Care plan verification extracted by home care support service office unit

Starting from October 1, 2021, we will verify care plans that have a high utilization ratio of the category-specific payment limit and where home care services account for a large portion of the services used, in order to create care plans that can connect to the provision of home care that matches the user's intentions and conditions. If it falls under the standards set by the Minister of Health, Labor and Welfare (Notification No. 336 of 2021) and if requested by the city, please submit the relevant care plan to the city. Please be fully aware that this system is not intended to restrict the use of services.

Applicable Home Care Support Service Providers

Home care support service offices where the usage ratio exceeds 70% of the category-specific payment limit and where more than 60% of the services used are home visit care.

Method of Verification

1. The city requests the submission of care plans that correspond to home care support offices.
2. Home care support offices examine the appropriateness of the care plan, describe the reasons for the need for home care in the care plan, and submit it to the city.
3. The city will review the contents of the care plan and discuss the care plan at regional care meetings as necessary.
4. If it is deemed necessary to review in the discussion, the home care support office will also reconsider the relevant care plan and care plans with similar or related content.

Reference

Please check the details below.

• Latest Information on Long-Term Care Insurance Vol.1006 "Notification and Application Regarding the Standards Established by the Minister of Health, Labour and Welfare as Specified in Article 13, Item 18-3 of the Standards for Personnel and Operations of Designated Home Care Support Services" (PDF 251.6KB)
• Long-Term Care Insurance Latest Information Vol.1009 "About Care Plan Verification Extracted by Home Care Support Office Unit" (PDF 914.7KB)