor area of residence rooms pertaining to the business of Preventive Long-Term Care Service Applicable to Standards;
基準該当介護予防サービスの事業に係る居室の床面積
matters concerning the operation of the business of Preventive Long-Term Care Service Applicable to Standards that are closely related to ensuring the appropriate use of services, appropriate treatment and safety of Persons Requiring Support who use them, and maintaining confidentiality, etc., and that are specified by Order of the Ministry of Health, Labour and Welfare;
基準該当介護予防サービスの事業の運営に関する事項であって、利用する要支援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 number of maximum users pertaining to the business of Preventive Long-Term Care Service Applicable to Standards;
基準該当介護予防サービスの事業に係る利用定員
The amount of Exceptional Allowance for Preventive Long-Term Care Service is to be determined by a Municipality based on the amount equivalent to 90 percent of the amount of expenses calculated based on standards provided by the Minister of Health, Labour and Welfare as set forth in each item of paragraph (2) of the preceding Article pertaining to said Preventive Long-Term Care Service or equivalent service (when the calculated amount exceeds the actual expenses required for said Preventive Long-Term Care Service or equivalent service (except for the expenses required to purchase Specified Equipment for Preventive Long-Term Care Covered by Public Aid and excluding the expenses necessary to provide meals, residence, and other expenses as determined by Order of the Ministry of Health, Labour and Welfare as necessary for daily life with regard to the expenses required for Outpatient Rehabilitation for Preventive Long-Term Care, Short-Term Admission for Daily Preventive Long-Term Care, Short-Term Admission for Recuperation for Preventive Long-Term Care and Daily Preventive Long-Term Care Admitted to a Specified Facility, and services equivalent to these), said calculated amount is to be the actual expenses required for said Preventive Long-Term Care Service or equivalent service).
特例介護予防サービス費の額は、当該介護予防サービス又はこれに相当するサービスについて前条第二項各号の厚生労働大臣が定める基準により算定した費用の額（その額が現に当該介護予防サービス又はこれに相当するサービスに要した費用（特定介護予防福祉用具の購入に要した費用を除き、介護予防通所リハビリテーション、介護予防短期入所生活介護、介護予防短期入所療養介護及び介護予防特定施設入居者生活介護並びにこれらに相当するサービスに要した費用については、食事の提供に要する費用、滞在に要する費用その他の日常生活に要する費用として厚生労働省令で定める費用を除く。）の額を超えるときは、当該現に介護予防サービス又はこれに相当するサービスに要した費用の額とする。）の百分の九十に相当する額を基準として、市町村が定める。
The mayor of a Municipality, when he or she determines the necessity of payment of an Exceptional Allowance for Preventive Service of Long-Term Care, may order a person that has been in charge of the Preventive Service of Long-Term Care pertaining to said payment or equivalent service (herein referred to as "Person, etc., in Charge of Providing Preventive Long-Term Care Service" in this paragraph) to report, submit, or present record books and documents, appear, or direct personnel to question the relevant Person or enter the Business Office of the provider of said Person, etc., in Charge of said Preventive Service of Long-Term Care pertaining to said payment in order to inspect said equipment, record books and documents, and other items.
市町村長は、特例介護予防サービス費の支給に関して必要があると認めるときは、当該支給に係る介護予防サービス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「介護予防サービス等を担当する者等」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、若しくは当該介護予防サービス等を担当する者等の当該支給に係る事業所に立ち入り、その設備若しくは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.
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