Article 54-3Payment of an Exceptional Allowance for Community-Based Preventive Service of Long-Term Care
第五十四条の三（特例地域密着型介護予防サービス費の支給）
A Municipality, in the following cases, pay an Exceptional Allowance for Community-Based 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 Community-Based 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地域密着型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 that is domiciled on an isolated island or other location where it is significantly difficult to secure Designated Community-Based Preventive Service of Long-Term Care and where it is defined by standards provided by the Minister of Health, Labour, and Welfare, receives Community-Based Preventive Service of Long-Term Care other than Designated Community-Based Preventive Service of Long-Term Care or equivalent services;
指定地域密着型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、指定地域密着型介護予防サービス以外の地域密着型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。
The amount of an Exceptional Allowance for Community-Based Preventive Long-Term Care Service is to be provided by a Municipality based on the amount equivalent to 90 percent of the amount of expenses calculated, with regard to said Community-Based Service for Preventive Long-Term Care or equivalent service, 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 (when said calculated amount exceeds the amount of actual expenses required for said Community-Based Service for Preventive Long-Term Care or equivalent service (excluding the expenses necessary to provide meals and other necessary expenses as determined by Order of the Ministry of Health, Labour and Welfare as necessary for daily life), the allowance is to be the actual amount of expenses required for said Community-Based Service for Preventive Long-Term Care or equivalent service), or based on the amount provided by a Municipality (or, for the amount of an Exceptional Allowance for Community-Based Preventive Long-Term Care Service (limited to that pertaining to a Specified Community-Based Service for Preventive Long-Term Care) for an Insured In-Home Person Requiring Support to Whom the Domicile Exception Applies who has received a Designated Community-Based Service for Preventive Long-Term Care from a Designated Provider of Community-Based Service for Preventive Long-Term Care designated by the mayor of the Municipality Where the Facility Is Located under the main clause of paragraph (1) of the same Article, or another person determined by Order of the Ministry of Health, Labour and Welfare, the Municipality Where the Facility Is Located) pursuant to the provisions of paragraph (4) of the same Article.
特例地域密着型介護予防サービス費の額は、当該地域密着型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（その額が現に当該地域密着型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（食事の提供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、当該現に地域密着型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又は同条第四項の規定により市町村（施設所在市町村の長が同条第一項本文の指定をした指定地域密着型介護予防サービス事業者から指定地域密着型介護予防サービスを受けた住所地特例適用居宅要支援被保険者その他の厚生労働省令で定める者に係る特例地域密着型介護予防サービス費（特定地域密着型介護予防サービスに係るものに限る。）の額にあっては、施設所在市町村）が定めた額を基準として、市町村が定める。
The mayor of a Municipality, when he or she determines the necessary for payment of an Exceptional Allowance for Community-Based Preventive Service of Long-Term Care, may order a person that has been in charge of the Community-Based Preventive Service of Long-Term Care pertaining to said payment or equivalent service (hereinafter referred to as "Person, etc., in Charge of Community-Based Preventive Long-Term Care, 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 said Community-Based 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、特例地域密着型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、当該支給に係る地域密着型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「地域密着型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、若しくは当該地域密着型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 and inspections pursuant to the provisions of the preceding paragraph, and the provisions of paragraph (4) of the same Article apply mutatis mutandis to the authority granted pursuant to the provisions of 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 Community-Based Preventive Long-Term Care Service)
A Municipality, when an Insured In-Home Person Requiring Support receives from a person designated by the mayor of said Municipality…
市町村は、居宅要支援被保険者が、当該市町村（住所地特例適用被保険者である居宅要支援被保険者（以下「住所地特例適用居宅要支援被保険者」という。）に係る特定地域密着型介護予防サービスにあっては、施設所在市町村を含む。）の長が指定する者（以下「指定地域密着型介護予防サービス事業者」という。）から当該指定に係る地域密着型介護…
Open this provision(Payment of an Allowance for Community-Based Preventive Long-Term Care Service)
The amount of Allowance for Community-Based Preventive Long-Term Care Service is to be according to the categories of Community-Based Service for Preventive Long-Term Care listed in the following…
地域密着型介護予防サービス費の額は、次の各号に掲げる地域密着型介護予防サービスの区分に応じ、当該各号に定める額とする。
Open this provision(Payment of an Allowance for Community-Based Preventive Long-Term Care Service)
A Municipality may, notwithstanding the provisions of each item of paragraph (2), set the amount determined by said Municipality…
市町村は、第二項各号の規定にかかわらず、地域密着型介護予防サービスの種類その他の事情を勘案して厚生労働大臣が定める基準により算定した額を限度として、同項各号に定める地域密着型介護予防サービス費の額に代えて…
Open this provision(Payment of an Exceptional Allowance for Community-Based Preventive Service of Long-Term Care)
The mayor of a Municipality, when he or she determines the necessary for payment of an Exceptional Allowance for Community-Based Preventive Service of Long-Term Care…
市町村長は、特例地域密着型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、当該支給に係る地域密着型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「地域密着型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…
Open this provisionCommunity-Based Service for Preventive Long-Term Caremachine translation
「地域密着型介護予防サービス」
Preventive outpatient care for people with dementia (介護予防認知症対応型通所介護), multifunctional preventive care in a small group home (介護予防小規模多機能型居宅介護) and preventive communal living care for people with dementia (介護予防認知症対応型共同生活介護).
Defined inArticle 8-2, paragraph (12)· applies throughout the law
Specified Community-Based Service for Preventive Long-Term Caremachine translation
「特定地域密着型介護予防サービス」
Preventive day long-term care for persons with dementia (介護予防認知症対応型通所介護) and preventive multifunctional long-term care in a small group home (介護予防小規模多機能型居宅介護): the community-based preventive long-term care services other than preventive communal daily long-term care for persons with dementia (介護予防認知症対応型共同生活介護).
Defined inArticle 8-2, paragraph (12)
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)
Municipality Where the Facility Is Locatedmachine translation
「施設所在市町村」
The municipality where a facility subject to the domicile exception (住所地特例対象施設) is located, in which an insured person covered by the domicile exception (住所地特例適用被保険者) — insured by another municipality under Article 13 — is staying; the facility must cooperate with it and with the municipality insuring that person.
Short name set inArticle 13, paragraph (3)
Certification of Needed Support
「要支援認定」
A municipality's certification that an insured person who wants prevention benefits (予防給付) is a person requiring support (要支援者), and of the category of need for support (要支援状態区分) the person falls in (Article 19, paragraph (2)).
Short name set inArticle 19, paragraph (2)
Insured In-Home Person Requiring Supportmachine translation
「居宅要支援被保険者」
An insured person certified as needing support (要支援認定) who receives that support at home.
Short name set inArticle 53, paragraph (1)
Insured In-Home Person Requiring Support to Whom the Domicile Exception Appliesmachine translation
「住所地特例適用居宅要支援被保険者」
An insured person needing in-home support (居宅要支援被保険者) who is an insured person to whom the domicile exception applies (住所地特例適用被保険者).
Short name set inArticle 54-2, 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)
Person, etc., in Charge of Community-Based Preventive Long-Term Care, etc.machine translation
「地域密着型介護予防サービス等を担当する者等」
In Article 54-3, paragraph (3), a person who provides or provided the community-based preventive service (地域密着型介護予防サービス), or an equivalent service, for which an exceptional community-based preventive long-term care service allowance (特例地域密着型介護予防サービス費) is paid.
Short name set inArticle 54-3, paragraph (3)· applies only in this paragraph