第十八条この法律による保険給付は、次に掲げる保険給付とする。

Article 18Insurance benefits provided by this Act shall be the following insurance benefits:

第十九条介護給付を受けようとする被保険者は、要介護者に該当すること及びその該当する要介護状態区分について、市町村の認定（以下「要介護認定」という。）を受けなければならない。

Article 19(1)An Insured Person that intends to receive a Long-Term Care Benefit must obtain certification by a Municipality pertaining to the fact that said Insured Person qualifies as a Person Requiring Long-Term Care and as to the Category of Condition of Need for Long-Term Care for which said Insured Person qualifies (herein referred to as "Certification of Needed Long-Term Care").

２予防給付を受けようとする被保険者は、要支援者に該当すること及びその該当する要支援状態区分について、市町村の認定（以下「要支援認定」という。）を受けなければならない。

(2)An Insured Person that intends to receive a Prevention Benefit must obtain certification by a Municipality pertaining to the fact that said Insured Person qualifies as a Person Requiring Support and as to the Category of Needed Support Condition for which said Insured Person qualifies (herein referred to as "Certification of Needed Support").

第二十条介護給付又は予防給付（以下「介護給付等」という。）は、当該要介護状態又は要支援状態（以下「要介護状態等」という。）につき、労働者災害補償保険法（昭和二十二年法律第五十号）の規定による療養補償給付若しくは療養給付その他の法令に基づく給付であって政令で定めるもののうち介護給付等に相当するものを受けることができるときは政令で定める限度において、又は当該政令で定める給付以外の給付であって国若しくは地方公共団体の負担において介護給付等に相当するものが行われたときはその限度において、行わない。

Article 20A Long-Term Care Benefit or Prevention Benefit (herein referred to as "Long-Term Care Benefit, etc.") with regard to said Condition of Need for Long-Term Care or Needed Support Condition (herein referred to as "Condition of Need for Long-Term Care, etc.") may not be provided within the limit provided by a Cabinet Order when a benefit equivalent to a Long-Term Care Benefit, etc., can be received from among benefits that is a medical compensation benefit pursuant to the provisions of the Worker Accident Compensation Insurance Act (Act No. 50 of 1947), a medical benefit, or other benefits based on laws and regulations and provided by a Cabinet Order, or within said limit when benefits other than those provided by said a Cabinet Order and those benefits equivalent to a Long-Term Care Benefit, etc., are granted under the covered expenses of a plan of the national government or a local government.

第二十一条市町村は、給付事由が第三者の行為によって生じた場合において、保険給付を行ったときは、その給付の価額の限度において、被保険者が第三者に対して有する損害賠償の請求権を取得する。

Article 21(1)When the basis for benefit claim is caused by the act of a third party and a Municipality provides insurance benefits, the Municipality obtains the right to claim compensation for the damages which an Insured Person holds against the third party within the limit of the amount of said benefit.

２前項に規定する場合において、保険給付を受けるべき者が第三者から同一の事由について損害賠償を受けたときは、市町村は、その価額の限度において、保険給付を行う責めを免れる。

(2)In a case as prescribed in the preceding paragraph, when a person to be granted an insurance benefit receives compensation for damages for the same reason from a third party, a Municipality is not responsible for payment of said insurance benefit within the limit of the compensation amount.

３市町村は、第一項の規定により取得した請求権に係る損害賠償金の徴収又は収納の事務を国民健康保険法第四十五条第五項に規定する国民健康保険団体連合会（以下「連合会」という。）であって厚生労働省令で定めるものに委託することができる。

(3)A Municipality may entrust affairs of the collection or receipt of compensation for damages pertaining to the claim of right obtained pursuant to the provisions of paragraph (1) of this Article to the Federation of National Health Insurance Associations as prescribed in Article 45, paragraph (5) of the National Health Insurance Act (herein referred to as "Association") as determined by Order of the Ministry of Health, Labour, and Welfare.

第二十二条偽りその他不正の行為によって保険給付を受けた者があるときは、市町村は、その者からその給付の価額の全部又は一部を徴収することができる。

Article 22(1)In a case when a person receives an insurance benefit by deception or other wrongful act, a Municipality may collect in whole or a portion of said benefit amount from said person.

２前項に規定する場合において、訪問看護、訪問リハビリテーション、通所リハビリテーション若しくは短期入所療養介護又は介護予防訪問看護、介護予防訪問リハビリテーション、介護予防通所リハビリテーション若しくは介護予防短期入所療養介護についてその治療の必要の程度につき診断する医師その他居宅サービス若しくはこれに相当するサービス、施設サービス又は介護予防サービス若しくはこれに相当するサービスに従事する医師又は歯科医師が、市町村に提出されるべき診断書に虚偽の記載をしたため、その保険給付が行われたものであるときは、市町村は、当該医師又は歯科医師に対し、保険給付を受けた者に連帯して同項の徴収金を納付すべきことを命ずることができる。

(2)In a case as prescribed in the preceding paragraph, with regard to Home-Visit Nursing, Home-Visit Rehabilitation, Outpatient Rehabilitation, Short-Term Admission for Recuperation, Home-Visit Nursing Service for Preventive Long-Term Care, Home-Visit Rehabilitation Service for Preventive Long-Term Care, Outpatient Rehabilitation for Preventive Long-Term Care, Short-Term Admission for Recuperation for Preventive Long-Term Care, when an insurance benefit for said services is granted because a physician who diagnoses the degree of necessity of said treatment or another physician or dentist who engages in In-Home Long-Term Care or equivalent services, Facility Service, Preventive Long-Term Care Service or equivalent services, has made a false entry on the medical certification which is to be submitted to a Municipality, the Municipality may order said physician or dentist to pay the levy as prescribed by the above paragraph jointly and severally with the person that received the insurance benefit.

３市町村は、第四十一条第一項に規定する指定居宅サービス事業者、第四十二条の二第一項に規定する指定地域密着型サービス事業者、第四十六条第一項に規定する指定居宅介護支援事業者、介護保険施設、第五十三条第一項に規定する指定介護予防サービス事業者、第五十四条の二第一項に規定する指定地域密着型介護予防サービス事業者又は第五十八条第一項に規定する指定介護予防支援事業者（以下この項において「指定居宅サービス事業者等」という。）が、偽りその他不正の行為により第四十一条第六項、第四十二条の二第六項、第四十六条第四項、第四十八条第四項、第五十一条の二第四項、第五十三条第四項、第五十四条の二第六項、第五十八条第四項又は第六十一条の二第四項の規定による支払を受けたときは、当該指定居宅サービス事業者等に対し、その支払った額につき返還させるほか、その返還させる額に百分の四十を乗じて得た額を支払わせることができる。

(3)When a Designated In-Home Service Provider as prescribed in Article 41, paragraph (1) of this Act; a Designated Community-Based Service Provider as prescribed in Article 42-2, paragraph (1); a Designated In-Home Long-Term Care Support Provider as prescribed in Article 46, paragraph (1); a Facility Covered by Long-Term Care Insurance; a Designated Provider of a Preventive Service to Long-Term Care as prescribed in Article 53, paragraph (1); a Designated Provider of Community-Based Preventive Service of Long-Term Care as prescribed in Article 54-2, paragraph (1); or a Designated Provider of Support for Prevention of Long-Term Care as prescribed in Article 58, paragraph (1) (hereinafter collectively referred to as "Designated In-Home Service Provider, etc." in this paragraph) receives a payment pursuant to the provisions of Article 41, paragraph (6), Article 42-2, paragraph (6), Article 46, paragraph (4), Article 48, paragraph (4), Article 51-2, paragraph (4), Article 53, paragraph (4), Article 54-2, paragraph (6), Article 58, paragraph (4), or Article 61-2, paragraph (4) by deception or other wrongful act, a Municipality may require said Designated In-Home Service Provider, etc., to return the amount paid, or to pay the amount obtained by multiplying 40 percent of the principal amount to be returned.

第二十三条市町村は、保険給付に関して必要があると認めるときは、当該保険給付を受ける者若しくは当該保険給付に係る居宅サービス等（居宅サービス（これに相当するサービスを含む。）、地域密着型サービス（これに相当するサービスを含む。）、居宅介護支援（これに相当するサービスを含む。）、施設サービス、介護予防サービス（これに相当するサービスを含む。）、地域密着型介護予防サービス（これに相当するサービスを含む。）若しくは介護予防支援（これに相当するサービスを含む。）をいう。以下同じ。）を担当する者若しくは保険給付に係る第四十五条第一項に規定する住宅改修を行う者又はこれらの者であった者（第二十四条の二第一項第一号において「照会等対象者」という。）に対し、文書その他の物件の提出若しくは提示を求め、若しくは依頼し、又は当該職員に質問若しくは照会をさせることができる。

Article 23A Municipality may, when it determines necessity with regard to an insurance benefit, demand or request submission or presentation of documents and other items, or direct its personnel to ask questions and inquiries to a person that receives said insurance benefit, a person that is in charge of In-Home Service, etc. pertaining to said insurance benefit (which means In-Home Service (including equivalent services), Community-Based Service (including equivalent services), In-Home Long-Term Care Support (including equivalent services), Facility Service, Preventive Long-Term Care Service (including equivalent services), Community-Based Service for Preventive Long-Term Care (including equivalent services), or a Preventive Long-Term Care Support (including equivalent services); the same applies hereinafter) , or a person that provides a house modification for in-home care as prescribed in Article 45, paragraph (1) which pertains to an insurance benefit, or a person that was said person (hereinafter referred to as "Person, etc., Subject to Inquiry").

第二十四条厚生労働大臣又は都道府県知事は、介護給付等（居宅介護住宅改修費の支給及び介護予防住宅改修費の支給を除く。次項及び第二百八条において同じ。）に関して必要があると認めるときは、居宅サービス等を行った者又はこれを使用する者に対し、その行った居宅サービス等に関し、報告若しくは当該居宅サービス等の提供の記録、帳簿書類その他の物件の提示を命じ、又は当該職員に質問させることができる。

Article 24(1)The Minister of Health, Labour, and Welfare or a prefectural governor may, when it is determined that it is necessary as pertaining to a Long-Term Care Benefit, etc. (except for payments of an Allowance for Home Modification for In-Home Long-Term Care and an Allowance for Preventive Long-Term Care Home Modification; the same applies in the following paragraph and Article 208), order a person that has provided In-Home Service, etc., or employees of said Services, etc., to report and provide records of said In-Home Service, etc., to present record books and documents, and other items, and direct personnel to ask questions concerning the In-Home Service, etc., provided by said person.

２厚生労働大臣又は都道府県知事は、必要があると認めるときは、介護給付等を受けた被保険者又は被保険者であった者に対し、当該介護給付等に係る居宅サービス等（以下「介護給付等対象サービス」という。）の内容に関し、報告を命じ、又は当該職員に質問させることができる。

(2)The Minister of Health, Labour, and Welfare or a prefectural governor, when it is determined that it is necessary, may order an Insured Person that received a Long-Term Care Benefit, etc., and a person that was the Insured Person to report and direct its personnel to ask questions concerning the content of the In-Home Service, etc., pertaining to said Long-Term Care Benefit, etc. (herein referred to as "Service Covered by Long-Term Care Benefits, etc.").

３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。

(3)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 questioned.

４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。

(4)The authority granted pursuant to the provisions of paragraphs (1) and (2) may not be construed as an approval of a criminal investigation.

第二十四条の二市町村は、次に掲げる事務の一部を、法人であって厚生労働省令で定める要件に該当し、当該事務を適正に実施することができると認められるものとして都道府県知事が指定するもの（以下この条において「指定市町村事務受託法人」という。）に委託することができる。

Article 24-2(1)A Municipality may entrust a portion of the following affairs to a juridical person that qualifies as per the requirements as determined by Order of the Ministry of Health, Labour, and Welfare, and is designated by a prefectural governor as a person that can perform said affairs appropriately (herein referred to as "Designated and Entrusted Juridical Person for Municipal Affairs" in this Article):

２指定市町村事務受託法人は、前項第二号の事務を行うときは、介護支援専門員その他厚生労働省令で定める者に当該委託に係る調査を行わせるものとする。

(2)A Designated and Entrusted Juridical Person for Municipal Affairs, when performing affairs as set forth in item (ii) of the preceding paragraph, is to assign a Long-Term Care Support Specialist or other person as determined by Order of the Ministry of Health, Labour, and Welfare to implement the inspection pertaining to said entrustment.

３指定市町村事務受託法人の役員若しくは職員（前項の介護支援専門員その他厚生労働省令で定める者を含む。次項において同じ。）又はこれらの職にあった者は、正当な理由なしに、当該委託事務に関して知り得た秘密を漏らしてはならない。

(3)An Officer or personnel of a Designated and Entrusted Juridical Person for Municipal Affairs (including a Long-Term Care Support Specialist or other person as determined by Order of the Ministry of Health, Labour, and Welfare as set forth in the preceding paragraph; the same shall apply in the following paragraph) or a person that held that position must not divulge any confidential information learned pertaining to said entrusted affairs without a justifiable reason.

４指定市町村事務受託法人の役員又は職員で、当該委託事務に従事するものは、刑法（明治四十年法律第四十五号）その他の罰則の適用については、法令により公務に従事する職員とみなす。

(4)An Officer or personnel of a Designated and Entrusted Juridical Person for Municipal Affairs who engage in said entrusted affairs is deemed as personnel engaged in public service pursuant to the provisions of laws and regulations with regard to the application of the Penal Code (Act No. 45 of 1907) and other penal provisions.

５市町村は、第一項の規定により事務を委託したときは、厚生労働省令で定めるところにより、その旨を公示しなければならない。

(5)A Municipality, when entrusting affairs pursuant to the provisions of paragraph (1), must issue public notice of this effect pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare.

６前各項に定めるもののほか、指定市町村事務受託法人に関し必要な事項は、政令で定める。

(6)In addition to the provisions as prescribed in each of the preceding paragraphs of this Article, other necessary matters pertaining to a Designated and Entrusted Juridical Person for Municipal Affairs are prescribed by a Cabinet Order.

第二十五条保険給付を受ける権利は、譲り渡し、担保に供し、又は差し押さえることができない。

Article 25The right to receive an insurance benefit may not be transferred, pledged as collateral, or levied.

第二十六条租税その他の公課は、保険給付として支給を受けた金品を標準として、課することができない。

Article 26Taxation and other public dues may not be imposed by establishing money or goods that are provided as an insurance benefit as a standard.

第二十七条要介護認定を受けようとする被保険者は、厚生労働省令で定めるところにより、申請書に被保険者証を添付して市町村に申請をしなければならない。この場合において、当該被保険者は、厚生労働省令で定めるところにより、第四十六条第一項に規定する指定居宅介護支援事業者、地域密着型介護老人福祉施設若しくは介護保険施設であって厚生労働省令で定めるもの又は第百十五条の三十九第一項に規定する地域包括支援センターに、当該申請に関する手続を代わって行わせることができる。

Article 27(1)An Insured Person that intends to obtain a Certification of Needed Long-Term Care, pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare, must submit an application with attachment of Certificate of Insured Person to a Municipality.In this case, said Insured Person, pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare, may have a Designated In-Home Long-Term Care Support Provider as prescribed in Article 46, paragraph (1), 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 those which are determined by Order of the Ministry of Health, Labour, and Welfare, or a community general support center as prescribed in Article 115-39, paragraph (1) implement procedures pertaining to said application on behalf of said Insured Person.

２市町村は、前項の申請があったときは、当該職員をして、当該申請に係る被保険者に面接させ、その心身の状況、その置かれている環境その他厚生労働省令で定める事項について調査をさせるものとする。この場合において、市町村は、当該被保険者が遠隔の地に居所を有するときは、当該調査を他の市町村に嘱託することができる。

(2)A Municipality, when the application as prescribed in the preceding paragraph is submitted, direct its personnel to interview said Insured Person pertaining to said application and investigate the mental and physical condition and surroundings of said Insured Person, and other matters as determined by Order of the Ministry of Health, Labour, and Welfare.In this case, the Municipality may, when said Insured Person has a residence in a remote place, commission said investigation to another Municipality.

３市町村は、第一項の申請があったときは、当該申請に係る被保険者の主治の医師に対し、当該被保険者の身体上又は精神上の障害の原因である疾病又は負傷の状況等につき意見を求めるものとする。ただし、当該被保険者に係る主治の医師がないときその他当該意見を求めることが困難なときは、市町村は、当該被保険者に対して、その指定する医師又は当該職員で医師であるものの診断を受けるべきことを命ずることができる。

(3)A Municipality, when the application as prescribed in paragraph (1) is submitted, request an attending physician of the Insured Person pertaining to said application for opinions regarding the status of illness or injury that is the cause of the physical or mental problems of said Insured Person, however, provided that the Municipality may, when there is no attending physician of the Insured Person pertaining to said application, or it is difficult to request for said opinion, etc., order said Insured Person to obtain the diagnosis of a designated physician or from the Municipality's personnel who is a physician.

４市町村は、第二項の調査（第二十四条の二第一項第二号の規定により委託された場合にあっては、当該委託に係る調査を含む。）の結果、前項の主治の医師の意見又は指定する医師若しくは当該職員で医師であるものの診断の結果その他厚生労働省令で定める事項を認定審査会に通知し、第一項の申請に係る被保険者について、次の各号に掲げる被保険者の区分に応じ、当該各号に定める事項に関し審査及び判定を求めるものとする。

(4)A Municipalityis to notify the relevant Certification Committee of the result of the investigation as set forth in paragraph (2) (in a case of entrustment pursuant to the provisions of Article 24-2, paragraph (1), item (ii), including an investigation pertaining to said entrustment) of the opinion of the attending physician as prescribed in the preceding paragraph, the result of a diagnosis by the designated physician or its personnel who is a physician, and other matters as specified by Order of the Ministry of Health, Labour, and Welfare, and request an examination and judgment pertaining to matters as prescribed in each said item according to the Category of the Insured Person as listed in the following items with regard to the Insured Person pertaining to an application as prescribed in paragraph (1):

５認定審査会は、前項の規定により審査及び判定を求められたときは、厚生労働大臣が定める基準に従い、当該審査及び判定に係る被保険者について、同項各号に規定する事項に関し審査及び判定を行い、その結果を市町村に通知するものとする。この場合において、認定審査会は、必要があると認めるときは、次に掲げる事項について、市町村に意見を述べることができる。

(5)A Certification Committee, when being requested to conduct an examination and provide judgment pursuant to the provisions of the preceding paragraph, act in compliance with standards as determined by the Minister of Health, Labour, and Welfare, examine and judge matters as prescribed in each item of the same paragraph of the Insured Person pertaining to said examination and judgment, and notify said result to the Municipality.In this case, a Certification Committee may, when it determines it necessary, state opinions to the Municipality regarding the matters listed as follows:

６認定審査会は、前項前段の審査及び判定をするに当たって必要があると認めるときは、当該審査及び判定に係る被保険者、その家族、第三項の主治の医師その他の関係者の意見を聴くことができる。

(6)A Certification Committee may, when it determines it necessary in an examination or judgment referred to in the first sentence of the preceding paragraph, hear opinions of the Insured Person pertaining to said examination and judgment, said Person's family members, the attending physician as set forth in paragraph (3), and other relevant persons.

７市町村は、第五項前段の規定により通知された認定審査会の審査及び判定の結果に基づき、要介護認定をしたときは、その結果を当該要介護認定に係る被保険者に通知しなければならない。この場合において、市町村は、次に掲げる事項を当該被保険者の被保険者証に記載し、これを返付するものとする。

(7)A Municipality, when providing a Certification of Needed Long-Term Care based on the results of an examination and judgment of a Certification Committee as notified pursuant to the provisions of the first sentence of paragraph (5), must notify the Insured Person pertaining to said Certification of Needed Long-Term Care of said result.In this case, the Municipality shall enter the following items on the Certificate of Insured Person of said Insured Person and return the Certificate of Insured Person to the Insured Person:

８要介護認定は、その申請のあった日にさかのぼってその効力を生ずる。

(8)A Certification of Needed Long-Term Care becomes effective retroactively on the date that said application was submitted.

９市町村は、第五項前段の規定により通知された認定審査会の審査及び判定の結果に基づき、要介護者に該当しないと認めたときは、理由を付して、その旨を第一項の申請に係る被保険者に通知するとともに、当該被保険者の被保険者証を返付するものとする。

(9)A Municipality, when it determined the Insured Person pertaining to the application as set forth in paragraph (1) fails to be qualified as a Person Requiring Long-Term Care based on the results of an examination and judgment of a Certification Committee as notified pursuant to the provisions of the first sentence of paragraph (5), is to notify said Insured Person of that effect, indicating the reason(s), and return the Certificate of Insured Person of said Insured Person.

１０市町村は、第一項の申請に係る被保険者が、正当な理由なしに、第二項の規定による調査（第二十四条の二第一項第二号の規定により委託された場合にあっては、当該委託に係る調査を含む。）に応じないとき、又は第三項ただし書の規定による診断命令に従わないときは、第一項の申請を却下することができる。

(10)A Municipality may dismiss an application submitted pursuant to paragraph (1) when the Insured Person pertaining to the application as set forth in paragraph (1) fails to respond to an investigation pursuant to the provisions of paragraph (2) (in a case of entrustment pursuant to the provisions of Article 24-2, paragraph (1), item (ii), an investigation pertaining to said entrustment) without a justifiable reason or when said Insured Person fails to comply with an order for a diagnosis pursuant to the provisions of the proviso of paragraph (3).

１１第一項の申請に対する処分は、当該申請のあった日から三十日以内にしなければならない。ただし、当該申請に係る被保険者の心身の状況の調査に日時を要する等特別な理由がある場合には、当該申請のあった日から三十日以内に、当該被保険者に対し、当該申請に対する処分をするためになお要する期間（次項において「処理見込期間」という。）及びその理由を通知し、これを延期することができる。

(11)Action for an application as set forth in paragraph (1) must be performed within thirty (30) days from the date of submission of said application, however, provided that in a case that there are special reasons that an investigation of the mental or physical conditions of the Insured Person pertaining to said application may require additional hours or days, etc., said action for the matter may be postponed after notifying said Insured Person of the additional period necessary for the action for said application (herein referred to as the "Prospective Processing Period" in the following paragraph) and said reasons within thirty (30) days from the date of submission of said application.

１２第一項の申請をした日から三十日以内に当該申請に対する処分がされないとき、若しくは前項ただし書の通知がないとき、又は処理見込期間が経過した日までに当該申請に対する処分がされないときは、当該申請に係る被保険者は、市町村が当該申請を却下したものとみなすことができる。

(12)In a case when the action for an application as set forth in paragraph (1) has not been executed within thirty (30) days from the date of submission of said application or the notification as set forth in the proviso of the preceding paragraph has not been issued, or when the action for said application has not been executed by the date that the Prospective Processing Period expires, the Insured Person pertaining to said application may deem that the Municipality has dismissed said application.

第二十八条要介護認定は、要介護状態区分に応じて厚生労働省令で定める期間（以下この条において「有効期間」という。）内に限り、その効力を有する。

Article 28(1)A Certification of Needed Long-Term Care is effective according to the Category of Condition of Need for Long-Term Care during the period as determined by Order of the Ministry of Health, Labour, and Welfare (herein referred to as the "Effective Period" in this Article).

２要介護認定を受けた被保険者は、有効期間の満了後においても要介護状態に該当すると見込まれるときは、厚生労働省令で定めるところにより、市町村に対し、当該要介護認定の更新（以下「要介護更新認定」という。）の申請をすることができる。

(2)An Insured Person that is issued a Certification of Needed Long-Term Care, when he or she is expected to be in a Condition of Need for Long-Term Care although after the expiry of the Effective Period, may apply to the Municipality for an application of renewal of said Certification of Needed Long-Term Care (herein referred to as a "Renewal of Certification of Needed Long-Term Care") pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare.

３前項の申請をすることができる被保険者が、災害その他やむを得ない理由により当該申請に係る要介護認定の有効期間の満了前に当該申請をすることができなかったときは、当該被保険者は、その理由のやんだ日から一月以内に限り、要介護更新認定の申請をすることができる。

(3)In a case when an Insured Person that may apply for the renewal application as set forth in the preceding paragraph was not able to apply for said renewal application prior to the expiry of the Effective Period of Certification of Needed Long-Term Care pertaining to said application due to a disaster or other compelling reason, said Insured Person may apply for a Renewal of Certification of Needed Long-Term Care within one month following the date on which said reason for delay is no longer valid.

４前条（第八項を除く。）の規定は、前二項の申請及び当該申請に係る要介護更新認定について準用する。この場合において、同条の規定に関し必要な技術的読替えは、政令で定める。

(4)The provisions of the preceding Article (except paragraph (8)) apply mutatis mutandis to an application as set forth in the preceding two paragraphs and to an application for Renewal of Certification of Needed Long-Term Care pertaining to said application.In this case, the necessary technical replacement of terms used in the provisions of the same Article shall be provided by a Cabinet Order.

５市町村は、前項において準用する前条第二項の調査を第四十六条第一項に規定する指定居宅介護支援事業者、地域密着型介護老人福祉施設、介護保険施設その他の厚生労働省令で定める事業者若しくは施設（以下この条において「指定居宅介護支援事業者等」という。）又は介護支援専門員であって厚生労働省令で定めるものに委託することができる。

(5)A Municipality may entrust an investigation as set forth in the preceding Article, paragraph (2), as applied mutatis mutandis pursuant to the preceding paragraph, to a Designated In-Home Long-Term Care Support Provider as prescribed in Article 46, paragraph (1), a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care, a Facility Covered by Long-Term Care Insurance, other providers or facilities as determined by Order of the Ministry of Health, Labour, and Welfare (herein referred to as "Designated In-Home Long-Term Care Support Provider, etc." in this Article), or to a Long-Term Care Support Specialist as determined by Order of the Ministry of Health, Labour, and Welfare.

６前項の規定により委託を受けた指定居宅介護支援事業者等は、介護支援専門員その他厚生労働省令で定める者に当該委託に係る調査を行わせるものとする。

(6)A Designated In-Home Long-Term Care Support Provider, etc., entrusted pursuant to the provisions of the preceding paragraphis to direct a Long-Term Care Support Specialist or other person as determined by Order of the Ministry of Health, Labour, and Welfare to perform an investigation pertaining to said entrustment.

７第五項の規定により委託を受けた指定居宅介護支援事業者等（その者が法人である場合にあっては、その役員。次項において同じ。）若しくはその職員（前項の介護支援専門員その他厚生労働省令で定める者を含む。次項において同じ。）若しくは介護支援専門員又はこれらの職にあった者は、正当な理由なしに、当該委託業務に関して知り得た個人の秘密を漏らしてはならない。

(7)A Designated In-Home Long-Term Care Support Provider, etc., entrusted pursuant to the provisions of paragraph (5) (in cases when said person is a juridical person, its Officers; the same shall apply in the following paragraph), its personnel (including a Long-Term Care Support Specialist as prescribed in the preceding paragraph or other person as determined by Order of the Ministry of Health, Labour, and Welfare; the same shall apply in the following paragraph), a Long-Term Care Support Specialist or other person that was in said position must not divulge any personal confidential information learned from said entrusted operations without a justifiable reason.

８第五項の規定により委託を受けた指定居宅介護支援事業者等若しくはその職員又は介護支援専門員で、当該委託業務に従事するものは、刑法その他の罰則の適用については、法令により公務に従事する職員とみなす。

(8)A Designated In-Home Long-Term Care Support Provider, etc., entrusted pursuant to the provisions of paragraph (5), its personnel, or a Long-Term Care Support Specialist that engages in said entrusted operations shall be deemed as personnel who engage in public service pursuant to the provisions of laws and regulations with regard to the application of the Penal Code and other penal provisions.

９第三項の申請に係る要介護更新認定は、当該申請に係る要介護認定の有効期間の満了日の翌日にさかのぼってその効力を生ずる。

(9)A Renewal of Certification of Needed Long-Term Care pertaining to an application as set forth in paragraph (3) is to be effective retroactively on the date following the date of expiry of the Effective Period of Certification of Needed Long-Term Care pertaining to said renewal application.

１０第一項の規定は、要介護更新認定について準用する。この場合において、同項中「厚生労働省令で定める期間」とあるのは、「有効期間の満了日の翌日から厚生労働省令で定める期間」と読み替えるものとする。

(10)The provisions of paragraph (1) apply mutatis mutandis to a Renewal of Certification of Needed Long-Term Care.In this case, the phrase "period as determined by Order of the Ministry of Health, Labour, and Welfare" in the same paragraph is deemed to be replaced with "period as determined by Order of the Ministry of Health, Labour, and Welfare from the date following the expiry of the Effective Period."

第二十九条要介護認定を受けた被保険者は、その介護の必要の程度が現に受けている要介護認定に係る要介護状態区分以外の要介護状態区分に該当すると認めるときは、厚生労働省令で定めるところにより、市町村に対し、要介護状態区分の変更の認定の申請をすることができる。

Article 29(1)An Insured Person that was issued a Certification of Needed Long-Term Care, when it is determined that the degree of necessity of care qualifies for a Category of Condition of Need for Long-Term Care other than the Category of Condition of Need for Long-Term Care pertaining to the Certification of Needed Long-Term Care which is currently issued, may apply to a Municipality for a Certification of Change of Category of Condition of Need for Long-Term Care, pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare.

２第二十七条及び前条第五項から第八項までの規定は、前項の申請及び当該申請に係る要介護状態区分の変更の認定について準用する。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。

(2)The provisions of Article 27 and the preceding Article, paragraphs (5) to (8) apply mutatis mutandis to an application as prescribed in the preceding paragraph and to a Certification of Change of Category of Condition of Need for Long-Term Care pertaining to said application.In this case, the necessary technical replacement of the terms of these provisions shall be provided by a Cabinet Order.

第三十条市町村は、要介護認定を受けた被保険者について、その介護の必要の程度が低下したことにより当該要介護認定に係る要介護状態区分以外の要介護状態区分に該当するに至ったと認めるときは、要介護状態区分の変更の認定をすることができる。この場合において、市町村は、厚生労働省令で定めるところにより、当該変更の認定に係る被保険者に対しその被保険者証の提出を求め、これに当該変更の認定に係る要介護状態区分及び次項において準用する第二十七条第五項後段の規定による認定審査会の意見（同項第二号に掲げる事項に係るものに限る。）を記載し、これを返付するものとする。

Article 30(1)A Municipality, when it is determined that an Insured Person that was issued a Certification of Needed Long-Term Care, qualifies for a Category of Condition of Need for Long-Term Care other than the Category of Condition of Need for Long-Term Care pertaining to said Certification of Needed Long-Term Care due to a lowering of the degree of necessity of long-term care, may certify a change of Category of Condition of Need for Long-Term Care.In this case, the Municipality is to request the Insured Person pertaining to said change of certification to submit said Certificate of Insured Person, shall enter the Category of Condition of Need for Long-Term Care pertaining to said change of certification and the opinion of the Certification Committee pursuant to the provisions of the second sentence of Article 27, paragraph (5) as applied mutatis mutandis pursuant to the following paragraph (limited to those changes pertaining to matters listed in item (ii) of the same paragraph), and then return said Certificate of Insured Person to the Insured Person.

２第二十七条第二項から第六項まで及び第七項前段並びに第二十八条第五項から第八項までの規定は、前項の要介護状態区分の変更の認定について準用する。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。

(2)The provisions of Article 27, paragraphs (2) to (6), the first sentence of paragraph (7), and Article 28, paragraphs (5) to (8) apply mutatis mutandis to a Certification of Change of Category of Condition of Need for Long-Term Care as prescribed in the preceding paragraph.In this case, the necessary technical replacement of the terms of these provisions shall be provided by a Cabinet Order.

第三十一条市町村は、要介護認定を受けた被保険者が次の各号のいずれかに該当するときは、当該要介護認定を取り消すことができる。この場合において、市町村は、厚生労働省令で定めるところにより、当該取消しに係る被保険者に対しその被保険者証の提出を求め、第二十七条第七項各号に掲げる事項の記載を消除し、これを返付するものとする。

Article 31(1)When an Insured Person that was issued a Certification of Needed Long-Term Care is subject to any of the following items, a Municipality may rescind said Certification of Needed Long-Term Care.In this case, pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare, the Municipality is to request the Insured Person pertaining to said rescission to submit said Certificate of Insured Person, delete the entry of matters listed in each item of Article 27, paragraph (7), and return the Certificate of Insured Person to the Insured Person:

２第二十七条第二項から第四項まで、第五項前段、第六項及び第七項前段並びに第二十八条第五項から第八項までの規定は、前項第一号の規定による要介護認定の取消しについて準用する。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。

(2)The provisions of Article 27, paragraphs (2) to (4), the first sentence of paragraph (5), paragraph (6), the first sentence of paragraph (7), and Article 28, paragraphs (5) to (8) apply mutatis mutandis to a rescission of a Certification of Needed Long-Term Care pursuant to the provisions of the preceding paragraph, item (i).In this case, the necessary technical replacement of the terms of these provisions shall be provided by a Cabinet Order.

第三十二条要支援認定を受けようとする被保険者は、厚生労働省令で定めるところにより、申請書に被保険者証を添付して市町村に申請をしなければならない。この場合において、当該被保険者は、厚生労働省令で定めるところにより、第四十六条第一項に規定する指定居宅介護支援事業者、地域密着型介護老人福祉施設若しくは介護保険施設であって厚生労働省令で定めるもの又は第百十五条の三十九第一項に規定する地域包括支援センターに、当該申請に関する手続を代わって行わせることができる。

Article 32(1)An Insured Person that intends to receive a Certification of Needed Support must submit to a Municipality an application with a Certificate of Insured Person pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare.In this case, said Insured Person may, pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare, have a Designated In-Home Long-Term Care Support Provider, etc., as prescribed in Article 46, paragraph (1), a Community-Based Facility for the Elderly Covered by Public Aid Requiring Long-Term Care or a Facility Covered by Long-Term Care Insurance as determined by Order of the Ministry of Health, Labour, and Welfare, or a community general support center as prescribed in Article 115-39, paragraph (1), perform the procedures of said application on behalf of the Insured Person.

２第二十七条第二項及び第三項の規定は、前項の申請に係る調査並びに同項の申請に係る被保険者の主治の医師の意見及び当該被保険者に対する診断命令について準用する。

(2)The provisions of Article 27, paragraphs (2) and (3) apply mutatis mutandis to an investigation pertaining to an application as prescribed in the preceding paragraph, opinions of an attending physician of the Insured Person pertaining to an application as set forth in the same paragraph, and an order for diagnosis to said Insured Person.

３市町村は、前項において準用する第二十七条第二項の調査（第二十四条の二第一項第二号の規定により委託された場合にあっては、当該委託に係る調査を含む。）の結果、前項において準用する第二十七条第三項の主治の医師の意見又は指定する医師若しくは当該職員で医師であるものの診断の結果その他厚生労働省令で定める事項を認定審査会に通知し、第一項の申請に係る被保険者について、次の各号に掲げる被保険者の区分に応じ、当該各号に定める事項に関し審査及び判定を求めるものとする。

(3)A Municipalityis to notify the Certification Committee of the result of an investigation as set forth in Article 27, paragraph (2) as applied mutatis mutandis pursuant to the preceding paragraph (in a case when the investigation is entrusted pursuant to the provisions of Article 24-2, paragraph (1), item (ii), including an investigation pertaining to said entrustment), the opinion of an attending physician as set forth in Article 27, paragraph (2) as applied mutatis mutandis pursuant to the preceding paragraph, the result of a diagnosis of a designated physician or its personnel who is a physician, or other matters specified by Order of the Ministry of Health, Labour, and Welfare, and request an examination and judgment pertaining to matters as prescribed in each said item according to the category of Insured Person listed in the following items with regard to the Insured Person pertaining to an application as set forth in paragraph (1):

４認定審査会は、前項の規定により審査及び判定を求められたときは、厚生労働大臣が定める基準に従い、当該審査及び判定に係る被保険者について、同項各号に規定する事項に関し審査及び判定を行い、その結果を市町村に通知するものとする。この場合において、認定審査会は、必要があると認めるときは、次に掲げる事項について、市町村に意見を述べることができる。

(4)A Certification Committee, when being requested to perform an examination and judgment pursuant to the provisions of the preceding paragraph, is to act in compliance with standards as determined by the Minister of Health, Labour, and Welfare, examine and judge matters as prescribed in each item of the same paragraph of an Insured Person pertaining to said examination and judgment, and notify the Municipality of said result.In this case, a Certification Committee, when it determines necessary, may state opinions to the Municipality regarding the following matters:

５第二十七条第六項の規定は、前項前段の審査及び判定について準用する。

(5)The provisions of Article 27, paragraph (6) apply mutatis mutandis to an examination and judgment as prescribed in the first sentence of the preceding paragraph.

６市町村は、第四項前段の規定により通知された認定審査会の審査及び判定の結果に基づき、要支援認定をしたときは、その結果を当該要支援認定に係る被保険者に通知しなければならない。この場合において、市町村は、次に掲げる事項を当該被保険者の被保険者証に記載し、これを返付するものとする。

(6)A Municipality, when providing Certification of Needed Support based on the results of an examination and judgment of a Certification Committee that is notified pursuant to the provisions of the first sentence of paragraph (4), is to notify the Insured Person pertaining to said Certification of Needed Support of said result.In this case, a Municipality shall enter the following items on the Certificate of Insured Person of said Insured Person and return the Certificate of Insured Person to the Insured Person:

７要支援認定は、その申請のあった日にさかのぼってその効力を生ずる。

(7)A Certification of Needed Support becomes effective retroactively on the date that said application was submitted.

８市町村は、第四項前段の規定により通知された認定審査会の審査及び判定の結果に基づき、要支援者に該当しないと認めたときは、理由を付して、その旨を第一項の申請に係る被保険者に通知するとともに、当該被保険者の被保険者証を返付するものとする。

(8)A Municipality, when it is determined that the Insured Person predating the application as set forth in paragraph (1) fails to qualify the Person Requiring Support based on the results of an examination and judgment of a Certification Committee that is notified pursuant to the provisions of the first sentence of paragraph (4), is to notify said Insured Person pertaining of the results, indicating the reasons, and return the Certificate of Insured Person to said Insured Person.

９第二十七条第十項から第十二項までの規定は、第一項の申請及び当該申請に対する処分について準用する。

(9)The provisions of Article 27, paragraph (10) to (12) apply mutatis mutandis to an application as set forth in paragraph (1) and the action for said application.

第三十三条要支援認定は、要支援状態区分に応じて厚生労働省令で定める期間（以下この条において「有効期間」という。）内に限り、その効力を有する。

Article 33(1)A Certification of Needed Support is effective according to the Category of Needed Support Condition during the period as determined by Order of the Ministry of Health, Labour, and Welfare (herein referred to as "Effective Period" in this Article).

２要支援認定を受けた被保険者は、有効期間の満了後においても要支援状態に該当すると見込まれるときは、厚生労働省令で定めるところにより、市町村に対し、当該要支援認定の更新（以下「要支援更新認定」という。）の申請をすることができる。

(2)An Insured Person that has been issued a Certification of Needed Support, when he or she is expected to be in a Needed Support Condition after the expiry of the Effective Period, may apply to the Municipality for application of renewal of said Certification of Needed Support (herein referred to as "Renewal of Certification of Needed Support") pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare.

３前項の申請をすることができる被保険者が、災害その他やむを得ない理由により当該申請に係る要支援認定の有効期間の満了前に当該申請をすることができなかったときは、当該被保険者は、その理由のやんだ日から一月以内に限り、要支援更新認定の申請をすることができる。

(3)In a case when an Insured Person that may apply for the application as set forth in the preceding paragraph was not able to apply for said application prior to expiry of the Effective Period of Certification of Needed Support pertaining to said application due to a disaster or other compelling reason, said Insured Person may apply for a Renewal of Certification of Needed Support within one month from the date on which said reasons are no longer valid.

４前条（第七項を除く。）及び第二十八条第五項から第八項までの規定は、前二項の申請及び当該申請に係る要支援更新認定について準用する。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。

(4)The provisions of the preceding Article (except for paragraph (7)) and Article 28, paragraphs (5) to (8) apply mutatis mutandis to an application as prescribed in the preceding two paragraphs and a Renewal of Certification of Needed Support pertaining to said application.In this case, the necessary technical replacement of the terms of these provisions is specified by a Cabinet Order.

５第三項の申請に係る要支援更新認定は、当該申請に係る要支援認定の有効期間の満了日の翌日にさかのぼってその効力を生ずる。

(5)A Renewal of Certification of Needed Support pertaining to an application as set forth in paragraph (3) becomes effective retroactively on the date following the date of expiry of the Effective Period of Certification of Needed Support pertaining to said application.

６第一項の規定は、要支援更新認定について準用する。この場合において、同項中「厚生労働省令で定める期間」とあるのは、「有効期間の満了日の翌日から厚生労働省令で定める期間」と読み替えるものとする。

(6)The provisions of paragraph (1) apply mutatis mutandis to a Renewal of Certification of Needed Support.In this case, the phrase "period as determined by Order of the Ministry of Health, Labour, and Welfare" in the same paragraph is deemed to be replaced with "period as determined by Order of the Ministry of Health, Labour, and Welfare from the date following the expiry of the Effective Period."

第三十三条の二要支援認定を受けた被保険者は、その支援の必要の程度が現に受けている要支援認定に係る要支援状態区分以外の要支援状態区分に該当すると認めるときは、厚生労働省令で定めるところにより、市町村に対し、要支援状態区分の変更の認定の申請をすることができる。

Article 33-2(1)An Insured Person that has been issued a Certification of Needed Support, when it is determined that the degree of Needed Support Condition qualifies for a Category of Needed Support Condition other than the Category of Needed Support Condition pertaining to said Certification of Needed Support that is issued currently, may apply to the Municipality for a certification of change of Category of Needed Support Condition, pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare.

２第二十八条第五項から第八項まで及び第三十二条の規定は、前項の申請及び当該申請に係る要支援状態区分の変更について準用する。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。

(2)The provisions of Article 28, paragraph (5) to paragraph (8), and Article 33 apply mutatis mutandis to an application as prescribed in the preceding paragraph and change of Category of Needed Support Condition pertaining to said application.In this case, the necessary technical replacement of terms for these provisions is specifiedby a Cabinet Order.

第三十三条の三市町村は、要支援認定を受けた被保険者について、その支援の必要の程度が低下したことにより当該要支援認定に係る要支援状態区分以外の要支援状態区分に該当するに至ったと認めるときは、要支援状態区分の変更の認定をすることができる。この場合において、市町村は、厚生労働省令で定めるところにより、当該変更の認定に係る被保険者に対しその被保険者証の提出を求め、これに当該変更の認定に係る要支援状態区分及び次項において準用する第三十二条第四項後段の規定による認定審査会の意見（同項第二号に掲げる事項に係るものに限る。）を記載し、これを返付するものとする。

Article 33-3(1)A Municipality, when it is determined that an Insured Person that has been issued a Certification of Needed Support qualifies for a Category of Needed Support Condition other than the Category of Needed Support Condition pertaining to said Certification of Needed Support due to a lowering of the degree of Needed Support Condition, may certify a change of Category of Needed Support Condition.In this case, the Municipality is to request the Insured Person pertaining to said change of certification to submit said Certificate of Insured Person, shall enter the Category of Needed Support Condition pertaining to said change of certification and the opinion of the Certification Committee pursuant to the provisions of the second sentence of Article 32, paragraph (4) as applied mutatis mutandis pursuant to the following paragraph (limited to those pertaining to matters listed in item (ii) of the same paragraph), and then return the Certificate of Insured Person to the Insured Person.

２第二十八条第五項から第八項まで並びに第三十二条第二項から第五項まで及び第六項前段の規定は、前項の要支援状態区分の変更の認定について準用する。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。

(2)The provisions of Article 28, paragraph (5) to paragraph (8), Article 32, paragraph (2) to paragraph (5), and the first sentence of paragraph (6), apply mutatis mutandis to a certification of Change of Category of Needed Support Condition as prescribed in the preceding paragraph.In this case, the necessary technical replacement of terms of these provisions is specified by a Cabinet Order.

第三十四条市町村は、要支援認定を受けた被保険者が次の各号のいずれかに該当するときは、当該要支援認定を取り消すことができる。この場合において、市町村は、厚生労働省令で定めるところにより、当該取消しに係る被保険者に対しその被保険者証の提出を求め、第三十二条第六項各号に掲げる事項の記載を消除し、これを返付するものとする。

Article 34(1)When an Insured Person to whom has been issued a Certification of Needed Support is subject to any of the following items, a Municipality may rescind said Certification of Needed Support.In this case, the Municipality, pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare, is to request the Insured Person pertaining to said rescission to submit said Certificate of Insured Person, delete the entry of matters listed in the each item of Article 32, paragraph (6), and return the Certificate of Insured Person to the Insured Person. These items are:

２第二十八条第五項から第八項まで並びに第三十二条第二項、第三項、第四項前段、第五項及び第六項前段の規定は、前項第一号の規定による要支援認定の取消しについて準用する。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。

(2)The provisions of Article 28, paragraph (5) to paragraph (8), Article 32, paragraph (2), paragraph (3), the first sentence of paragraph (4), paragraph (5), and the first sentence of paragraph (6) apply mutatis mutandis to a rescission of Certification of Needed Support pursuant to the provisions of the preceding paragraph, item (i).In this case, the necessary technical replacement of terms for these provisions is specified by a Cabinet Order.

第三十五条認定審査会は、第二十七条第四項（第二十八条第四項において準用する場合を含む。）の規定により審査及び判定を求められた被保険者について、要介護者に該当しないと認める場合であっても、要支援者に該当すると認めるときは、第二十七条第五項（第二十八条第四項において準用する場合を含む。）の規定にかかわらず、その旨を市町村に通知することができる。

Article 35(1)A Certification Committee, when it is determined that an Insured Person that is the subject of a request for investigation or judgment pursuant to the provisions of Article 27, paragraph (4) (including a case when applied mutatis mutandis pursuant to Article 28, paragraph (4)) qualifies as a Person Requiring Support, although it is determined that said Insured Person fails to qualify as a Person Requiring Long-Term Care, may notify said result to the Municipality, notwithstanding the provisions of Article 27, paragraph (5) (including a case when applied mutatis mutandis pursuant to Article 28, paragraph (4)).

２市町村は、前項の規定による通知があったときは、当該通知に係る被保険者について、第三十二条第一項の申請がなされ、同条第三項の規定により認定審査会に審査及び判定を求め、同条第四項の規定により認定審査会の通知を受けたものとみなし、要支援認定をすることができる。この場合において、市町村は、当該被保険者に、要支援認定をした旨を通知するとともに、同条第六項各号に掲げる事項を当該被保険者の被保険者証に記載し、これを返付するものとする。

(2)A Municipality, when a notification was issued pursuant to the provisions of the preceding paragraph, may deem that the Insured Person pertaining to said notification has submitted an application as set forth in Article 32, paragraph (1), the Municipality requested the Certification Committee to conduct an examination or issue a judgment pursuant to the provisions of paragraph (3) of the same Article and the Municipality received a notification by the Certification Committee pursuant to the provisions of paragraph (4) of the same Article, and may issue the Insured Person a Certification of Needed Support.In this case, the Municipality is to notify said Insured Person that a Certification of Needed Support is provided, enter the matters listed in each item of paragraph (6) of the same Article on the Certificate of Insured Person of said Insured Person, and return the Certificate of Insured Person to the Insured Person.

３認定審査会は、第三十二条第三項（第三十三条第四項において準用する場合を含む。）の規定により審査及び判定を求められた被保険者について、要介護者に該当すると認めるときは、第三十二条第四項（第三十三条第四項において準用する場合を含む。）の規定にかかわらず、その旨を市町村に通知することができる。

(3)A Certification Committee, when it is determined that an Insured Person that is the subject of a requested examination or judgment pursuant to the provisions of Article 32, paragraph (3) (including the case it is applied mutatis mutandis pursuant to Article 33, paragraph (4)) qualifies as a Person Requiring Long-Term Care, may notify said result to the Municipality, notwithstanding the provision of Article 32, paragraph (4) (including a case applied mutatis mutandis pursuant to Article 33, paragraph (4)).

４市町村は、前項の規定による通知があったときは、当該通知に係る被保険者について、第二十七条第一項の申請がなされ、同条第四項の規定により認定審査会に審査及び判定を求め、同条第五項の規定により認定審査会の通知を受けたものとみなし、要介護認定をすることができる。この場合において、市町村は、当該被保険者に、要介護認定をした旨を通知するとともに、同条第七項各号に掲げる事項を当該被保険者の被保険者証に記載し、これを返付するものとする。

(4)A Municipality, when a notification is issued pursuant to the provisions of the preceding paragraph, may deem that the Insured Person pertaining to said notification submitted an application as set forth in Article 27, paragraph (1), the Municipality requested the Certification Committee for a judgment or to conduct an examination pursuant to the provisions of paragraph (4) of the same Article, and the Municipality is provided a notification of the Certification Committee pursuant to the provisions of paragraph (5) of the same Article, and may issue the Insured Person a Certification of Needed Long-Term Care.In this case, the Municipality is to notify said Insured Person that a Certification of Needed Long-Term Care is provided, enter the matters listed in each item of paragraph (7) of the same Article on the Certificate of Insured Person of said Insured Person, and return the Certificate of Insured Person to the Insured Person.

５認定審査会は、第三十一条第二項において準用する第二十七条第四項の規定により審査及び判定を求められた被保険者について、要介護者に該当しないと認める場合であっても、要支援者に該当すると認めるときは、第三十一条第二項において準用する第二十七条第五項の規定にかかわらず、その旨を市町村に通知することができる。

(5)A Certification Committee, when it is determined that an Insured Person that is the subject of a requested examination or judgment pursuant to the provisions of Article 27, paragraph (4) as applied mutatis mutandis pursuant to Article 31, paragraph (2) is certified as a Person Requiring Support although said Insured Person fails to qualify as a Person Requiring Long-Term Care, may notify said result to the Municipality, notwithstanding the provision of Article 27, paragraph (5) as applied mutatis mutandis pursuant to Article 31, paragraph (2).

６市町村は、前項の規定による通知があったときは、当該通知に係る被保険者について、第三十二条第一項の申請がなされ、同条第三項の規定により認定審査会に審査及び判定を求め、同条第四項の規定により認定審査会の通知を受けたものとみなし、要支援認定をすることができる。この場合において、市町村は、厚生労働省令で定めるところにより、当該通知に係る被保険者に対しその被保険者証の提出を求め、これに同条第六項各号に掲げる事項を記載し、これを返付するものとする。

(6)A Municipality, when a notification is issued pursuant to the provisions of the preceding paragraph, may deem that the Insured Person pertaining to said notification submitted an application as set forth in Article 32, paragraph (1), the Municipality requested the Certification Committee for an examination or judgment pursuant to the provisions of paragraph (3) of the same Article, and the Municipality received a notification of the Certification Committee pursuant to the provisions of paragraph (4) of the same Article, and may issue said Insured Person a Certification of Needed Support.In this case, the Municipality, pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare, is to request to Insured Person pertaining to said notification to submit such Insured Person's Certificate of Insured Person, enter the matters listed in each item of paragraph (6) of the same Article, and return the Certificate of Insured Person to the Insured Person.

第三十六条市町村は、他の市町村による要介護認定又は要支援認定を受けている者が当該市町村の行う介護保険の被保険者となった場合において、当該被保険者が、その資格を取得した日から十四日以内に、当該他の市町村から交付された当該要介護認定又は要支援認定に係る事項を証明する書面を添えて、要介護認定又は要支援認定の申請をしたときは、第二十七条第四項及び第七項前段又は第三十二条第三項及び第六項前段の規定にかかわらず、認定審査会の審査及び判定を経ることなく、当該書面に記載されている事項に即して、要介護認定又は要支援認定をすることができる。

Article 36A Municipality, in a case when a person that is issued a Certification of Needed Long-Term Care or a Certification of Needed Support by another Municipality becomes an Insured Person of Long-Term Care Insurance of said Municipality and when said Insured Person submits an application for a Certification of Needed Long-Term Care or a Certification of Needed Support attached with the documents that are issued by said Municipality and the other Municipality and proves matters pertaining to said Certification of Needed Long-Term Care or Certification of Needed Support within fourteen (14) days from the date on which said qualification was obtained, may provide a Certification of Needed Long-Term Care or a Certification of Needed Support according to the matters entered on said documents, notwithstanding the provisions of Article 27, paragraph (4) and the first sentence of paragraph (7), or Article 32, paragraph (3) and the first sentence of paragraph (6), and without awaiting an examination or judgment of a Certification Committee.

第三十七条市町村は、要介護認定、要介護更新認定、第二十九条第二項において準用する第二十七条第七項若しくは第三十条第一項の規定による要介護状態区分の変更の認定、要支援認定、要支援更新認定又は第三十三条の二第二項において準用する第三十二条第六項若しくは第三十三条の三第一項の規定による要支援状態区分の変更の認定（以下この項において単に「認定」という。）をするに当たっては、第二十七条第五項第一号（第二十八条第四項、第二十九条第二項及び第三十条第二項において準用する場合を含む。）又は第三十二条第四項第一号（第三十三条第四項、第三十三条の二第二項及び第三十三条の三第二項において準用する場合を含む。）に掲げる事項に係る認定審査会の意見に基づき、当該認定に係る被保険者が受けることができる居宅介護サービス費若しくは特例居宅介護サービス費に係る居宅サービス、地域密着型介護サービス費若しくは特例地域密着型介護サービス費に係る地域密着型サービス、施設介護サービス費若しくは特例施設介護サービス費に係る施設サービス、介護予防サービス費若しくは特例介護予防サービス費に係る介護予防サービス又は地域密着型介護予防サービス費若しくは特例地域密着型介護予防サービス費に係る地域密着型介護予防サービスの種類を指定することができる。この場合において、市町村は、当該被保険者の被保険者証に、第二十七条第七項後段（第二十八条第四項及び第二十九条第二項において準用する場合を含む。）、第三十条第一項後段若しくは第三十五条第四項後段又は第三十二条第六項後段（第三十三条第四項及び第三十三条の二第二項において準用する場合を含む。）、第三十三条の三第一項後段若しくは第三十五条第二項後段若しくは第六項後段の規定による記載に併せて、当該指定に係る居宅サービス、地域密着型サービス、施設サービス、介護予防サービス又は地域密着型介護予防サービスの種類を記載するものとする。

Article 37(1)A Municipality, when providing a Certification of Needed Long-Term Care; a Renewal of Certification of Needed Long-Term Care; a Certification of Change of Category of Condition of Need for Long-Term Care pursuant to the provisions of Article 27, paragraph (7) or Article 30, paragraph (1) as applied mutatis mutandis pursuant to Article 29, paragraph (2); a Certification of Needed Support; a Renewal of Certification of Needed Support; a Certification of Change of Category of Needed Support Condition pursuant to the provisions of Article 32, paragraph (6) or Article 33-3, paragraph (1) as applied mutatis mutandis pursuant to Article 33-2, paragraph (2); (hereinafter simply referred to as "Certification" in this paragraph) may specify the type of services to be performed for an Insured Person pertaining to said Certification, including In-Home Service pertaining to Allowance for In-Home Long-Term Care Service or Exceptional Allowance for In-Home Long-Term Care Service, Community-Based Service pertaining to Allowance for Community-Based Long-Term Care Service or Exceptional Allowance for Community-Based Long-Term Care Service, Facility Service pertaining to Allowance for Long-Term Care Facility Service or Exceptional Allowance for Long-Term Care Facility Service, Preventive Long-Term Care Service pertaining to Allowance for Preventive Long-Term Care Service or Exceptional Allowance for Preventive Service of Long-Term Care, or Community-Based Service for Preventive Long-Term Care pertaining to Allowance for Community-Based Preventive Long-Term Care Service, or Exceptional Allowance for Community-Based Preventive Service of Long-Term Care, based on the opinion of the Certification Committee pertaining to the matter listed in Article 27, paragraph (5), item (i) (including a case it is applied mutatis mutandis pursuant to Article 28, paragraph (4), Article 29, paragraph (2), or Article 30, paragraph (2)) or Article 32, paragraph (4), item (i) (including a case it is applied mutatis mutandis pursuant to Article 33, paragraph (4), or Article 33-2, paragraph (2)). In this case, the Municipality is to enter on the Certificate of Insured Person of said Insured Person the type of services pertaining to said specification including In-Home Service, Community-Based Service, Facility Service, Preventive Long-Term Care Service, or Community-Based Service for Preventive Long-Term Care together with an entry pursuant to the provisions of Article 27, paragraph (7) second sentence (including a case it is applied mutatis mutandis pursuant to Article 28, paragraph (4) or Article 29, paragraph (2)), Article 30, paragraph (1), second sentence, Article 35, paragraph (4), second sentence, or Article 32, paragraph (6) second sentence (including a case it is applied mutatis mutandis pursuant to Article 33, paragraph (4) or Article 33-2, paragraph (2)), Article 33-3, paragraph (1) second sentence, Article 35, paragraph (2), second sentence, or paragraph (6), second sentence.

２前項前段の規定による指定を受けた被保険者は、当該指定に係る居宅サービス、地域密着型サービス、施設サービス、介護予防サービス又は地域密着型介護予防サービスの種類の変更の申請をすることができる。

(2)An Insured Person specified pursuant to the provisions of the preceding paragraph, first sentence, may apply for a change of type of services pertaining to said specification including In-Home Service, Community-Based Service, Facility Service, Preventive Long-Term Care Service, or Community-Based Service for Preventive Long-Term Care.

３前項の申請は、厚生労働省令で定めるところにより、被保険者証を添付して行うものとする。

(3)The application as prescribed in the preceding paragraph is to be submitted with the Certificate of Insured Person, pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare.

４市町村は、第二項の申請があった場合において、厚生労働省令で定めるところにより、認定審査会の意見を聴き、必要があると認めるときは、当該指定に係る居宅サービス、地域密着型サービス、施設サービス、介護予防サービス又は地域密着型介護予防サービスの種類の変更をすることができる。

(4)In a case when the application as set forth in paragraph (2) is submitted, a Municipality, pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare, when it hears the opinion of the Certification Committee and determines it necessary, may change the type of services pertaining to said specification including In-Home Service, Community-Based Service, Facility Service, Preventive Long-Term Care Service, or Community-Based Service for Preventive Long-Term Care.

５市町村は、前項の規定により第二項の申請に係る被保険者について第一項前段の規定による指定に係る居宅サービス、地域密着型サービス、施設サービス、介護予防サービス又は地域密着型介護予防サービスの種類を変更したときは、その結果を当該被保険者に通知するとともに、当該被保険者の被保険者証に変更後の居宅サービス、地域密着型サービス、施設サービス、介護予防サービス又は地域密着型介護予防サービスの種類を記載し、これを返付するものとする。

(5)When a Municipality, with regard to an Insured Person pertaining to the application as set forth in paragraph (2), has changed the type of services pertaining to the specification pursuant to the provisions of paragraph (1), first sentence, including In-Home Service, Community-Based Service, Facility Service, Preventive Long-Term Care Service, or Community-Based Service for Preventive Long-Term Care pursuant to the provisions of the preceding paragraph, it is to notify said Insured Person of said result, enter the type of services, including In-Home Service, Community-Based Service, Facility Service, Preventive Long-Term Care Service, or Community-Based Service for Preventive Long-Term Care after amending the Certificate of Insured Person of said Insured Person, and return the Certificate of Insured Person to the Insured Person.

第三十八条都道府県は、市町村が行う第二十七条から第三十五条まで及び前条の規定による業務に関し、その設置する福祉事務所（社会福祉法（昭和二十六年法律第四十五号）に定める福祉に関する事務所をいう。）又は保健所による技術的事項についての協力その他市町村に対する必要な援助を行うことができる。

Article 38(1)A prefecture, with regard to affairs pursuant to the provisions of Article 27 to Article 35 and the preceding Article that a Municipality performs, may cooperate regarding technical matters at public aid office (those offices regarding public aid provided by the Social Welfare Act (Act No. 45 of 1951)) or a health center, and provide other necessary assistance to a Municipality.

２地方自治法第二百五十二条の十四第一項の規定により市町村の委託を受けて審査判定業務（第二十七条から第三十五条まで及び前条の規定により認定審査会が行う業務をいう。以下この条において同じ。）を行う都道府県に、当該審査判定業務を行わせるため、都道府県介護認定審査会を置く。

(2)Pursuant to the provisions of Article 252-14, paragraph (1) of the Local Autonomy Act, a Prefectural Certification Committee of Needed Long-Term Care is to be established by entrustment from a Municipality, in order for the prefecture to perform examinations and judgments (operations that a Certification Committee performs pursuant to the provisions of Article 27 to Article 35 and the preceding Article; the same shall apply hereinafter in this Article).

３第十五条及び第十七条の規定は、前項の都道府県介護認定審査会について準用する。この場合において、第十五条中「市町村長（特別区にあっては、区長。以下同じ。）」とあるのは、「都道府県知事」と読み替えるものとする。

(3)The provisions of Article 15 and Article 17 apply mutatis mutandis to a Prefectural Certification Committee of Needed Long-Term Care as prescribed in the preceding paragraph.In this case, the phrase "mayor of a Municipality ("ward mayor" for special city wards; the same applies hereinafter)" in Article 15 is deemed to be replaced with "prefectural governor."

４審査判定業務を都道府県に委託した市町村について第二十七条（第二十八条第四項、第二十九条第二項、第三十条第二項、第三十一条第二項及び第三十二条第五項において準用する場合を含む。）、第三十条、第三十二条（第三十三条第四項、第三十三条の二第二項、第三十三条の三第二項及び第三十四条第二項において準用する場合を含む。）、第三十三条の三及び第三十五条から前条までの規定を適用する場合においては、これらの規定中「認定審査会」とあるのは、「都道府県介護認定審査会」とする。

(4)With regard to a Municipality that entrusts examinations and judgments to a prefecture, in a case of applying the provisions of Article 27 (including a case applied mutatis mutandis pursuant to Article 28, paragraph (4), Article 29, paragraph (2), Article 30, paragraph (2), Article 31, paragraph (2) or Article 32, paragraph (5)), Article 30, Article 32 (including a case applied mutatis mutandis pursuant to Article 33, paragraph (4), Article 33-2, paragraph (2), Article 33-3, paragraph (2), or Article 34, paragraph (2)), Article 33-3 or Article 35 to the preceding Article, the term "Certification Committee" is deemed to be replaced with "Prefectural Certification Committee of Needed Long-Term Care."

第三十九条この節に定めるもののほか、要介護認定及び要支援認定の申請その他の手続に関し必要な事項は、厚生労働省令で定める。

Article 39In addition to those matters provided by this Section, an application for Certification of Needed Long-Term Care and Certification of Needed Support, and other procedures necessary matters are specified by Order of the Ministry of Health, Labour, and Welfare.

第四十条介護給付は、次に掲げる保険給付とする。

Article 40A Long-Term Care Benefit is to be any of the insurance benefits listed below:

第四十一条市町村は、要介護認定を受けた被保険者（以下「要介護被保険者」という。）のうち居宅において介護を受けるもの（以下「居宅要介護被保険者」という。）が、都道府県知事が指定する者（以下「指定居宅サービス事業者」という。）から当該指定に係る居宅サービス事業を行う事業所により行われる居宅サービス（以下「指定居宅サービス」という。）を受けたときは、当該居宅要介護被保険者に対し、当該指定居宅サービスに要した費用（特定福祉用具の購入に要した費用を除き、通所介護、通所リハビリテーション、短期入所生活介護、短期入所療養介護及び特定施設入居者生活介護に要した費用については、食事の提供に要する費用、滞在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。以下この条において同じ。）について、居宅介護サービス費を支給する。ただし、当該居宅要介護被保険者が、第三十七条第一項の規定による指定を受けている場合において、当該指定に係る種類以外の居宅サービスを受けたときは、この限りでない。

Article 41(1)A Municipality, when an Insured Person that receives long-term care at his or her home (herein referred to as "Insured In-Home Person Requiring Long-Term Care") among persons who have obtained a Certification of Needed Long-Term Care (herein referred to as "Insured Person Requiring Long-Term Care") receives from a person designated by prefectural governor (hereinafter referred to as "Designated In-Home Service Provider") an In-Home Service provided by an appointed provider that performs In-Home Service Business pertaining to said specification (herein referred to as "Designated In-Home Service"), pays an Allowance for In-Home Long-Term Care Service to said Insured In-Home Person Requiring Long-Term Care regarding expenses required for said Designated In-Home Service (except for expenses required for purchase of Specified Equipment Covered by Public Aid, and excluding the expenses necessary to provide meals, residence, and other expenses as determined by Order of the Ministry of Health, Labour, and Welfare as necessary for daily life with regard to the expenses required for Outpatient Day Long-Term Care, Outpatient Rehabilitation, a Short-Term Admission for Daily Life Long-Term Care, Short-Term Admission for Recuperation, and Daily Life Long-Term Care Admitted to a Specified Facility; the same applies hereinafter in this Act), however, provided that this provision does not apply to a case when said Insured In-Home Person Requiring Long-Term Care is specified pursuant to the provisions of Article 37, paragraph (1) and the Person receives In-Home Service other than the type pertaining to said specification.

２居宅介護サービス費は、厚生労働省令で定めるところにより、市町村が必要と認める場合に限り、支給するものとする。

(2)An Allowance for In-Home Long-Term Care Service, pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare, are to be paid only when a Municipality determines that it is necessary.

３指定居宅サービスを受けようとする居宅要介護被保険者は、厚生労働省令で定めるところにより、自己の選定する指定居宅サービス事業者について、被保険者証を提示して、当該指定居宅サービスを受けるものとする。

(3)An Insured In-Home Person Requiring Long-Term Care who intends to receive Designated In-Home Service pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare is to present a Certificate of Insured Person to the Designated In-Home Service Provider that said Insured Person selects and will receive said Designated In-Home Service.

４居宅介護サービス費の額は、次の各号に掲げる居宅サービスの区分に応じ、当該各号に定める額とする。

(4)The amount of Allowance for In-Home Long-Term Care Service is to be the amount provided by each of the following items according to the category of In-Home Service listed in the said items:

５厚生労働大臣は、前項各号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。

(5)The Minister of Health, Labour, and Welfare, when it intends to determine the standards as prescribed in the items of the preceding paragraph, must hear the opinion of the Social Security Council in advance.

６居宅要介護被保険者が指定居宅サービス事業者から指定居宅サービスを受けたとき（当該居宅要介護被保険者が第四十六条第四項の規定により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であって、当該指定居宅サービスが当該指定居宅介護支援の対象となっている場合その他の厚生労働省令で定める場合に限る。）は、市町村は、当該居宅要介護被保険者が当該指定居宅サービス事業者に支払うべき当該指定居宅サービスに要した費用について、居宅介護サービス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、当該指定居宅サービス事業者に支払うことができる。

(6)When an Insured In-Home Person Requiring Long-Term Care is provided Designated In-Home Service (limited to a case when said Insured In-Home Person Requiring Long-Term Care has notified the Municipality to receive Designated In-Home Long-Term Care Support pursuant to the provisions of Article 46, paragraph (4) in advance, that said Designated In-Home Service is subject to said Designated In-Home Long-Term Care Support and other cases as determined by Order of the Ministry of Health, Labour, and Welfare) by a Designated In-Home Service Provider, the Municipality may pay expenses required for said Designated In-Home Service that said Insured In-Home Person Requiring Long-Term Care should pay to said Designated In-Home Service Provider on behalf of said Insured In-Home Person Requiring Long-Term Care to said Designated In-Home Service Provider within the specified limit of the amount that should be paid to said Insured In-Home Person Requiring Long-Term Care as Allowance for In-Home Long-Term Care Service.

７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費の支給があったものとみなす。

(7)When the payment pursuant to the provisions of the preceding paragraph is paid, it is to be deemed as an Allowance for In-Home Long-Term Care Service that has been paid to an Insured In-Home Person Requiring Long-Term Care.

８指定居宅サービス事業者は、指定居宅サービスその他のサービスの提供に要した費用につき、その支払を受ける際、当該支払をした居宅要介護被保険者に対し、厚生労働省令で定めるところにより、領収証を交付しなければならない。

(8)A Designated In-Home Service Provider, when accepting payment of the expenses required for providing the Designated In-Home Service and other services, must deliver a receipt to the Insured In-Home Person Requiring Long-Term Care who made said payment, pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare.

９市町村は、指定居宅サービス事業者から居宅介護サービス費の請求があったときは、第四項各号の厚生労働大臣が定める基準及び第七十四条第二項に規定する指定居宅サービスの事業の設備及び運営に関する基準（指定居宅サービス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。

(9)A Municipality, when a Designated In-Home Service Provider requests an Allowance for In-Home Long-Term Care Service, is to pay said allowance after conducting an examination according to standards provided by the Minister of Health, Labour, and Welfare as prescribed in the each item of paragraph (4) and the standards of facilities and management of Designated In-Home Service Business as prescribed in Article 74, paragraph (2) (limited to the part regarding the handling of Designated In-Home Service).

１０市町村は、前項の規定による審査及び支払に関する事務を連合会に委託することができる。

(10)A Municipality may entrust an examination and payment affairs prescribed in the preceding paragraph to an Association.

１１前項の規定による委託を受けた連合会は、当該委託をした市町村の同意を得て、厚生労働省令で定めるところにより、当該委託を受けた事務の一部を、営利を目的としない法人であって厚生労働省令で定める要件に該当するものに委託することができる。

(11)An Association that undertakes entrustment pursuant to the provisions of the preceding paragraph, after obtaining the consent of the Municipality that delegated said entrustment and pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare, may entrust a part of the affairs that are under said entrustment to a not-for-profit juridical person that qualifies with requirements as determined by Order of the Ministry of Health, Labour, and Welfare.

１２前各項に規定するもののほか、居宅介護サービス費の支給及び指定居宅サービス事業者の居宅介護サービス費の請求に関して必要な事項は、厚生労働省令で定める。

(12)In addition to the provisions of the preceding paragraph, necessary matters for payment of an Allowance for In-Home Long-Term Care Service and a request for an Allowance for In-Home Long-Term Care Service by a Designated In-Home Service Provider are prescribed by Order of the Ministry of Health, Labour, and Welfare.

第四十二条市町村は、次に掲げる場合には、居宅要介護被保険者に対し、特例居宅介護サービス費を支給する。

Article 42(1)A Municipality pays an Exceptional Allowance for In-Home Long-Term Care Service to an Insured In-Home Person Requiring Long-Term Care in the following cases:

２特例居宅介護サービス費の額は、当該居宅サービス又はこれに相当するサービスについて前条第四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（その額が現に当該居宅サービス又はこれに相当するサービスに要した費用（特定福祉用具の購入に要した費用を除き、通所介護、通所リハビリテーション、短期入所生活介護、短期入所療養介護及び特定施設入居者生活介護並びにこれらに相当するサービスに要した費用については、食事の提供に要する費用、滞在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、当該現に居宅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を基準として、市町村が定める。

(2)The amount of Exceptional Allowance for In-Home Long-Term Care Service is to be specified by a Municipality with regard to said In-Home Service or services equivalent to said service based on an amount equivalent to 90 percent of the expenses calculated by standards determined by the Minister of Health, Labour, and Welfare as prescribed in each item of the preceding Article, paragraph (4) (but shall be the actual expenses required for said In-Home Service or service equivalent to said services when said calculated standard amount exceeds the actual expenses required for said In-Home Service or service equivalent to said services (except for purchases of Specified Equipment Covered by Public Aid; with regard to expenses necessary for 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, excluding expenses necessary to provide meals, residence, other expenses, other expenses necessary for daily life as determined by Order of the Ministry of Health, Labour, and Welfare)).

３市町村長は、特例居宅介護サービス費の支給に関して必要があると認めるときは、当該支給に係る居宅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「居宅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、若しくは当該居宅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。

(3)A Municipality, when it determines the necessity for payment of an Exceptional Allowance for In-Home Long-Term Care Service, may order a person that has been in charge of the In-Home Service pertaining to said payment or equivalent service (herein referred to as "Person, etc., in Charge of In-Home Service, etc." in this paragraph) to report, submit, or present record books and documents, appear before, or direct its personnel to question the relevant person and enter the Business Office of the service provider of said Person, etc., in Charge of In-Home Service, etc., pertaining to said payment in order to inspect said equipment, record books and documents, and other items.

４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。

(4)The provisions of Article 24, paragraph (3) apply mutatis mutandis to questions and inspections as prescribed in the preceding paragraph and the provisions of paragraph (4) of the same Article apply mutatis mutandis to the authority granted as prescribed in the preceding paragraph.

第四十二条の二市町村は、要介護被保険者が、当該市町村の長が指定する者（以下「指定地域密着型サービス事業者」という。）から当該指定に係る地域密着型サービス事業を行う事業所により行われる地域密着型サービス（以下「指定地域密着型サービス」という。）を受けたときは、当該要介護被保険者に対し、当該指定地域密着型サービスに要した費用（認知症対応型通所介護、小規模多機能型居宅介護、認知症対応型共同生活介護、地域密着型特定施設入居者生活介護及び地域密着型介護老人福祉施設入所者生活介護に要した費用については、食事の提供に要する費用、居住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。以下この条において同じ。）について、地域密着型介護サービス費を支給する。ただし、当該要介護被保険者が、第三十七条第一項の規定による指定を受けている場合において、当該指定に係る種類以外の地域密着型サービスを受けたときは、この限りでない。

Article 42-2(1)A Municipality, when an Insured Person Requiring Long-Term Care received from a person designated by the mayor of said Municipality (herein referred to as "Designated Community-Based Service Provider") a Community-Based Service from a provider that performs Community-Based Service Business pertaining to said designation (herein referred to as "Designated Community-Based Service"), pays to said Insured Person Requiring Long-Term Care an Allowance for Community-Based Long-Term Care Service with regard to the expenses required for said Designated Community-Based Service (except for expenses necessary to provide meals, residence, and other expenses as determined by Order of the Ministry of Health, Labour, and Welfare as necessary for daily life with regard to the expenses required for 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, and Admission to a Community-Based Facility for Preventive Daily Long-Term Care of the Elderly Covered by Public Aid; hereinafter the same applies in this Article), however, provided that this provision does not apply when said Insured Person Requiring Long-Term Care receives Community-Based Service other than the type pertaining to said designation in a case said Insured Person is issued a designation pursuant to the provisions of Article 37, paragraph (1).

２地域密着型介護サービス費の額は、次の各号に掲げる地域密着型サービスの区分に応じ、当該各号に定める額とする。

(2)The amount of Allowance for Community-Based Long-Term Care Service is to be the amount provided by each item of following, according to the category of Community-Based Service listed in said item:

３厚生労働大臣は、前項各号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。

(3)The Minister of Health, Labour, and Welfare, when providing standards for each item of the preceding paragraph, must hear the opinion of the Social Security Committee in advance.

４市町村は、第二項各号の規定にかかわらず、同項各号に定める地域密着型介護サービス費の額に代えて、その額を超えない額を、当該市町村における地域密着型介護サービス費の額とすることができる。

(4)A Municipality, notwithstanding the provision of each item of paragraph (2), may determine the amount for the Allowance for Community-Based Long-Term Care Service in said Municipality, in lieu of the amount of Allowance for Community-Based Long-Term Care Service prescribed in the same paragraph and same item, the amount of which that does not exceed the amount of said Allowance for Community-Based Long-Term Care Service prescribed in the same paragraph and same item.

５市町村は、前項の当該市町村における地域密着型介護サービス費の額を定めようとするときは、あらかじめ、当該市町村が行う介護保険の被保険者その他の関係者の意見を反映させ、及び学識経験を有する者の知見の活用を図るために必要な措置を講じなければならない。

(5)A Municipality, when it intends to determine the amount of Allowance for Community-Based Long-Term Care Service in said Municipality as prescribed in the preceding paragraph, shall reflect the opinions of Insured Persons of Long-Term Care Insurance undertaken by said Municipality and take necessary measures in order to promote the use of knowledge of persons with relevant knowledge and experience, in advance.

６要介護被保険者が指定地域密着型サービス事業者から指定地域密着型サービスを受けたとき（当該要介護被保険者が第四十六条第四項の規定により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であって、当該指定地域密着型サービスが当該指定居宅介護支援の対象となっている場合その他の厚生労働省令で定める場合に限る。）は、市町村は、当該要介護被保険者が当該指定地域密着型サービス事業者に支払うべき当該指定地域密着型サービスに要した費用について、地域密着型介護サービス費として当該要介護被保険者に対し支給すべき額の限度において、当該要介護被保険者に代わり、当該指定地域密着型サービス事業者に支払うことができる。

(6)When an Insured Person Requiring Long-Term Care receives Designated Community-Based Service from a Designated Community-Based Service Provider (limited to a case when said Insured Person Requiring Long-Term Care notifies the Municipality regarding the receiving of Designated In-Home Long-Term Care Support pursuant to the provisions of Article 46, paragraph (4) in advance, and a case when said Designated Community-Based Service is subject to said Designated In-Home Long-Term Care Support, or other cases as determined by Order of the Ministry of Health, Labour, and Welfare), the Municipality may pay the expenses required for said Designated Community-Based Service that are to be paid to said Designated Community-Based Service Provider by said Insured Person Requiring Long-Term Care on behalf of said Insured Person Requiring Long-Term Care within the limit of the amount to be paid to said Insured Person Requiring Long-Term Care as an Allowance for Community-Based Long-Term Care Service.

７前項の規定による支払があったときは、要介護被保険者に対し地域密着型介護サービス費の支給があったものとみなす。

(7)When the payment as prescribed in the preceding paragraph is paid, it is to be deemed that an Allowance for Community-Based Long-Term Care Service is paid to Insured Person Requiring Long-Term Care.

８市町村は、指定地域密着型サービス事業者から地域密着型介護サービス費の請求があったときは、第二項各号の厚生労働大臣が定める基準又は第四項の規定により市町村が定める額及び第七十八条の四第二項又は第四項に規定する指定地域密着型サービスの事業の設備及び運営に関する基準（指定地域密着型サービス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。

(8)A Municipality, when a Designated Community-Based Service Provider requests payment for Allowance for Designated Community-Based Service, is to pay said amount after conducting an examination according to the amount specified by the Municipality pursuant to the provisions of the standards determined by the Minister of Health, Labour, and Welfare as set forth in each item of paragraph (2) and pursuant to the provision of paragraph (4), and according to the standards pertaining to facilities and management of Designated Community-Based Service Business as prescribed by Article 78-4, paragraph (2) or paragraph (4) (limited to the part regarding the handling of Designated Community-Based Service).

９第四十一条第二項、第三項、第十項及び第十一項の規定は地域密着型介護サービス費の支給について、同条第八項の規定は指定地域密着型サービス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。

(9)The provisions of Article 41, paragraph (2), paragraph (3), paragraph (10), and paragraph (11) apply mutatis mutandis to the payment of an Allowance for Designated Community-Based Service and the provisions of paragraph (8) of the same Article shall apply mutatis mutandis to a Designated Community-Based Service Provider.In this case, the necessary technical replacement of terms in these provisions specified by a Cabinet Order.

１０前各項に規定するもののほか、地域密着型介護サービス費の支給及び指定地域密着型サービス事業者の地域密着型介護サービス費の請求に関して必要な事項は、厚生労働省令で定める。

(10)In addition to the provisions as prescribed in each of the preceding items, necessary matters for payment of an Allowance for Designated Community-Based Service and a request by a Designated Community-Based Service Provider for an Allowance for Designated Community-Based Service is as determined by Order of the Ministry of Health, Labour, and Welfare.

第四十二条の三市町村は、次に掲げる場合には、要介護被保険者に対し、特例地域密着型介護サービス費を支給する。

Article 42-3(1)A Municipality, in the following cases, pay an Exceptional Allowance for Community-Based Long-Term Care Service to an Insured Person Requiring Long-Term Care:

２特例地域密着型介護サービス費の額は、当該地域密着型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サービス又はこれに相当するサービスに要した費用（認知症対応型通所介護、小規模多機能型居宅介護、認知症対応型共同生活介護、地域密着型特定施設入居者生活介護及び地域密着型介護老人福祉施設入所者生活介護並びにこれらに相当するサービスに要した費用については、食事の提供に要する費用、居住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が定めた額を基準として、市町村が定める。

(2)The amount of an Exceptional Allowance for Community-Based Long-Term Care Service shall be provided by a Municipality based on the amount equivalent to 90 percent of the expenses calculated by standards determined by the Minister of Health, Labour, and Welfare as prescribed for each item of the preceding Article, paragraph (2) regarding said Community-Based Service or equivalent service (except when said calculated standard amount exceeds the actual expenses required for said Community-Based Service or equivalent service (excluding the expenses necessary to provide meals, residence, and other expenses as determined by Order of the Ministry of Health, Labour, and Welfare as necessary for daily life with regard to the expenses required for 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, Admission to a Community-Based Facility for Preventive Daily Long-Term Care of the Elderly Covered by Public Aid, and equivalent services), said amount is to be the actual expenses required for said Community-Based Service or equivalent service), or the amount specified by the Municipality pursuant to the provisions of paragraph (4) of the same Article.

３市町村長は、特例地域密着型介護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。

(3)The mayor of a Municipality, when he or she determines the necessity of payment of an Exceptional Allowance for Community-Based Long-Term Care Service, orders a person that has been in charge of said Community-Based Service pertaining to said payment or in charge of an equivalent service (herein referred to as "Person, etc., in Charge of Community-Based Service, 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 Community-Based Service, etc., pertaining to said payment in order to inspect said equipment, record books and documents, and other items.

４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。

(4)The provisions of Article 24, paragraph (3) apply mutatis mutandis to questions or inspections as prescribed in the preceding paragraph, and the provisions of paragraph (4) of the same Article apply mutatis mutandis to the authority granted as prescribed in the preceding paragraph.

第四十三条居宅要介護被保険者が居宅サービス等区分（居宅サービス（これに相当するサービスを含む。以下この条において同じ。）及び地域密着型サービス（これに相当するサービスを含み、地域密着型介護老人福祉施設入所者生活介護を除く。以下この条において同じ。）について、その種類ごとの相互の代替性の有無等を勘案して厚生労働大臣が定める二以上の種類からなる区分をいう。以下同じ。）ごとに月を単位として厚生労働省令で定める期間において受けた一の居宅サービス等区分に係る居宅サービスにつき支給する居宅介護サービス費の額の総額及び特例居宅介護サービス費の額の総額並びに地域密着型サービスにつき支給する地域密着型介護サービス費の額の総額及び特例地域密着型介護サービス費の額の総額の合計額は、居宅介護サービス費等区分支給限度基準額を基礎として、厚生労働省令で定めるところにより算定した額の百分の九十に相当する額を超えることができない。

Article 43(1)The total sum of allowances that are paid monthly for In-Home Service pertaining to one classification of In-Home Service, etc., that an Insured In-Home Person Requiring Long-Term Care during the period determined by Ordinance of Ministry of Health, Labour, and Welfare for each classification of In-Home Service, etc. (which means with regard to In-Home Service (including equivalent services; hereinafter the same applies in this Article) and Community-Based Service (including equivalent services except for Admission to a Community-Based Facility for Preventive Daily Long-Term Care of the Elderly Covered by Public Aid; the same applies hereinafter in this Article) by categories of two or more types as determined by the Minister of Health, Labour, and Welfare, considering the inter-substitution by each type of category; the same applies hereinafter) may not exceed the amount equivalent to 90 percent of the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare based on the base amount of maximum payment for each category of Allowance for In-Home Long-Term Care Service, etc. The total sum of allowance is the total amount of Allowance for In-Home Long-Term Care Service or Exceptional Allowance for In-Home Long-Term Care Service, or the total amount of Allowance for Community-Based Long-Term Care Service to be paid for Community-Based Service or the total amount of Exceptional Allowance for Community-Based Long-Term Care Service.

２前項の居宅介護サービス費等区分支給限度基準額は、居宅サービス等区分ごとに、同項に規定する厚生労働省令で定める期間における当該居宅サービス等区分に係る居宅サービス及び地域密着型サービスの要介護状態区分に応じた標準的な利用の態様、当該居宅サービス及び地域密着型サービスに係る第四十一条第四項各号及び第四十二条の二第二項各号の厚生労働大臣が定める基準等を勘案して厚生労働大臣が定める額とする。

(2)The base amount of maximum payment by classification of Allowance for In-Home Long-Term Care Service, etc., as prescribed in the preceding paragraph is to be an amount determined by the Minister of Health, Labour, and Welfare by classification of In-Home Service, etc., and by considering the standard use, according to the categories of Condition of Need for Long-Term Care, of In-Home Service pertaining to the category of said In-Home Service and Community-Based Service, etc., during the period as determined by Order of the Ministry of Health, Labour, and Welfare as prescribed in the same paragraph, and standards, etc., provided by the Minister of Health, Labour, and Welfare as set forth in each item of Article 41, paragraph (4) and each item of Article 42-2, paragraph (2) pertaining to said In-Home Service and Community-Based Service.

３市町村は、前項の規定にかかわらず、条例で定めるところにより、第一項の居宅介護サービス費等区分支給限度基準額に代えて、その額を超える額を、当該市町村における居宅介護サービス費等区分支給限度基準額とすることができる。

(3)A Municipality, notwithstanding the provisions of the preceding paragraph and pursuant to the provisions of a municipal ordinance, in lieu of the base amount of maximum payment for the categories of allowances for In-Home Long-Term Care, etc., as prescribed in paragraph (1), may determine an amount exceeding said base amount as the base amount of maximum payment for the categories of allowances for In-Home Long-Term Care, etc., in said Municipality.

４市町村は、居宅要介護被保険者が居宅サービス及び地域密着型サービスの種類（居宅サービス等区分に含まれるものであって厚生労働大臣が定めるものに限る。次項において同じ。）ごとに月を単位として厚生労働省令で定める期間において受けた一の種類の居宅サービスにつき支給する居宅介護サービス費の額の総額及び特例居宅介護サービス費の額の総額の合計額並びに一の種類の地域密着型サービスにつき支給する地域密着型介護サービス費の額の総額及び特例地域密着型介護サービス費の額の総額の合計額について、居宅介護サービス費等種類支給限度基準額を基礎として、厚生労働省令で定めるところにより算定した額の百分の九十に相当する額を超えることができないこととすることができる。

(4)A Municipality, with regard to the total sum of the total amount of allowances for In-Home Long-Term Care and exceptional allowances for In-Home Long-Term Care that are paid by each type of In-Home Service and the total amount of allowances for Community-Based Service and exceptional allowances for Community-Based Service that are paid by each type of Community-Based Service when said allowances are paid monthly to an Insured In-Home Person Requiring Long-Term Care by the type of In-Home Service and Community-Based Service (limited to those types that are included in categories of In-Home Service, etc., and that are determined by the Minister of Health, Labour, and Welfare) during the period as determined by Order of the Ministry of Health, Labour, and Welfare, may determine that said total sum may not exceed 90 percent of the calculated standard amount pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare based on base amount of maximum payment for the categories of allowances for In-Home Long-Term Care, etc.

５前項の居宅介護サービス費等種類支給限度基準額は、居宅サービス及び地域密着型サービスの種類ごとに、同項に規定する厚生労働省令で定める期間における当該居宅サービス及び地域密着型サービスの要介護状態区分に応じた標準的な利用の態様、当該居宅サービス及び地域密着型サービスに係る第四十一条第四項各号及び第四十二条の二第二項各号の厚生労働大臣が定める基準等を勘案し、当該居宅サービス及び地域密着型サービスを含む居宅サービス等区分に係る第一項の居宅介護サービス費等区分支給限度基準額（第三項の規定に基づき条例を定めている市町村にあっては、当該条例による措置が講じられた額とする。）の範囲内において、市町村が条例で定める額とする。

(5)The base amount of maximum payment for the categories of allowances for In-Home Long-Term Care, etc., as set forth in the preceding paragraph is to be the amount specified by a municipal ordinance within the limit of the base amount of maximum payment for the categories of allowances for In-Home Long-Term Care, etc., prescribed in paragraph (1) pertaining to the categories of In-Home Service, etc., including said In-Home Service and Community-Based Service (with regard to the Municipality that provides a municipal ordinance pursuant to the provisions of paragraph (3), the base amount is to be the amount for which measures pursuant to the provisions of said municipal ordinance are undertaken) by considering each type of In-Home Service and Community-Based Service for its standard use according to the categories of Condition of Need for Long-Term Care of said In-Home Service and Community-Based Service during the period as determined by Order of the Ministry of Health, Labour, and Welfare as prescribed in the preceding paragraph and of standards, etc., provided by the Minister of Health, Labour, and Welfare as set forth in each item of Article 41, paragraph (4) and each item of Article 42-2, paragraph (2) pertaining to said In-Home Service and Community-Based Service.

６居宅介護サービス費若しくは特例居宅介護サービス費又は地域密着型介護サービス費若しくは特例地域密着型介護サービス費を支給することにより第一項に規定する合計額が同項に規定する百分の九十に相当する額を超える場合又は第四項に規定する合計額が同項に規定する百分の九十に相当する額を超える場合における当該居宅介護サービス費若しくは特例居宅介護サービス費又は地域密着型介護サービス費若しくは特例地域密着型介護サービス費の額は、第四十一条第四項各号若しくは第四十二条第二項又は第四十二条の二第二項各号若しくは第四項若しくは前条第二項の規定にかかわらず、政令で定めるところにより算定した額とする。

(6)In a case when the total sum as prescribed in paragraph (1) exceeds the amount equivalent to 90 percent of the calculated amount as prescribed in the same paragraph for payment of allowances for In-Home Long-Term Care, Exceptional Allowance for In-Home Long-Term Care Service, Allowance for Community-Based Long-Term Care Service, or Exceptional Allowance for Community-Based Long-Term Care Service, or in a case when the total sum as prescribed in paragraph (4) exceeds the amount equivalent to 90 percent of the calculated amount as prescribed in the same paragraph, the amount of allowances of said In-Home Long-Term Care, Exceptional Allowance for In-Home Long-Term Care Service, Allowance for Community-Based Long-Term Care Service, or Exceptional Allowance for Community-Based Long-Term Care Service is to be the amount calculated pursuant to the provisions of a Cabinet Order, notwithstanding the provisions of each item of Article 41, paragraph (4), Article 42, paragraph (2), each item of Article 42-2, paragraph (2) or paragraph (4), or paragraph (2) of the preceding Article.

第四十四条市町村は、居宅要介護被保険者が、特定福祉用具販売に係る指定居宅サービス事業者から当該指定に係る居宅サービス事業を行う事業所において販売される特定福祉用具を購入したときは、当該居宅要介護被保険者に対し、居宅介護福祉用具購入費を支給する。

Article 44(1)A Municipality, when an Insured In-Home Person Requiring Long-Term Care purchases from a Designated In-Home Service Provider pertaining to the Sale of Specified Equipment Covered by Public Aid an article of the Specified Equipment Covered by Public Aid that is sold by a provider that performs an In-Home Service pertaining to said designation, pays to said Insured In-Home Person Requiring Long-Term Care an Allowance for purchasing Equipment for In-Home Long-Term Care Covered by Public Aid.

２居宅介護福祉用具購入費は、厚生労働省令で定めるところにより、市町村が必要と認める場合に限り、支給するものとする。

(2)An Allowance for purchasing Equipment for In-Home Long-Term Care Covered by Public Aid is to be paid pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare and limited to when the Municipality determines it necessary.

３居宅介護福祉用具購入費の額は、現に当該特定福祉用具の購入に要した費用の額の百分の九十に相当する額とする。

(3)The amount of Allowance for purchasing Equipment for In-Home Long-Term Care Covered by Public Aid is to be the amount equivalent to 90 percent of the actual expenses required for the purchase of said Specified Equipment Covered by Public Aid.

４居宅要介護被保険者が月を単位として厚生労働省令で定める期間において購入した特定福祉用具につき支給する居宅介護福祉用具購入費の額の総額は、居宅介護福祉用具購入費支給限度基準額を基礎として、厚生労働省令で定めるところにより算定した額の百分の九十に相当する額を超えることができない。

(4)The total Allowance for purchasing Equipment for In-Home Long-Term Care Covered by Public Aid that is paid monthly for Specified Equipment Covered by Public Aid purchased by an Insured In-Home Person Requiring Long-Term Care during the period as determined by Order of the Ministry of Health, Labour, and Welfare may not exceed the amount equivalent to 90 percent of the amount calculated pursuant to the provision of Order of the Ministry of Health, Labour, and Welfare based on the base amount of maximum payment for Allowance for purchasing Equipment for In-Home Long-Term Care Covered by Public Aid.

５前項の居宅介護福祉用具購入費支給限度基準額は、同項に規定する厚生労働省令で定める期間における特定福祉用具の購入に通常要する費用を勘案して厚生労働大臣が定める額とする。

(5)The base amount of maximum payment for Allowance for purchasing Equipment for In-Home Long-Term Care Covered by Public Aid as prescribed in the preceding paragraph is to be an amount provided by the Minister of Health, Labour, and Welfare as prescribed in the same paragraph after considering the average expenses required for the purchase of said Specified Equipment Covered by Public Aid during the period as determined by Order of the Ministry of Health, Labour, and Welfare.

６市町村は、前項の規定にかかわらず、条例で定めるところにより、第四項の居宅介護福祉用具購入費支給限度基準額に代えて、その額を超える額を、当該市町村における居宅介護福祉用具購入費支給限度基準額とすることができる。

(6)A Municipality, notwithstanding the provisions of the preceding paragraph, in lieu of the base amount of maximum payment for Allowance for purchasing Equipment for In-Home Long-Term Care Covered by Public Aid as set forth in paragraph (4), may determine an amount that exceeds said base amount as the base amount of maximum payment for Allowance for purchasing Equipment for In-Home Long-Term Care Covered by Public Aid in said Municipality.

７居宅介護福祉用具購入費を支給することにより第四項に規定する総額が同項に規定する百分の九十に相当する額を超える場合における当該居宅介護福祉用具購入費の額は、第三項の規定にかかわらず、政令で定めるところにより算定した額とする。

(7)In a case when the total sum as prescribed in paragraph (4) exceeds the amount equivalent to 90 percent of the calculated amount as prescribed in the same paragraph for payment of an Allowance for purchasing Equipment for In-Home Long-Term Care Covered by Public Aid, the amount of said Allowance for purchasing Equipment for In-Home Long-Term Care Covered by Public Aid is to be the amount calculated pursuant to the provisions of a Cabinet Order, notwithstanding the provision of paragraph (3).

第四十五条市町村は、居宅要介護被保険者が、手すりの取付けその他の厚生労働大臣が定める種類の住宅の改修（以下「住宅改修」という。）を行ったときは、当該居宅要介護被保険者に対し、居宅介護住宅改修費を支給する。

Article 45(1)A Municipality, when an Insured In-Home Person Requiring Long-Term Care implements a type of modification determined by the Minister of Health, Labour, and Welfare, such as installing handrails or other fixtures (herein referred to as "Home Modification"), pays an Allowance for Home Modification for In-Home Long-Term Care to said Insured In-Home Person Requiring Long-Term Care.

２居宅介護住宅改修費は、厚生労働省令で定めるところにより、市町村が必要と認める場合に限り、支給するものとする。

(2)An Allowance for Home Modification for In-Home Long-Term Care is to be paid pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare limited to a case when the Municipality determines it necessary.

３居宅介護住宅改修費の額は、現に当該住宅改修に要した費用の額の百分の九十に相当する額とする。

(3)The amount of Allowance for Home Modification for In-Home Long-Term Care is to be the amount equivalent to 90 percent of the actual expenses required for said Home Modification.

４居宅要介護被保険者が行った一の種類の住宅改修につき支給する居宅介護住宅改修費の額の総額は、居宅介護住宅改修費支給限度基準額を基礎として、厚生労働省令で定めるところにより算定した額の百分の九十に相当する額を超えることができない。

(4)The total amount of Allowance for Home Modification for In-Home Long-Term Care that is paid for a single type of modifying house for in-home care undertaken by an Insured In-Home Person Requiring Long-Term Care may not exceed the amount equivalent to 90 percent of the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare based on the base amount of maximum payment for Allowance for Home Modification for In-Home Long-Term Care.

５前項の居宅介護住宅改修費支給限度基準額は、住宅改修の種類ごとに、通常要する費用を勘案して厚生労働大臣が定める額とする。

(5)The base amount of maximum payment for Allowance for Home Modification for In-Home Long-Term Care as prescribed in the preceding paragraph is to be the amount specified by the Minister of Health, Labour, and Welfare by type of Home Modification after considering the average expenses required.

６市町村は、前項の規定にかかわらず、条例で定めるところにより、第四項の居宅介護住宅改修費支給限度基準額に代えて、その額を超える額を、当該市町村における居宅介護住宅改修費支給限度基準額とすることができる。

(6)A Municipality, notwithstanding the provision of the preceding paragraph, pursuant to the provisions of a municipal ordinance, and in lieu of the base amount of maximum payment for Allowance for Home Modification for In-Home Long-Term Care as set forth in paragraph (4), may determine an amount that exceeds said base amount as the base amount of maximum payment for Allowance for Home Modification for In-Home Long-Term Care in said Municipality.

７居宅介護住宅改修費を支給することにより第四項に規定する総額が同項に規定する百分の九十に相当する額を超える場合における当該居宅介護住宅改修費の額は、第三項の規定にかかわらず、政令で定めるところにより算定した額とする。

(7)In a case when the total amount as prescribed in paragraph (4) exceeds the amount equivalent to 90 percent of the calculated amount as prescribed in the same paragraph due to payment of said Allowance for Home Modification for In-Home Long-Term Care, the amount of said Allowance for Home Modification for In-Home Long-Term Care is to be the amount calculated pursuant to the provisions of a Cabinet Order, notwithstanding the provision of paragraph (3).

８市町村長は、居宅介護住宅改修費の支給に関して必要があると認めるときは、当該支給に係る住宅改修を行う者若しくは住宅改修を行った者（以下この項において「住宅改修を行う者等」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、若しくは当該住宅改修を行う者等の当該支給に係る事業所に立ち入り、その帳簿書類その他の物件を検査させることができる。

(8)A Municipality, when it determines the necessity for payment of an Allowance for Home Modification for In-Home Long-Term Care, may order a person that implements or implemented the Home Modification pertaining to said payment (herein referred to as "Person, etc., that Implements the Home Modification" in this paragraph) to report, submit or present record books and documents, appear, or direct its personnel to question said relevant Person or enter the Business Office of the provider of said Person, etc., that Implements the Home Modification in order to inspect said books, documents, and other items.

９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。

(9)The provisions of Article 24, paragraph (3) apply mutatis mutandis to questions and inspections as prescribed in the preceding paragraph and the provisions of paragraph (4) of the same Article apply mutatis mutandis to the authority granted as prescribed in the preceding paragraph.

第四十六条市町村は、居宅要介護被保険者が、都道府県知事が指定する者（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。

Article 46(1)A Municipality, when an Insured In-Home Person Requiring Long-Term Care receives Designated In-Home Long-Term Care Support from a person designated by the prefectural governor (herein referred to as "Designated In-Home Long-Term Care Support Provider") provided by the provider that performs a Designated In-Home Long-Term Care Support Business pertaining to said designation (herein referred to as "Designated In-Home Long-Term Care Support"), may pay to said Insured In-Home Person Requiring Long-Term Care the Allowance for In-Home Long-Term Care Service Plan for the expenses required for said Designated In-Home Long-Term Care Support.

２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。

(2)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.)

３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。

(3)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.

４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。

(4)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.

５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。

(5)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.

６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。

(6)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).

７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。

(7)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.

８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。

(8)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.

第四十七条市町村は、次に掲げる場合には、居宅要介護被保険者に対し、特例居宅介護サービス計画費を支給する。

Article 47(1)A Municipality, in the following cases, pay an Allowance for an Exceptional Allowance for In-Home Long-Term Care Service Plan to an Insured In-Home Person Requiring Long-Term Care:

２特例居宅介護サービス計画費の額は、当該居宅介護支援又はこれに相当するサービスについて前条第二項の厚生労働大臣が定める基準により算定した費用の額（その額が現に当該居宅介護支援又はこれに相当するサービスに要した費用の額を超えるときは、当該現に居宅介護支援又はこれに相当するサービスに要した費用の額とする。）を基準として、市町村が定める。

(2)The amount of Allowance for an Exceptional Allowance for In-Home Long-Term Care Service Plan is specified by the Municipality based on the expenses calculated by standards determined by the Minister of Health, Labour, and Welfare as set forth in paragraph (2) of the preceding Article for said Designated In-Home Long-Term Care Support or equivalent service (in a case said calculated amount exceeds the amount of actual expenses of said Designated In-Home Long-Term Care Support or equivalent service, the base amount is to be the actual expenses required for said Designated In-Home Long-Term Care Support or equivalent service).

３市町村長は、特例居宅介護サービス計画費の支給に関して必要があると認めるときは、当該支給に係る居宅介護支援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「居宅介護支援等を担当する者等」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、若しくは当該居宅介護支援等を担当する者等の当該支給に係る事業所に立ち入り、その帳簿書類その他の物件を検査させることができる。

(3)A Municipality, when it determines the necessity for payment of an Exceptional Allowance for In-Home Long-Term Care Service Plan, may order a person that has been in charge of the Designated In-Home Long-Term Care Support pertaining to said payment or equivalent service (herein referred to as "Person, etc., in Charge of Designated In-Home Long-Term Care Support" in this paragraph) to report, submit, or present record books and documents, appear, or direct its personnel to question the relevant person and to enter the Business Office of the provider of said Person, etc., in Charge of Designated In-Home Long-Term Care Support pertaining to said payment in order to inspect said books, documents, and other items.

４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。

(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.

第四十八条市町村は、要介護被保険者が、次に掲げる施設サービス（以下「指定施設サービス等」という。）を受けたときは、当該要介護被保険者に対し、当該指定施設サービス等に要した費用（食事の提供に要する費用、居住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。以下この条において同じ。）について、施設介護サービス費を支給する。ただし、当該要介護被保険者が、第三十七条第一項の規定による指定を受けている場合において、当該指定に係る種類以外の施設サービスを受けたときは、この限りでない。

Article 48(1)A Municipality, when an Insured Person Requiring Long-Term Care receives the following Facility Service (herein referred to as "Designated Facility Service, etc."), pays to said Insured Person Requiring Long-Term Care an Allowance for Long-Term Care Facility Service of the expenses required for said Designated Facility Service, etc. (excluding the expenses necessary to provide meals, residence, and other necessary expenses for daily life as determined by Order of the Ministry of Health, Labour, and Welfare; the same applies in this Article), however, provided that this provision does not apply to a case that said Insured Person Requiring Long-Term Care who is designated pursuant to the provisions of Article 37, paragraph (1), received Facility Service other than the type pertaining to said designation:

２施設介護サービス費の額は、施設サービスの種類ごとに、要介護状態区分、当該施設サービスの種類に係る指定施設サービス等を行う介護保険施設の所在する地域等を勘案して算定される当該指定施設サービス等に要する平均的な費用（食事の提供に要する費用、居住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施設サービス等に要した費用の額を超えるときは、当該現に指定施設サービス等に要した費用の額とする。）の百分の九十に相当する額とする。

(2)The amount of allowance for Long-Term Care Facility Service is to be 90 percent of the amount of expenses calculated by type of Facility Service with standards as prescribed by the Minister of Health, Labour, and Welfare after considering the average expenses (excluding the expenses necessary to provide meals, residence, and other necessary expenses for daily life as determined by Order of the Ministry of Health, Labour, and Welfare; the same applies hereinafter in this Article) necessary for the Designated Facility Service, etc., that are calculated by considering the categories of Condition of Need for Long-Term Care, the area where the Facility Covered by Long-Term Care Insurance that provides the Designated Facility Service, etc., pertaining to the type of said Facility Service is located, etc. (in a case when said calculated amount exceeds the actual expenses necessary for the Designated Facility Service, etc., the amount of Allowance for Long-Term Care Facility Service is to be the actual expenses necessary for said Designated Facility Service, etc.).

３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。

(3)The Minister of Health, Labour, and Welfare, when intending to specify standards as prescribed in the preceding paragraph, must hear the opinion of the Social Security Council in advance.

４要介護被保険者が、介護保険施設から指定施設サービス等を受けたときは、市町村は、当該要介護被保険者が当該介護保険施設に支払うべき当該指定施設サービス等に要した費用について、施設介護サービス費として当該要介護被保険者に支給すべき額の限度において、当該要介護被保険者に代わり、当該介護保険施設に支払うことができる。

(4)When an Insured Person Requiring Long-Term Care receives Designated Facility Service, etc., from a Facility Covered by Long-Term Care Insurance, the Municipality may pay to said Facility Covered by Long-Term Care Insurance on behalf of said Insured In-Home Person Requiring Long-Term Care the expenses required for said Designated Facility Service, etc., that said Insured Person Requiring Long-Term Care should pay to said Facility Covered by Long-Term Care Insurance as an Allowance for Long-Term Care Facility Service within the maximum amount to be paid to said Facility Providing Insured Health Benefits of Long-Term Care.

５前項の規定による支払があったときは、要介護被保険者に対し施設介護サービス費の支給があったものとみなす。

(5)When a payment pursuant to the provisions of the preceding paragraph is paid, it is to be deemed that an Allowance for Long-Term Care Facility Service is paid to said Insured Person Requiring Long-Term Care.

６市町村は、介護保険施設から施設介護サービス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八十八条第二項に規定する指定介護老人福祉施設の設備及び運営に関する基準（指定介護福祉施設サービスの取扱いに関する部分に限る。）、第九十七条第三項に規定する介護老人保健施設の設備及び運営に関する基準（介護保健施設サービスの取扱いに関する部分に限る。）又は第百十条第二項に規定する指定介護療養型医療施設の設備及び運営に関する基準（指定介護療養施設サービス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。

(6)A Municipality, when a Facility Covered by Long-Term Care Insurance requests an Allowance for Long-Term Care Facility Service, pays said allowance after conducting an examination according to the standards determined by the Minister of Health, Labour, and Welfare as set forth in paragraph (2), the standards concerning facilities and management of a Designated Facility Covered by Public Aid Providing Long-Term Care to the Elderly as prescribed in Article 88, paragraph (2) (limited to the part concerning the handling of Designated Facility Service for Long-Term Care Covered by Public Aid), the standards concerning facilities and management of a Long-Term Care Health Facility as prescribed in Article 97, paragraph (3) (limited to the part concerning the handling of a Long-Term Care Health Facility Service), and standards concerning facilities and management of a Designated Medical Long-Term Care Sanatorium as prescribed in Article 110, paragraph (2) (limited to the part concerning the handling of a Designated Sanatorium Service for Long-Term Care).

７第四十一条第二項、第三項、第十項及び第十一項の規定は、施設介護サービス費の支給について、同条第八項の規定は、介護保険施設について準用する。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。

(7)The provisions of Article 41, paragraph (2), paragraph (3), paragraph (10), and paragraph (11) apply mutatis mutandis to payment of an Allowance for Long-Term Care Facility Service, and the provisions of paragraph (8) of the same Article apply mutatis mutandis to a Facility Covered by Long-Term Care Insurance.In this case, the necessary technical replacement of terms in these provisions is provided by a Cabinet Order.

８前各項に規定するもののほか、施設介護サービス費の支給及び介護保険施設の施設介護サービス費の請求に関して必要な事項は、厚生労働省令で定める。

(8)In addition to the provisions as prescribed in the preceding paragraph, other necessary matters for payment of an Allowance for Long-Term Care Facility Service and a request for an Allowance for Long-Term Care Facility Service of a Facility Covered by Long-Term Care Insurance are determined by Order of the Ministry of Health, Labour, and Welfare.

第四十九条市町村は、次に掲げる場合には、要介護被保険者に対し、特例施設介護サービス費を支給する。

Article 49(1)A Municipality, in the following cases, pay to an Insured Person Requiring Long-Term Care an Exceptional Allowance for Long-Term Care Facility Service:

２特例施設介護サービス費の額は、当該施設サービスについて前条第二項の厚生労働大臣が定める基準により算定した費用の額（その額が現に当該施設サービスに要した費用（食事の提供に要する費用、居住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、当該現に施設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を基準として、市町村が定める。

(2)The amount of Exceptional Allowance for Long-Term Care Facility Service is to be specified by the Municipality based on 90 percent of the amount equivalent to the expenses calculated with regard to said Facility Service according to the standards as prescribed by the Minister of Health, Labour, and Welfare (in a case when said calculated expenses exceed the actual expenses required for said Facility Service (excluding the expenses necessary to provide meals, residence, and other necessary expenses for daily life as determined by Order of the Ministry of Health, Labour, and Welfare), the base amount is to be the actual expenses required for said Facility Service).

３市町村長は、特例施設介護サービス費の支給に関して必要があると認めるときは、当該支給に係る施設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「施設サービスを担当する者等」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、若しくは当該施設サービスを担当する者等の当該支給に係る施設に立ち入り、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。

(3)The mayor of a Municipality, when he or she determines the necessity for payment of an Exceptional Allowance for Long-Term Care Facility Service, may order a person that has been in charge of the Facility Service pertaining to said payment or equivalent service (herein referred to as "Person, etc., in Charge of Facility Service" 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 Facility Service pertaining to said payment in order to inspect said equipment, books, documents, and other items.

４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。

(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.

第五十条市町村が、災害その他の厚生労働省令で定める特別の事情があることにより、居宅サービス（これに相当するサービスを含む。）、地域密着型サービス（これに相当するサービスを含む。）若しくは施設サービス又は住宅改修に必要な費用を負担することが困難であると認めた要介護被保険者が受ける次の各号に掲げる介護給付について当該各号に定める規定を適用する場合においては、これらの規定中「百分の九十」とあるのは、「百分の九十を超え百分の百以下の範囲内において市町村が定めた割合」とする。

Article 50In a case when a Municipality applies the provisions as prescribed in the following items to a Long-Term Care Benefit as listed in said items received by an Insured Person Requiring Long-Term Care for whom it is deemed difficult to pay the necessary expenses for In-Home Service (including equivalent services), Community-Based Service (including equivalent services), Facility Service, or a Home Modification due to disaster or other special reason as determined by Order of the Ministry of Health, Labour, and Welfare, the term "90 percent" in the referenced provisions is deemed to be replaced with "the percentage determined by the Municipality within the range of more than 90 percent to 100 percent or less":

第五十一条市町村は、要介護被保険者が受けた居宅サービス（これに相当するサービスを含む。）、地域密着型サービス（これに相当するサービスを含む。）又は施設サービスに要した費用の合計額として政令で定めるところにより算定した額から、当該費用につき支給された居宅介護サービス費、特例居宅介護サービス費、地域密着型介護サービス費、特例地域密着型介護サービス費、施設介護サービス費及び特例施設介護サービス費の合計額を控除して得た額が、著しく高額であるときは、当該要介護被保険者に対し、高額介護サービス費を支給する。

Article 51(1)When the amount that is obtained by deducting the amount calculated pursuant to the provisions of a Cabinet Order as the total amount of expenses required for each of In-Home Service (including equivalent service), Community-Based Service (including equivalent service), or Facility Service that an Insured Person Requiring Long-Term Care receives as the total amount of allowances for In-Home Long-Term Care, Exceptional Allowance for In-Home Long-Term Care Service, Allowance for Community-Based Long-Term Care Service, Exceptional Allowance for Community-Based Long-Term Care Service, Allowance for Long-Term Care Facility Service, and Exceptional Allowance for Long-Term Care Facility Service from the expenses that are actually paid for said calculated expenses is extremely large, a Municipality pays an Allowance for High-Cost Long-Term Care Service to said Insured Person Requiring Long-Term Care.

２前項に規定するもののほか、高額介護サービス費の支給要件、支給額その他高額介護サービス費の支給に関して必要な事項は、居宅サービス、地域密着型サービス又は施設サービスに必要な費用の負担の家計に与える影響を考慮して、政令で定める。

(2)In addition to the provisions as set forth in the preceding paragraph, requirements for payment of an Allowance for High-Cost Long-Term Care Service, the amount of said allowance, and other matters necessary for the payment of an Allowance for High-Cost Long-Term Care Service are provided by a Cabinet Order after considering the impact on said household budget due to the burden of the expenses necessary for In-Home Service, Community-Based Service, or Facility Service.

第五十一条の二市町村は、要介護被保険者のうち所得の状況その他の事情をしん酌して厚生労働省令で定めるものが、次に掲げる指定施設サービス等、指定地域密着型サービス又は指定居宅サービス（以下この条及び次条第一項において「特定介護サービス」という。）を受けたときは、当該要介護被保険者（以下この条及び次条第一項において「特定入所者」という。）に対し、当該特定介護サービスを行う介護保険施設、指定地域密着型サービス事業者又は指定居宅サービス事業者（以下この条において「特定介護保険施設等」という。）における食事の提供に要した費用及び居住又は滞在（以下「居住等」という。）に要した費用について、特定入所者介護サービス費を支給する。ただし、当該特定入所者が、第三十七条第一項の規定による指定を受けている場合において、当該指定に係る種類以外の特定介護サービスを受けたときは、この限りでない。

Article 51-2(1)A Municipality, when a person as determined by Order of the Ministry of Health, Labour, and Welfare due to an extenuating income condition or other circumstances among those who are an Insured Person Requiring Long-Term Care, receives Designated Facility Service, etc., Designated Community-Based Service, or Designated In-Home Service (herein referred to as "Specified Long-Term Care Service" in this Article and the following Article, paragraph (1)) as listed below, pays to said Insured Person Requiring Long-Term Care (herein referred to as "Specified Person Admitted to a Facility" in this Article and the following Article, paragraph (1)) an Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility for the expenses required to provide meals and residence or stay (hereinafter referred to as "Residence, etc.") at a Facility Covered by Long-Term Care Insurance, Designated Community-Based Service Provider, or Designated In-Home Service Provider that provides said Specified Long-Term Care Service (herein referred to as "Specified Facility, etc., for Insured Long-Term Care" in this Article), however, provided that this provision does not apply when said Specified Person Admitted to a Facility that is issued a designation pursuant to the provisions of Article 37, paragraph (1) receives Specified Long-Term Care Service other than the type pertaining to said designation:

２特定入所者介護サービス費の額は、第一号に規定する額及び第二号に規定する額の合計額とする。

(2)The amount of the Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility is to be the total sum of the amount as prescribed in item (i) and the amount as prescribed in item (ii) below:

３厚生労働大臣は、食費の基準費用額若しくは食費の負担限度額又は居住費の基準費用額若しくは居住費の負担限度額を定めた後に、特定介護保険施設等における食事の提供に要する費用又は居住等に要する費用の状況その他の事情が著しく変動したときは、速やかにそれらの額を改定しなければならない。

(3)When the expenses necessary of providing meals, Residence, etc., at a Specified Facility, etc., for Insured Long-Term Care, and other circumstances have changed significantly from the Base Cost for Meal Expense or Maximum Allowance for Meal Expense, or Base Costs for Residence or Maximum Allowance for Residence Expenses after the Minister of Health, Labour, and Welfare has issued a determination of these expenses, the Minister must revise those amounts immediately.

４特定入所者が、特定介護保険施設等から特定介護サービスを受けたときは、市町村は、当該特定入所者が当該特定介護保険施設等に支払うべき食事の提供に要した費用及び居住等に要した費用について、特定入所者介護サービス費として当該特定入所者に対し支給すべき額の限度において、当該特定入所者に代わり、当該特定介護保険施設等に支払うことができる。

(4)When a Specified Person Admitted to a Facility receives Specified Long-Term Care Service from a Specified Facility, etc., for Insured Long-Term Care, a Municipality may pay the expenses required for providing meals and Residence, etc., that said Specified Person Admitted to a Facility should pay to said Specified Facility, etc., for Insured Long-Term Care, within the limit of the amount to be paid to said Specified Person Admitted to a Facility as an Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility on behalf of said Specified Person Admitted to a Facility to said Specified Facility, etc., for Insured Long-Term Care

５前項の規定による支払があったときは、特定入所者に対し特定入所者介護サービス費の支給があったものとみなす。

(5)When the payment pursuant to the provisions of the preceding paragraph is paid, it is to be deemed that an Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility is paid to the Specified Person Admitted to a Facility.

６市町村は、第一項の規定にかかわらず、特定入所者が特定介護保険施設等に対し、食事の提供に要する費用又は居住等に要する費用として、食費の基準費用額又は居住費の基準費用額（前項の規定により特定入所者介護サービス費の支給があったものとみなされた特定入所者にあっては、食費の負担限度額又は居住費の負担限度額）を超える金額を支払った場合には、特定入所者介護サービス費を支給しない。

(6)A Municipality, notwithstanding the provisions of paragraph (1) in a case when a Specified Person Admitted to a Facility paid to a Specified Facility, etc., for Insured Long-Term Care, an amount exceeding the Base Cost for Meal Expense or the Base Costs for Residence (with regard to a Specified Person Admitted to a Facility, one who is deemed to be paid an Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility pursuant to the provisions of the preceding paragraph, Maximum Allowance for Meal Expense, or Maximum Allowance for Residence Expenses) as the expenses necessary for providing meals or for Residence, etc., does not pay an Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility.

７市町村は、特定介護保険施設等から特定入所者介護サービス費の請求があったときは、第一項、第二項及び前項の定めに照らして審査の上、支払うものとする。

(7)A Municipality, when a Specified Facility, etc., for Insured Long-Term Care, requests an Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility, pays said allowance after conducting an examination according to the provisions of paragraph (1), paragraph (2) and the preceding paragraph.

８第四十一条第三項、第十項及び第十一項の規定は特定入所者介護サービス費の支給について、同条第八項の規定は特定介護保険施設等について準用する。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。

(8)The provisions of Article 41, paragraph (3), paragraph (10), and paragraph (11) apply mutatis mutandis to the payment of an Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility and the provisions of paragraph (8) of the same Article apply mutatis mutandis to a Specified Facility, etc., for Insured Long-Term Care in this case, the necessary technical replacement of terms in these provisions is provided by a Cabinet Order.

９前各項に規定するもののほか、特定入所者介護サービス費の支給及び特定介護保険施設等の特定入所者介護サービス費の請求に関して必要な事項は、厚生労働省令で定める。

(9)In addition to the provisions as prescribed in the preceding paragraphs, the other necessary matters the payment of an Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility and a request for an Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility by a Specified Facility, etc., for Insured Long-Term Care, are prescribed by Order of the Ministry of Health, Labour, and Welfare.

第五十一条の三市町村は、次に掲げる場合には、特定入所者に対し、特例特定入所者介護サービス費を支給する。

Article 51-3(1)A Municipality, in the following cases, pay an Exceptional Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility to a Specified Person Admitted to a Facility:

２特例特定入所者介護サービス費の額は、当該食事の提供に要した費用について食費の基準費用額から食費の負担限度額を控除した額及び当該居住等に要した費用について居住費の基準費用額から居住費の負担限度額を控除した額の合計額を基準として、市町村が定める。

(2)The amount of an Exceptional Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility is established by a Municipality based on the total sum of the amounts remaining after the amount of Base Cost for Meal Expense is deducted from the Maximum Allowance for Meal Expense with regard to the expense required to provide said meal and the amount of Base Costs for Residence is deducted from the amount of Maximum Allowance for Residence Expenses with regard to the expense required for said Residence, etc..

第五十二条予防給付は、次に掲げる保険給付とする。

Article 52A prevention benefit is to an insurance benefit listed in the following:

第五十三条市町村は、要支援認定を受けた被保険者のうち居宅において支援を受けるもの（以下「居宅要支援被保険者」という。）が、都道府県知事が指定する者（以下「指定介護予防サービス事業者」という。）から当該指定に係る介護予防サービス事業を行う事業所により行われる介護予防サービス（以下「指定介護予防サービス」という。）を受けたとき（当該居宅要支援被保険者が、第五十八条第四項の規定により同条第一項に規定する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であって、当該指定介護予防サービスが当該指定介護予防支援の対象となっているときその他の厚生労働省令で定めるときに限る。）は、当該居宅要支援被保険者に対し、当該指定介護予防サービスに要した費用（特定介護予防福祉用具の購入に要した費用を除き、介護予防通所介護、介護予防通所リハビリテーション、介護予防短期入所生活介護、介護予防短期入所療養介護及び介護予防特定施設入居者生活介護に要した費用については、食事の提供に要する費用、滞在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。以下この条において同じ。）について、介護予防サービス費を支給する。ただし、当該居宅要支援被保険者が、第三十七条第一項の規定による指定を受けている場合において、当該指定に係る種類以外の介護予防サービスを受けたときは、この限りでない。

Article 53(1)A Municipality, when a person that receives support in his or her home is an Insured Person that has been issued a Certification of Needed Support (herein referred to as "Insured In-Home Person Requiring Support") receives from a person designated by a prefectural governor (herein referred to as "Designated Provider of a Preventive Service to Long-Term Care") a Preventive Service of Long-Term Care provided by a provider that performs Preventive Service of Long-Term Care Business pertaining to said designation (herein referred to as "Designated Preventive Service of Long-Term Care") (limited to a case when said Insured In-Home Person Requiring Support has notified a Municipality in advance pursuant to the provisions of Article 58, paragraph (4) concerning the receipt of a Designated Support for Prevention of Long-Term Care as prescribed in paragraph (1) of the same Article, when said Designated Preventive Service of Long-Term Care is subject to said Designated Support for Prevention of Long-Term Care or when provided by Order of the Ministry of Health, Labour, and Welfare), pays to said Insured In-Home Person Requiring Support an Allowance for Preventive Long-Term Care Service for the expenses required for said Designated Preventive Service of Long-Term Care (except for the expenses required to purchase Specified Equipment for Preventive Long-Term Care Covered by Public Aid, excluding the expenses necessary to provide meals, residence, and other necessary expenses for daily life as determined by Order of the Ministry of Health, Labour, and Welfare with regard to the expenses required for Outpatient Preventive Long-Term Care, Outpatient Rehabilitation for Preventive Long-Term Care, a Short-Term Admission for Daily Preventive Long-Term Care, and Short-Term Admission for Recuperation for Preventive Long-Term Care, Daily Preventive Long-Term Care Admitted to a Specified Facility), provided however, that this provision does not apply to a case when said Insured In-Home Person Requiring Support that has been designated pursuant to the provisions of Article 37, paragraph (1) receives Preventive Service of Long-Term Care other than the type pertaining to said designation.

２介護予防サービス費の額は、次の各号に掲げる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。

(2)The amount of Allowance for Preventive Long-Term Care Service is to according to the categories of Preventive Service of Long-Term Care listed in each item of the following and the amount as prescribed in said items:

３厚生労働大臣は、前項各号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。

(3)The Minister of Health, Labour, and Welfare, when it intends to determine the standards as prescribed in the items of the preceding paragraph, shmust hear the opinion of the Social Security Council in advance.

４居宅要支援被保険者が指定介護予防サービス事業者から指定介護予防サービスを受けたときは、市町村は、当該居宅要支援被保険者が当該指定介護予防サービス事業者に支払うべき当該指定介護予防サービスに要した費用について、介護予防サービス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、当該指定介護予防サービス事業者に支払うことができる。

(4)When an Insured In-Home Person Requiring Support receives Designated Preventive Service of Long-Term Care from a Designated Provider of a Preventive Service to Long-Term Care, a Municipality may pay the expenses required for said Designated Preventive Service of Long-Term Care that said Insured In-Home Person Requiring Support should pay to said Designated Provider of a Preventive Service to Long-Term Care to said Designated Provider of a Preventive Service to 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.

５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費の支給があったものとみなす。

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

６市町村は、指定介護予防サービス事業者から介護予防サービス費の請求があったときは、第二項各号の厚生労働大臣が定める基準並びに第百十五条の四第二項に規定する指定介護予防サービス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サービスの事業の設備及び運営に関する基準（指定介護予防サービス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。

(6)A Municipality, when a Designated Provider of a Preventive Service to Long-Term Care requests an Allowance for Preventive Long-Term Care Service, pays after conducting an examination according to standards provided by the Minister of Health, Labour, and Welfare as set forth in each item of paragraph (2), standards concerning effective support methods for prevention of long-term care pertaining to the Designated Preventive Service of Long-Term Care as prescribed in Article 115-4, paragraph (4), and standards concerning facilities and management of a Designated Preventive Service to Long-Term Care Business (limited to the part concerning the handling of Designated Preventive Service of Long-Term Care).

７第四十一条第二項、第三項、第十項及び第十一項の規定は、介護予防サービス費の支給について、同条第八項の規定は、指定介護予防サービス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。

(7)The provisions of Article 41, paragraph (2), paragraph (3), paragraph (10), and paragraph (11) apply mutatis mutandis to payment of an Allowance for Preventive Long-Term Care Service and the provisions of paragraph (8) of the same Article apply mutatis mutandis to a Designated Provider of a Preventive Service to Long-Term Care.In this case, the necessary technical replacement of terms in these provisions is specified by a Cabinet Order.

８前各項に規定するもののほか、介護予防サービス費の支給及び指定介護予防サービス事業者の介護予防サービス費の請求に関して必要な事項は、厚生労働省令で定める。

(8)In addition to those matters as prescribed in each of the preceding paragraphs, other necessary matters for payment of an Allowance for Preventive Long-Term Care Service and for the request of an Allowance for Preventive Long-Term Care Service by a Designated Provider of a Preventive Service to Long-Term Care are prescribed by Order of the Ministry of Health, Labour, and Welfare.

第五十四条市町村は、次に掲げる場合には、居宅要支援被保険者に対し、特例介護予防サービス費を支給する。

Article 54(1)A Municipality, in the following cases, pays an Exceptional Allowance for Preventive Service of Long-Term Care to an Insured In-Home Person Requiring Support:

２特例介護予防サービス費の額は、当該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（特定介護予防福祉用具の購入に要した費用を除き、介護予防通所介護、介護予防通所リハビリテーション、介護予防短期入所生活介護、介護予防短期入所療養介護及び介護予防特定施設入居者生活介護並びにこれらに相当するサービスに要した費用については、食事の提供に要する費用、滞在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を基準として、市町村が定める。

(2)The amount of Exceptional Allowance for Preventive Service of Long-Term Care is to be determined by a Municipality based on the amount equivalent to 90 percent of the amount of expenses calculated 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 pertaining to said Preventive Service of Long-Term Care or equivalent service (when the calculated amount exceeds the actual expenses required for said Preventive Service of Long-Term Care or equivalent service (except for the expenses required to purchase Specified Equipment for Preventive Long-Term Care Covered by Public Aid and excluding the expenses necessary to provide meals, residence, and other expenses as determined by Order of the Ministry of Health, Labour, and Welfare as necessary for daily life with regard to the expenses required for Outpatient Preventive Long-Term Care, Outpatient Rehabilitation for Preventive Long-Term Care, a Short-Term Admission for Daily Preventive Long-Term Care, Short-Term Admission for Recuperation for Preventive Long-Term Care and Daily Preventive Long-Term Care Admitted to a Specified Facility), said calculated amount is to be the actual expenses required for said Preventive Service of Long-Term Care or equivalent service).

３市町村長は、特例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「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。

(3)The mayor of a Municipality, when he or she determines the necessity of payment of an Exceptional Allowance for Preventive Service of Long-Term Care, may order a person that has been in charge of the Preventive Service of Long-Term Care pertaining to said payment or equivalent service (herein referred to as "Person, etc., in Charge of Providing Preventive Long-Term Care Service" in this paragraph) to report, submit, or present record books and documents, appear, or direct personnel to question the relevant Person or enter the Business Office of the provider of said Person, etc., in Charge of said Preventive Service of Long-Term Care pertaining to said payment in order to inspect said equipment, record books and documents, and other items.

４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。

(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.

第五十四条の二市町村は、居宅要支援被保険者が、当該市町村の長が指定する者（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予防サービス事業を行う事業所により行われる地域密着型介護予防サービス（以下「指定地域密着型介護予防サービス」という。）を受けたとき（当該居宅要支援被保険者が、第五十八条第四項の規定により同条第一項に規定する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であって、当該指定地域密着型介護予防サービスが当該指定介護予防支援の対象となっているときその他の厚生労働省令で定めるときに限る。）は、当該居宅要支援被保険者に対し、当該指定地域密着型介護予防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。以下この条において同じ。）について、地域密着型介護予防サービス費を支給する。ただし、当該居宅要支援被保険者が、第三十七条第一項の規定による指定を受けている場合において、当該指定に係る種類以外の地域密着型介護予防サービスを受けたときは、この限りでない。

Article 54-2(1)A Municipality, when an Insured In-Home Person Requiring Support receives from a person designated by the mayor of said Municipality (herein referred to as "Designated Provider of Community-Based Preventive Service of Long-Term Care") the Community-Based Preventive Service of Long-Term Care (herein referred to as "Designated Community-Based Preventive Service of Long-Term Care") provided by a provider that performs Community-Based Preventive Long-Term Care Business pertaining to said designation (limited to a case said Insured In-Home Person Requiring Support has notified the Municipality pursuant to the provisions of Article 58, paragraph (4) to receive a Designated Support for Prevention of Long-Term Care as prescribed in paragraph (1) of the same Article when said Designated Community-Based Preventive Service of Long-Term Care is subject to said Designated Support for Prevention of Long-Term Care and other matters as determined by Order of the Ministry of Health, Labour, and Welfare), pays to said Insured In-Home Person Requiring Support the Allowance for Community-Based Preventive Long-Term Care Service for the expenses required for said Community-Based Service for Preventive Long-Term Care (excluding the expenses necessary to provide meals and other expenses as determined by Order of the Ministry of Health, Labour, and Welfare as necessary for daily life; the same applies hereinafter in this Article), however, provided that this provision does not apply to a case when said Insured In-Home Person Requiring Support that has been designated pursuant to the provisions of Article 37, paragraph (1), receives a Community-Based Service for Preventive Long-Term Care other than the type pertaining to said designation.

２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。

(2)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 items and the amount as prescribed in said item:

３厚生労働大臣は、前項各号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。

(3)The Minister of Health, Labour, and Welfare, when it intends to provide standards as prescribed in each item of the preceding paragraph, hear opinions of Social Security Council in advance.

４市町村は、第二項各号の規定にかかわらず、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、その額を超えない額を、当該市町村における地域密着型介護予防サービス費の額とすることができる。

(4)A Municipality, notwithstanding the provisions of each item of paragraph (2), on behalf of the amount of Allowance for Community-Based Preventive Long-Term Care Service as prescribed in the same paragraph and same item, may determine that the amount for the allowance of Community-Based Preventive Service of Long-Term Care in said Municipality is an amount that does not exceed the calculated amount of Allowance for said Community-Based Preventive Service of Long-Term Care.

５市町村は、前項の当該市町村における地域密着型介護予防サービス費の額を定めようとするときは、あらかじめ、当該市町村が行う介護保険の被保険者その他の関係者の意見を反映させ、及び学識経験を有する者の知見の活用を図るために必要な措置を講じなければならない。

(5)A Municipality, when it intends to determine the amount of Allowance for Community-Based Preventive Long-Term Care Service in said Municipality as prescribed in the preceding paragraph, must reflect the opinions of Insured Persons of Long-Term Care Insurance undertaken by said Municipality and other relevant persons, and take necessary measures in order to promote the use of knowledge of persons with relevant knowledge and experience, in advance.

６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事業者から指定地域密着型介護予防サービスを受けたときは、市町村は、当該居宅要支援被保険者が当該指定地域密着型介護予防サービス事業者に支払うべき当該指定地域密着型介護予防サービスに要した費用について、地域密着型介護予防サービス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、当該指定地域密着型介護予防サービス事業者に支払うことができる。

(6)When an Insured In-Home Person Requiring Support receives Designated Preventive Service of Long-Term Care from a Designated Provider of Community-Based Preventive Service of Long-Term Care, a Municipality may pay the expense required for said Designated Preventive Service of Long-Term Care that said Insured In-Home Person Requiring Support should pay to said Designated Provider of a Preventive Service to Long-Term Care, to said Designated Provider of a Preventive Service to 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.

７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地域密着型介護予防サービス費の支給があったものとみなす。

(7)When the cost is paid pursuant to the provisions of the preceding paragraph, it is to be deemed that an Allowance for Community-Based Preventive Long-Term Care Service is paid to said Insured In-Home Person Requiring Support.

８市町村は、指定地域密着型介護予防サービス事業者から地域密着型介護予防サービス費の請求があったときは、第二項各号の厚生労働大臣が定める基準又は第四項の規定により市町村が定める額並びに第百十五条の十三第二項又は第四項に規定する指定地域密着型介護予防サービス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地域密着型介護予防サービスの事業の設備及び運営に関する基準（指定地域密着型介護予防サービス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。

(8)A Municipality, when a Designated Provider of Community-Based Service for Preventive Long-Term Care requests an Allowance for Community-Based Preventive Long-Term Care Service, pay said allowance after conducting an examination according to standards provided by the Minister of Health, Labour, and Welfare as set forth in each item of paragraph (2) or the amount determined by the Municipality pursuant to the provisions of paragraph (4), the standards concerning effective support methods for Prevention of Long-Term Care pertaining to a Designated Community-Based Preventive Service of Long-Term Care as prescribed in Article 115-13, paragraph (2) or paragraph (4), and standards concerning facilities and management of a Designated Community-Based Service for Preventive Long-Term Care Business (limited to the part concerning the handling of Designated Community-Based Preventive Service of Long-Term Care).

９第四十一条第二項、第三項、第十項及び第十一項の規定は地域密着型介護予防サービス費の支給について、同条第八項の規定は指定地域密着型介護予防サービス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。

(9)The provisions of Article 41, paragraph (2), paragraph (3), paragraph (10) and paragraph (11) apply mutatis mutandis to the payment of an Allowance for Community-Based Preventive Long-Term Care Service and the provisions of paragraph (8) of the same Article apply mutatis mutandis to a Designated Service Provider of Community-Based Preventive Approach in Long-Term Care.In this case, the necessary technical replacement of terms in these provisions is provided by a Cabinet Order.

１０前各項に規定するもののほか、地域密着型介護予防サービス費の支給及び指定地域密着型介護予防サービス事業者の地域密着型介護予防サービス費の請求に関して必要な事項は、厚生労働省令で定める。

(10)In addition to the provisions as prescribed in the items of the preceding paragraph, other necessary matters payment of an Allowance for Community-Based Preventive Long-Term Care Service and for requests of Allowance for Community-Based Preventive Long-Term Care Service by a Designated Provider of Community-Based Service for Preventive Long-Term Care is to be provided by Order of the Ministry of Health, Labour, and Welfare.

第五十四条の三市町村は、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。

Article 54-3(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:

２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が定めた額を基準として、市町村が定める。

(2)The amount of an Exceptional Allowance for Community-Based Preventive Service of Long-Term Care 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 Preventive Service of 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 Preventive Service of 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 Preventive Service of Long-Term Care or equivalent service), or based on the amount provided by a Municipality pursuant to the provisions of paragraph (4) of the same Article.

３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。

(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.

４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。

(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.

第五十五条居宅要支援被保険者が介護予防サービス等区分（介護予防サービス（これに相当するサービスを含む。以下この条において同じ。）及び地域密着型介護予防サービス（これに相当するサービスを含む。以下この条において同じ。）について、その種類ごとの相互の代替性の有無等を勘案して厚生労働大臣が定める二以上の種類からなる区分をいう。以下この条において同じ。）ごとに月を単位として厚生労働省令で定める期間において受けた一の介護予防サービス等区分に係る介護予防サービスにつき支給する介護予防サービス費の額の総額及び特例介護予防サービス費の額の総額並びに地域密着型介護予防サービスにつき支給する地域密着型介護予防サービス費の額の総額及び特例地域密着型介護予防サービス費の額の総額の合計額は、介護予防サービス費等区分支給限度基準額を基礎として、厚生労働省令で定めるところにより算定した額の百分の九十に相当する額を超えることができない。

Article 55(1)Total sum of the total amounts of the Allowance for Preventive Long-Term Care Service and Exceptional Allowance for Preventive Service of Long-Term Care that are paid for Preventive Service of Long-Term Care, and the Allowance for Community-Based Preventive Long-Term Care Service and Exceptional Allowance for Community-Based Preventive Service of Long-Term Care that are paid for Designated Provider of Community-Based Service for Preventive Long-Term Care, as pertaining to a single category of Preventive Service of Long-Term Care, etc., that an In-Home Person Requiring Support receives monthly by category of Preventive Service of Long-Term Care, etc. (which means categories of two or more types as determined by the Minister of Health, Labour, and Welfare, with regard to Preventive Service of Long-Term Care (including equivalent services; the same applies hereinafter in this Article) and Community-Based Preventive Service of Long-Term Care (including equivalent services; the same applies hereinafter in this Article), after considering the inter-substitution by type; the same applies hereinafter in this Article) during the period provided by Order of the Ministry of Health, Labour, and Welfare, may not exceed the amount equivalent to 90 percent of the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare based on the base amount of maximum benefit for the payment categories of Preventive Service of Long-Term Care, etc.

２前項の介護予防サービス費等区分支給限度基準額は、介護予防サービス等区分ごとに、同項に規定する厚生労働省令で定める期間における当該介護予防サービス等区分に係る介護予防サービス及び地域密着型介護予防サービスの要支援状態区分に応じた標準的な利用の態様、当該介護予防サービス及び地域密着型介護予防サービスに係る第五十三条第二項各号及び第五十四条の二第二項各号の厚生労働大臣が定める基準等を勘案して厚生労働大臣が定める額とする。

(2)The base amount of maximum benefit for the payment categories of Allowance for Preventive Long-Term Care Service, etc., as set forth in the preceding paragraph is to be the amount determined by the Minister of Health, Labour, and Welfare by category of Preventive Service of Long-Term Care, etc., after considering the types of standard use that are according to the categories of Needed Support Condition, of Preventive Service of Long-Term Care, and of Community-Based Preventive Service of Long-Term Care pertaining to the categories of said Preventive Service of Long-Term Care, etc., during the period as determined by Order of the Ministry of Health, Labour, and Welfare as prescribed in the same paragraph, standards provided by the Minister of Health, Labour, and Welfare as set forth in each item of Article 53, paragraph (2) and each item of Article 54-2, paragraph (2) pertaining to said Preventive Service of Long-Term Care and Community-Based Preventive Service of Long-Term Care.

３市町村は、前項の規定にかかわらず、条例で定めるところにより、第一項の介護予防サービス費等区分支給限度基準額に代えて、その額を超える額を、当該市町村における介護予防サービス費等区分支給限度基準額とすることができる。

(3)A Municipality, notwithstanding the provisions of the preceding paragraph and pursuant to the provisions of a municipal ordinance, in lieu of the base amount of the maximum benefit by payment category of Preventive Service of Long-Term Care, etc., as set forth in paragraph (1), may determine that an amount exceeding said base amount as the base amount of maximum benefit by payment category of Preventive Service of Long-Term Care in said Municipality.

４市町村は、居宅要支援被保険者が介護予防サービス及び地域密着型介護予防サービスの種類（介護予防サービス等区分に含まれるものであって厚生労働大臣が定めるものに限る。次項において同じ。）ごとに月を単位として厚生労働省令で定める期間において受けた一の種類の介護予防サービスにつき支給する介護予防サービス費の額の総額及び特例介護予防サービス費の額の総額の合計額並びに一の種類の地域密着型介護予防サービスにつき支給する地域密着型介護予防サービス費の額の総額及び特例地域密着型介護予防サービス費の額の総額の合計額について、介護予防サービス費等種類支給限度基準額を基礎として、厚生労働省令で定めるところにより算定した額の百分の九十に相当する額を超えることができないこととすることができる。

(4)A Municipality may stipulate that the total sum of the total amounts of Allowance for Preventive Long-Term Care Service and Exceptional Allowance for Preventive Service of Long-Term Care that are paid for single type of Preventive Service of Long-Term Care and the total amount of Allowance for Community-Based Preventive Long-Term Care Service and Exceptional Allowance for Community-Based Preventive Service of Long-Term Care that are paid for single type of Community-Based Preventive Service of Long-Term Care as allowances that were paid monthly to an In-Home Person Requiring Support by type of Preventive Service of Long-Term Care and Community-Based Preventive Service of Long-Term Care (limited to those types included in categories of Preventive Service of Long-Term Care, etc., and provided by the Minister of Health, Labour, and Welfare; the same applies in the following paragraph) during the period as determined by Order of the Ministry of Health, Labour, and Welfare may not exceed the amount equivalent to 90 percent of the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare based on the base amount of maximum benefit by payment type of Preventive Service of Long-Term Care, etc.

５前項の介護予防サービス費等種類支給限度基準額は、介護予防サービス及び地域密着型介護予防サービスの種類ごとに、同項に規定する厚生労働省令で定める期間における当該介護予防サービス及び地域密着型介護予防サービスの要支援状態区分に応じた標準的な利用の態様、当該介護予防サービス及び地域密着型介護予防サービスに係る第五十三条第二項各号及び第五十四条の二第二項各号の厚生労働大臣が定める基準等を勘案し、当該介護予防サービス及び地域密着型介護予防サービスを含む介護予防サービス等区分に係る第一項の介護予防サービス費等区分支給限度基準額（第三項の規定に基づき条例を定めている市町村にあっては、当該条例による措置が講じられた額とする。）の範囲内において、市町村が条例で定める額とする。

(5)The base amount of maximum benefit by payment type of Preventive Service of Long-Term Care, etc., as set forth in the preceding paragraph is to be the amount that a Municipality stipulates by ordinance, by type of Preventive Service of Long-Term Care and Community-Based Preventive Service of Long-Term Care, after considering the type of standard use that is according to each Category of Needed Support Condition, of said Preventive Service of Long-Term Care and Community-Based Preventive Service of Long-Term Care during the period as determined by Order of the Ministry of Health, Labour, and Welfare as prescribed in the same paragraph, standards determined by the Minister of Health, Labour, and Welfare as set forth in each item of Article 53, paragraph (2) and each item of Article 54-2, paragraph (2) pertaining to said Preventive Service of Long-Term Care and Community-Based Preventive Service of Long-Term Care, etc., within the base amount of maximum benefit by payment category of Preventive Service of Long-Term Care, etc., as set forth in paragraph (1) pertaining to the categories of Preventive Service of Long-Term Care, etc., that include said Preventive Service of Long-Term Care and Community-Based Preventive Service of Long-Term Care (said base amount, with regard to the Municipality that provides Order pursuant to the provisions of paragraph (3), is to be the amount by which measures pursuant to the provisions of said municipal ordinance are undertaken).

６介護予防サービス費若しくは特例介護予防サービス費又は地域密着型介護予防サービス費若しくは特例地域密着型介護予防サービス費を支給することにより第一項に規定する合計額が同項に規定する百分の九十に相当する額を超える場合又は第四項に規定する合計額が同項に規定する百分の九十に相当する額を超える場合における当該介護予防サービス費若しくは特例介護予防サービス費又は地域密着型介護予防サービス費若しくは特例地域密着型介護予防サービス費の額は、第五十三条第二項各号若しくは第五十四条第二項又は第五十四条の二第二項各号若しくは第四項若しくは前条第二項の規定にかかわらず、政令で定めるところにより算定した額とする。

(6)In a case when the total amount as prescribed in paragraph (1) exceeds the amount equivalent to 90 percent of the amount as prescribed in the same paragraph or when the total amount as prescribed in paragraph (4) exceeds the amount equivalent to 90 percent of the amount as prescribed in the same paragraph by payment of an Allowance for Preventive Long-Term Care Service or Exceptional Allowance for Preventive Service of Long-Term Care, or an Allowance for Community-Based Preventive Long-Term Care Service or an Exceptional Allowance for Community-Based Preventive Service of Long-Term Care, the amount of said Allowance for Preventive Long-Term Care Service or Exceptional Allowance for Preventive Service of Long-Term Care, or Allowance for Community-Based Preventive Long-Term Care Service or Exceptional Allowance for Community-Based Preventive Service of Long-Term Care is to be the amount calculated pursuant to the provisions of a Cabinet Order, notwithstanding the provisions of each item of Article 53, paragraph (2), Article 54, paragraph (2), each item of Article 54-2, paragraph (2) or paragraph (4), or paragraph (2) of the preceding Article.

第五十六条市町村は、居宅要支援被保険者が、特定介護予防福祉用具販売に係る指定介護予防サービス事業者から当該指定に係る介護予防サービス事業を行う事業所において販売される特定介護予防福祉用具を購入したときは、当該居宅要支援被保険者に対し、介護予防福祉用具購入費を支給する。

Article 56(1)A Municipality, when an Insured In-Home Person Requiring Support purchases from a Designated Provider of a Preventive Service to Long-Term Care pertaining to the Sale of Specified Equipment for Preventive Long-Term Care Covered by Public Aid, Specified Equipment for Preventive Long-Term Care Covered by Public Aid that is sold by a Provider that performs Preventive Service of Long-Term Care Business pertaining to said designation, pays an Allowance for Purchasing Equipment for Preventive Long-Term Care Covered by Public Aid to said Insured In-Home Person Requiring Support.

２介護予防福祉用具購入費は、厚生労働省令で定めるところにより、市町村が必要と認める場合に限り、支給するものとする。

(2)An Allowance for Purchasing Equipment for Preventive Long-Term Care Covered by Public Aid is to be paid pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare only when a Municipality determines it necessary.

３介護予防福祉用具購入費の額は、現に当該特定介護予防福祉用具の購入に要した費用の額の百分の九十に相当する額とする。

(3)The amount of Allowance for Purchasing Equipment for Preventive Long-Term Care Covered by Public Aid is to be the amount equivalent to 90 percent of the actual expenses required to purchase said Specified Equipment for Preventive Long-Term Care Covered by Public Aid.

４居宅要支援被保険者が月を単位として厚生労働省令で定める期間において購入した特定介護予防福祉用具につき支給する介護予防福祉用具購入費の額の総額は、介護予防福祉用具購入費支給限度基準額を基礎として、厚生労働省令で定めるところにより算定した額の百分の九十に相当する額を超えることができない。

(4)The total amount of Allowance for Purchasing Equipment for Preventive Long-Term Care Covered by Public Aid that is paid monthly for Specified Equipment for Preventive Long-Term Care Covered by Public Aid that an Insured In-Home Person Requiring Support purchases during the period as determined by Order of the Ministry of Health, Labour, and Welfare may not exceed the amount equivalent to 90 percent of the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare based on the base amount of maximum payment of the Allowance for Purchasing Equipment for Preventive Long-Term Care Covered by Public Aid .

５前項の介護予防福祉用具購入費支給限度基準額は、同項に規定する厚生労働省令で定める期間における特定介護予防福祉用具の購入に通常要する費用を勘案して厚生労働大臣が定める額とする。

(5)The base amount of maximum payment of the Allowance for Purchasing Equipment for Preventive Long-Term Care Covered by Public Aid as set forth in the preceding paragraph is to be the amount determined by the Minister of Health, Labour, and Welfare after considering the expenses normally required to purchase Specified Equipment for Preventive Long-Term Care Covered by Public Aid during the period as determined by Order of the Ministry of Health, Labour, and Welfare as set forth in the same paragraph.

６市町村は、前項の規定にかかわらず、条例で定めるところにより、第四項の介護予防福祉用具購入費支給限度基準額に代えて、その額を超える額を、当該市町村における介護予防福祉用具購入費支給限度基準額とすることができる。

(6)A Municipality, notwithstanding the provisions of the preceding paragraph and pursuant to the provisions of a municipal ordinance, in lieu of the base amount of maximum payment of the Allowance for Purchasing Equipment for Preventive Long-Term Care Covered by Public Aid as set forth in paragraph (4), may stipulate an amount that exceeds said base amount as the base amount of maximum payment for the Allowance for Purchasing Equipment for Preventive Long-Term Care Covered by Public Aid in said Municipality.

７介護予防福祉用具購入費を支給することにより第四項に規定する総額が同項に規定する百分の九十に相当する額を超える場合における当該介護予防福祉用具購入費の額は、第三項の規定にかかわらず、政令で定めるところにより算定した額とする。

(7)In a case when the total amount as prescribed in paragraph (4) exceeds the amount equivalent to 90 percent of the amount as prescribed in the same paragraph due to payment of an Allowance for Purchasing Equipment for Preventive Long-Term Care Covered by Public Aid , the amount of said Allowance for Purchasing Equipment for Preventive Long-Term Care Covered by Public Aid is to be the amount calculated pursuant to the provisions of a Cabinet Order, notwithstanding the provisions of paragraph (3).

第五十七条市町村は、居宅要支援被保険者が、住宅改修を行ったときは、当該居宅要支援被保険者に対し、介護予防住宅改修費を支給する。

Article 57(1)A Municipality, when an Insured In-Home Person Requiring Support modifies his or her home, pay Allowance for Preventive Long-Term Care Home Modification to said Insured In-Home Person Requiring Support.

２介護予防住宅改修費は、厚生労働省令で定めるところにより、市町村が必要と認める場合に限り、支給するものとする。

(2)Allowance for Preventive Long-Term Care Home Modification, pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare, be paid only when a Municipality determines it necessary.

３介護予防住宅改修費の額は、現に当該住宅改修に要した費用の額の百分の九十に相当する額とする。

(3)The amount of Allowance for Preventive Long-Term Care Home Modification are to be the amount equivalent to 90 percent of the actual expenses required for said Home Modification.

４居宅要支援被保険者が行った一の種類の住宅改修につき支給する介護予防住宅改修費の額の総額は、介護予防住宅改修費支給限度基準額を基礎として、厚生労働省令で定めるところにより算定した額の百分の九十に相当する額を超えることができない。

(4)The total amount of Allowance for Preventive Long-Term Care Home Modification that should be paid for one type of Home Modification that an Insured In-Home Person Requiring Support undertakes may not exceed the amount equivalent to 90 percent of the amount calculated pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare based on the base amount of maximum payment as an Allowance for Preventive Long-Term Care Home Modification.

５前項の介護予防住宅改修費支給限度基準額は、住宅改修の種類ごとに、通常要する費用を勘案して厚生労働大臣が定める額とする。

(5)The based amount of maximum payment as an Allowance for Preventive Long-Term Care Home Modification as set forth in the preceding paragraph is to be the amount determined by the Minister of Health, Labour, and Welfare by type of Home Modification care after considering the expenses normally required.

６市町村は、前項の規定にかかわらず、条例で定めるところにより、第四項の介護予防住宅改修費支給限度基準額に代えて、その額を超える額を、当該市町村における介護予防住宅改修費支給限度基準額とすることができる。

(6)A Municipality, notwithstanding the provisions of the preceding paragraph and pursuant to the provisions of a municipal ordinance, in lieu of the base amount of maximum payment as an Allowance for Preventive Long-Term Care Home Modification as set forth in paragraph (4), may stipulate an amount that exceeds said base amount as the base amount of maximum payment as an Allowance for Preventive Long-Term Care Home Modification in said Municipality.

７介護予防住宅改修費を支給することにより第四項に規定する総額が同項に規定する百分の九十に相当する額を超える場合における当該介護予防住宅改修費の額は、第三項の規定にかかわらず、政令で定めるところにより算定した額とする。

(7)In a case when the total amount as prescribed by paragraph (4) exceeds the amount equivalent to 90 percent of the amount as prescribed in the same paragraph due to payment of an Allowance for Preventive Long-Term Care Home Modification, the amount of said Allowance for Preventive Long-Term Care Home Modification is to be the amount calculated pursuant to the provisions of a Cabinet Order, notwithstanding the provisions of paragraph (3).

８市町村長は、介護予防住宅改修費の支給に関して必要があると認めるときは、当該支給に係る住宅改修を行う者若しくは住宅改修を行った者（以下この項において「住宅改修を行う者等」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、若しくは当該住宅改修を行う者等の当該支給に係る事業所に立ち入り、その帳簿書類その他の物件を検査させることができる。

(8)The mayor of a Municipality, when he or she determines the necessity of the payment of an Allowance for Preventive Long-Term Care Home Modification, may order a person that modifies the home or equivalent service pertaining to said payment (herein referred to as "Person, etc., that Modifies a Home" 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., that Modifies a Home pertaining to said payment in order to inspect such facilities, record books and documents, and other items.

９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。

(9)The provisions of Article 24, paragraph (3) apply mutatis mutandis to questions and inspections as prescribed in the provisions of the preceding paragraph and the provisions of paragraph (4) of the same Article apply mutatis mutandis to the authority granted as prescribed in the provisions of the preceding paragraph.

第五十八条市町村は、居宅要支援被保険者が、当該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。

Article 58(1)A Municipality, when an Insured In-Home Person Requiring Support receives from a person designated by the mayor of said Municipality (herein referred to as "Designated Provider of Preventive Support of Long-Term Care"), 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 Support for Prevention of Long-Term Care"), 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 Support for Prevention of Long-Term Care.

２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。

(2)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).

３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。

(3)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.

４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。

(4)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.

５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。

(5)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.

６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二十二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。

(6)A Municipality, when a Designated Provider of Preventive Support of Long-Term Care requests an Allowance for Preventive Long-Term Care Service Plan, pays said allowance after conducting an examination according to standards determined by the Minister of Health, Labour, and Welfare as set forth in each item of paragraph (2), standards concerning effective support methods for Prevention of Long-Term Care pertaining to Designated Support for Prevention of Long-Term Care as prescribed in Article 115-22, paragraph (2), and standards concerning management of the Designated Support for Prevention of Long-Term Care Business (limited to the part concerning the handling of Designated Support for Prevention of Long-Term Care).

７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。

(7)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.

８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。

(8)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.

第五十九条市町村は、次に掲げる場合には、居宅要支援被保険者に対し、特例介護予防サービス計画費を支給する。

Article 59(1)A Municipality, in the following cases, pay an Exceptional Allowance for Preventive Long-Term Care Service Plan to an Insured In-Home Person Requiring Support:

２特例介護予防サービス計画費の額は、当該介護予防支援又はこれに相当するサービスについて前条第二項の厚生労働大臣が定める基準により算定した費用の額（その額が現に当該介護予防支援又はこれに相当するサービスに要した費用の額を超えるときは、当該現に介護予防支援又はこれに相当するサービスに要した費用の額とする。）を基準として、市町村が定める。

(2)The amount of Exceptional Allowance for Preventive Long-Term Care Service Plan is to be specified by a Municipality based on the expenses calculated by standards determined by the Minister of Health, Labour, and Welfare as set forth in paragraph (2) of the preceding Article for said Preventive Long-Term Care Support or equivalent service (in a case said calculated amount exceeds the amount of actual expenses of said Preventive Long-Term Care Support or equivalent service, the base amount is to be the actual expenses required for said Preventive Long-Term Care Support or equivalent service).

３市町村長は、特例介護予防サービス計画費の支給に関して必要があると認めるときは、当該支給に係る介護予防支援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「介護予防支援等を担当する者等」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、若しくは当該介護予防支援等を担当する者等の当該支給に係る事業所に立ち入り、その帳簿書類その他の物件を検査させることができる。

(3)The mayor of a Municipality, when he or she determines the necessity for the payment of an Exceptional Allowance for Preventive Long-Term Care Service Plan, may order a person that is or was in charge of the Preventive Long-Term Care Support pertaining to said payment or equivalent service (herein referred to as "Person, etc., in Charge of Preventive Long-Term Care Support, 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 Preventive Long-Term Care Support, etc., pertaining to said payment in order to inspect said record books and documents, and other items.

４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。

(4)The provisions of Article 24, paragraph (3) apply mutatis mutandis to questions and inspections as prescribed in the preceding paragraph and the provisions of paragraph (4) of the same Article apply mutatis mutandis to the authority granted as prescribed in the preceding paragraph.

第六十条市町村が、災害その他の厚生労働省令で定める特別の事情があることにより、介護予防サービス（これに相当するサービスを含む。）、地域密着型介護予防サービス（これに相当するサービスを含む。）又は住宅改修に必要な費用を負担することが困難であると認めた居宅要支援被保険者が受ける次の各号に掲げる予防給付について当該各号に定める規定を適用する場合においては、これらの規定中「百分の九十」とあるのは、「百分の九十を超え百分の百以下の範囲内において市町村が定めた割合」とする。

Article 60In a case when a Municipality applies provisions as prescribed in the following items to a prevention benefit listed in the said items that an Insured Person Requiring Support receives, for whom it is deemed to be difficult to pay necessary expenses for Preventive Long-Term Care Service (including equivalent services), Community-Based Service for Preventive Long-Term Care (including equivalent services), or Home Modification due to a disaster or other special reasons as determined by Order of the Ministry of Health, Labour, and Welfare, the term "90 percent" in these provisions is to be deemed to be replaced with "the percentage provided by a Municipality within the range of more than 90 percent to 100 percent or less":

第六十一条市町村は、居宅要支援被保険者が受けた介護予防サービス（これに相当するサービスを含む。）又は地域密着型介護予防サービス（これに相当するサービスを含む。）に要した費用の合計額として政令で定めるところにより算定した額から、当該費用につき支給された介護予防サービス費、特例介護予防サービス費、地域密着型介護予防サービス費及び特例地域密着型介護予防サービス費の合計額を控除して得た額が、著しく高額であるときは、当該居宅要支援被保険者に対し、高額介護予防サービス費を支給する。

Article 61(1)When the amount that is obtained by deducting from the amount calculated pursuant to the provisions of a Cabinet Order as the total amount of each expense required for Preventive Long-Term Care Service (including equivalent service), or Community-Based Service for Preventive Long-Term Care (including equivalent service) that an Insured In-Home Person Requiring Support receives, the total amount of Allowance for Preventive Long-Term Care Service, Exceptional Allowance for Preventive Service of Long-Term Care, Community-Based Preventive Service of Long-Term Care, and Exceptional Allowance for Community-Based Preventive Service of Long-Term Care that are actually paid for the said expenses is significantly large, a Municipality pays an Allowance for High-Cost Preventive Long-Term Care Service to said Insured In-Home Person Requiring Support.

２前項に規定するもののほか、高額介護予防サービス費の支給要件、支給額その他高額介護予防サービス費の支給に関して必要な事項は、介護予防サービス又は地域密着型介護予防サービスに必要な費用の負担の家計に与える影響を考慮して、政令で定める。

(2)In addition to the provisions as set forth in the preceding paragraph, requirements for payment of an Allowance for High-Cost Preventive Long-Term Care Service, the amount of said allowance, and other matters necessary for payment of an Allowance for High-Cost Preventive Long-Term Care Service are prescribed by a Cabinet Order after considering the impact on the household budget from the burden of the expenses necessary for Preventive Long-Term Care Service or Community-Based Service for Preventive Long-Term Care.

第六十一条の二市町村は、居宅要支援被保険者のうち所得の状況その他の事情をしん酌して厚生労働省令で定めるものが、次に掲げる指定介護予防サービス（以下この条及び次条第一項において「特定介護予防サービス」という。）を受けたときは、当該居宅要支援被保険者（以下この条及び次条第一項において「特定入所者」という。）に対し、当該特定介護予防サービスを行う指定介護予防サービス事業者（以下この条において「特定介護予防サービス事業者」という。）における食事の提供に要した費用及び滞在に要した費用について、特定入所者介護予防サービス費を支給する。ただし、当該特定入所者が、第三十七条第一項の規定による指定を受けている場合において、当該指定に係る種類以外の特定介護予防サービスを受けたときは、この限りでない。

Article 61-2(1)A Municipality, when a person as determined by Order of the Ministry of Health, Labour, and Welfare due to the extenuating income status and other circumstances among those who are an Insured In-Home Person Requiring Support receives Designated Preventive Long-Term Care Service (herein referred to as "Specified Preventive Service of Long-Term Care" in this Article and the following Article paragraph (1)) as listed below, pays to said Insured In-Home Person Requiring Support (herein referred to as "Specified Person Admitted to a Facility" in this Article and the following Article paragraph (1)) the Allowance for Preventive Long-Term Care Service to a Person Admitted to a Specified Facility for the expenses required to provide meals and residence by a Designated Provider of Preventive Long-Term Care Service that provides said Specified Preventive Service of Long-Term Care (herein referred to as "Long-Term Care Preventive Service Specified Provider" in this Article), however, provided that this provision does not apply to when said Specified Person Admitted to a Facility who is assigned a designation pursuant to the provisions of Article 37, paragraph (1) receives Specified Preventive Service of Long-Term Care other than the type pertaining to said designation:

２特定入所者介護予防サービス費の額は、第一号に規定する額及び第二号に規定する額の合計額とする。

(2)The amount of Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility is to be the total of the amount as prescribed in item (i) and the amount as prescribed in item (ii):

３厚生労働大臣は、食費の基準費用額若しくは食費の負担限度額又は滞在費の基準費用額若しくは滞在費の負担限度額を定めた後に、特定介護予防サービス事業者における食事の提供に要する費用又は滞在に要する費用の状況その他の事情が著しく変動したときは、速やかにそれらの額を改定しなければならない。

(3)The Minister of Health, Labour, and Welfare, when the expenses necessary of providing meals and for a stay incurred by a Long-Term Care Preventive Service Specified Provider and other circumstances have changed significantly after the Base Cost for Meal Expense or the Maximum Allowance for Meal Expense, or the Base Costs for Room and Board or the Maximum Allowance for Stay Expense were determined, must revise those amount immediately.

４特定入所者が、特定介護予防サービス事業者から特定介護予防サービスを受けたときは、市町村は、当該特定入所者が当該特定介護予防サービス事業者に支払うべき食事の提供に要した費用及び滞在に要した費用について、特定入所者介護予防サービス費として当該特定入所者に対し支給すべき額の限度において、当該特定入所者に代わり、当該特定介護予防サービス事業者に支払うことができる。

(4)When a Specified Person Admitted to a Facility receives Specified Preventive Service of Long-Term Care from a Long-Term Care Preventive Service Specified Provider, a Municipality may pay the expenses required to provide meals and residence that said Specified Person Admitted to a Facility should pay to said Long-Term Care Preventive Service Specified Provider, within the limit of amount to be paid to said Specified Person Admitted to a Facility as an Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility to said Long-Term Care Preventive Service Specified Provider on behalf of said Specified Person Admitted to a Facility.

５前項の規定による支払があったときは、特定入所者に対し特定入所者介護予防サービス費の支給があったものとみなす。

(5)When the allowance is paid pursuant to the provisions of the preceding paragraph, it is to be deemed that an Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility is paid to the Specified Person Admitted to a Facility.

６市町村は、第一項の規定にかかわらず、特定入所者が特定介護予防サービス事業者に対し、食事の提供に要する費用又は滞在に要する費用として、食費の基準費用額又は滞在費の基準費用額（前項の規定により特定入所者介護予防サービス費の支給があったものとみなされた特定入所者にあっては、食費の負担限度額又は滞在費の負担限度額）を超える金額を支払った場合には、特定入所者介護予防サービス費を支給しない。

(6)A Municipality, notwithstanding the provisions of paragraph (1) in a case when Specified Person Admitted to a Facility pays to a Long-Term Care Preventive Service Specified Provider the amount exceeding the Base Cost for Meal Expense or the Base Costs for Room and Board (with regard to a Specified Person Admitted to a Facility that was deemed to be paid an Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility pursuant to the provisions of the preceding paragraph, the Maximum Allowance for Meal Expense or the Maximum Allowance for Stay Expense) as the expenses necessary of providing meals or for stay, does not pay the Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility.

７市町村は、特定介護予防サービス事業者から特定入所者介護予防サービス費の請求があったときは、第一項、第二項及び前項の定めに照らして審査の上、支払うものとする。

(7)A Municipality, when a Long-Term Care Preventive Service Specified Provider requests an Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility provided to a Specified Person Admitted to a Facility, pays said allowance after conducting an examination according to provisions of paragraph (1), paragraph (2) and the preceding paragraph.

８第四十一条第三項、第十項及び第十一項の規定は特定入所者介護予防サービス費の支給について、同条第八項の規定は特定介護予防サービス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。

(8)The provisions of Article 41, paragraph (3), paragraph (10), and paragraph (11) apply mutatis mutandis to payment of an Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility and the provisions of paragraph (8) of the same Article apply mutatis mutandis to a Long-Term Care Preventive Service Specified Provider.In this case, the necessary technical replacement of terms in these provisions is specified by a Cabinet Order.

９前各項に規定するもののほか、特定入所者介護予防サービス費の支給及び特定介護予防サービス事業者の特定入所者介護予防サービス費の請求に関して必要な事項は、厚生労働省令で定める。

(9)In addition to those matters as prescribed in each preceding paragraph, other necessary matters payment of an Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility and for the request of an Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility by a Long-Term Care Preventive Service Specified Provider are prescribed by Order of the Ministry of Health, Labour, and Welfare.

第六十一条の三市町村は、次に掲げる場合には、特定入所者に対し、特例特定入所者介護予防サービス費を支給する。

Article 61-3(1)A Municipality, in the following cases, pay an Exceptional Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility to a Specified Person Admitted to a Facility:

２特例特定入所者介護予防サービス費の額は、当該食事の提供に要した費用について食費の基準費用額から食費の負担限度額を控除した額及び当該滞在に要した費用について滞在費の基準費用額から滞在費の負担限度額を控除した額の合計額を基準として、市町村が定める。

(2)The amount of Exceptional Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility to a Specified Person Admitted to a Facility is established by a Municipality based on the total sum of the amount with regard to the expenses required of providing said meals that is the result of deducting the Base Allowance for Food Expense from the Maximum Cost for Food Expense, and the amount with regard to the expenses required for said stay that is the result of deduction of the Base Allowance for Stay from the Maximum Cost for Stay.

第六十二条市町村は、要介護被保険者又は居宅要支援被保険者（以下「要介護被保険者等」という。）に対し、前二節の保険給付のほか、条例で定めるところにより、市町村特別給付を行うことができる。

Article 62A Municipality may pay a Municipal Special Benefit pursuant to the provisions of a municipal ordinance to an Insured Person Requiring Long-Term Care or an Insured In-Home Person Requiring Support (herein referred to as "Insured Person Requiring Long-Term Care, etc.") in addition to the insurance benefits as set forth in the preceding two sections.

第六十三条刑事施設、労役場その他これらに準ずる施設に拘禁された者については、その期間に係る介護給付等は、行わない。

Article 63With regard to a person that is confined to penal institution, work facility, or other facility mutatis mutandis as these, a Long-Term Care Benefit, etc., pertaining to said period of confinement is not be paid.

第六十四条市町村は、自己の故意の犯罪行為若しくは重大な過失により、又は正当な理由なしに介護給付等対象サービスの利用若しくは居宅介護住宅改修費若しくは介護予防住宅改修費に係る住宅改修の実施に関する指示に従わないことにより、要介護状態等若しくはその原因となった事故を生じさせ、又は要介護状態等の程度を増進させた被保険者の当該要介護状態等については、これを支給事由とする介護給付等は、その全部又は一部を行わないことができる。

Article 64With regard to the Condition of Need for Long-Term Care, etc., of an Insured Person that caused the accident that caused a Condition of Need for Long-Term Care, etc., or the cause of said condition, or who increased the degree of Condition of Need for Long-Term Care, etc., by not obeying instructions for the use of Service Covered by Long-Term Care Benefits, etc., or for a Home Modification pertaining to an Allowance for Home Modification for In-Home Long-Term Care or Allowance for Preventive Long-Term Care Home Modification due to an intentional criminal act or gross negligence or without justifiable reasons, a Municipality may not pay the whole or a part of a Long-Term Care Benefit, etc., for which the reason for payment is said Condition of Need for Long-Term Care, etc.

第六十五条市町村は、介護給付等を受ける者が、正当な理由なしに、第二十三条の規定による求め（第二十四条の二第一項第一号の規定により委託された場合にあっては、当該委託に係る求めを含む。）に応ぜず、又は答弁を拒んだときは、介護給付等の全部又は一部を行わないことができる。

Article 65A Municipality, when a person that receives a Long-Term Care Benefit, etc., fails to respond to a request pursuant to the provisions of Article 23 (in a case when it is entrusted pursuant to the provisions of Article 24-2, paragraph (1), item (i), including a request pertaining to said entrustment) or refuses to answer without a justifiable reason, may not pay the whole or a part of a Long-Term Care Benefit, etc.

第六十六条市町村は、保険料を滞納している第一号被保険者である要介護被保険者等（原子爆弾被爆者に対する援護に関する法律（平成六年法律第百十七号）による一般疾病医療費の支給その他厚生労働省令で定める医療に関する給付を受けることができるものを除く。）が、当該保険料の納期限から厚生労働省令で定める期間が経過するまでの間に当該保険料を納付しない場合においては、当該保険料の滞納につき災害その他の政令で定める特別の事情があると認める場合を除き、厚生労働省令で定めるところにより、当該要介護被保険者等に対し被保険者証の提出を求め、当該被保険者証に、第四十一条第六項、第四十二条の二第六項、第四十六条第四項、第四十八条第四項、第五十一条の二第四項、第五十三条第四項、第五十四条の二第六項、第五十八条第四項及び第六十一条の二第四項の規定を適用しない旨の記載（以下この条及び次条第三項において「支払方法変更の記載」という。）をするものとする。

Article 66(1)A Municipality, in a case when an Insured Person Requiring Long-Term Care, etc., that is a Primary Insured Person that is a person delinquent in payment of an insurance premium (except for those who can receive a medical allowance for general disease pursuant to the Act for Medical Measures for the Victims of the Atomic Bomb (Act No. 117 of 1994) and other benefits for medical care as determined by Order of the Ministry of Health, Labour, and Welfare) fails to pay said insurance premium from the payment due date of said insurance premium until the expiry of the period as determined by Order of the Ministry of Health, Labour, and Welfare, except for a case when it is determined that there is a special circumstance for said delinquency of insurance premium payment such as a disaster or other special circumstances provided by a Cabinet Order, request said Insured Person Requiring Long-Term Care, etc., to submit the Certificate of Insured Person, pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare, and enter on said Certificate of Insured Person that the provisions of Article 41, paragraph (6), Article 42-2, paragraph (6), Article 46, paragraph (4), Article 48, paragraph (4), Article 51-2, paragraph (4), Article 53, paragraph (4), Article 54-2, paragraph (6), Article 58, paragraph (4) and Article 61-2, paragraph (4) do not apply (herein referred to as "Entry of Change of Payment Method" in this Article and paragraph (3) of the following Article).

２市町村は、前項に規定する厚生労働省令で定める期間が経過しない場合においても、同項に規定する政令で定める特別の事情があると認める場合を除き、同項に規定する要介護被保険者等に対し被保険者証の提出を求め、当該被保険者証に支払方法変更の記載をすることができる。

(2)A Municipality, although in a case when the period as determined by Order of the Ministry of Health, Labour, and Welfare as prescribed in the preceding paragraph has not yet expired, except for a case it is determined that said person delinquent in payment is due to special circumstances provided by a Cabinet Order as prescribed in the same paragraph, may request the Insured Person Requiring Long-Term Care, etc., as prescribed in the same paragraph to submit the Certificate of Insured Person, and include the Entry of Change of Payment Method on said Certificate of Insured Person.

３市町村は、前二項の規定により支払方法変更の記載を受けた要介護被保険者等が滞納している保険料を完納したとき、又は当該要介護被保険者等に係る滞納額の著しい減少、災害その他の政令で定める特別の事情があると認めるときは、当該支払方法変更の記載を消除するものとする。

(3)A Municipality, when an Insured Person Requiring Long-Term Care, etc., that has received an Entry of Change of Payment Method pursuant to the provisions of the preceding two paragraphs and has completed payment of said delinquent insurance premium or when it is determined that the delinquent payment amount pertaining to said Insured Person Requiring Long-Term Care, etc., has decreased significantly or due to a disaster or other special circumstances provided by a Cabinet Order, is to delete said Entry of Change of Payment Method.

４第一項又は第二項の規定により支払方法変更の記載を受けた要介護被保険者等が、当該支払方法の変更の記載がなされている間に受けた指定居宅サービス、指定地域密着型サービス、指定居宅介護支援、指定施設サービス等、指定介護予防サービス、指定地域密着型介護予防サービス及び指定介護予防支援に係る居宅介護サービス費の支給、地域密着型介護サービス費の支給、居宅介護サービス計画費の支給、施設介護サービス費の支給、特定入所者介護サービス費の支給、介護予防サービス費の支給、地域密着型介護予防サービス費の支給、介護予防サービス計画費の支給及び特定入所者介護予防サービス費の支給については、第四十一条第六項、第四十二条の二第六項、第四十六条第四項、第四十八条第四項、第五十一条の二第四項、第五十三条第四項、第五十四条の二第六項、第五十八条第四項及び第六十一条の二第四項の規定は適用しない。

(4)With regard to the payment of an Allowance for In-Home Long-Term Care Service, Allowance for Community-Based Long-Term Care Service, Allowance for In-Home Long-Term Care Service Plan, Allowance for Long-Term Care Facility Service, Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility, Allowance for Preventive Long-Term Care Service, Allowance for Community-Based Preventive Long-Term Care Service, Allowance for Preventive Long-Term Care Service Plan, and Allowance for Preventive Long-Term Care Service to a Person Admitted to a Specified Facility, pertaining to a Designated In-Home Service, Designated Community-Based Service, Designated In-Home Long-Term Care Support, Designated Facility Service, etc., Designated Preventive Long-Term Care Service, Designated Community-Based Preventive Service of Long-Term Care, and Designated Support for Prevention of Long-Term Care that an Insured Person Requiring Long-Term Care, etc., who received an Entry of Change of Payment Method pursuant to the provisions of paragraph (1) or paragraph (2), receives during the period said Entry of Change of Payment Method remains on the Certificate of Insured Person, the provisions of Article 41, paragraph (6), Article 42-2, paragraph (6), Article 46, paragraph (4), Article 48, paragraph (4), Article 51-2, paragraph (4), Article 53, paragraph (4), Article 54-2, paragraph (6), Article 58, paragraph (4), and Article 61-2, paragraph (4) do not apply.

第六十七条市町村は、保険給付を受けることができる第一号被保険者である要介護被保険者等が保険料を滞納しており、かつ、当該保険料の納期限から厚生労働省令で定める期間が経過するまでの間に当該保険料を納付しない場合においては、当該保険料の滞納につき災害その他の政令で定める特別の事情があると認める場合を除き、厚生労働省令で定めるところにより、保険給付の全部又は一部の支払を一時差し止めるものとする。

Article 67(1)A Municipality, when an Insured Person Requiring Long-Term Care, etc., that is a Primary Insured Person that can receive an insurance benefit becomes a person delinquent in the payment of an insurance premium and fails to pay said insurance premium from the due date of payment of said insurance premium until the period as determined by Order of the Ministry of Health, Labour, and Welfare expires, is to temporarily suspend the payment of the whole or a part of an insurance benefit, pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare, except for a case when it is determined that said delinquency of payment of an insurance premium is due to a disaster or other special circumstance as determined by a Cabinet Order.

２市町村は、前項に規定する厚生労働省令で定める期間が経過しない場合においても、保険給付を受けることができる第一号被保険者である要介護被保険者等が保険料を滞納している場合においては、当該保険料の滞納につき災害その他の政令で定める特別の事情があると認める場合を除き、厚生労働省令で定めるところにより、保険給付の全部又は一部の支払を一時差し止めることができる。

(2)A Municipality, in a case when an Insured Person Requiring Long-Term Care, etc., who is a Primary Insured Person that can receive an insurance benefit becomes a person delinquent in the payment of an insurance premium although the period as determined by Order of the Ministry of Health, Labour, and Welfare as prescribed in the preceding paragraph has not yet expired, except for a case when it is determined that said delinquency of an insurance premium is due to a disaster or other special circumstance as determined by a Cabinet Order as prescribed, may temporarily suspend the whole or a part of an insurance benefit pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare.

３市町村は、前条第一項又は第二項の規定により支払方法変更の記載を受けている要介護被保険者等であって、前二項の規定による保険給付の全部又は一部の支払の一時差止がなされているものが、なお滞納している保険料を納付しない場合においては、厚生労働省令で定めるところにより、あらかじめ、当該要介護被保険者等に通知して、当該一時差止に係る保険給付の額から当該要介護被保険者等が滞納している保険料額を控除することができる。

(3)A Municipality, in a case when an Insured Person Requiring Long-Term Care, etc., that has received an Entry of Change of Payment Method pursuant to the provisions of paragraph (1) or paragraph (2) of the preceding Article and whose insurance benefit has been temporarily suspended in whole or in part pursuant to the provisions of the preceding two paragraphs and who has not yet paid the delinquent insurance premium, may notify in advance said Insured Person Requiring Long-Term Care, etc., pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare, and deduct the amount of delinquent insurance premium of said Insured Person Requiring Long-Term Care, etc., from the amount of insurance benefit pertaining to said temporary suspension.

第六十八条市町村は、保険給付を受けることができる第二号被保険者である要介護被保険者等について、医療保険各法の定めるところにより当該要介護被保険者等が納付義務又は払込義務を負う保険料（地方税法（昭和二十五年法律第二百二十六号）の規定による国民健康保険税を含む。）又は掛金であってその納期限又は払込期限までに納付しなかったもの（以下この項及び次項において「未納医療保険料等」という。）がある場合においては、未納医療保険料等があることにつき災害その他の政令で定める特別の事情があると認める場合を除き、厚生労働省令で定めるところにより、当該要介護被保険者等に対し被保険者証の提出を求め、当該被保険者証に、第四十一条第六項、第四十二条の二第六項、第四十六条第四項、第四十八条第四項、第五十一条の二第四項、第五十三条第四項、第五十四条の二第六項、第五十八条第四項及び第六十一条の二第四項の規定を適用しない旨並びに保険給付の全部又は一部の支払を差し止める旨の記載（以下この条において「保険給付差止の記載」という。）をすることができる。

Article 68(1)With regard to an Insured Person Requiring Long-Term Care, etc., that is a Secondary Insured Person that can receive an insurance benefit, in a case when said Insured Person Requiring Long-Term Care, etc., has an obligatory insurance premium pursuant to the provisions of the Medical Insurance Acts (including national health insurance tax pursuant to the provisions of the Local Tax Act (Act No. 226 of 1950)) or when there is a remaining premium installments that was not paid by the deadline for payment (herein referred to as "Unpaid Medical Insurance Premium, etc." in this paragraph and the following paragraph), except for a case said Unpaid Medical Insurance Premium, etc., is due to a disaster or other special circumstance as determined by a Cabinet Order, a Municipality, pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare, may request said Insured Person Requiring Long-Term Care, etc., to submit the Certificate of Insured Person and to enter on said Certificate of Insured Person that the provisions of Article 41, paragraph (6), Article 42-2, paragraph (6), Article 46, paragraph (4), Article 48, paragraph (4), Article 51-2, paragraph (4), Article 53, paragraph (4), Article 54-2, paragraph (6), Article 58, paragraph (4), and Article 61-2, paragraph (4) do not apply and that the whole or a part of the payment of an insurance benefit is to be suspended (herein referred to as "Entry of Suspension of Insurance Benefit" in this Article).

２市町村は、前項の規定により保険給付差止の記載を受けた要介護被保険者等が、未納医療保険料等を完納したとき、又は当該要介護被保険者等に係る未納医療保険料等の著しい減少、災害その他の政令で定める特別の事情があると認めるときは、当該保険給付差止の記載を消除するものとする。

(2)When an Insured Person Requiring Long-Term Care, etc., that has received an Entry of Suspension of Insurance Benefit pursuant to the provisions of the preceding paragraph completes payment of an Unpaid Medical Insurance Premium, etc., or when it is determined that there is a significant decrease of an Unpaid Medical Insurance Premium, etc., pertaining to said Insured Person Requiring Long-Term Care, etc., or due to disaster or other special circumstance as provided by a Cabinet Order, said Entry of Suspension of Insurance Benefit is to be deleted.

３第六十六条第四項の規定は、第一項の規定により保険給付差止の記載を受けた要介護被保険者等について準用する。

(3)The provisions of Article 66, paragraph (4) apply mutatis mutandis to an Insured Person Requiring Long-Term Care, etc., that has received an Entry of Suspension of Insurance Benefit pursuant to the provisions of paragraph (1).

４市町村は、第一項の規定により保険給付差止の記載を受けた要介護被保険者等について、保険給付の全部又は一部の支払を一時差し止めるものとする。

(4)With regard to an Insured Person Requiring Long-Term Care, etc., that has received an Entry of Suspension of Insurance Benefit pursuant to the provisions of paragraph (1), a Municipality is to temporarily suspend the whole or a part of an insurance benefit.

５市町村は、要介護被保険者等についての保険給付差止の記載に関し必要があると認めるときは、当該要介護被保険者等の加入する医療保険者に対し、当該要介護被保険者等に係る医療保険各法の規定により徴収される保険料（地方税法の規定により徴収される国民健康保険税を含む。）又は掛金の納付状況その他厚生労働省令で定める事項について、厚生労働省令で定めるところにより、当該要介護被保険者等の加入する医療保険者に対し、情報の提供を求めることができる。

(5)A Municipality, when the necessity is determined for an Entry of Suspension of Insurance Benefit of an Insured Person Requiring Long-Term Care, etc., may request the submission of information pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare to a Medical Insurer of said Insured Person Requiring Long-Term Care, etc., regarding insurance premium collected pursuant to the provisions of the Medical Insurance Acts pertaining to said Insured Person Requiring Long-Term Care, etc., the status of an insurance premium (including national health insurance tax collected pursuant to the provisions of the Local Tax Act) or installments premium payments, and other matters as determined by Order of the Ministry of Health, Labour, and Welfare.

第六十九条市町村は、要介護認定、要介護更新認定、第二十九条第二項において準用する第二十七条第七項若しくは第三十条第一項の規定による要介護状態区分の変更の認定、要支援認定、要支援更新認定、第三十三条の二第二項において準用する第三十二条第六項若しくは第三十三条の三第一項の規定による要支援状態区分の変更の認定（以下この項において単に「認定」という。）をした場合において、当該認定に係る第一号被保険者である要介護被保険者等について保険料徴収権消滅期間（当該期間に係る保険料を徴収する権利が時効によって消滅している期間につき政令で定めるところにより算定された期間をいう。以下この項において同じ。）があるときは、厚生労働省令で定めるところにより、当該要介護被保険者等の被保険者証に、当該認定に係る第二十七条第七項後段（第二十八条第四項及び第二十九条第二項において準用する場合を含む。）、第三十条第一項後段若しくは第三十五条第四項後段又は第三十二条第六項後段（第三十三条第四項及び第三十三条の二第二項において準用する場合を含む。）、第三十三条の三第一項後段若しくは第三十五条第二項後段若しくは第六項後段の規定による記載に併せて、介護給付等（居宅介護サービス計画費の支給、特例居宅介護サービス計画費の支給、介護予防サービス計画費の支給及び特例介護予防サービス計画費の支給、高額介護サービス費の支給及び高額介護予防サービス費の支給並びに特定入所者介護サービス費の支給、特例特定入所者介護サービス費の支給、特定入所者介護予防サービス費の支給及び特例特定入所者介護予防サービス費の支給を除く。）の額の減額を行う旨並びに高額介護サービス費及び高額介護予防サービス費並びに特定入所者介護サービス費、特例特定入所者介護サービス費、特定入所者介護予防サービス費及び特例特定入所者介護予防サービス費の支給を行わない旨並びにこれらの措置がとられる期間（市町村が、政令で定めるところにより、保険料徴収権消滅期間に応じて定める期間をいう。以下この条において「給付額減額期間」という。）の記載（以下この条において「給付額減額等の記載」という。）をするものとする。ただし、当該要介護被保険者等について、災害その他の政令で定める特別の事情があると認めるときは、この限りでない。

Article 69(1)In a case when a Municipality issues a Certification of Needed Long-Term Care, a Renewal of Certification of Care Need, or Certification of Change of Condition of Need for Long-Term Care pursuant to the provisions of Article 27, paragraph (7) or Article 30, paragraph (1) as applied mutatis mutandis pursuant to Article 29, paragraph (2), a Certification of Needed Support, a Renewal of Certification of Needed Support, or a Certification of Change of Category of Needed Support Condition pursuant to the provisions of Article 32, paragraph (6) or Article 33-3, paragraph (1) as applied mutatis mutandis pursuant to Article 33-2, paragraph (2) (hereinafter referred to simply as "Certification" in this paragraph) and there is a period when the right to collect an insurance premium has extinguished (which means a period calculated pursuant to the provisions of a Cabinet Order regarding the period when the right to collect an insurance premium pertaining to said period has been extinguished due to a legal proscription) with regard to an Insured Person Requiring Long-Term Care, etc., that is the Primary Insured Person pertaining to said Certification, a Municipality pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare is to enter on the Certificate of Insured Person of said Insured Person Requiring Long-Term Care, etc., in addition to the entry pursuant to the provisions of Article 27, paragraph (7), second sentence (including a case applied mutatis mutandis pursuant to Article 28, paragraph (4) and Article 29, paragraph (2)), Article 30, paragraph (1), second sentence, Article 35, paragraph (4), second sentence, Article 32, paragraph (6), second sentence (including a case applied mutatis mutandis pursuant to Article 33, paragraph (4) or Article 33-2, paragraph (2)), Article 33-3, paragraph (1), second sentence, Article 35, paragraph (2), second sentence, or paragraph (6) second sentence as pertaining to said Certification, that the amount of Long-Term Care Benefit, etc., (except for payment of an Allowance for In-Home Long-Term Care Service, Exceptional Allowance for an In-Home Long-Term Care Service Plan, Allowance for Preventive Long-Term Care Service Plan, Exceptional Allowance for a Preventive Service Plan of Long-term care, Allowance for High-Cost Long-Term Care Service, Allowance for High-Cost Preventive Long-Term Care Service, Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility, Exceptional Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility, Allowance for Preventive Long-Term Care Service to a Person Admitted to a Specified Facility, and Exceptional Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility) is to be reduced and that the Allowance for High-Cost Long-Term Care Service, Allowance for High-Cost Preventive Long-Term Care Service, Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility, Exceptional Allowance for Long-Term Care Service to a Person Admitted to a Specified Facility, Allowance for Preventive Long-Term Care Service to a Person Admitted to a Specified Facility, and Exceptional Allowance for Long-Term Care Preventive Service of a Person Admitted to a Specified Facility will not be paid, and the period that these measures are applicable (which means a period that a Municipality determines pursuant to the provisions of a Cabinet Order according to the period during which the right to collect an insurance premium is extinguished; herein referred to as "Benefit Reduction Period" in this Article) (hereinafter said entry is referred to as "Entry of Benefit Reduction Amount, etc." in this Article), however, provided that this provision does not apply to a case when it is determined that said Insured Person Requiring Long-Term Care, etc., suffers due to a disaster or other special circumstance provided by a Cabinet Order.

２市町村は、前項の規定により給付額減額等の記載を受けた要介護被保険者等について、同項ただし書の政令で定める特別の事情があると認めるとき、又は給付額減額期間が経過したときは、当該給付額減額等の記載を消除するものとする。

(2)A Municipality, when it is determined that an Insured Person Requiring Long-Term Care, etc., that has received an Entry of Benefit Reduction Amount, etc., pursuant to the provisions of the preceding paragraph is subject to a special circumstance as provided by a Cabinet Order as set forth in the proviso of the same paragraph, and when the Benefit Reduction Period expires, is to delete said Entry of Benefit Reduction Amount, etc.

３第一項の規定により給付額減額等の記載を受けた要介護被保険者等が、当該記載を受けた日の属する月の翌月の初日から当該給付額減額期間が経過するまでの間に利用した居宅サービス（これに相当するサービスを含む。次項において同じ。）、地域密着型サービス（これに相当するサービスを含む。次項において同じ。）、施設サービス、介護予防サービス（これに相当するサービスを含む。次項において同じ。）及び地域密着型介護予防サービス（これに相当するサービスを含む。次項において同じ。）並びに行った住宅改修に係る次の各号に掲げる介護給付等について当該各号に定める規定を適用する場合においては、これらの規定中「百分の九十」とあるのは、「百分の七十」とする。

(3)With regard to In-Home Service (including equivalent service; the same applies in the following paragraph), Community-Based Service (including equivalent service; the same applies in the following paragraph), Facility Service, Preventive Long-Term Care Service (including equivalent service; the same applies in the following paragraph), Community-Based Service for Preventive Long-Term Care (including equivalent service; the same shall apply in the following paragraph), and a Long-Term Care Benefit, etc., as listed in the following items pertaining to a Home Modification that is used or implemented by an Insured Person Requiring Long-Term Care, etc., that has received an Entry of Benefit Reduction Amount, etc., pursuant to the provisions of paragraph (1), from the first day of the month following the month in which said Entry was entered until said Benefit Reduction Period expires, when the provisions as prescribed in each said item apply to these services and benefits, etc., the term "90 percent" in the listed provisions is to be "70 percent":

４第一項の規定により給付額減額等の記載を受けた要介護被保険者等が、当該記載を受けた日の属する月の翌月の初日から当該給付額減額期間が経過するまでの間に受けた居宅サービス、地域密着型サービス、施設サービス、介護予防サービス及び地域密着型介護予防サービスに要する費用については、第五十一条第一項、第五十一条の二第一項、第五十一条の三第一項、第六十一条第一項、第六十一条の二第一項及び第六十一条の三第一項の規定は、適用しない。

(4)The provisions of Article 51, paragraph (1), Article 51-2, paragraph (1), Article 51-3, paragraph (1), Article 61, paragraph (1), Article 61-2, paragraph (1) and Article 61-3, paragraph (1) do not apply to the allowance for expenses provided to an Insured Person Requiring Long-Term Care, etc., that has received an Entry of Benefit Reduction Amount, etc., pursuant to the provisions of paragraph (1) from the first day of the month following the month when said Entry is entered to when said Benefit Reduction Period expires regarding the expenses that are necessary for In-Home Service, Community-Based Service, Facility Service, Preventive Long-Term Care Service and Community-Based Service for Preventive Long-Term Care.

第七十条第四十一条第一項本文の指定は、厚生労働省令で定めるところにより、居宅サービス事業を行う者の申請により、居宅サービスの種類及び当該居宅サービスの種類に係る居宅サービス事業を行う事業所（以下この節において単に「事業所」という。）ごとに行う。

Article 70(1)An appointment as service provider as set forth in the main clause of Article 41, paragraph (1) is to be provided pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare, by the submission of an application of a person that operates an In-Home Service Business, and by type of In-Home Service and provider that operates said In-Home Service Business pertaining to the type of said In-Home Service (hereinafter referred to simply as "Business Office" in this Section).

２都道府県知事は、前項の申請があった場合において、第一号から第三号まで、第五号から第七号まで、第九号又は第十号（病院等により行われる居宅療養管理指導又は病院若しくは診療所により行われる訪問看護、訪問リハビリテーション、通所リハビリテーション若しくは短期入所療養介護に係る指定の申請にあっては、第二号から第十一号まで）のいずれかに該当するときは、第四十一条第一項本文の指定をしてはならない。

(2)A prefectural governor, in a case of an application to provide service as set forth in the preceding paragraph when defined by any provision of item (i) to item (iii), item (v) to item (vii), or item (ix) to item (x) (with regard to an application of appointment as service provider pertaining to Guidance for Management of In-Home Medical Long-Term Care provided by a Hospital, etc., Home-Visit Nursing provided by a hospital or a clinic, Home-Visit Rehabilitation, Outpatient Rehabilitation, or Short-Term Admission for Recuperation, item (ii) to item (xi)), must not provide the appointment as service provider as set forth in the main clause of Article 41, paragraph (1):

３都道府県知事は、介護専用型特定施設入居者生活介護（介護専用型特定施設に入居している要介護者について行われる特定施設入居者生活介護をいう。以下同じ。）につき第一項の申請があった場合において、当該申請に係る事業所の所在地を含む区域（第百十八条第二項第一号の規定により当該都道府県が定める区域とする。）における介護専用型特定施設入居者生活介護の利用定員の総数及び地域密着型特定施設入居者生活介護の利用定員の総数の合計数が、同条第一項の規定により当該都道府県が定める都道府県介護保険事業支援計画において定めるその区域の介護専用型特定施設入居者生活介護の必要利用定員総数及び地域密着型特定施設入居者生活介護の必要利用定員総数の合計数に既に達しているか、又は当該申請に係る事業者の指定によってこれを超えることになると認めるとき、その他の当該都道府県介護保険事業支援計画の達成に支障を生ずるおそれがあると認めるときは、第四十一条第一項本文の指定をしないことができる。

(3)In a case of an application as set forth in paragraph (1) for Daily Life Care of a Patient Admitted to a Specialized Long-Term Care Specified Facility (which means Daily Life Long-Term Care Admitted to a Specified Facility provided to a Person Requiring Long-Term Care who is admitted to a Specialized Long-Term Care Specified Facility; the same applies hereinafter), a prefectural governor, when the total sum of the capacity of users of Daily Life Care of a Patient Admitted to a Specialized Long-Term Care Specified Facility and the total capacity of users of Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility in the area including the location of the Business Office pertaining to said application has reached or is it determined to exceed due to the appointment as service provider of said business pertaining to said application the total sum of the total capacity of users of Daily Life Care of a Patient Admitted to a Specialized Long-Term Care Specified Facility and the total capacity of users of Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility in the area as prescribed by a Prefectural Insured Long-Term Care Support Project Plan provided by said prefecture pursuant to the provisions of paragraph (1) of the same Article, or when it is determined that said application may interfere with the accomplishment of said Prefectural Insured Long-Term Care Support Project Plan, may determine not to execute the appointment as service provider as set forth in the main clause of Article 41, paragraph (1).

４都道府県知事は、混合型特定施設入居者生活介護（介護専用型特定施設以外の特定施設に入居している要介護者について行われる特定施設入居者生活介護をいう。以下同じ。）につき第一項の申請があった場合において、当該申請に係る事業所の所在地を含む区域（第百十八条第二項第一号の規定により当該都道府県が定める区域とする。）における混合型特定施設入居者生活介護の推定利用定員（厚生労働省令で定めるところにより算定した定員をいう。）の総数が、同条第一項の規定により当該都道府県が定める都道府県介護保険事業支援計画において定めるその区域の混合型特定施設入居者生活介護の必要利用定員総数に既に達しているか、又は当該申請に係る事業者の指定によってこれを超えることになると認めるとき、その他の当該都道府県介護保険事業支援計画の達成に支障を生ずるおそれがあると認めるときは、第四十一条第一項本文の指定をしないことができる。

(4)In a case of an application as set forth in paragraph (1) for Daily Life Activities of a Long-Term Care Patient Admitted to a Combined Specified Facility (which means Daily Life Long-Term Care Admitted to a Specified Facility provided for a Person Requiring Long-Term Care who is a resident in a Specified Facility other than a Specialized Long-Term Care Specified Facility; the same applies herein), a prefectural governor, when the total of assumed capacity of users of Daily Life Activities of a Long-Term Care Patient Admitted to a Combined Specified Facility (which means a capacity calculated pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare) in the area including the location of the Business Office pertaining to said application (which means an area provided by said prefecture pursuant to the provisions of Article 118, paragraph (2), item (i)) has been reached or is it determined that said capacity will be exceeded by the appointment as service provider pertaining to said application the total of prospective capacity of necessary users of Daily Life Activities of a Long-Term Care Patient Admitted to a Combined Specified Facility (which means a capacity calculated pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare) in said area provided by a Prefectural Insured Long-Term Care Support Project Plan provided by said prefecture pursuant to the provisions of paragraph (1) of the same Article, or when it is determined that said application may interfere with the accomplishment of said Prefectural Insured Long-Term Care Support Project Plan, may determine not to execute an appointment as service provider as set forth in the main clause of Article 41, paragraph (1).

５都道府県知事は、第四十一条第一項本文の指定（特定施設入居者生活介護その他の厚生労働省令で定める居宅サービスに係るものに限る。）をしようとするときは、関係市町村長に対し、厚生労働省令で定める事項を通知し、相当の期間を指定して、当該関係市町村の第百十七条第一項に規定する市町村介護保険事業計画との調整を図る見地からの意見を求めなければならない。

(5)A prefectural governor, when he or she intends to determine an appointment as service provider as set forth in the main clause of Article 41, paragraph (1) (limited to Daily Life Long-Term Care Admitted to a Specified Facility or other In-Home Service as determined by Order of the Ministry of Health, Labour, and Welfare), must provide notice of matters as determined by Order of the Ministry of Health, Labour, and Welfare to the mayor of the relevant Municipality, specify a reasonable period, and request opinions from the perspective of coordination with the Municipal Insured Long-Term Care Service Plan as prescribed in Article 117, paragraph (1) of said relevant Municipality.

第七十条の二第四十一条第一項本文の指定は、六年ごとにその更新を受けなければ、その期間の経過によって、その効力を失う。

Article 70-2(1)An appointment as service provider as set forth in the main clause of Article 41, paragraph (1), if it is not renewed within a period of six years, ceases to be effective when said period expires.

２前項の更新の申請があった場合において、同項の期間（以下この条において「指定の有効期間」という。）の満了の日までにその申請に対する処分がされないときは、従前の指定は、指定の有効期間の満了後もその処分がされるまでの間は、なおその効力を有する。

(2)In a case of an application of renewal as set forth in the preceding paragraph, when the disposition of said application does not occur prior to the expiry of the period as set forth in the same paragraph (herein referred to as "Effective Period of Designation as Service Provider" in this Article), the prior appointment as service provider remains effective after expiry of the Effective Period of Designation as Service Provider until a determination is reached regarding said application.

３前項の場合において、指定の更新がされたときは、その指定の有効期間は、従前の指定の有効期間の満了の日の翌日から起算するものとする。

(3)In a case as set forth in the preceding paragraph, when the appointment as service provider is renewed, said Effective Period of Designation as Service Provider is to be from the date following the date of expiry of the prior Effective Period of Designation as Service Provider.

４前条の規定は、第一項の指定の更新について準用する。

(4)The provisions of the preceding Article apply mutatis mutandis to a renewal of appointment as service provider as set forth in paragraph (1).

第七十一条病院等について、健康保険法第六十三条第三項第一号の規定による保険医療機関又は保険薬局の指定があったとき（同法第六十九条の規定により同号の指定があったものとみなされたときを含む。）は、その指定の時に、当該病院等の開設者について、当該病院等により行われる居宅サービス（病院又は診療所にあっては居宅療養管理指導その他厚生労働省令で定める種類の居宅サービスに限り、薬局にあっては居宅療養管理指導に限る。）に係る第四十一条第一項本文の指定があったものとみなす。ただし、当該病院等の開設者が、厚生労働省令で定めるところにより別段の申出をしたとき、又はその指定の時前に第七十七条第一項若しくは第百十五条の二十九第六項の規定により第四十一条第一項本文の指定を取り消されているときは、この限りでない。

Article 71(1)With regard to a Hospital, etc., when a medical facility that provides insured services or pharmacy that provides insured services is appointed pursuant to the provisions of Article 63, paragraph (3), item (i) of the Health Insurance Act (including when it is determined that appointment as service provider as set forth in the same item was provided pursuant to the provisions of Article 69 of the same Act), it is deemed that the organizer of said Hospital, etc., was provided an appointment as service provider as set forth in the main clause of Article 41, paragraph (1) pertaining to In-Home Service provided by said Hospital, etc., (with regard to a hospital or a clinic, limited to Guidance for Management of In-Home Medical Long-Term Care and other types of In-Home Service as determined by Order of the Ministry of Health, Labour, and Welfare, and with regard to a pharmacy, limited to Guidance for Management of In-Home Medical Long-Term Care) at the time of said appointment as service provider, provided however, that this provision does not apply when the organizer of the Hospital, etc., offers a different notification pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare or when the appointment as service provider as set forth in the main clause of Article 41, paragraph (1) is rescinded pursuant to the provisions of Article 77, paragraph(1) or Article 115-29, paragraph (6) prior to said appointment as service provider.

２前項の規定により指定居宅サービス事業者とみなされた者に係る第四十一条第一項本文の指定は、当該指定に係る病院等について、健康保険法第八十条の規定による保険医療機関又は保険薬局の指定の取消しがあったときは、その効力を失う。

(2)An appointment as service provider as set forth in the main clause of Article 41, paragraph (1) pertaining to a person that was deemed as a Designated In-Home Service Provider pursuant to the provisions of the preceding paragraph, when appointment as service provider of a medical facility that provides insured services or pharmacy that provides insured services is rescinded pursuant to the provisions of Article 80 of the Health Insurance Act with regard to said Hospital, etc., pertaining to said appointment as service provider, ceases to be effective.

第七十二条介護老人保健施設又は介護療養型医療施設について、第九十四条第一項の許可又は第四十八条第一項第三号の指定があったときは、その許可又は指定の時に、当該介護老人保健施設又は介護療養型医療施設の開設者について、当該介護老人保健施設又は介護療養型医療施設により行われる居宅サービス（短期入所療養介護その他厚生労働省令で定める居宅サービスの種類に限る。）に係る第四十一条第一項本文の指定があったものとみなす。ただし、当該介護老人保健施設又は介護療養型医療施設の開設者が、厚生労働省令で定めるところにより、別段の申出をしたときは、この限りでない。

Article 72(1)With regard to a Long-Term Care Health Facility or Sanatorium Medical Facility for the Elderly Requiring Long-Term Care when it is approved as set forth in Article 94, paragraph (1) or appointed as set forth in Article 48, paragraph (1), item (iii), it is to be deemed that the organizer of said Long-Term Care Health Facility or Sanatorium Medical Facility for the Elderly Requiring Long-Term Care has been appointed as set forth in the main clause of Article 41, paragraph (1) pertaining to In-Home Service (limited to Short-Term Admission for Recuperation or a type of In-Home Service as determined by Order of the Ministry of Health, Labour, and Welfare) provided by said Long-Term Care Health Facility or Sanatorium Medical Facility for the Elderly Requiring Long-Term Care at the time of said approval or appointment as service provider, however, provided that this provision does not apply when the organizer of said Long-Term Care Health Facility or Sanatorium Medical Facility for the Elderly Requiring Long-Term Care offers a different notification pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare.

２前項の規定により指定居宅サービス事業者とみなされた者に係る第四十一条第一項本文の指定は、当該指定に係る介護老人保健施設又は介護療養型医療施設について、第九十四条の二第一項の規定により許可の効力が失われたとき若しくは第百四条第一項若しくは第百十五条の二十九第六項の規定により許可の取消しがあったとき、又は第百七条の二第一項の規定により指定の効力が失われたとき若しくは第百十四条第一項若しくは第百十五条の二十九第六項の規定により指定の取消しがあったときは、その効力を失う。

(2)The appointment as service provider as set forth in the main clause of Article 41, paragraph (1) pertaining to a person that is deemed as a Designated In-Home Service Provider pursuant to the provisions of the preceding paragraph, ceases to be effective when, with regard to a Long-Term Care Health Facility or a Sanatorium Medical Facility for the Elderly Requiring Long-Term Care pertaining to said appointment as service provider, when the approval ceases to be effective pursuant to the provisions of Article 94-2, paragraph (1), when the approval is rescinded pursuant to the provisions of Article 104, paragraph (1) or Article 115-29, paragraph (6), when the appointment as service provider ceased to be effective pursuant to the provisions of Article 170-2, paragraph (1), or when the appointment as service provider is rescinded pursuant to the provisions of Article 114, paragraph (1) or Article 115-29, paragraph(6).

第七十三条指定居宅サービス事業者は、次条第二項に規定する指定居宅サービスの事業の設備及び運営に関する基準に従い、要介護者の心身の状況等に応じて適切な指定居宅サービスを提供するとともに、自らその提供する指定居宅サービスの質の評価を行うことその他の措置を講ずることにより常に指定居宅サービスを受ける者の立場に立ってこれを提供するように努めなければならない。

Article 73(1)A Designated In-Home Service Provider shall act in compliance with the standards concerning facilities and management of a Designated In-Home Service Business as prescribed in paragraph (2) of the following Article, offer appropriate Designated In-Home Service according to the mental and physical condition, etc., of a Person Requiring Long-Term Care, and always engage in offering said services from the viewpoint of the person that receives Designated In-Home Service by implementing a self-evaluation of the quality of the Provider's own Designated In-Home Service and other measures.

２指定居宅サービス事業者は、指定居宅サービスを受けようとする被保険者から提示された被保険者証に、第二十七条第七項第二号（第二十八条第四項及び第二十九条第二項において準用する場合を含む。）若しくは第三十二条第六項第二号（第三十三条第四項及び第三十三条の二第二項において準用する場合を含む。）に掲げる意見又は第三十条第一項後段若しくは第三十三条の三第一項後段に規定する意見（以下「認定審査会意見」という。）が記載されているときは、当該認定審査会意見に配慮して、当該被保険者に当該指定居宅サービスを提供するように努めなければならない。

(2)A Designated In-Home Service Provider, when an opinion as listed in Article 27, paragraph (7), item (ii) (including a case applied mutatis mutandis pursuant to Article 28, paragraph (4) or Article 29, paragraph (2)) or Article 32, paragraph (6), item (ii) (including a case applied mutatis mutandis pursuant to Article 33, paragraph (4) or Article 33-2, paragraph (2)), or an opinion as prescribed in the second sentence of Article 30, paragraph (1) or in the second sentence of Article 33-3, paragraph (1) (herein referred to as "Opinion of the Certification Committee") is entered on the Certificate of Insured Person that is presented by an Insured Person that intends to receive Designated In-Home Service, must engage in offering said Designated In-Home Service of said Insured Person in consideration of said Opinion of the Certification Committee.

第七十四条指定居宅サービス事業者は、当該指定に係る事業所ごとに、厚生労働省令で定める基準に従い厚生労働省令で定める員数の当該指定居宅サービスに従事する従業者を有しなければならない。

Article 74(1)A Designated In-Home Service Provider must employ the number of employees engaging in said Designated In-Home Service as determined by Order of the Ministry of Health, Labour, and Welfare in accordance with standards as determined by Order of the Ministry of Health, Labour, and Welfare, by each Business Office pertaining to said appointment as service provider.

２前項に規定するもののほか、指定居宅サービスの事業の設備及び運営に関する基準は、厚生労働大臣が定める。

(2)In addition to the provisions as prescribed in the preceding paragraph, standards concerning facilities and management of a Designated In-Home Service Business isprescribed by the Minister of Health, Labour, and Welfare.

３厚生労働大臣は、前項に規定する指定居宅サービスの事業の設備及び運営に関する基準（指定居宅サービスの取扱いに関する部分に限る。）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。

(3)The Minister of Health, Labour, and Welfare, when providing standards concerning facilities and management of a Designated In-Home Service Business as prescribed in the preceding paragraph (limited to the part concerning the handling of Designated In-Home Service), must hear the opinion of the Social Security Council in advance.

４指定居宅サービス事業者は、要介護者の人格を尊重するとともに、この法律又はこの法律に基づく命令を遵守し、要介護者のため忠実にその職務を遂行しなければならない。

(4)A Designated In-Home Service Provider must respect the personality of a Person Requiring Long-Term Care, act in compliance with this Act or an Order based on this Act, and faithfully executes said duty on behalf of the Person Requiring Long-Term Care.

第七十五条指定居宅サービス事業者は、当該指定に係る事業所の名称及び所在地その他厚生労働省令で定める事項に変更があったとき、又は当該指定居宅サービスの事業を廃止し、休止し、若しくは再開したときは、厚生労働省令で定めるところにより、十日以内に、その旨を都道府県知事に届け出なければならない。

Article 75A Designated In-Home Service Provider, when the name or location of the Business Office pertaining to said appointment as service provider or other matters as determined by Order of the Ministry of Health, Labour, and Welfare change, or when said Designated In-Home Service Business is abolished, suspended, or recommenced, must provide notification of said fact to the prefectural governor within ten days pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare.

第七十六条都道府県知事又は市町村長は、居宅介護サービス費の支給に関して必要があると認めるときは、指定居宅サービス事業者若しくは指定居宅サービス事業者であった者若しくは当該指定に係る事業所の従業者であった者（以下この項において「指定居宅サービス事業者であった者等」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、指定居宅サービス事業者若しくは当該指定に係る事業所の従業者若しくは指定居宅サービス事業者であった者等に対し出頭を求め、又は当該職員に関係者に対して質問させ、若しくは当該指定居宅サービス事業者の当該指定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。

Article 76(1)A prefectural governor or mayor of a Municipality, when it is determined to be necessary concerning the payment of an allowance for In-Home Long-Term Care, may order a Designated In-Home Service Provider, a person that is or was a Designated In-Home Service Provider, or a person that is or was an employee or Officer pertaining to said appointment as service provider (herein referred to as a "Person, etc., that was a Designated In-Home Service Provider" in this paragraph) to report, submit or present record books and documents, request a Designated In-Home Service Provider, an employee of the Business Office pertaining to said appointment as service provider, or a Person that is or was a Designated In-Home Service Provider, etc., to appear, to direct its personnel to ask questions to a relevant person, or enter the Business Office pertaining to said appointment as service provider of said Designated In-Home Service Provider in order to inspect said facilities, record books and documents, or other items.

２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。

(2)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.

第七十六条の二都道府県知事は、指定居宅サービス事業者が、当該指定に係る事業所の従業者の知識若しくは技能若しくは人員について第七十四条第一項の厚生労働省令で定める基準若しくは同項の厚生労働省令で定める員数を満たしておらず、又は同条第二項に規定する指定居宅サービスの事業の設備及び運営に関する基準に従って適正な指定居宅サービスの事業の運営をしていないと認めるときは、当該指定居宅サービス事業者に対し、期限を定めて、同条第一項の厚生労働省令で定める基準を遵守し、若しくは同項の厚生労働省令で定める員数の従業者を有し、又は同条第二項に規定する指定居宅サービスの事業の設備及び運営に関する基準を遵守すべきことを勧告することができる。

Article 76-2(1)A prefectural governor, when a Designated In-Home Service Provider fails to meet the standards as determined by Order of the Ministry of Health, Labour, and Welfare as set forth in the Article 74, paragraph (1) or the fixed minimum number of employees as determined by Order of the Ministry of Health, Labour, and Welfare as set forth in the same paragraph with regard to knowledge, skill, or number of employees of the Business Office pertaining to said appointment as service provider, or when it is determined that said Designated In-Home Service Provider does not operate an appropriate Designated In-Home Service in accordance with the standards concerning Facilities and Management of a Designated In-Home Service Business provided by paragraph (2) of the same Article, may specify a due date and recommend to said Designated In-Home Service Provider to act in compliance with the standards as determined by Order of the Ministry of Health, Labour, and Welfare as set forth in paragraph (1) of the same Article, to employ the number of employees as determined by Order of the Ministry of Health, Labour, and Welfare as set forth in the same paragraph, and to act in compliance with the standards concerning Facilities and Management of a Designated In-Home Service Business as prescribed by paragraph (2) of the same Article.

２都道府県知事は、前項の規定による勧告をした場合において、その勧告を受けた指定居宅サービス事業者が同項の期限内にこれに従わなかったときは、その旨を公表することができる。

(2)A prefectural governor, in a case of providing a recommendation pursuant to the provisions of the preceding paragraph, may provide public notice of the fact that said Designated In-Home Service Provider that was issued said recommendation did not act in compliance with said recommendation within the due date as set forth in the same paragraph.

３都道府県知事は、第一項の規定による勧告を受けた指定居宅サービス事業者が、正当な理由がなくてその勧告に係る措置をとらなかったときは、当該指定居宅サービス事業者に対し、期限を定めて、その勧告に係る措置をとるべきことを命ずることができる。

(3)When said Designated In-Home Service Provider that was issued a recommendation pursuant to the provisions of paragraph (1) does not implement any measures pertaining to said recommendation without a justifiable cause, a prefectural governor may specify a due date and order said Designated In-Home Service Provider to implement measures pertaining to said recommendation.

４都道府県知事は、前項の規定による命令をした場合においては、その旨を公示しなければならない。

(4)A prefectural governor, when issuing an order pursuant to the provisions of the preceding paragraph, must issue public notice of said fact.

５市町村は、保険給付に係る指定居宅サービスを行った指定居宅サービス事業者について、第七十四条第二項に規定する指定居宅サービスの事業の設備及び運営に関する基準に従って適正な指定居宅サービスの事業の運営をしていないと認めるときは、その旨を当該指定に係る事業所の所在地の都道府県知事に通知しなければならない。

(5)With regard to a Designated In-Home Service Provider who provided Designated In-Home Service pertaining to an insurance benefit, a Municipality, when it is determined that said Designated In-Home Service Provider does not operate an appropriate Designated In-Home Service Business in accordance with standards concerning Facilities and Management of a Designated In-Home Service Business as prescribed in Article 74, paragraph (2), must provide notification of said fact to the prefectural governor that governs the location of the Business Office pertaining to said appointment as service provider.

第七十七条都道府県知事は、次の各号のいずれかに該当する場合においては、当該指定居宅サービス事業者に係る第四十一条第一項本文の指定を取り消し、又は期間を定めてその指定の全部若しくは一部の効力を停止することができる。

Article 77(1)A prefectural governor, in a case that corresponds to any of the following items, may rescind the appointment as service provider as set forth in the main clause of Article 41, paragraph (1) pertaining to said Designated In-Home Service Provider or suspend the whole or a part of the effect of said appointment as service provider by specifying a due date:

２市町村は、保険給付に係る指定居宅サービスを行った指定居宅サービス事業者について、前項各号のいずれかに該当すると認めるときは、その旨を当該指定に係る事業所の所在地の都道府県知事に通知しなければならない。

(2)A Municipality, when it is determined that a Designated In-Home Service Provider that provides Designated In-Home Service pertaining to an insurance benefit corresponds to any provision of the items in the preceding paragraph, must provide notification of said fact to the prefectural governor that governs the location of the Business Office pertaining to said appointment as service provider.

第七十八条都道府県知事は、次に掲げる場合には、その旨を公示しなければならない。

Article 78A prefectural governor, in the following cases, provide public notice of the said fact:

第七十八条の二第四十二条の二第一項本文の指定は、厚生労働省令で定めるところにより、地域密着型サービス事業を行う者（地域密着型介護老人福祉施設入所者生活介護を行う事業にあっては、老人福祉法第二十条の五に規定する特別養護老人ホームであって、その入所定員が二十九人以下であるものの開設者）の申請により、地域密着型サービスの種類及び当該地域密着型サービスの種類に係る地域密着型サービス事業を行う事業所（以下この節において「事業所」という。）ごとに行い、当該指定をする市町村長がその長である市町村の行う介護保険の被保険者に対する地域密着型介護サービス費及び特例地域密着型介護サービス費の支給について、その効力を有する。

Article 78-2(1)An appointment as service provider as set forth in the main clause of Article 42-2, paragraph (1) is to be provided, pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare, based on the application of a person that provides community-based service (with regard to a business to provide Admission to a Community-Based Facility for Preventive Daily Long-Term Care of the Elderly Covered by Public Aid, an organizer of an Intensive Care Home for the Elderly as prescribed in Article 20-5 of the Act on Social Welfare for the Elderly for which capacity of users are twenty-nine (29) or less), by type of Community-Based Service and Business Office of Community-Based Service Business pertaining to the type of said Community-Based Service (herein referred to as "Business Office" in this Section), and is to have an effect on the payment of an Allowance for Community-Based Long-Term Care Service or an Exceptional Allowance for Community-Based Long-Term Care Service to an Insured Person by Long-Term Care Insurance provided by a Municipality of which a mayor provided said appointment as service provider.

２市町村長は、第四十二条の二第一項本文の指定をしようとするときは、厚生労働省令で定めるところにより、あらかじめその旨を都道府県知事に届け出なければならない。

(2)The mayor of a Municipality must, when providing an appointment as service provider as set forth in the main clause of Article 42-2, paragraph (1), provide notification of said fact to the prefectural governor in advance pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare.

３都道府県知事は、地域密着型特定施設入居者生活介護につき市町村長から前項の届出があった場合において、当該申請に係る事業所の所在地を含む区域（第百十八条第二項第一号の規定により当該都道府県が定める区域とする。）における介護専用型特定施設入居者生活介護の利用定員の総数及び地域密着型特定施設入居者生活介護の利用定員の総数の合計数が、同条第一項の規定により当該都道府県が定める都道府県介護保険事業支援計画において定めるその区域の介護専用型特定施設入居者生活介護の必要利用定員総数及び地域密着型特定施設入居者生活介護の必要利用定員総数の合計数に既に達しているか、又は当該申請に係る事業者の指定によってこれを超えることになると認めるとき、その他の当該都道府県介護保険事業支援計画の達成に支障を生ずるおそれがあると認めるときは、当該市町村長に対し、必要な助言又は勧告をすることができる。

(3)A prefectural governor, in a case when a mayor of a Municipality provides notification as set forth in the preceding paragraph regarding Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility, and when it is determined that the total sum of the total number of maximum users of Daily Life Care of a Patient Admitted to a Specialized Long-Term Care Specified Facility and the total number of maximum users of Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility in the area (an area provided by said prefecture pursuant to the provisions of Article 118, paragraph (2) item (i)) including the location of the Business Office pertaining to said application has been reached or is it determined that said total number of maximum users will be exceeded by the appointment as service provider pertaining to said application to provide service of Daily Life Care of a Patient Admitted to a Specialized Long-Term Care Specified Facility and the total number of the necessary number of users of Daily Life Long-Term Care for a Person Admitted to a Community-Based Specified Facility in said area provided by Prefectural Insured Long-Term Care Support Project Plan that is provided by said prefecture pursuant to the provisions of paragraph (1) of the same Article, or when it is determined that it will be likely to cause a problem with accomplishment of a Prefectural Insured Long-Term Care Support Project Plan, may provide necessary advice or recommendations to said mayor of the Municipality.

４市町村長は、第一項の申請があった場合において、次の各号のいずれかに該当するときは、第四十二条の二第一項本文の指定をしてはならない。

(4)The mayor of a Municipality, in a case of an application to provide service as set forth in paragraph (1) and when it corresponds to any of the following items, must not provide an appointment as service provider as set forth in the main clause of Article 42-2, paragraph (1):

５市町村長は、第一項の申請があった場合において、次の各号のいずれかに該当するときは、第四十二条の二第一項本文の指定をしないことができる。

(5)The mayor of a Municipality, in a case when an application as set forth in paragraph (1) is filed and when it corresponds to any of the following items, may not provide an appointment as service provider as set forth in the main clause of Article 42-2, paragraph (1):

６市町村長は、第四十二条の二第一項本文の指定を行おうとするとき又は前項第四号の規定により同条第一項本文の指定をしないこととするときは、あらかじめ、当該市町村が行う介護保険の被保険者その他の関係者の意見を反映させるために必要な措置を講じなければならない。

(6)The mayor of a Municipality, when he or she intends to provide an appointment as service provider as set forth in the main clause of Article 42-2, paragraph (1), or, he or she determines not to provide an appointment as service provider as set forth in the main clause of paragraph (1) of the same Article pursuant to the provisions of item (iv) of the preceding paragraph, must take necessary measures in advance in order to reflect the opinions of Insured Persons of Long-Term Care Insurance provided by said Municipality or other relevant persons.

７市町村長は、第四十二条の二第一項本文の指定を行うに当たって、当該事業の適正な運営を確保するために必要と認める条件を付することができる。

(7)The mayor of a Municipality, when providing an appointment as service provider as set forth in the main clause of Article 42-2, paragraph (1), may add a provision that is determined to be necessary for ensuring the appropriate conduct of said business.

第七十八条の三指定地域密着型サービス事業者は、次条第二項又は第四項に規定する指定地域密着型サービスの事業の設備及び運営に関する基準に従い、要介護者の心身の状況等に応じて適切な指定地域密着型サービスを提供するとともに、自らその提供する指定地域密着型サービスの質の評価を行うことその他の措置を講ずることにより常に指定地域密着型サービスを受ける者の立場に立ってこれを提供するように努めなければならない。

Article 78-3(1)A Designated Community-Based Service Provider must act in compliance with the standards concerning Facilities and Management of a Designated Community-Based Service Business as prescribed in paragraph (2) or paragraph (4) of the following Article, offer appropriate Designated Community-Based Service according to the mental and physical condition, etc., of a Person Requiring Long-Term Care, and always engage in offering said services from the viewpoint of the person that receives Designated Community-Based Service by implementing a self-evaluation of the quality of the Provider's own Designated Community-Based Service and other measures.

２指定地域密着型サービス事業者は、指定地域密着型サービスを受けようとする被保険者から提示された被保険者証に、認定審査会意見が記載されているときは、当該認定審査会意見に配慮して、当該被保険者に当該指定地域密着型サービスを提供するように努めなければならない。

(2)A Designated Community-Based Service Provider, when an Opinion of the Certification Committee is entered on the Certificate of Insured Person that is presented by an Insured Person that intends to receive Designated Community-Based Service, must engage in offering said Designated Community-Based Service of said Insured Person in consideration of said Opinion of the Certification Committee.

第七十八条の四指定地域密着型サービス事業者は、当該指定に係る事業所ごとに、厚生労働省令で定める基準に従い厚生労働省令で定める員数の当該指定地域密着型サービスに従事する従業者を有しなければならない。

Article 78-4(1)A Designated Community-Based Service Provider must employ the number of employees that engage in said Designated Community-Based Service as determined by Order of the Ministry of Health, Labour, and Welfare in accordance with the standards as determined by Order of the Ministry of Health, Labour, and Welfare in each Business Office pertaining to said appointment as service provider.

２前項に規定するもののほか、指定地域密着型サービスの事業の設備及び運営に関する基準は、厚生労働大臣が定める。

(2)In addition to the provisions in the preceding paragraph, standards concerning Facilities and Management of a Designated Community-Based Service Business is prescribed by the Minister of Health, Labour, and Welfare.

３厚生労働大臣は、前項に規定する指定地域密着型サービスの事業の設備及び運営に関する基準（指定地域密着型サービスの取扱いに関する部分に限る。）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。

(3)The Minister of Health, Labour, and Welfare, when intending to provide standards concerning Facilities and Management of a Designated Community-Based Service Business pursuant to the provisions of the preceding paragraph (limited to the part concerning the handling of Designated Community-Based Service), must hear the opinion of the Social Security Council in advance.

４市町村は、第一項及び第二項の規定にかかわらず、厚生労働省令で定める範囲内で、これらの規定に定める基準に代えて、当該市町村における指定地域密着型サービスに従事する従業者に関する基準及び指定地域密着型サービスの事業の設備及び運営に関する基準を定めることができる。

(4)A Municipality, notwithstanding the provisions of paragraph (1) and paragraph (2) and within the scope as determined by Order of the Ministry of Health, Labour, and Welfare, in lieu of standards provided by these provisions, may provide standards concerning employees that engage in Designated Community-Based Service in said Municipality and standards concerning Facilities and Management of a Designated Community-Based Service Business.

５市町村は、前項の当該市町村における指定地域密着型サービスに従事する従業者に関する基準及び指定地域密着型サービスの事業の設備及び運営に関する基準を定めようとするときは、あらかじめ、当該市町村が行う介護保険の被保険者その他の関係者の意見を反映させ、及び学識経験を有する者の知見の活用を図るために必要な措置を講じなければならない。

(5)A Municipality, when it intends to provide standards concerning employees that engage in Designated Community-Based Service in said Municipality as set forth in the preceding paragraph and standards concerning Facilities and Management of a Designated Community-Based Service Business, must reflect the opinions of Insured Persons of Long-Term Care Insurance provided by said Municipality and take necessary measures in order to promote the use of knowledge of persons with relevant knowledge and experience.

６指定地域密着型サービス事業者は、要介護者の人格を尊重するとともに、この法律又はこの法律に基づく命令を遵守し、要介護者のため忠実にその職務を遂行しなければならない。

(6)A Designated Community-Based Service Provider must respect the personality of a Person Requiring Long-Term Care, act in compliance with this Act or an Order based on this Act, and faithfully perform said duty for a Person Requiring Long-Term Care.

第七十八条の五指定地域密着型サービス事業者は、当該指定に係る事業所の名称及び所在地その他厚生労働省令で定める事項に変更があったとき、又は当該指定地域密着型サービス（地域密着型介護老人福祉施設入所者生活介護を除く。）の事業を廃止し、休止し、若しくは再開したときは、厚生労働省令で定めるところにより、十日以内に、その旨を市町村長に届け出なければならない。

Article 78-5A Designated Community-Based Service Provider, when the name or location of an Business Office pertaining to an appointment as service provider or other matters as determined by Order of the Ministry of Health, Labour, and Welfare are changed, or when said Designated Community-Based Service Business (except for Admission to a Community-Based Facility for Preventive Daily Long-Term Care of the Elderly Covered by Public Aid) is abolished, suspended, or recommenced, must provide notification of said fact to the mayor of the Municipality within ten days pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare.

第七十八条の六市町村長は、地域密着型介護サービス費の支給に関して必要があると認めるときは、指定地域密着型サービス事業者若しくは指定地域密着型サービス事業者であった者若しくは当該指定に係る事業所の従業者であった者（以下この項において「指定地域密着型サービス事業者であった者等」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、指定地域密着型サービス事業者若しくは当該指定に係る事業所の従業者若しくは指定地域密着型サービス事業者であった者等に対し出頭を求め、又は当該職員に関係者に対して質問させ、若しくは当該指定地域密着型サービス事業者の当該指定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。

Article 78-6(1)The mayor of a Municipality, when it is determined to be necessary concerning payment of an Allowance for Community-Based Long-Term Care Service, may order a Designated Community-Based Service Provider, a person that is or was a Designated Community-Based Service Provider, or a person that is or was an employee or an Officer pertaining to said appointment as service provider (herein referred to as a "Person that was a Designated Community-Based Service Provider, etc." in this paragraph) to report, submit or present record books and documents, request a Designated Community-Based Service Provider, an employee of the Business Office pertaining to said appointment as service provider or a Person that was a Designated Community-Based Service Provider, etc., to appear, direct its personnel to ask questions to the relevant Person, or enter the Business Office pertaining to said appointment as service provider of said Designated Community-Based Service Provider in order to inspect said facilities, record books and documents, or other items.

２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。

(2)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.

第七十八条の七第四十二条の二第一項本文の指定を受けて地域密着型介護老人福祉施設入所者生活介護の事業を行う者は、一月以上の予告期間を設けて、その指定を辞退することができる。

Article 78-7A person that performs the business of Admission to a Community-Based Facility for Preventive Daily Long-Term Care of the Elderly Covered by Public Aid under appointment as set forth in Article 42-2, paragraph (1), main clause may decline said appointment as service provider by providing a period of one month or longer of said prior notice.

第七十八条の八市町村長は、指定地域密着型サービス事業者が、第七十八条の二第七項の規定により当該指定を行うに当たって付された条件に従わず、当該指定に係る事業所の従業者の知識若しくは技能若しくは人員について第七十八条の四第一項の厚生労働省令で定める基準若しくは同項の厚生労働省令で定める員数若しくは同条第四項に規定する指定地域密着型サービスに従事する従業者に関する基準を満たしておらず、又は同条第二項若しくは第四項に規定する指定地域密着型サービスの事業の設備及び運営に関する基準に従って適正な指定地域密着型サービスの事業の運営をしていないと認めるときは、当該指定地域密着型サービス事業者に対し、期限を定めて、第七十八条の二第七項の規定により当該指定を行うに当たって付された条件に従い、第七十八条の四第一項の厚生労働省令で定める基準を遵守し、若しくは同項の厚生労働省令で定める員数の従業者を有し、若しくは同条第四項に規定する指定地域密着型サービスに従事する従業者に関する基準を遵守し、又は同条第二項若しくは第四項に規定する指定地域密着型サービスの事業の設備及び運営に関する基準を遵守すべきことを勧告することができる。

Article 78-8(1)The mayor of a Municipality, when it is determined that a Designated Community-Based Service Provider does not act in compliance with the provision provided when providing said appointment as service provider pursuant to the provisions of Article 78-2, paragraph (7), that does not meet the standards as determined by Order of the Ministry of Health, Labour, and Welfare as set forth in the Article 78-4, paragraph (1) or fixed number as determined by Order of the Ministry of Health, Labour, and Welfare as set forth in the same paragraph, or standards concerning employees that engage in Designated Community-Based Service provided by paragraph (4) of the same Article, with regard to knowledge, skill, or number of employee of the Business Office pertaining to said appointment as service provider, or when it is determined that said Designated Community-Based Service Provider does not operate an appropriate Designated Community-Based Service in accordance with the standards concerning Facilities and Management of a Designated Community-Based Service Business provided by paragraph (2) or paragraph (4) of the same Article, may specify a due date and recommend to said Designated Community-Based Service Provider to act in compliance with the provisions provided when determining said appointment as service provider pursuant to the provisions of Article 78-2, paragraph (7), to comply with the standards as determined by Order of the Ministry of Health, Labour, and Welfare as set forth in Article 78-4, paragraph (1), to employ the number of employees as determined by Order of the Ministry of Health, Labour, and Welfare as set forth in the same paragraph, to comply with standards concerning employees that engage in Designated Community-Based Service as prescribed in paragraph (4) of the same Article, and to comply with standards concerning Facilities and Management of a Designated Community-Based Service Business as prescribed by paragraph (2) or paragraph (4) of the same Article.

２市町村長は、前項の規定による勧告をした場合において、その勧告を受けた指定地域密着型サービス事業者が同項の期限内にこれに従わなかったときは、その旨を公表することができる。

(2)The mayor of a Municipality, in a case of providing a recommendation pursuant to the provisions of the preceding paragraph, may provide public notice of the fact that said Designated Community-Based Service Provider that was issued said recommendation did not act in compliance with said recommendation within the due date as set forth in the same paragraph.

３市町村長は、第一項の規定による勧告を受けた指定地域密着型サービス事業者が、正当な理由がなくてその勧告に係る措置をとらなかったときは、当該指定地域密着型サービス事業者に対し、期限を定めて、その勧告に係る措置をとるべきことを命ずることができる。

(3)The mayor of a Municipality, when a Designated Community-Based Service Provider that was issued a recommendation pursuant to the provisions of paragraph (1) does not implement the measures pertaining to said recommendation without justifiable reasons may specify a due date and order said Designated Community-Based Service Provider to implement measures pertaining to said recommendation.

４市町村長は、前項の規定による命令をした場合においては、その旨を公示しなければならない。

(4)The mayor of a Municipality, when issuing an order pursuant to the provisions of the preceding paragraph, must issue public notice of the said fact.

第七十八条の九市町村長は、次の各号のいずれかに該当する場合においては、当該指定地域密着型サービス事業者に係る第四十二条の二第一項本文の指定を取り消し、又は期間を定めてその指定の全部若しくは一部の効力を停止することができる。

Article 78-9A mayor of a Municipality, in a case that corresponds to any of the following items, may rescind an appointment as service provider as set forth in the main clause of Article 42, paragraph (1) pertaining to said Designated Community-Based Service Provider or suspend the whole or a part of the effect of said appointment as service provider by specifying a due date for compliance:

第七十八条の十市町村長は、次に掲げる場合には、遅滞なく、その旨を都道府県知事に届け出るとともに、これを公示しなければならない。

Article 78-10A mayor of a Municipality, in the following cases, must provide notification of said fact to the prefectural governor and issue public notice of the said fact without delay:

第七十八条の十一第七十条の二の規定は、第四十二条の二第一項本文の指定について準用する。この場合において、必要な技術的読替えは、政令で定める。

Article 78-11The provisions of Article 70-2 apply mutatis mutandis to the main clause of Article 42-2, paragraph (1).In this case, the necessary technical replacement of terms is specified by a Cabinet Order.

第七十九条第四十六条第一項の指定は、厚生労働省令で定めるところにより、居宅介護支援事業を行う者の申請により、居宅介護支援事業を行う事業所（以下この節において単に「事業所」という。）ごとに行う。

Article 79(1)An appointment as service provider as set forth in Article 46, paragraph (1) is determined pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare, by the application of a Person that operates an In-Home Long-Term Care Support Business, and by type of In-Home Service and provider that operates In-Home Long-Term Care Support Business pertaining to the type of said In-Home Service (hereinafter referred to simply as "Business Office" in this Section).

２都道府県知事は、前項の申請があった場合において、次の各号のいずれかに該当するときは、第四十六条第一項の指定をしてはならない。

(2)A prefectural governor, in a case of an application as set forth in the preceding paragraph, when it corresponds to any of the following items, must not provide appointment as service provider as set forth in Article 46, paragraph (1):

第七十九条の二第四十六条第一項の指定は、六年ごとにその更新を受けなければ、その期間の経過によって、その効力を失う。

Article 79-2(1)An appointment as service provider as set forth in Article 46, paragraph (1), if it is not renewed within a period of six years, ceases to be effective when said period expires.

２前項の更新の申請があった場合において、同項の期間（以下この条において「指定の有効期間」という。）の満了の日までにその申請に対する処分がされないときは、従前の指定は、指定の有効期間の満了後もその処分がされるまでの間は、なおその効力を有する。

(2)In a case of application for renewal as set forth in the preceding paragraph, when a final determination of the application does not occur prior to the expiry of the period as set forth in the same paragraph (herein referred to as "Effective Period of Designation as Service Provider" in this Article), the prior appointment as service provider remains effective after expiry of the Effective Period of Designation as Service Provider until a determination is reached regarding said application.

３前項の場合において、指定の更新がされたときは、その指定の有効期間は、従前の指定の有効期間の満了の日の翌日から起算するものとする。

(3)In a case as set forth in the preceding paragraph, when the appointment as service provider is renewed, said Effective Period of Designation as Service Provider is to be from the date following the date of expiry of the prior Effective Period of Designation as Service Provider.

４前条の規定は、第一項の指定の更新について準用する。

(4)The provisions of the preceding Article apply mutatis mutandis to a renewal of appointment as service provider as set forth in paragraph (1).

第八十条指定居宅介護支援事業者は、次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に従い、要介護者の心身の状況等に応じて適切な指定居宅介護支援を提供するとともに、自らその提供する指定居宅介護支援の質の評価を行うことその他の措置を講ずることにより常に指定居宅介護支援を受ける者の立場に立ってこれを提供するように努めなければならない。

Article 80(1)A Designated In-Home Long-Term Care Support Provider must act in compliance with the standards concerning Management of a Designated In-Home Long-Term Care Support Business as prescribed in paragraph (2) of the following Article, offer appropriate Designated In-Home Long-Term Care Support according to the mental and physical condition, etc., of a Person Requiring Long-Term Care, and always engage in offering said services from the viewpoint of the person that receives Designated Community-Based Service by implementing self-evaluation of the quality of the Provider's own Designated Community-Based Service and other measures.

２指定居宅介護支援事業者は、指定居宅介護支援を受けようとする被保険者から提示された被保険者証に、認定審査会意見が記載されているときは、当該認定審査会意見に配慮して、当該被保険者に当該指定居宅介護支援を提供するように努めなければならない。

(2)A Designated In-Home Long-Term Care Support Provider, when an Opinion of the Certification Committee is entered on the Certificate of Insured Person that is presented by an Insured Person that intends to receive Designated In-Home Long-Term Care Support, must engage in offering said Designated Community-Based Service of said Insured Person in consideration of said Opinion of the Certification Committee.

第八十一条指定居宅介護支援事業者は、当該指定に係る事業所ごとに、厚生労働省令で定める員数の介護支援専門員を有しなければならない。

Article 81(1)A Designated In-Home Long-Term Care Support Provider must employ the number of Long-Term Care Support Specialist s as determined by Order of the Ministry of Health, Labour, and Welfare by each Business Office pertaining to said appointment as service provider.

２前項に規定するもののほか、指定居宅介護支援の事業の運営に関する基準は、厚生労働大臣が定める。

(2)In addition to the provisions in the preceding paragraph, standards concerning Facilities and Management of a Designated In-Home Long-Term Care Support Business are prescribed by the Minister of Health, Labour, and Welfare.

３厚生労働大臣は、前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。）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。

(3)The Minister of Health, Labour, and Welfare, when intending to provide standards concerning Management of a Designated In-Home Long-Term Care Support Business pursuant to the provisions of the preceding paragraph (limited to the part concerning the handling of Designated In-Home Long-Term Care Support), must hear the opinion of the Social Security Council in advance.

４指定居宅介護支援事業者は、要介護者の人格を尊重するとともに、この法律又はこの法律に基づく命令を遵守し、要介護者のため忠実にその職務を遂行しなければならない。

(4)A Designated In-Home Long-Term Care Support Provider must respect the personality of a Person Requiring Long-Term Care, act in compliance with this Act or an Order based on this Act, and faithfully perform said duty for a Person Requiring Long-Term Care.

第八十二条指定居宅介護支援事業者は、当該指定に係る事業所の名称及び所在地その他厚生労働省令で定める事項に変更があったとき、又は当該指定居宅介護支援の事業を廃止し、休止し、若しくは再開したときは、厚生労働省令で定めるところにより、十日以内に、その旨を都道府県知事に届け出なければならない。

Article 82A Designated In-Home Long-Term Care Support Provider, when the name or location of an Business Office pertaining to said appointment as service provider or other matters as determined by Order of the Ministry of Health, Labour, and Welfare are changed, or when said Designated In-Home Long-Term Care Support Business is abolished, suspended, or recommenced, must provide notification of said fact to the mayor of the Municipality within ten days pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare.

第八十三条都道府県知事又は市町村長は、必要があると認めるときは、指定居宅介護支援事業者若しくは指定居宅介護支援事業者であった者若しくは当該指定に係る事業所の従業者であった者（以下この項において「指定居宅介護支援事業者であった者等」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、指定居宅介護支援事業者若しくは当該指定に係る事業所の従業者若しくは指定居宅介護支援事業者であった者等に対し出頭を求め、又は当該職員に関係者に対して質問させ、若しくは当該指定居宅介護支援事業者の当該指定に係る事業所に立ち入り、その帳簿書類その他の物件を検査させることができる。

Article 83(1)A prefectural governor or mayor of a Municipality, when it is determined to be necessary, may order a Designated In-Home Long-Term Care Support Provider, a Person that is or was a Designated In-Home Long-Term Care Support Provider, etc., or a person that is or was an employee or an Officer, etc., pertaining to said appointment as service provider (herein referred to as a "Person that is or was a Designated In-Home Long-Term Care Support Provider, etc., etc." in this paragraph) to report, submit, or present record books and documents, request a Designated In-Home Long-Term Care Support Provider, an employee of the Business Office pertaining to said appointment as service provider or a Person that is or was a Designated In-Home Long-Term Care Support Provider, etc., etc., to appear, direct its personnel to ask questions to the relevant Person, or enter the Business Office pertaining to said appointment as service provider of said Designated Community-Based Service Provider in order to inspect said record books and documents, or other items.

２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。

(2)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.

第八十三条の二都道府県知事は、指定居宅介護支援事業者が、当該指定に係る事業所の介護支援専門員の人員について第八十一条第一項の厚生労働省令で定める員数を満たしておらず、又は同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に従って適正な指定居宅介護支援の事業の運営をしていないと認めるときは、当該指定居宅介護支援事業者に対し、期限を定めて、同条第一項の厚生労働省令で定める員数の介護支援専門員を有し、又は同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を遵守すべきことを勧告することができる。

Article 83-2(1)A prefectural governor, when it is determined that a Designated In-Home Long-Term Care Support Provider does not meet the fixed minimum number of employees as determined by Order of the Ministry of Health, Labour, and Welfare as set forth in Article 81, paragraph (1) with regard to the number of Long-Term Care Support Specialist s of an Business Office pertaining to said appointment as service provider, or does not operate an appropriate Designated In-Home Long-Term Care Support Business in accordance with standards concerning Management of a Designated In-Home Long-Term Care Support Business as prescribed in paragraph (2) of the same Article, may specify a due date and recommend to said Designated In-Home Long-Term Care Support Provider to employ the fixed minimum number of employees of Long-Term Care Support Specialist s as determined by Order of the Ministry of Health, Labour, and Welfare as set forth in paragraph (1) of the same Article and to comply with the standards concerning management of a Designated In-Home Long-Term Care Support Business provided by paragraph (2) of the same Article.

２都道府県知事は、前項の規定による勧告をした場合において、その勧告を受けた指定居宅介護支援事業者が同項の期限内にこれに従わなかったときは、その旨を公表することができる。

(2)A prefectural governor, in a case of providing a recommendation pursuant to the provisions of the preceding paragraph, may provide public notice of the fact that said Designated In-Home Long-Term Care Support Provider that is issued said recommendation did not act in compliance with said recommendation within the due date as set forth in the same paragraph.

３都道府県知事は、第一項の規定による勧告を受けた指定居宅介護支援事業者が、正当な理由がなくてその勧告に係る措置をとらなかったときは、当該指定居宅介護支援事業者に対し、期限を定めて、その勧告に係る措置をとるべきことを命ずることができる。

(3)A prefectural governor, when a Designated In-Home Long-Term Care Support Provider that is issued a recommendation pursuant to the provisions of paragraph (1) does not implement the measures pertaining to said recommendation without a justifiable reason, may specify a due date and order said Designated In-Home Long-Term Care Support Provider to implement measures pertaining to said recommendation.

４都道府県知事は、前項の規定による命令をした場合においては、その旨を公示しなければならない。

(4)A prefectural governor, when issuing an order pursuant to the provisions of the preceding paragraph, must issue public notice of the said fact.

５市町村は、保険給付に係る指定居宅介護支援を行った指定居宅介護支援事業者について、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に従って適正な指定居宅介護支援の事業の運営をしていないと認めるときは、その旨を当該指定に係る事業所の所在地の都道府県知事に通知しなければならない。

(5)With regard to a Designated In-Home Long-Term Care Support Provider that performs Designated In-Home Long-Term Care Support pertaining to an insurance benefit, a Municipality, when it is determined that said Designated In-Home Long-Term Care Support Provider does not operate an appropriate Designated In-Home Long-Term Care Support Business in accordance with standards concerning Management of a Designated In-Home Long-Term Care Support Business as prescribed in Article 81, paragraph (2), must provide notification of said fact to the prefectural governor that governs the location of the Business Office pertaining to said appointment as service provider.

第八十四条都道府県知事は、次の各号のいずれかに該当する場合においては、当該指定居宅介護支援事業者に係る第四十六条第一項の指定を取り消し、又は期間を定めてその指定の全部若しくは一部の効力を停止することができる。

Article 84(1)A prefectural governor, in a case that corresponds to any of the following items, may rescind the appointment as service provider as set forth in Article 46, paragraph (1) pertaining to said Designated In-Home Long-Term Care Support Provider or suspend the whole or a part of the effect of said appointment as service provider by specifying the due date for compliance:

２市町村は、保険給付に係る指定居宅介護支援又は第二十八条第五項の規定により委託した調査を行った指定居宅介護支援事業者について、前項各号のいずれかに該当すると認めるときは、その旨を当該指定に係る事業所の所在地の都道府県知事に通知しなければならない。

(2)With regard to a Designated In-Home Long-Term Care Support Provider of Designated In-Home Long-Term Care Support pertaining to an insurance benefit or the implementation of an entrusted investigation pursuant to the provisions of Article 28, paragraph (5), a Municipality, when it is determined said Provider corresponds to any provision of the items in the preceding paragraph, must provide notification of said fact to the prefectural governor that governs the location of the Business Office pertaining to said appointment as service provider.

第八十五条都道府県知事は、次に掲げる場合には、その旨を公示しなければならない。

Article 85A prefectural governor, in the following cases, must provide public notice of the fact as prescribed in each of the following items:

第百十五条の二第五十三条第一項本文の指定は、厚生労働省令で定めるところにより、介護予防サービス事業を行う者の申請により、介護予防サービスの種類及び当該介護予防サービスの種類に係る介護予防サービス事業を行う事業所（以下この節において「事業所」という。）ごとに行う。

Article 115-2(1)An appointment as service provider as set forth in the main clause of Article 53, paragraph (1) is provided pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare by the application of a person performing Preventive Long-Term Care Service Business, for each type of Preventive Long-Term Care Service, and Business Office that operates a business of Preventive Long-Term Care Service pertaining to said Preventive Long-Term Care Service (hereinafter referred to as "Business Office" in this Section).

２都道府県知事は、前項の申請があった場合において、第一号から第三号まで、第五号から第七号まで、第九号又は第十号（病院等により行われる介護予防居宅療養管理指導又は病院若しくは診療所により行われる介護予防訪問看護、介護予防訪問リハビリテーション、介護予防通所リハビリテーション若しくは介護予防短期入所療養介護に係る指定の申請にあっては、第二号から第十一号まで）のいずれかに該当するときは、第五十三条第一項本文の指定をしてはならない。

(2)A prefectural governor, in a case of an application as set forth in the preceding paragraph, when the application corresponds to any provision of item (i) to item (iii), item (v) to item (vii), item (ix) or item (x) (in a case of application for appointment as a service provider pertaining to Management and Guidance for In-Home Medical Service for Preventive Long-Term Care provided by a Hospital, etc., or Home-Visit Nursing Service for Preventive Long-Term Care, Home-Visit Rehabilitation Service for Preventive Long-Term Care, Outpatient Rehabilitation for Preventive Long-Term Care provided by a clinic, or Short-Term Admission for Recuperation for Preventive Long-Term Care, item (ii) to item (xi)), must not provide an appointment as service provider as set forth in the main clause of Article 53, paragraph (1):

第百十五条の三指定介護予防サービス事業者は、次条第二項に規定する指定介護予防サービス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サービスの事業の設備及び運営に関する基準に従い、要支援者の心身の状況等に応じて適切な指定介護予防サービスを提供するとともに、自らその提供する指定介護予防サービスの質の評価を行うことその他の措置を講ずることにより常に指定介護予防サービスを受ける者の立場に立ってこれを提供するように努めなければならない。

Article 115-3(1)A Designated Provider of Preventive Service of Long-Term Care must act in compliance with the standards concerning effective methods of support for Preventive Long-Term Care Service pertaining to Designated Preventive Service of Long-Term Care as prescribed in paragraph (2) of the following Article and standards concerning facilities and management of a business of Designated Preventive Service of Long-Term Care, offer appropriate Designated Preventive Service of Long-Term Care according to the mental and physical condition, etc., of a Person Requiring Long-Term Care, and always engage in offering said services from the viewpoint of the person that receives Designated Preventive Service of Long-Term Care by implementing self-evaluation of the quality of the Provider's own Designated Preventive Service of Long-Term Care and other measures.

２指定介護予防サービス事業者は、指定介護予防サービスを受けようとする被保険者から提示された被保険者証に、認定審査会意見が記載されているときは、当該認定審査会意見に配慮して、当該被保険者に当該指定介護予防サービスを提供するように努めなければならない。

(2)A Designated Provider of Preventive Long-Term Care Service, when an Opinion of the Certification Committee is entered on the Certificate of Insured Person that is presented by an Insured Person that intends to receive Designated Preventive Service of Long-Term Care, must engage in offering said Designated Preventive Service of Long-Term Care of said Insured Person in consideration of said Opinion of the Certification Committee.

第百十五条の四指定介護予防サービス事業者は、当該指定に係る事業所ごとに、厚生労働省令で定める基準に従い厚生労働省令で定める員数の当該指定介護予防サービスに従事する従業者を有しなければならない。

Article 115-4(1)A Designated Provider of Preventive Long-Term Care Service must employ in the Business Office pertaining to said appointment as service provider, the fixed minimum number of employees that engage in said Designated Preventive Service of Long-Term Care, as determined by Order of the Ministry of Health, Labour, and Welfare in accordance with the standards as determined by Order of the Ministry of Health, Labour, and Welfare.

２前項に規定するもののほか、指定介護予防サービス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サービスの事業の設備及び運営に関する基準は、厚生労働大臣が定める。

(2)In addition to the provisions in the preceding paragraph, standards concerning effective support methods for Preventive Long-Term Care Service pertaining to Designated Preventive Service of Long-Term Care and standards concerning facilities and management of the business of Designated Preventive Service of Long-Term Care are prescribed by the Minister of Health, Labour, and Welfare.

３厚生労働大臣は、前項に規定する指定介護予防サービス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サービスの事業の設備及び運営に関する基準（指定介護予防サービスの取扱いに関する部分に限る。）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。

(3)The Minister of Health, Labour, and Welfare, when intending to provide standards concerning effective support methods for Preventive Long-Term Care Service pertaining to Designated Preventive Service of Long-Term Care standards concerning facilities and management of a business of Designated Preventive Service of Long-Term Care as prescribed in the preceding paragraph (limited to the part concerning the handling of Designated Preventive Service of Long-Term Care), must hear the opinion of the Social Security Council in advance.

４指定介護予防サービス事業者は、要支援者の人格を尊重するとともに、この法律又はこの法律に基づく命令を遵守し、要支援者のため忠実にその職務を遂行しなければならない。

(4)A Designated Provider of Preventive Long-Term Care Service must respect the personality of a Person Requiring Long-Term Care, act in compliance with this Act or an Order based on this Act, and faithfully perform said duty for a Person Requiring Long-Term Care.

第百十五条の五指定介護予防サービス事業者は、当該指定に係る事業所の名称及び所在地その他厚生労働省令で定める事項に変更があったとき、又は当該指定介護予防サービスの事業を廃止し、休止し、若しくは再開したときは、厚生労働省令で定めるところにより、十日以内に、その旨を都道府県知事に届け出なければならない。

Article 115-5A Designated Provider of Preventive Long-Term Care Service, when the name or location of the Business Office pertaining to said appointment as service provider or other matters as determined by Order of the Ministry of Health, Labour, and Welfare are changed, or when the business of said Designated Preventive Service of Long-Term Care is abolished, suspended, or recommenced, must provide notification of said fact to the mayor of the Municipality within ten days pursuant to the provisions of Order of the Ministry of Health, Labour, and Welfare.

第百十五条の六都道府県知事又は市町村長は、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、指定介護予防サービス事業者若しくは指定介護予防サービス事業者であった者若しくは当該指定に係る事業所の従業者であった者（以下この項において「指定介護予防サービス事業者であった者等」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、指定介護予防サービス事業者若しくは当該指定に係る事業所の従業者若しくは指定介護予防サービス事業者であった者等に対し出頭を求め、又は当該職員に関係者に対して質問させ、若しくは当該指定介護予防サービス事業者の当該指定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。

Article 115-6(1)A mayor of a Municipality, when it is determined to be necessary concerning payment of an allowance for Preventive Long-Term Care Service, may order a Designated Provider of Preventive Long-Term Care Service, a person that is or was a Designated Provider of Preventive Long-Term Care Service, or a person that is or was an employee of the Business Office pertaining to said appointment as service provider (hereinafter referred to as a "Person that is or was a Designated Provider of Preventive Long-Term Care Service, etc." in this paragraph) to report, submit or present record books and documents, request to said Designated Provider of Preventive Long-Term Care Service, an employee of the Business Office pertaining to said appointment as service provider, or a Person that is or was a Designated Provider of Preventive Long-Term Care Service, etc., to appear, to direct personnel to ask questions to the relevant Person, or enter the Business Office pertaining to said appointment as service provider of said Designated Provider of Preventive Long-Term Care Service in order to inspect said facility, record books and documents, or other items.

２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。

(2)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.

第百十五条の七都道府県知事は、指定介護予防サービス事業者が、当該指定に係る事業所の従業者の知識若しくは技能若しくは人員について第百十五条の四第一項の厚生労働省令で定める基準若しくは同項の厚生労働省令で定める員数を満たしておらず、又は同条第二項に規定する指定介護予防サービス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若しくは指定介護予防サービスの事業の設備及び運営に関する基準に従って適正な指定介護予防サービスの事業の運営をしていないと認めるときは、当該指定介護予防サービス事業者に対し、期限を定めて、同条第一項の厚生労働省令で定める基準を遵守し、若しくは同項の厚生労働省令で定める員数の従業者を有し、又は同条第二項に規定する指定介護予防サービス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若しくは指定介護予防サービスの事業の設備及び運営に関する基準を遵守すべきことを勧告することができる。

Article 115-7(1)A prefectural governor, when it is determined that a Designated Provider of Preventive Long-Term Care Service does not meet the standards as determined by Order of the Ministry of Health, Labour, and Welfare as set forth in Article 115-4, paragraph (1) or the fixed minimum number of employees as determined by Order of the Ministry of Health, Labour, and Welfare as set forth in the same paragraph, with regard to knowledge, skill, or number of employees of the Business Office pertaining to said appointment as service provider, or does not operate an appropriate business of Designated Preventive Service of Long-Term Care in accordance with standards concerning effective support methods for Preventive Long-Term Care Service pertaining to Designated Preventive Service of Long-Term Care or standards concerning facilities and management of the business of Designated Preventive Service of Long-Term Care as prescribed in paragraph (2) of the same Article, may specify a due date and recommend to said Designated Provider of Preventive Long-Term Care Service to comply with the standards as determined by Order of the Ministry of Health, Labour, and Welfare as set forth in paragraph (1) of the same Article, to employ the fixed minimum number of employees as determined by Order of the Ministry of Health, Labour, and Welfare as set forth in the same paragraph, to comply with standards concerning effective support methods for Preventive Long-Term Care Service pertaining to Designated Preventive Service of Long-Term Care or standards concerning facilities and management of the business of Designated Preventive Service of Long-Term Care, and to comply with standards concerning facilities and management of a Designated Preventive Long-Term Care Service as prescribed in paragraph (2) of the same Article.

２都道府県知事は、前項の規定による勧告をした場合において、その勧告を受けた指定介護予防サービス事業者が同項の期限内にこれに従わなかったときは、その旨を公表することができる。

(2)A prefectural governor may, in a case of providing a recommendation pursuant to the provisions of the preceding paragraph, provide public notice of the fact that said Designated Provider of Preventive Long-Term Care Service that is issued said recommendation did not act in compliance with said recommendation within the due date as set forth in the same paragraph.

３都道府県知事は、第一項の規定による勧告を受けた指定介護予防サービス事業者が、正当な理由がなくてその勧告に係る措置をとらなかったときは、当該指定介護予防サービス事業者に対し、期限を定めて、その勧告に係る措置をとるべきことを命ずることができる。

(3)A prefectural governor, when the Designated Provider of Preventive Long-Term Care Service that is issued a recommendation pursuant to the provisions of paragraph (1) does not implement the measures pertaining to said recommendation without a justifiable basis, may specify a due date and order said Designated Provider of Preventive Long-Term Care Service to implement measures pertaining to said recommendation.

４都道府県知事は、前項の規定による命令をした場合においては、その旨を公示しなければならない。

(4)A prefectural governor, when issuing an order pursuant to the provisions of the preceding paragraph, must issue public notice of said fact.

５市町村は、保険給付に係る指定介護予防サービスを行った指定介護予防サービス事業者について、第百十五条の四第二項に規定する指定介護予防サービス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又は指定介護予防サービスの事業の設備及び運営に関する基準に従って適正な指定介護予防サービスの事業の運営をしていないと認めるときは、その旨を当該指定に係る事業所の所在地の都道府県知事に通知しなければならない。

(5)With regard to a Designated Provider of Preventive Long-Term Care Service that provides Designated Preventive Service of Long-Term Care pertaining to an Insurance Benefit, a Municipality, when it is determined that said Designated Provider of Preventive Long-Term Care Service does not operate an appropriate business of Designated Preventive Service of Long-Term Care in accordance with standards concerning effective support methods for Preventive Long-Term Care Service pertaining to Designated Preventive Service of Long-Term Care or standards concerning facilities and management of the business of Designated Preventive Service of Long-Term Care as prescribed in Article 115-4, paragraph (2), must provide notification of said fact to the prefectural governor that governs the location of the Business Office pertaining to said appointment as service provider.

第百十五条の八都道府県知事は、次の各号のいずれかに該当する場合においては、当該指定介護予防サービス事業者に係る第五十三条第一項本文の指定を取り消し、又は期間を定めてその指定の全部若しくは一部の効力を停止することができる。

Article 115-8(1)A prefectural governor, in a case that corresponds to any of the following items, may rescind the appointment as service provider as set forth in the main clause of Article 53, paragraph (1) pertaining to said Designated Provider of Preventive Long-Term Care Service or suspend the whole or a part of the effect of said appointment as service provider within the period specified by a due date:

２市町村は、保険給付に係る指定介護予防サービスを行った指定介護予防サービス事業者について、前項各号のいずれかに該当すると認めるときは、その旨を当該指定に係る事業所の所在地の都道府県知事に通知しなければならない。

(2)With regard to a Designated Provider of Preventive Long-Term Care Service that provides Designated Preventive Service of Long-Term Care pertaining to an Insurance Benefit, a Municipality, when it determines said Designated Provider of Preventive Long-Term Care Service corresponds to any provision of the items in the preceding paragraph, provide notification of said fact to the prefectural governor that governs the location of Business Office pertaining to said appointment.

第百十五条の九都道府県知事は、次に掲げる場合には、その旨を公示しなければならない。

Article 115-9A prefectural governor, in the following cases, must issue public notice of said fact: