# 介護保険法 / Long-Term Care Insurance Act — 第五十四条の三 (Article 54-3) - 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: 第五十四条の三 (Article 54-3)（特例地域密着型介護予防サービス費の支給） — address `art-54-3` - 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-54-3 - Permanent URL (e-Gov law ID, never renamed): https://japanlaw.org/l/409AC0000000123/art-54-3 - 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. --- ### 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） — (Payment of an Exceptional Allowance for Community-Based Preventive Service of Long-Term Care) caption: Ministry of Justice translation — Japanese Law Translation Database System art-54-3 · https://japanlaw.org/ja/long-term-care-insurance-act/art-54-3 · https://japanlaw.org/l/409AC0000000123/art-54-3 **第一項** 市町村は、次に掲げる場合には、居宅要支援被保険者に対し、特例地域密着型介護予防サービス費を支給する。 art-54-3/par-1 · https://japanlaw.org/ja/long-term-care-insurance-act/art-54-3/par-1 · https://japanlaw.org/l/409AC0000000123/art-54-3/par-1 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: Ministry of Justice translation — Japanese Law Translation Database System **一** 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。 art-54-3/par-1/item-1 · https://japanlaw.org/ja/long-term-care-insurance-act/art-54-3/par-1/item-1 · https://japanlaw.org/l/409AC0000000123/art-54-3/par-1/item-1 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; Ministry of Justice translation — Japanese Law Translation Database System **二** 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。 art-54-3/par-1/item-2 · https://japanlaw.org/ja/long-term-care-insurance-act/art-54-3/par-1/item-2 · https://japanlaw.org/l/409AC0000000123/art-54-3/par-1/item-2 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; Ministry of Justice translation with a slip corrected by this site — not the Ministry's text; the Ministry printed: "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 an 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;" — https://www.japaneselawtranslation.go.jp/en/laws/view/3807/tb **三** その他政令で定めるとき。 art-54-3/par-1/item-3 · https://japanlaw.org/ja/long-term-care-insurance-act/art-54-3/par-1/item-3 · https://japanlaw.org/l/409AC0000000123/art-54-3/par-1/item-3 when provided by a Cabinet Order. Ministry of Justice translation — Japanese Law Translation Database System **第二項** 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。 art-54-3/par-2 · https://japanlaw.org/ja/long-term-care-insurance-act/art-54-3/par-2 · https://japanlaw.org/l/409AC0000000123/art-54-3/par-2 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. machine translation, not official **第三項** 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。 art-54-3/par-3 · https://japanlaw.org/ja/long-term-care-insurance-act/art-54-3/par-3 · https://japanlaw.org/l/409AC0000000123/art-54-3/par-3 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. Ministry of Justice translation — Japanese Law Translation Database System **第四項** 第二十四条第三項の規定は前項の規定による質問又は検査について、同条第四項の規定は前項の規定による権限について準用する。 art-54-3/par-4 · https://japanlaw.org/ja/long-term-care-insurance-act/art-54-3/par-4 · https://japanlaw.org/l/409AC0000000123/art-54-3/par-4 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. Ministry of Justice translation — Japanese Law Translation Database System --- ## Cites - art-54-3/par-2: 前条第二項 → 介護保険法 第五十四条の二第二項 (Article 54-2, paragraph (2)), art-54-2/par-2 — https://japanlaw.org/ja/long-term-care-insurance-act/art-54-2/par-2 · https://japanlaw.org/l/409AC0000000123/art-54-2/par-2 - art-54-3/par-2: 同条第四項 → 介護保険法 第五十四条の二第四項 (Article 54-2, paragraph (4)), art-54-2/par-4 — https://japanlaw.org/ja/long-term-care-insurance-act/art-54-2/par-4 · https://japanlaw.org/l/409AC0000000123/art-54-2/par-4 - art-54-3/par-2: 同条第一項 → 介護保険法 第五十四条の二第一項 (Article 54-2, paragraph (1)), art-54-2/par-1 — https://japanlaw.org/ja/long-term-care-insurance-act/art-54-2/par-1 · https://japanlaw.org/l/409AC0000000123/art-54-2/par-1 - art-54-3/par-3: この項 → 介護保険法 第五十四条の三第三項 (Article 54-3, paragraph (3)), art-54-3/par-3 — https://japanlaw.org/ja/long-term-care-insurance-act/art-54-3/par-3 · https://japanlaw.org/l/409AC0000000123/art-54-3/par-3 - art-54-3/par-4: 第二十四条第三項 → 介護保険法 第二十四条第三項 (Article 24, paragraph (3)), art-24/par-3 — https://japanlaw.org/ja/long-term-care-insurance-act/art-24/par-3 · https://japanlaw.org/l/409AC0000000123/art-24/par-3 - art-54-3/par-4: 前項 → 介護保険法 第五十四条の三第三項 (Article 54-3, paragraph (3)), art-54-3/par-3 — https://japanlaw.org/ja/long-term-care-insurance-act/art-54-3/par-3 · https://japanlaw.org/l/409AC0000000123/art-54-3/par-3 - art-54-3/par-4: 同条第四項 → 介護保険法 第二十四条第四項 (Article 24, paragraph (4)), art-24/par-4 — https://japanlaw.org/ja/long-term-care-insurance-act/art-24/par-4 · https://japanlaw.org/l/409AC0000000123/art-24/par-4 ## Cited by 6 provisions cite this one. No official source publishes this direction. - 介護保険法 第五十四条の三第三項（特例地域密着型介護予防サービス費の支給） — https://japanlaw.org/ja/long-term-care-insurance-act/art-54-3/par-3 · https://japanlaw.org/l/409AC0000000123/art-54-3/par-3 - 介護保険法 第五十四条の三第四項（特例地域密着型介護予防サービス費の支給） — https://japanlaw.org/ja/long-term-care-insurance-act/art-54-3/par-4 · https://japanlaw.org/l/409AC0000000123/art-54-3/par-4 - 介護保険法 第五十五条第六項（介護予防サービス費等に係る支給限度額） — https://japanlaw.org/ja/long-term-care-insurance-act/art-55/par-6 · https://japanlaw.org/l/409AC0000000123/art-55/par-6 - 介護保険法 第五十九条の二第一項第四号（一定以上の所得を有する居宅要支援被保険者に係る介護予防サービス費等の額） — https://japanlaw.org/ja/long-term-care-insurance-act/art-59-2/par-1/item-4 · https://japanlaw.org/l/409AC0000000123/art-59-2/par-1/item-4 - 介護保険法 第六十九条第三項第十号（保険料を徴収する権利が消滅した場合の保険給付の特例） — https://japanlaw.org/ja/long-term-care-insurance-act/art-69/par-3/item-10 · https://japanlaw.org/l/409AC0000000123/art-69/par-3/item-10 - 介護保険法 第二百九条第一項第一号 — https://japanlaw.org/ja/long-term-care-insurance-act/art-209/par-1/item-1 · https://japanlaw.org/l/409AC0000000123/art-209/par-1/item-1 --- ## Sources - claude-opus-5-5 — Corrections to the Ministry of Justice's English of paragraphs, written 2026-10-19 - 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 - Japanese Law Translation Database System, Ministry of Justice (法務省) — Long-Term Care Insurance Act (介護保険法), Article 54-3, paragraph (1), item (ii) — the Ministry of Justice's English as printed (https://www.japaneselawtranslation.go.jp/en/laws/view/3807/tb), retrieved 2026-10-18 - claude-sonnet-5-5, corrected on review by claude-opus-5-5 — Machine translation corrected on review, batch long-term-care-insurance-act-20261018T203319-005, 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