About the Long-Term Care Insurance System Revision for Fiscal Year 2024

This page provides information about the Long-Term Care Insurance system reform for the fiscal year 2024.
It includes notifications and materials from the government.

Regarding the Revisions to Nursing Care Fees for Fiscal Year 2024

The following materials provide an overview of the revisions, and the main calculation requirements are listed. For details, please check the relevant ministerial ordinances and notifications.
At the top of each revision summary, the applicable services are listed (a star will be added if similar measures are taken for preventive care).

Full Version

• Regarding the revisions in the nursing care fee revision for fiscal year 2024 (PDF 6.1MB)
• Main Points of the 2024 Nursing Care Fee Revision (PDF 3.7MB)

By Service

(1) Home Care Support / Preventive Care Support

• Home Care Support (PDF 2.3MB)
• Elderly Care Prevention Support (PDF 1.7MB)

(2) Home Care Services

• Home Care (PDF 2.5MB)
• Home Visit Bathing Care (PDF 1.1MB)
• Home Nursing (PDF 1.1MB)
• Home Rehabilitation (PDF 1.3MB)
• Home Care Management Guidance (PDF 918.6KB)
• Day Care (PDF 1.8MB)
• Day Rehabilitation (PDF 1.6MB)
• Short-term Residential Care (PDF 1.4MB)
• Short-term Stay Nursing Care (PDF 1.4MB)
• Specific Facility Resident Life Care (PDF 1.6MB)
• Welfare Equipment Rental (PDF 1.0MB)
• Sales of Specified Welfare Equipment (PDF 994.2KB)

(3) Community-Based Services

• Regular Patrol and On-Demand Home Care Nursing (PDF 1.9MB)
• Nighttime Response Type Home Care (PDF 1.5MB)
• Community-Based Day Care (PDF 2.2MB)
• Dementia Support Type Day Care (PDF 2.1MB)
• Small-scale multifunctional home care (PDF 2.1MB)
• Dementia Support Type Group Living Care (PDF 2.1MB)
• Nursing Small-Scale Multifunctional Home Care (PDF 2.2MB)

(4) Facility Services

• Nursing Home for the Elderly (PDF 1.8MB)
• Nursing Care Health Facility (PDF 1.9MB)
• Nursing Care Medical Institution (PDF 1.8MB)

Regarding the revision of the standards ministerial ordinance and the remuneration notification for the FY 2024 nursing care fee revision [to the Ministry of Health, Labor and Welfare Website]

• Regarding the revision of the standards ordinance and the remuneration notice related to the revision of nursing care fees(External link)

Q&A on the 2024 Nursing Care Fee Revision [Link to the Ministry of Health, Labor and Welfare Website]

• Q&A on the Revision of Nursing Care Fees for Fiscal Year 2024 (Vol. 1) (March 15, 2024)(External Link)
• Q&A on the Revision of Nursing Care Fees for Fiscal Year 2024 (Vol. 2) (March 19, 2024)(External Link)
• Q&A on the Revision of Nursing Care Fees for Fiscal Year 2024 (Vol. 3) (March 29, 2024)(External Link)
• Q&A on the Revision of Nursing Care Fees for Fiscal Year 2024 (Vol. 4) (April 18, 2024)(External Link)
• Q&A on the Revision of Nursing Care Fees for Fiscal Year 2024 (Vol. 5) (April 30, 2024)(External Link)
• Q&A on the Revision of Nursing Care Fees for Fiscal Year 2024 (Vol. 6) (May 17, 2024)(External Link)
• Q&A on the Revision of Nursing Care Fees for Fiscal Year 2024 (Vol. 7) (June 7, 2024)(External Link)
• Q&A on the Revision of Nursing Care Fees for Fiscal Year 2024 (Vol. 8) (July 9, 2024)(External Link)
• Q&A on the Revision of Nursing Care Fees for Fiscal Year 6 (Vol. 9) (August 29, Year 6)(External Link)
• Q&A on the Revision of Nursing Care Fees for Fiscal Year 2024 (Vol. 10) (September 27, 2024)(External Link)
• Q&A on the Revision of Nursing Care Fees for Fiscal Year 6 (Vol. 11) (November 11, Year 6)(External Link)
• Q&A on the Revision of Nursing Care Fees for Fiscal Year 2024 (Vol. 12) (January 22, 2025)(External Link)

Regarding the revisions in the 2021 nursing care fee revision, which will end the transitional period at the end of fiscal year 2023.

In the revision of nursing care fees for the fiscal year 2021, the following revisions have completed their transitional measures by the end of fiscal year 2023 (March 31, 2024). Please check again whether you can meet the operational standards and take necessary actions regarding these revisions.

• Strengthening Infectious Disease Measures (All Services)
• Strengthening Initiatives for Business Continuity (All Services)
• Mandatory Training for Basic Dementia Care (All Services)
• Promotion of Abuse Prevention for Older Adults (All Services)
• Strengthening Oral Hygiene Management in Facility-based Services (Facility-based Services)
• Enhancement of Nutritional Care and Management in Facility-based Services (Facility-based Services)
• Strengthening of deductions when the facility doctor does not provide medical care (Home Rehabilitation)

Note: For more details, please see the latest information on Long-Term Care Insurance below.

• Latest Information on Long-Term Care Insurance vol.1174 "Regarding the Changes in the 2021 Long-Term Care Fee Revision, which will End the Transition Period at the End of Fiscal Year 2023 (Request)" (PDF 1.3MB)

Related Information

• About the 2021 Revision of Nursing Care Fees (Ministry of Health, Labor and Welfare) (External Link)