# 介護保険法 / Long-Term Care Insurance Act — 第四十六条 (Article 46)

- Law: 介護保険法 (Long-Term Care Insurance Act), 平成九年法律第百二十三号
- English title "Long-Term Care Insurance Act": Ministry of Justice translation
- Kind: Act — the distinction between 法律 (Act), 政令 (Cabinet Order), 省令 (Ministerial Order) and 条例 (local ordinance) decides who may issue it and what it may say.
- Provision: 第四十六条 (Article 46)（居宅介護サービス計画費の支給） — address `art-46`
- Text in force since: 2026-10-01
- URL (the page that opens at this provision): https://japanlaw.org/ja/long-term-care-insurance-act/art-46
- Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/409AC0000000123/art-46
- Every provision below carries its address and both URLs on the line under it.
- Japanese text: e-Gov 法令検索, Digital Agency (デジタル庁). English: as marked on each line below.

Only the Japanese as published by the government has legal effect; the text
below is a copy of it. Every English rendering below is a translation and
says which kind: the Ministry of Justice's translation, or this
site's machine translation, whose model and date the Sources list names.
They are never merged and never substituted for one another.

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### 第四十六条（居宅介護サービス計画費の支給） — (Payment of an Allowance for In-Home Long-Term Care Service Plan)
<sup>caption: Ministry of Justice translation — Japanese Law Translation Database System</sup>
<sup>art-46 · https://japanlaw.org/ja/long-term-care-insurance-act/art-46 · https://japanlaw.org/l/409AC0000000123/art-46</sup>

  **第一項**  市町村は、居宅要介護被保険者が、当該市町村の長又は他の市町村の長が指定する者（以下「指定居宅介護支援事業者」という。）から当該指定に係る居宅介護支援事業を行う事業所により行われる居宅介護支援（以下「指定居宅介護支援」という。）を受けたときは、当該居宅要介護被保険者に対し、当該指定居宅介護支援に要した費用について、居宅介護サービス計画費を支給する。
  <sup>art-46/par-1 · https://japanlaw.org/ja/long-term-care-insurance-act/art-46/par-1 · https://japanlaw.org/l/409AC0000000123/art-46/par-1</sup>
  A Municipality, when an Insured In-Home Person Requiring Long-Term Care has received, from a person designated by the mayor of said Municipality or the mayor of another Municipality (hereinafter referred to as a "Designated In-Home Long-Term Care Support Provider"), In-Home Long-Term Care Support provided by a Business Office conducting the In-Home Long-Term Care Support Business pertaining to said designation (hereinafter referred to as "Designated In-Home Long-Term Care Support"), pays to said Insured In-Home Person Requiring Long-Term Care an Allowance for In-Home Long-Term Care Service Plan for the expenses required for said Designated In-Home Long-Term Care Support.
  <sup>machine translation, not official</sup>

  **第二項**  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。
  <sup>art-46/par-2 · https://japanlaw.org/ja/long-term-care-insurance-act/art-46/par-2 · https://japanlaw.org/l/409AC0000000123/art-46/par-2</sup>
  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, and Welfare after considering the average expenses necessary for the Designated In-Home Long-Term Care Support, calculated after considering the area, etc., where the provider that performs the Designated In-Home Long-Term Care Support Business is located (in a case when said calculated amount exceeds the actual expenses necessary for the Designated In-Home Long-Term Care Support, the amount of Allowance for In-Home Long-Term Care Service Plan is to be the actual expenses necessary for said Designated In-Home Long-Term Care Support.)
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **第三項**  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。
  <sup>art-46/par-3 · https://japanlaw.org/ja/long-term-care-insurance-act/art-46/par-3 · https://japanlaw.org/l/409AC0000000123/art-46/par-3</sup>
  The Minister of Health, Labour, and Welfare, when intending to specify standards as prescribed in the preceding paragraph, must hear the opinions of the Social Security Council in advance.
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **第四項**  居宅要介護被保険者が指定居宅介護支援事業者から指定居宅介護支援を受けたとき（当該居宅要介護被保険者が、厚生労働省令で定めるところにより、当該指定居宅介護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、当該居宅要介護被保険者が当該指定居宅介護支援事業者に支払うべき当該指定居宅介護支援に要した費用について、居宅介護サービス計画費として当該居宅要介護被保険者に対し支給すべき額の限度において、当該居宅要介護被保険者に代わり、当該指定居宅介護支援事業者に支払うことができる。
  <sup>art-46/par-4 · https://japanlaw.org/ja/long-term-care-insurance-act/art-46/par-4 · https://japanlaw.org/l/409AC0000000123/art-46/par-4</sup>
  When an Insured In-Home Person Requiring Long-Term Care receives Designated In-Home Long-Term Care Support from a Designated In-Home Long-Term Care Support Provider (limited to a case when said Insured In-Home Person Requiring Long-Term Care has notified the Municipality in advance to receive said Designated In-Home Long-Term Care Support pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare), the Municipality may pay to said Designated In-Home Long-Term Care Support Provider on behalf of said Insured In-Home Person Requiring Long-Term Care the expenses required for said Designated In-Home Long-Term Care Support that said Insured In-Home Person Requiring Long-Term Care should pay to said Designated In-Home Long-Term Care Support Provider.
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **第五項**  前項の規定による支払があったときは、居宅要介護被保険者に対し居宅介護サービス計画費の支給があったものとみなす。
  <sup>art-46/par-5 · https://japanlaw.org/ja/long-term-care-insurance-act/art-46/par-5 · https://japanlaw.org/l/409AC0000000123/art-46/par-5</sup>
  When the payment pursuant to the provisions of the preceding paragraph is paid, it is to be deemed that an Allowance for In-Home Long-Term Care Service Plan is paid to the Insured In-Home Person Requiring Long-Term Care.
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **第六項**  市町村は、指定居宅介護支援事業者から居宅介護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及び第八十一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（指定居宅介護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。
  <sup>art-46/par-6 · https://japanlaw.org/ja/long-term-care-insurance-act/art-46/par-6 · https://japanlaw.org/l/409AC0000000123/art-46/par-6</sup>
  A Municipality, when requested to pay an Allowance for In-Home Long-Term Care Service Plan by a Designated In-Home Long-Term Care Support Provider, conducts an examination according to standards provided by the Minister of Health, Labour, and Welfare as set forth in the paragraph (2) and the standards of business management of a Designated In-Home Long-Term Care Support Provider as prescribed in Article 81, paragraph (2) (limited to the part regarding the handling of Designated In-Home Long-Term Care Support).
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **第七項**  第四十一条第二項、第三項、第十項及び第十一項の規定は、居宅介護サービス計画費の支給について、同条第八項の規定は、指定居宅介護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。
  <sup>art-46/par-7 · https://japanlaw.org/ja/long-term-care-insurance-act/art-46/par-7 · https://japanlaw.org/l/409AC0000000123/art-46/par-7</sup>
  The provisions of Article 41, paragraph (2), paragraph (3), paragraph (10) and paragraph (11) apply mutatis mutandis to the payment of an Allowance for In-Home Long-Term Care Service Plan and the provisions of paragraph (8) of the same Article apply mutatis mutandis to the Designated In-Home Long-Term Care Support Provider. In this case, the necessary technical replacement of terms in these provisions is specified by a Cabinet Order.
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

  **第八項**  前各項に規定するもののほか、居宅介護サービス計画費の支給及び指定居宅介護支援事業者の居宅介護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。
  <sup>art-46/par-8 · https://japanlaw.org/ja/long-term-care-insurance-act/art-46/par-8 · https://japanlaw.org/l/409AC0000000123/art-46/par-8</sup>
  In addition to the provisions of each preceding paragraph, other necessary matters for the payment of Allowance for In-Home Long-Term Care Service Plan and for requesting an Allowance for In-Home Long-Term Care Service Plan from a Designated In-Home Long-Term Care Support Provider are prescribed by Order of the Ministry of Health, Labour, and Welfare.
  <sup>Ministry of Justice translation — Japanese Law Translation Database System</sup>

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## Cites
- art-46/par-3: 前項 → 介護保険法 第四十六条第二項 (Article 46, paragraph (2)), art-46/par-2 — https://japanlaw.org/ja/long-term-care-insurance-act/art-46/par-2 · https://japanlaw.org/l/409AC0000000123/art-46/par-2
- art-46/par-5: 前項 → 介護保険法 第四十六条第四項 (Article 46, paragraph (4)), art-46/par-4 — https://japanlaw.org/ja/long-term-care-insurance-act/art-46/par-4 · https://japanlaw.org/l/409AC0000000123/art-46/par-4
- art-46/par-6: 第二項 → 介護保険法 第四十六条第二項 (Article 46, paragraph (2)), art-46/par-2 — https://japanlaw.org/ja/long-term-care-insurance-act/art-46/par-2 · https://japanlaw.org/l/409AC0000000123/art-46/par-2
- art-46/par-6: 第八十一条第二項 → 介護保険法 第八十一条第二項 (Article 81, paragraph (2)), art-81/par-2 — https://japanlaw.org/ja/long-term-care-insurance-act/art-81/par-2 · https://japanlaw.org/l/409AC0000000123/art-81/par-2
- art-46/par-7: 第四十一条第二項 → 介護保険法 第四十一条第二項 (Article 41, paragraph (2)), art-41/par-2 — https://japanlaw.org/ja/long-term-care-insurance-act/art-41/par-2 · https://japanlaw.org/l/409AC0000000123/art-41/par-2
- art-46/par-7: 第三項 → 介護保険法 第四十一条第三項 (Article 41, paragraph (3)), art-41/par-3 — https://japanlaw.org/ja/long-term-care-insurance-act/art-41/par-3 · https://japanlaw.org/l/409AC0000000123/art-41/par-3
- art-46/par-7: 第十項 → 介護保険法 第四十一条第十項 (Article 41, paragraph (10)), art-41/par-10 — https://japanlaw.org/ja/long-term-care-insurance-act/art-41/par-10 · https://japanlaw.org/l/409AC0000000123/art-41/par-10
- art-46/par-7: 第十一項 → 介護保険法 第四十一条第十一項 (Article 41, paragraph (11)), art-41/par-11 — https://japanlaw.org/ja/long-term-care-insurance-act/art-41/par-11 · https://japanlaw.org/l/409AC0000000123/art-41/par-11
- art-46/par-7: 同条第八項 → 介護保険法 第四十一条第八項 (Article 41, paragraph (8)), art-41/par-8 — https://japanlaw.org/ja/long-term-care-insurance-act/art-41/par-8 · https://japanlaw.org/l/409AC0000000123/art-41/par-8
- art-46/par-8: 前各項 → 介護保険法 第四十六条第一項 (Article 46, paragraph (1)), art-46/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-46/par-1 · https://japanlaw.org/l/409AC0000000123/art-46/par-1
- art-46/par-8: 前各項 → 介護保険法 第四十六条第二項 (Article 46, paragraph (2)), art-46/par-2 — https://japanlaw.org/ja/long-term-care-insurance-act/art-46/par-2 · https://japanlaw.org/l/409AC0000000123/art-46/par-2
- art-46/par-8: 前各項 → 介護保険法 第四十六条第三項 (Article 46, paragraph (3)), art-46/par-3 — https://japanlaw.org/ja/long-term-care-insurance-act/art-46/par-3 · https://japanlaw.org/l/409AC0000000123/art-46/par-3
- art-46/par-8: 前各項 → 介護保険法 第四十六条第四項 (Article 46, paragraph (4)), art-46/par-4 — https://japanlaw.org/ja/long-term-care-insurance-act/art-46/par-4 · https://japanlaw.org/l/409AC0000000123/art-46/par-4
- art-46/par-8: 前各項 → 介護保険法 第四十六条第五項 (Article 46, paragraph (5)), art-46/par-5 — https://japanlaw.org/ja/long-term-care-insurance-act/art-46/par-5 · https://japanlaw.org/l/409AC0000000123/art-46/par-5
- art-46/par-8: 前各項 → 介護保険法 第四十六条第六項 (Article 46, paragraph (6)), art-46/par-6 — https://japanlaw.org/ja/long-term-care-insurance-act/art-46/par-6 · https://japanlaw.org/l/409AC0000000123/art-46/par-6
- art-46/par-8: 前各項 → 介護保険法 第四十六条第七項 (Article 46, paragraph (7)), art-46/par-7 — https://japanlaw.org/ja/long-term-care-insurance-act/art-46/par-7 · https://japanlaw.org/l/409AC0000000123/art-46/par-7

## Cited by

33 provisions cite this one. No official source publishes this direction.

- 介護保険法 第八条の二第十六項 — https://japanlaw.org/ja/long-term-care-insurance-act/art-8-2/par-16 · https://japanlaw.org/l/409AC0000000123/art-8-2/par-16
- 介護保険法 第二十二条第三項（不正利得の徴収等） — https://japanlaw.org/ja/long-term-care-insurance-act/art-22/par-3 · https://japanlaw.org/l/409AC0000000123/art-22/par-3
- 介護保険法 第二十七条第一項（要介護認定） — https://japanlaw.org/ja/long-term-care-insurance-act/art-27/par-1 · https://japanlaw.org/l/409AC0000000123/art-27/par-1
- 介護保険法 第二十八条第五項（要介護認定の更新） — https://japanlaw.org/ja/long-term-care-insurance-act/art-28/par-5 · https://japanlaw.org/l/409AC0000000123/art-28/par-5
- 介護保険法 第三十二条第一項（要支援認定） — https://japanlaw.org/ja/long-term-care-insurance-act/art-32/par-1 · https://japanlaw.org/l/409AC0000000123/art-32/par-1
- 介護保険法 第四十一条第六項（居宅介護サービス費の支給） — https://japanlaw.org/ja/long-term-care-insurance-act/art-41/par-6 · https://japanlaw.org/l/409AC0000000123/art-41/par-6
- 介護保険法 第四十二条の二第六項（地域密着型介護サービス費の支給） — https://japanlaw.org/ja/long-term-care-insurance-act/art-42-2/par-6 · https://japanlaw.org/l/409AC0000000123/art-42-2/par-6
- 介護保険法 第四十六条第三項（居宅介護サービス計画費の支給） — https://japanlaw.org/ja/long-term-care-insurance-act/art-46/par-3 · https://japanlaw.org/l/409AC0000000123/art-46/par-3
- 介護保険法 第四十六条第五項（居宅介護サービス計画費の支給） — https://japanlaw.org/ja/long-term-care-insurance-act/art-46/par-5 · https://japanlaw.org/l/409AC0000000123/art-46/par-5
- 介護保険法 第四十六条第六項（居宅介護サービス計画費の支給） — https://japanlaw.org/ja/long-term-care-insurance-act/art-46/par-6 · https://japanlaw.org/l/409AC0000000123/art-46/par-6
- 介護保険法 第四十六条第八項（居宅介護サービス計画費の支給） — https://japanlaw.org/ja/long-term-care-insurance-act/art-46/par-8 · https://japanlaw.org/l/409AC0000000123/art-46/par-8
- 介護保険法 第四十七条第三項（特例居宅介護サービス計画費の支給） — https://japanlaw.org/ja/long-term-care-insurance-act/art-47/par-3 · https://japanlaw.org/l/409AC0000000123/art-47/par-3
- 介護保険法 第六十六条第一項（保険料滞納者に係る支払方法の変更） — https://japanlaw.org/ja/long-term-care-insurance-act/art-66/par-1 · https://japanlaw.org/l/409AC0000000123/art-66/par-1
- 介護保険法 第六十六条第四項（保険料滞納者に係る支払方法の変更） — https://japanlaw.org/ja/long-term-care-insurance-act/art-66/par-4 · https://japanlaw.org/l/409AC0000000123/art-66/par-4
- 介護保険法 第六十八条第一項（医療保険各法の規定による保険料等に未納がある者に対する保険給付の一時差止） — https://japanlaw.org/ja/long-term-care-insurance-act/art-68/par-1 · https://japanlaw.org/l/409AC0000000123/art-68/par-1
- 介護保険法 第七十九条第一項（指定居宅介護支援事業者の指定） — https://japanlaw.org/ja/long-term-care-insurance-act/art-79/par-1 · https://japanlaw.org/l/409AC0000000123/art-79/par-1
- 介護保険法 第七十九条第二項（指定居宅介護支援事業者の指定） — https://japanlaw.org/ja/long-term-care-insurance-act/art-79/par-2 · https://japanlaw.org/l/409AC0000000123/art-79/par-2
- 介護保険法 第七十九条の二第一項（指定の更新） — https://japanlaw.org/ja/long-term-care-insurance-act/art-79-2/par-1 · https://japanlaw.org/l/409AC0000000123/art-79-2/par-1
- 介護保険法 第八十三条の二第五項（勧告、命令等） — https://japanlaw.org/ja/long-term-care-insurance-act/art-83-2/par-5 · https://japanlaw.org/l/409AC0000000123/art-83-2/par-5
- 介護保険法 第八十四条第一項（指定の取消し等） — https://japanlaw.org/ja/long-term-care-insurance-act/art-84/par-1 · https://japanlaw.org/l/409AC0000000123/art-84/par-1
- 介護保険法 第八十四条第一項第九号（指定の取消し等） — https://japanlaw.org/ja/long-term-care-insurance-act/art-84/par-1/item-9 · https://japanlaw.org/l/409AC0000000123/art-84/par-1/item-9
- 介護保険法 第八十四条第二項（指定の取消し等） — https://japanlaw.org/ja/long-term-care-insurance-act/art-84/par-2 · https://japanlaw.org/l/409AC0000000123/art-84/par-2
- 介護保険法 第八十五条第一項第一号（公示） — https://japanlaw.org/ja/long-term-care-insurance-act/art-85/par-1/item-1 · https://japanlaw.org/l/409AC0000000123/art-85/par-1/item-1
- 介護保険法 第八十五条第一項第三号（公示） — https://japanlaw.org/ja/long-term-care-insurance-act/art-85/par-1/item-3 · https://japanlaw.org/l/409AC0000000123/art-85/par-1/item-3
- 介護保険法 第百七十六条第一項第一号（連合会の業務） — https://japanlaw.org/ja/long-term-care-insurance-act/art-176/par-1/item-1 · https://japanlaw.org/l/409AC0000000123/art-176/par-1/item-1
- 介護保険法 第百七十九条第一項（給付費等審査委員会） — https://japanlaw.org/ja/long-term-care-insurance-act/art-179/par-1 · https://japanlaw.org/l/409AC0000000123/art-179/par-1
- 介護保険法 第二百三条第二項（資料の提供等） — https://japanlaw.org/ja/long-term-care-insurance-act/art-203/par-2 · https://japanlaw.org/l/409AC0000000123/art-203/par-2
- 介護保険法 第二百五条第一項 — https://japanlaw.org/ja/long-term-care-insurance-act/art-205/par-1 · https://japanlaw.org/l/409AC0000000123/art-205/par-1
- 介護保険法 附則第十条第一項 — https://japanlaw.org/ja/long-term-care-insurance-act/suppl-4171-77/art-10/par-1 · https://japanlaw.org/l/409AC0000000123/suppl-4171-77/art-10/par-1
- 介護保険法 附則第三条第一項（不正利得の徴収等に関する経過措置） — https://japanlaw.org/ja/long-term-care-insurance-act/suppl-4201-42/art-3/par-1 · https://japanlaw.org/l/409AC0000000123/suppl-4201-42/art-3/par-1
- 介護保険法 附則第十五条第一項（介護保険法の一部改正に伴う経過措置） — https://japanlaw.org/ja/long-term-care-insurance-act/suppl-5051-31/art-15/par-1 · https://japanlaw.org/l/409AC0000000123/suppl-5051-31/art-15/par-1
- 生活保護法 第十五条の二第六項（介護扶助） — https://japanlaw.org/ja/public-assistance-act/art-15-2/par-6 · https://japanlaw.org/l/325AC0000000144/art-15-2/par-6
- 生活保護法 別表第二 — https://japanlaw.org/ja/public-assistance-act/appdx-2 · https://japanlaw.org/l/325AC0000000144/appdx-2

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## Sources

- e-Gov 法令検索, Digital Agency (デジタル庁) — 介護保険法 — the text in force from 2026-10-01 (https://laws.e-gov.go.jp/law/409AC0000000123/20261001_507AC0000000087), retrieved 2026-10-18
- Japanese Law Translation Database System, Ministry of Justice (法務省) — Long-Term Care Insurance Act — Ministry of Justice translation (https://www.japaneselawtranslation.go.jp/en/laws/view/3807/tb), retrieved 2026-10-18
- claude-sonnet-5-5 — Machine translation, batch long-term-care-insurance-act-20261018T212610-003, translated 2026-10-19
- This site's parser, version 209 — 介護保険法 — structure, counts, cross-references and defined terms, computed 2026-10-18
