Addition for ADL maintenance, etc.

ADL maintenance additions (1) and (2) were newly established due to the revision of nursing care fees in 2021.
See below and references for details.

B. Addition for maintenance of ADL (1)
Conform to all of the following criteria.

1. The total number of persons subject to evaluation (those who have used the establishment or facility for evaluation for more than 6 months) must be 10 or more.
2. Evaluate ADL for all persons subject to evaluation in the month in which the subject of evaluation started and in the 6th month counting from the month following the month in question (if the service was not used in the 6th month, the last month in which the service was used). and measure the value based on the evaluation (hereinafter referred to as "ADL value") and submit the measurement to the Ministry of Health, Labor and Welfare for each month that includes the day of measurement.
3. Using the value obtained by deducting the ADL value measured in the month of the start of use for evaluation from the ADL value measured in the sixth month counting from the month following the month of start of use for evaluation of the person subject to evaluation, based on a certain standard The average value of the values calculated based on this (hereinafter referred to as “ADL gain”) shall be 1 or more.

B Addition for maintaining ADL (2)
Conform to all of the following criteria.

1. A1. and 2. conform to the standards of
2. The average ADL gain of the subject must be 2 or more.

Evaluation period

Period from the date of notification to the end of December

calculation period

A period from the month following the month in which the evaluation period expires to within 12 months (calculation can be started after the evaluation period ends)

Documents to be submitted

・Change notification form (Form No. 2)
・List of systems, etc. related to calculation of long-term care benefits ⇒ Form page

Submission Deadline

By the 15th of the same month in the previous year of the planned date of acquisition of the addition

As of March 31, 2021, business establishments that have submitted notifications related to the addition of ADL maintenance, etc. before revision due to the revision of long-term care fees in 2021 cannot be calculated until March 31, 2023. increase. However, ADL maintenance premiums (1) and (2) cannot be calculated together.