Matters related to business office designation (home care support, community-based services, preventive care support)
1. About New Designation Application
If you want to start a new business, prior consultation and submission of the designated Application Form, etc. are required.
(1) About Pre-consultation
If you want to start a new business, please consult the person in charge below by the last day of the month three months prior to the planned opening date.
(Example: If the planned opening date is May 1, please consult by February 28.)
Note: If you want to start a "Home Care Support" or "Community-Based Day Care" or "Dementia Care Day Care" business, please also fill out the prior notification form below and consult with us.
- Advance Notification Form (Home Care Support) (Word 21.1KB)
- Advance Notification Form (Home Care Support) (PDF 130.4KB)
- Advance Notification Form (Community-Based Day Care) (Word 21.1KB)
- Advance Notification Form (Community-Based Day Care) (PDF 145.0KB)
- Advance Notification Form (Dementia Support Type Day Care) (Word 21.4KB)
- Advance Notification Form (Dementia Support Type Day Care) (PDF 150.9KB)
(2) Submission of Designated Application Form, etc.
After conducting a preliminary consultation, please submit the documents below by the end of the month two months prior to the planned opening date using the electronic application notification system, by mail, or in person.
(Example: If the planned opening date is May 1, please submit the documents by March 31.)
- (Form No. 1) Designation Application Form (PDF 376.6KB)
- (Form No. 1) Designation Application Form (PDF 127.5KB)
Please also check the item "[Common to All Services] Reference Forms for Attachments and Documents."
2. Regarding the Designated Renewal Application
Business operators designated by our city are required to undergo the designation renewal process every 6 years, which is the validity period of the designation.
Eligible business operators must submit the following documents via the electronic application notification system, by mail, or in person by the 10th of the month prior to the expiration month.
- (Form No. 6) Designated Renewal Application Form (Excel 29.5KB)
- (Form No. 6) Designated Renewal Application Form (PDF 97.7KB)
Please also check the item "[Common to All Services] Reference Forms for Attachments and Documents."
- Note: The validity period of the deemed designation for home care support service offices is until the date that is 6 years after the date of receiving designation for home care support before the revision, so please be aware of this.
- Note: If the procedure is not completed by the expiration date, the specified effect will be lost, so please be careful.
- Note: If the business is discontinued upon expiration of the validity period, please submit a notification of discontinuation.
3. About the Procedure for Changes
If there are any changes to the application items, please submit the documents below via the electronic application notification system, by mail, or in person within 10 days from the date of the change.
- (Form No. 2) Change Notification Form (Excel 23.2KB)
- (Form No. 2) Change Notification Form (PDF 89.5KB)
Please also check the item "[Common to All Services] Reference Forms for Attachments and Documents."
- Note: For the necessary attached documents, please refer to "[Common to All Services] <Change> List of Attached Documents (Main Items)".
- Note: For information regarding the notification of various additional payments, please see the section below titled "Notification Regarding the System Related to the Calculation of Nursing Care Benefits (Notification of Various Additional Payments)."
4. Procedures for Suspension, Abolition, Withdrawal of Designation, and Resumption
If you are suspending or discontinuing a designated business, or if you are declining the designation, please submit the following documents to the electronic application notification system, by mail, or in person at least one month before the planned date of discontinuation, suspension, or decline of designation.
If you are resuming a business for which you have submitted a suspension notice, please submit the following documents within 10 days from the date the business is resumed via the electronic application notification system, by mail, or in person.
- (Form No. 3) Resumption Notification Form (Excel 20.4KB)
- (Form No. 3) Resumption Notification (PDF 54.2KB)
- (Form No. 4) Notification of Abolition/Temporary Suspension (Excel 23.3KB)
- (Form No. 4) Notification of Abolition or Suspension (PDF 55.8KB)
- (Form No. 5) Notification of Withdrawal of Designation (Excel 21.7KB)
- (Form No. 5) Notification of Withdrawal of Designation (PDF 51.4KB)
5. Notification regarding the system related to the calculation of nursing care benefit costs (Notification of various additional charges)
If there are any acquisitions or changes related to additions or reductions, please submit the "List of Conditions Related to the Calculation of Nursing Care Benefits" and other necessary documents by the 15th of the month prior to the start month of application via the electronic application notification system, by mail, or in person.
(1) List of Conditions Related to the Calculation of Nursing Care Benefit Costs
- [Common to All Services] Notification Form Regarding the System for Calculating Nursing Care Benefits (Excel 29.8KB)
- [Common to All Services] List of Conditions Related to Nursing Care Benefit Cost Calculation (Additional Report) (Excel 1.1MB)
- Home care support service providers must submit the "Notification regarding the system related to the calculation of nursing care benefits," the "List of conditions related to the calculation of nursing care benefits (Appendix 1)," and "Remarks (1)," after confirming them, along with any other necessary documents.
- Community-based service providers should confirm the "Notification regarding the system related to the calculation of nursing care benefits," the "List of conditions related to the calculation of nursing care benefits (Appendix 1-3)," and the "Remarks (1-3)," and submit any other necessary documents.
(2) Notification of new calculations or changes in classification for additional charges starting from April 2024
Please refer to the materials below, confirm, and submit.
6. Notification of Designated Long-term Care Prevention Support Commission (Change)
If the designated preventive care support business operators of this city outsource part of the designated preventive care support to designated home care support business operators, please submit the notification form below by mail, in person, or via email (koureifukushi@city.inagi.lg.jp).
[Notice]
- If you are submitting via email, please ensure that any attachments containing personal information are password protected.
Additionally, please notify the contact person below after sending the email. - You cannot make notifications using the "Electronic Application Notification System."
- (Designated) Notification of Designated Long-term Care Prevention Support Commission (Change) (Excel 33.6KB)
- (Designated) Notification of Designated Long-term Care Prevention Support Commission (Change) (PDF 170.9KB)
7. [Common to All Services] Reference Forms for Appendices and Attached Documents
(1) List of Attached Documents / Checklist
-
[Common to All Services] <New Designation / Designation Renewal> Attached Documents / Checklist (Excel 224.5KB)
-
[Common to All Services] <New Designation / Designation Renewal> Attached Documents / Checklist (PDF 314.6KB)
-
[Common to All Services] <Change> List of Attached Documents (Main) (PDF 496.2KB)
The required attached documents vary depending on the application or notification. Please check the list and submit the attached documents and the accompanying table below.
(2) Form
- [Common to All Services] Appendix Format (Excel 252.9KB)
- [Common to All Services] Appendix Format (PDF 908.2KB)
- [Common to All Services] Standard Document Format (zip 2.1MB)
8. Submission Method and Submission Destination
(1) Submission Method
- Electronic Application Notification System (Regarding the 'Electronic Application Notification System for Designation Applications of Nursing Care Facilities')
- Mailing
- Bring to the counter
[Notice]
Please apply and notify using the "Electronic Application and Notification System" in principle.
However, if the necessary documents include the "Certificate of Registered Matters," please submit the original separately at the counter or by mail.
(2) Submission Destination
Inagi City Welfare Department Senior Welfare Division Long-Term Care Insurance Section
Postal Code 206-8601 2111 Higashi-Naganuma, Inagi City, Tokyo
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Inquiries about this page
Inagi City Welfare Department Senior Welfare Division
〒206-8601 Tokyo, Inagi City, Higashi-Naganuma 2111
Phone number: 042-378-2111 Fax number: 042-377-4781
Contact Inagi City Welfare Department Senior Welfare Division