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Article 58Payment of an Allowance for Preventive Long-Term Care Service Plan

第五十八条(介護予防サービス計画費の支給)

A Municipality, when an Insured In-Home Person Requiring Support receives from a person designated by the mayor of said Municipality (or, for Preventive Long-Term Care Support for an Insured In-Home Person Requiring Support to Whom the Domicile Exception Applies, the Municipality Where the Facility Is Located) (herein referred to as "Designated Preventive Long-Term Care Support Provider") the Preventive Long-Term Care Support provided by a provider that performs the Preventive Long-Term Care Support Business pertaining to said designation (herein referred to as "Designated Preventive Long-Term Care Support"), pays to said Insured In-Home Person Requiring Support an Allowance for Preventive Long-Term Care Service Plan for the expenses required for said Designated Preventive Long-Term Care Support.

市町村は、居宅要支援被保険者が、当該市町村(住所地特例適用居宅要支援被保険者に係る介護予防支援にあっては、施設所在市町村)の長が指定する者(以下「指定介護予防支援事業者」という。)から当該指定に係る介護予防支援事業を行う事業所により行われる介護予防支援(以下「指定介護予防支援」という。)を受けたときは、当該居宅要支援被保険者に対し、当該指定介護予防支援に要した費用について、介護予防サービス計画費を支給する。

The amount of the Allowance for Preventive 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 Designated Support for Prevention of Long-Term Care that is calculated after considering the area, etc., where a provider that performs the Designated Support for Prevention of Long-Term Care Business is located (in a case when said calculated amount exceeds the actual expenses necessary for said Designated Support for Prevention of Long-Term Care, the allowance are to be the actual expenses necessary for said Designated Support for Prevention of Long-Term Care).

介護予防サービス計画費の額は、指定介護予防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当該指定介護予防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介護予防支援に要した費用の額を超えるときは、当該現に指定介護予防支援に要した費用の額とする。)とする。

The Minister of Health, Labour, and Welfare, when it intends to provide standards as prescribed in the items of the preceding paragraph, must hear 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 Support receives Designated Support for Prevention of Long-Term Care from a Designated Provider of Preventive Support of Long-Term Care (limited to a case when said Insured In-Home Person Requiring Support has notified in advance the Municipality pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare of receipt of said Designated Support for Prevention of Long-Term Care), a Municipality may pay the expenses required for said Designated Support for Prevention of Long-Term Care that said Insured In-Home Person Requiring Support should pay to said Designated Provider of Support for Prevention of Long-Term Care, to said Designated Provider of Preventive Support of Long-Term Care on behalf of said Insured In-Home Person Requiring Support within the limit of the amount to be paid to said Insured In-Home Person Requiring Support as an Allowance for Preventive Long-Term Care Service Plan.

居宅要支援被保険者が指定介護予防支援事業者から指定介護予防支援を受けたとき(当該居宅要支援被保険者が、厚生労働省令で定めるところにより、当該指定介護予防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、当該居宅要支援被保険者が当該指定介護予防支援事業者に支払うべき当該指定介護予防支援に要した費用について、介護予防サービス計画費として当該居宅要支援被保険者に対し支給すべき額の限度において、当該居宅要支援被保険者に代わり、当該指定介護予防支援事業者に支払うことができる。

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

前項の規定による支払があったときは、居宅要支援被保険者に対し介護予防サービス計画費の支給があったものとみなす。

A Municipality, when a Designated Preventive Long-Term Care Support Provider requests an Allowance for Preventive Long-Term Care Service Plan, is to pay said allowance after conducting an examination according to standards determined by the Minister of Health, Labour and Welfare as set forth in paragraph (2), standards concerning effective support methods for Prevention of Long-Term Care pertaining to Designated Preventive Long-Term Care Support as prescribed in Article 115-24, paragraph (2), and standards concerning the management of the business of Designated Preventive Long-Term Care Support (limited to the part concerning the handling of Designated Preventive Long-Term Care Support).

市町村は、指定介護予防支援事業者から介護予防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並びに第百十五条の二十四第二項に規定する指定介護予防支援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支援の事業の運営に関する基準(指定介護予防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 Preventive Long-Term Care Service Plan and the provisions of paragraph (8) of the same Article apply mutatis mutandis to a Designated Provider of Preventive Support of Long-Term Care. In this case, the necessary technical replacement of terms in these provisions is provided 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介護予防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介護予防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 those provisions as prescribed in each of the preceding paragraphs, other necessary matters payment of an Allowance for Preventive Long-Term Care Service Plan and the request of an Allowance for Preventive Long-Term Care Service Plan by a Designated Provider of Preventive Support of Long-Term Care are to be as determined by Order of the Ministry of Health, Labour, and Welfare.

前各項に規定するもののほか、介護予防サービス計画費の支給及び指定介護予防支援事業者の介護予防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。

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