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Notification of home visit care (life support centered) for a certain number of visits or more

Updated: October 1, 2018

In accordance with the FY2018 revision of nursing care fees, from October 1, 2018, if a home service plan that includes home-visit nursing care centered on living assistance is created (changed) for more than a certain number of times as determined by the Minister of Health, Labor and Welfare, It is now mandatory to notify the city of the reason why home-visit nursing care (mainly lifestyle assistance) is required. If the number of visits per month exceeds the number specified by the Minister of Health, Labor and Welfare, please submit a notification form. Please note that verification may be conducted at regional care meetings, etc.

Subject of notification

Home service plan that includes home-visit nursing care (living assistance-centered type) services for a number of times or more specified by the Minister of Health, Labor and Welfare Note: Physical care-centered type is not included in the number of visits.

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

Level 1 of care required

Nursing care required 2

Nursing care required 3

Nursing care required 4

Nursing care required 5

27 times

34 times

43 times

38 times

31 times

Notification method

Home care support office

・Create Form 1 “Reason for using home-visit nursing care (mainly living support type) more than a certain number of times”.
・We will request the home-visit care business office to create Form 2, “About the current situation of users of home-visit care (life support-based) for a certain number of times or more.”
・Please submit Form 1 and Form 2 created above as well as the home service plan (Tables 1 to 4).
Note: If you provide home-visit nursing care (mainly lifestyle assistance) at multiple establishments, please request each home-visit nursing establishment to create Form 2.

Visiting nursing care office

If you are requested to create Form 2 by a home care support business, please complete it immediately and submit it to the home care support business.

Submission Deadline

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

Where to submit

Please submit it from the home care support office to the Nursing Care Insurance Section of the Elderly Welfare Division.

Style

PDF format

Note: We recommend plain paper and A4 print size.
Thermal paper for thermal printers cannot be accepted.
Note: Please print both sides of the statement of reasons for using home-visit nursing care (living assistance-based) more than a certain number of times.

word format

Note: We recommend plain paper and A4 print size.
Thermal paper for thermal printers cannot be accepted.
Note: Please print both sides of the statement of reasons for using home-visit nursing care (living assistance-based) more than a certain number of times.

To open PDF files, you need Adobe Acrobat Reader DC (formerly Adobe Reader).
If you don't have it, you can download it for free from Adobe.
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Inquiries about this page

Inagi City Welfare Department Elderly Welfare Division
2111 Higashinagumanuma, Inagi City, Tokyo
Phone: 042-378-2111 Fax: 042-377-4781

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Inagi City's official mascot, Inagi Nashinosuke
2111 Higashinagumanuma, Inagi City, Tokyo 206-8601
Office hours: 8:30 a.m. to 5:00 p.m. Main phone: 042-378-2111 Fax: 042-377-4781
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