Notification of Home Care Visits (Mainly Life Support) Exceeding a Certain Number of Times

Due to the revision of nursing care fees for fiscal year 2018, starting from October 1, 2018, it has become mandatory to notify the city regarding the reasons for requiring home care (with a focus on living assistance) if a home service plan is created (or modified) that positions home care centered on living assistance for a certain number of times as specified by the Minister of Health, Labor and Welfare. If the number of times per month exceeds the number specified by the Minister of Health, Labor and Welfare, please submit a notification form. Additionally, there may be verification through regional care meetings, etc.

Notification Target

Home care service plans that designate a number of home care visits (primarily for living assistance) as specified by the Minister of Health, Labour and Welfare
Note: Physical care-focused services are not included in the count.

Number of times per month specified by the Minister of Health, Labour and Welfare

Nursing Care Level 1

27th time

Care Level 2

34th time

Nursing Care Level 3

43rd

Nursing Care Level 4

38th time

Care Level 5

31st time

Notification Method

Home Care Support Office

• We will create Form 1 "Statement of Reasons for Using Home Care Services (Primarily Life Support) for More Than a Certain Number of Visits."
• Requesting the creation of Form 2 "Current Status of Users of Home Care Services (Mainly Life Support) with a Certain Number of Visits or More" from home care service providers.
• Please submit Form 1 and Form 2 created above, as well as the Home Service Plan (Tables 1 to 4).

Note: If you are receiving home care (life support center type) from multiple service providers, please request each home care service provider to create Form 2.

Home Care Service Office

If you are requested to create Form 2 from the home care support office, please create it promptly and submit it to the relevant home care support office.

Submission Deadline

Please submit the care plan creation (change) by the end of the following month.

Submission Destination

Please submit to the Long-Term Care Insurance Section of the Senior Welfare Division from the Home Care Support Office.

Form

PDF format

• Form 1 [Home Care Support Service] Statement of Reasons for Use of Home Care (Primarily Life Assistance) for More than a Certain Number of Visits (PDF 135.9KB)
• Form 2 [Home Care Service Providers] Current Status of Users of Home Care Services (Mainly Life Support) with a Certain Number of Visits or More (PDF 100.1KB)

• Note: It is recommended to use plain paper for printing, and the print size should be A4.
  Thermal printers cannot accept thermal paper.
• Note: Please use the statement regarding the use of home care services (mainly life support) for a certain number of visits or more printed on both sides.

Word format

• Form 1 [Home Care Support Service] Statement of Reasons for Use of Home Care (Mainly Life Assistance) for More than a Certain Number of Visits (Word 19.5KB)
• Form 2 [Home Care Service Providers] Current Status of Users of Home Care Services (Mainly Life Support) for More than a Certain Number of Visits (Word 16.5KB)

• Note: It is recommended to use plain paper for printing, and the print size should be A4.
  Thermal printers cannot accept thermal paper.
• Note: Please use the statement regarding the use of home care services (mainly life support) for a certain number of visits or more printed on both sides.