Regarding ADL maintenance etc. additions
Update date: November 9, 2022
ADL maintenance, etc. additions (1) and (2) have been newly established due to the FY2021 nursing care fee revision.
For details, please see the following and reference materials.
Regarding ADL maintenance, etc. additions (1) and (2)
B ADL maintenance, etc. addition (1)
Conform to all of the following criteria.
1. The total number of people to be evaluated (those who have used the business or facility for more than six months) must be 10 or more.
2. For all subjects, ADL was evaluated in the month in which the use of the service began and in the sixth month counting from the month following that month (or in the last month in which the service was used, if the service was not used in the sixth month), and the values based on the evaluation (hereinafter referred to as "ADL values") were measured, and the measurements were submitted to the Ministry of Health, Labour and Welfare for each month in which the measurements were taken.
3. The average value calculated based on a certain standard by subtracting the ADL value measured in the sixth month following the month in which the subject of evaluation began using the service from the ADL value measured in the month in which the subject of evaluation began using the service (hereinafter referred to as the "ADL gain") must be 1 or more.
(b) Addition for ADL maintenance, etc. (2)
Conform to all of the following criteria.
1. It must conform to the standards in 1. and 2.
2. The average ADL gain of the subjects is 2 or more.
Evaluation period and calculation period
Evaluation period
Period from the date of notification until 12 months later
Calculation period
Period within 12 months from the month following the month in which the evaluation period ends (calculation can only begin after the evaluation period ends)
Submitted documents and submission deadline
Documents to be submitted
・Change Notification Form (Form No. 2)
・List of systems and other information related to nursing care benefit calculations ⇒ Forms page
Submission Deadline
Until the 15th of the same month of the year before the scheduled date of receiving the addition.
ADL Maintenance Surcharge (3) (Community-based Day Care)
As of March 31, 2021, establishments that have submitted notifications regarding ADL maintenance, etc. additions prior to the revision due to the FY2021 long-term care fee revision cannot be calculated until March 31, 2021. Masu. However, ADL maintenance additions (1) and (2) cannot be calculated together.
Reference materials
Q&A regarding the FY2021 nursing care fee revision (Vol. 3) (March 26, 2021) (PDF: 1,392KB)
Administrative procedures and format examples regarding ADL maintenance, etc. additions (PDF: 546KB)
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Inquiries regarding this page
Inagi City Welfare Department Elderly Welfare Division
2111 Higashinagumanuma, Inagi City, Tokyo
Phone: 042-378-2111 Fax: 042-377-4781