Article 8

①The term "In-Home Service" as used in this Act means Home-Visit Long-Term Care, Home-Visit Bathing Long-Term Care, Home-Visit Nursing, Home-Visit Rehabilitation, Guidance for Management of In-Home Medical Long-Term Care, Outpatient Day Long-Term Care, Outpatient Rehabilitation, Short-Term Admission for Daily Life Long-Term Care, Short-Term Admission for Recuperation, Daily Life Long-Term Care Admitted to a Specified Facility, Rental Service of Equipment for Long-Term Care Covered by Public Aid, and Sale of Specified Equipment Covered by Public Aid. The term "In-Home Service Business" as used in this Act means business performing In-Home Service.

②The term "Home-Visit Long-Term Care" as used in this Act means care for bathing, bodily waste elimination, meals, etc., and other care for performing daily activities as determined by Order of the Ministry of Health, Labour and Welfare (excluding that which falls under Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing (limited to that listed in paragraph (15), item (ii)) or Home-Visit at Night for Long-Term Care) that is provided by a certified care worker or other person specified by Cabinet Order, at the home of a Person Requiring Long-Term Care who receives care at his or her home (including a residence room in a moderate-fee home for the elderly prescribed in Article 20-6 of the Act on Social Welfare for the Elderly (Act No. 133 of 1963), a Fee-Based Home for the Elderly prescribed in Article 29, paragraph (1) of that Act (hereinafter referred to as a "Fee-Based Home for the Elderly"), and any other facility specified by Order of the Ministry of Health, Labour and Welfare; the same applies hereinafter) (hereinafter referred to as an "In-Home Person Requiring Long-Term Care").

③The term "Home-Visit Bathing Long-Term Care" as used in this Act means care service that provides bathing service and a bathtub to a Person Requiring Long-Term Care by visiting his or her home.

④The term "Home-Visit Nursing" as used in this Act means medical care or assistance for necessary medical care provided to a Person Requiring Long-Term Care at his or her home (limited to those who are considered by an attending physician to be a person in the degree of need of medical treatment that conforms to standards as determined by Order of the Ministry of Health, Labour, and Welfare) by a nurse or other person as determined by Order of the Ministry of Health, Labour, and Welfare.

⑤The term "Home-Visit Rehabilitation" as used in this Act means physical therapy, occupational therapy, and other necessary rehabilitation that is provided to an In-Home Person Requiring Long-Term Care at his or her home (limited to those who are considered by an attending physician to be a person in the degree of need of medical treatment that conforms to standards as determined by Order of the Ministry of Health, Labour, and Welfare) in order to maintain and recover mental or physical functions and to assist with independently performing daily activities.

⑥The term "Guidance for Management of In-Home Medical Long-Term Care" as used in this Act means management and instructions for medical care and as determined by Order of the Ministry of Health, Labour, and Welfare. Said management and instructions are provided to an In-Home Person Requiring Long-Term Care by a physician, dentist, pharmacist or other personnel as determined by Order of the Ministry of Health, Labour, and Welfare that are associated with a hospital, clinic, or pharmacy (herein referred to as "Hospital, etc.")

⑦The term "Outpatient Day Long-Term Care" as used in this Act means providing, for an In-Home Person Requiring Long-Term Care, by having said person commute to a facility specified by Order of the Ministry of Health, Labour and Welfare as set forth in Article 5-2, paragraph (3) of the Act on Social Welfare for the Elderly or a Day Service Center for the Elderly prescribed in Article 20-2-2 of that Act, at said facility, care for bathing, bodily waste elimination, meals, etc., and other care for performing daily activities as determined by Order of the Ministry of Health, Labour and Welfare, and functional training (limited to cases where the maximum number of users is a number specified by Order of the Ministry of Health, Labour and Welfare or more, and excluding that which falls under outpatient long-term care for a Dementia patient).

⑧The term "Outpatient Rehabilitation" as used in this Act means physical therapy, occupational therapy, and other necessary rehabilitation that is provided to an In-Home Person Requiring Long-Term Care (limited to those who are considered by an attending physician to be a person in the degree of need of medical treatment that conforms to standards as determined by Order of the Ministry of Health, Labour and Welfare) by having said person commute to a Long-Term Care Health Facility, an integrated facility for medical and long-term care, a hospital, a clinic, or other facility as determined by Order of the Ministry of Health, Labour and Welfare, and at said facility, in order to maintain and recover mental or physical functions and to assist with independently performing daily activities.

⑨The term "Short-Term Admission for Daily Life Long-Term Care" as used in this Act means to provide care for bathing, bodily waste elimination, meals, etc., and other care for performing daily activities and to provide functional training for an In-Home Person Requiring Long-Term Care by having said person Short-Term Admission at a facility as determined by Order of the Ministry of Health, Labour, and Welfare as set forth in Article 5-2, paragraph (4) of the Act on Social Welfare for the Elderly or at a Short-Term Admission Facility for the Elderly as provided in Article 20-3 of the same Act.

⑩The term "Short-Term Admission for Recuperation" as used in this Act means admitting an In-Home Person Requiring Long-Term Care (limited to those specified by Order of the Ministry of Health, Labour and Welfare with regard to the degree of need for medical treatment) for a short period to a Long-Term Care Health Facility, an integrated facility for medical and long-term care, or other facility as determined by Order of the Ministry of Health, Labour and Welfare, and providing at said facility nursing, long-term care and functional training under medical management, and other necessary medical care, as well as care for performing daily activities.

⑪The term "Specified Facility" as used in this Act means a Fee-Based Home for the Elderly or other facility as determined by Order of the Ministry of Health, Labour and Welfare that is not a Community-Based Specified Facility prescribed in paragraph (21), and the term "daily life long-term care for a person admitted to a Specified Facility" means care for bathing, bodily waste elimination, meals, etc., and other care for performing daily activities as determined by Order of the Ministry of Health, Labour and Welfare, functional training, and medical care, that is provided to a Person Requiring Long-Term Care who resides in a Specified Facility, based on a plan that sets out the content of the services provided by said Specified Facility, the personnel in charge of them, and other matters as determined by Order of the Ministry of Health, Labour and Welfare.

⑫The term "Rental Service of Equipment for Long-Term Care Covered by Public Aid" as used in this Act means the rental, undertaken pursuant to provisions of a Cabinet Order, to an In-Home Person Requiring Long-Term Care, of those types of Equipment Covered by Public Aid (meaning equipment for the convenience of performing daily activities by a Person Requiring Long-Term Care, etc., whose physical or mental functions have declined and who has problems with performing daily activities, and equipment for functional training of a Person Requiring Long-Term Care, etc., that assists such a person in independently performing daily activities; the same applies in the following paragraph and in paragraphs (10) and (11) of the following Article) as determined by the Minister of Health, Labour and Welfare.

⑬The term "Sale of Specified Equipment Covered by Public Aid" as used in this Act means the sale, undertaken pursuant to provisions of a Cabinet Order, of equipment covered by public aid among equipment provided for use in bathing or bodily waste elimination and other items provided by the Minister of Health, Labour, and Welfare (herein referred to as "Specified Equipment Covered by Public Aid") to an In-Home Person Requiring Long-Term Care.

⑭The term "Community-Based Service" as used in this Act means Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, Home-Visit at Night for Long-Term Care, Community-Based Outpatient Day Long-Term Care, outpatient long-term care for a Dementia patient, Multifunctional Long-Term Care in a Small Group Home, Communal Daily Long-Term Care for a Dementia Patient, Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care, and combined service; the term "Specified Community-Based Service" means Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, Home-Visit at Night for Long-Term Care, Community-Based Outpatient Day Long-Term Care, outpatient long-term care for a Dementia patient, Multifunctional Long-Term Care in a Small Group Home, and combined service; and the term "Community-Based Service Business" means a business that provides Community-Based Service.

⑮The term "Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing" as used in this Act means any of the following:

⑯The term "Home-Visit at Night for Long-Term Care" as used in this Act means care for bathing, bodily waste elimination, meals, etc., and other care for performing daily activities as determined by Order of the Ministry of Health, Labour and Welfare (excluding that which falls under Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing) that is provided to an In-Home Person Requiring Long-Term Care at night, through periodic patrol visits or upon receiving a call at any time, at his or her home by a certified care worker or other person specified by Cabinet Order as set forth in paragraph (2).

⑰The term "Community-Based Outpatient Day Long-Term Care" as used in this Act means providing, for an In-Home Person Requiring Long-Term Care, by having said person commute to a facility specified by Order of the Ministry of Health, Labour and Welfare as set forth in Article 5-2, paragraph (3) of the Act on Social Welfare for the Elderly or a Day Service Center for the Elderly prescribed in Article 20-2-2 of that Act, at said facility, care for bathing, bodily waste elimination, meals, etc., and other care for performing daily activities as determined by Order of the Ministry of Health, Labour and Welfare, and functional training (limited to cases where the maximum number of users is less than the number specified by Order of the Ministry of Health, Labour and Welfare as set forth in paragraph (7), and excluding that which falls under outpatient long-term care for a Dementia patient).

⑱The term "outpatient long-term care for a Dementia patient" as used in this Act means providing, for an In-Home Person Requiring Long-Term Care who has Dementia, by having said person commute to a facility specified by Order of the Ministry of Health, Labour and Welfare as set forth in Article 5-2, paragraph (3) of the Act on Social Welfare for the Elderly or a Day Service Center for the Elderly prescribed in Article 20-2-2 of that Act, at said facility, care for bathing, bodily waste elimination, meals, etc., and other care for performing daily activities as determined by Order of the Ministry of Health, Labour and Welfare, and functional training.

⑲The term "Multifunctional Long-Term Care in a Small Group Home" as used in this Act means to provide care for bathing, bodily waste elimination, meals, etc., and for other daily activities as determined by Order of the Ministry of Health, Labour, and Welfare, and functional training to an In-Home Person Requiring Long-Term Care at his or her home, or said bases of services as determined by Order of the Ministry of Health, Labour, and Welfare by having the person commute daily to a location or stay for short-term at said bases, according to the person's mental and physical condition, surroundings, etc., and based on his or her preference.

⑳The term "Communal Daily Long-Term Care for a Dementia Patient" as used in this Act means to provide care for bathing, bodily waste elimination, meals, etc., and for other daily activities, and functional training for a Person Requiring Long-Term Care who is suffering from Dementia (except for a person with the cause of Dementia being an acute disease), at a residence where the person lives communally.

（二十一）The term "Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility" as used in this Act means to provide care for bathing, bodily waste elimination, meals, etc., and for other daily activities as determined by Order of the Ministry of Health, Labour, and Welfare, functional training and medical care based on a plan that stipulates the content of services to be provided by said Community-Based Specified Facility, the personnel in charge of the services, and other items as determined by Order of the Ministry of Health, Labour, and Welfare. This service is provided to a Person Requiring Long-Term Care who is staying in a Fee-Based Home for the Elderly and other facilities as determined by Order of the Ministry of Health, Labour, and Welfare as set forth in paragraph (11) of this Article and for which the capacity of the fixed number of said residents is twenty-nine (29) or less (hereinafter referred to as "Community-Based Specified Facility"), among facilities for which residents are limited to a Person Requiring Long-Term Care, said person's spouse, and other personnel as determined by Order of the Ministry of Health, Labour, and Welfare (herein referred to as a "Specialized Long-Term Care Specified Facility").

（二十二）The term "Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care" as used in this Act means an Intensive Care Home for the Elderly prescribed in Article 20-5 of the Act on Social Welfare for the Elderly (limited to a facility for which the capacity of residents is twenty-nine (29) or less; the same applies hereinafter in this paragraph) that aims to provide care for bathing, bodily waste elimination, meals, etc., and other care for performing daily activities, functional training, health management, and medical care to a Person Requiring Long-Term Care who is staying in said Intensive Care Home for the Elderly (limited to a person in a condition falling under a Category of Condition of Need for Long-Term Care specified by Order of the Ministry of Health, Labour and Welfare and other persons specified by Order of the Ministry of Health, Labour and Welfare as having difficulty in performing daily activities at home; the same applies hereinafter in this paragraph and paragraph (27)) based on a Community-Based Facility Service Plan (meaning a plan that sets out the content of services provided by a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care to a Person Requiring Long-Term Care who is staying in said facility, the personnel in charge of said services, and other matters as determined by Order of the Ministry of Health, Labour and Welfare; the same applies hereinafter in this paragraph), and the term "Daily Life Long-Term Care for a Person Admitted to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care" means care for bathing, bodily waste elimination, meals, etc., and other care for performing daily activities, functional training, health management, and medical care that is provided to a Person Requiring Long-Term Care who is staying in a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care, based on a Community-Based Facility Service Plan.

（二十三）The term "combined service" as used in this Act means, among services provided by combining two or more of Home-Visit Long-Term Care, Home-Visit Bathing Long-Term Care, Home-Visit Nursing, Home-Visit Rehabilitation, Guidance for Management of In-Home Medical Long-Term Care, Outpatient Day Long-Term Care, Outpatient Rehabilitation, Short-Term Admission for Daily Life Long-Term Care, Short-Term Admission for Recuperation, Periodic Patrol and On-Demand Home-Visit Long-Term Care and Nursing, Home-Visit at Night for Long-Term Care, Community-Based Outpatient Day Long-Term Care, outpatient long-term care for a Dementia patient, or Multifunctional Long-Term Care in a Small Group Home for an In-Home Person Requiring Long-Term Care, the following:

（二十四）The term "In-Home Long-Term Care Support" as used in this Act means, in order for an In-Home Person Requiring Long-Term Care to be able to make appropriate use, etc., of Designated In-Home Service prescribed in Article 41, paragraph (1), In-Home Service pertaining to Exceptional Allowance for In-Home Long-Term Care Service or equivalent services, Designated Community-Based Service prescribed in Article 42-2, paragraph (1), Community-Based Service pertaining to Exceptional Allowance for Community-Based Long-Term Care Service or equivalent services, and other health and medical services or welfare services necessary for performing daily activities at home (hereinafter referred to as "Designated In-Home Service, etc." in this paragraph), to prepare, at the request of said In-Home Person Requiring Long-Term Care and in consideration of his or her mental and physical condition, the environment in which he or she is placed, and the preferences, etc., of said In-Home Person Requiring Long-Term Care and his or her family, a plan (hereinafter referred to as an "In-Home Service Plan" in this paragraph, Article 115-45, paragraph (2), item (iii) and the Appended Table) that sets out the types and content of the Designated In-Home Service, etc. to be used, the personnel in charge of them, and other matters as determined by Order of the Ministry of Health, Labour and Welfare, and also to provide liaison and coordination with Designated In-Home Service Providers prescribed in Article 41, paragraph (1), Designated Community-Based Service Providers prescribed in Article 42-2, paragraph (1) and other persons, and to provide other conveniences, so as to ensure the provision of Designated In-Home Service, etc. based on said In-Home Service Plan, and, in the case where said In-Home Person Requiring Long-Term Care requires admission to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care or a Facility Covered by Long-Term Care Insurance, to provide referral to a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care or a Facility Covered by Long-Term Care Insurance and other conveniences, and the term "In-Home Long-Term Care Support Business" means a business that provides In-Home Long-Term Care Support.

（二十五）The term "Facility Covered by Long-Term Care Insurance" as used in this Act means a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly prescribed in Article 48, paragraph (1), item (i), a Long-Term Care Health Facility, and an integrated facility for medical and long-term care.

（二十六）The term "Facility Service" as used in this Act means Facility Service for Long-Term Care Covered by Public Aid, Long-Term Care Health Facility Service, and service at an integrated facility for medical and long-term care, and the term "Facility Service Plan" means a plan for a Person Requiring Long-Term Care who is staying at a Facility Covered by Public Aid Providing Long-Term Care to the Elderly, a Long-Term Care Health Facility, or an integrated facility for medical and long-term care, that sets out the content of services provided by said facilities, the personnel in charge of said services, and other matters as determined by Order of the Ministry of Health, Labour and Welfare.

（二十八）The term "Long-Term Care Health Facility" as used in this Act means a facility which has obtained permission from the prefectural governor as set forth in Article 94, paragraph (1) as a facility with the purpose of providing, based on a Facility Service Plan, nursing, long-term care and functional training under medical management, and other necessary medical care, as well as care for performing daily activities, to a Person Requiring Long-Term Care who requires support primarily to maintain and recover mental or physical functions and to enable him or her to live at home (limited to those specified by Order of the Ministry of Health, Labour and Welfare with regard to the degree of need for medical treatment; hereinafter simply referred to as "Person Requiring Long-Term Care" in this paragraph), and the term "Long-Term Care Health Facility Service" means nursing, long-term care and functional training under medical management, and other necessary medical care, as well as care for performing daily activities, that are provided to a Person Requiring Long-Term Care who is staying in a Long-Term Care Health Facility, based on a Facility Service Plan.

（二十九）The term "integrated facility for medical and long-term care" as used in this Act means a facility which has obtained permission from the prefectural governor as set forth in Article 107, paragraph (1) as a facility with the purpose of providing, based on a Facility Service Plan, medical care management, nursing, long-term care and functional training under medical management, and other necessary medical care, as well as care for performing daily activities, to a Person Requiring Long-Term Care who primarily requires medical care over a long period (limited to those specified by Order of the Ministry of Health, Labour and Welfare with regard to the degree of need for medical treatment; hereinafter simply referred to as "Person Requiring Long-Term Care" in this paragraph), and the term "service at an integrated facility for medical and long-term care" means medical care management, nursing, long-term care and functional training under medical management, and other necessary medical care, as well as care for performing daily activities, that are provided to a Person Requiring Long-Term Care who is staying in an integrated facility for medical and long-term care, based on a Facility Service Plan.