Outpatient care [addition]

• When we are going to receive application of additions that require prior notification
• When the requirement for addition is no longer met
• When there is a change in the content of the report
• When attempting to apply for designation
• When notification items are added or changed due to law revision, etc.

※Updated on March 21, 2024 (revised remuneration for fiscal 2024)
※2024/04/17 update (The list of status of remuneration revision, system, etc. in FY2024 has been updated to the latest version of the June enforcement.)

[Based on a decrease in the number of users due to COVID-19 infection] 3% addition and the handling of special cases of scale classification will end with the notification submission in April 2024 (decrease in March). Please refer to the following office information.
　 “Special provisions pertaining to additions to responding to the increase in expenses per user due to a temporary decrease in the number of users due to COVID-19 infection and the determination of remuneration category by business size (March 21, 2024, Ministry of Health, Labour and Welfare Office)” (PDF: 117KB)

[Revision of Remuneration for FY2024]
Calculation requirements have been added in "bathing assistance addition (I) (II)" at designated tsusho nursing care establishments.
Added requirements: Provide training on bathing assistance to staff involved in bathing assistance.
In establishment which we calculate now, report to Yokohama-shi is not necessary again, but please confirm that we meet requirements (we carry out training).

We update the format of business site scale inspection every year. For the latest version, go to “6. Business site scale inspection”.

・Please submit the application by the 15th of the previous month of the month in which the addition is calculated.
・Also, if you no longer meet the requirements for addition, please submit it promptly regardless of the above date and time.

Please refer to the separate sheet "★ required documents List" and mail (bring) required documents to the Nursing Care Business Guidance Division.
①　Please check the required documents on the separate sheet "★ required documents List".
②　Please make a required documents.
③　②Please keep a copy of the documents prepared at the office.
④　②Please mail (bring) the reply envelope (paste an 84 yen stamp on the long form No. 3 envelope and specify the reply address) to the Nursing Care Business Guidance Division.
⑤　As we send "receipt letter" after examination from Yokohama-shi, please keep in establishment.

※When you bring application documents directly to city hall, please bring in city hall Hours.
　[Yokohama City Hall Hours] From 8:45 am to 5:15 pm Monday to Friday (excluding holidays, holidays, from December 29 to January 3)

Please write "Notice of addition" on the envelope and send it to the City of Yokohama, Health and Social Welfare Bureau Nursing Care Business Guidance Division by mail.
[Destination]
〒231-0005
6-50-10, Honcho, Naka-ku, Yokohama-shi 16th floor
Yokohama City Hall Health and Social Welfare Bureau Nursing Care Business Guidance Division Management Support Section Home Group

・Email address: kf-kjkyotaku@city.yokohama.jp [Please put the establishment name in the subject and the name of the person in charge of Motoichi in the text]
・FAX： 045-550-3615
・Mail: City of Yokohama, Health and Social Welfare Bureau Nursing Care Business Guidance Division, 16th Floor, 6-50-10 Honcho, Naka-ku, Yokohama, 231-0005, Japan

Inspection is required at the time of new designation application and every year (to determine the scale next year). When scale change is necessary, it is necessary to report to Motoichi by March 15. Please refer to “5. Submission address” for the submission destination. Please confirm the type of inspection book to use in flowchart (PDF: 238KB).

(Reference) LIFE use application ・ ・ ・ Please confirm about utilization of "scientific care information system (LIFE).
　
(Reference) Response when a decrease in the number of users due to the occurrence of infectious diseases or disasters has occurred more than a certain level (3% addition, special case of scale classification) (PDF: 174KB)
●About presentation of basic way of thinking to affect evaluation when decrease of the number of users due to outbreak of infectious disease or disaster occurs more than a certain amount in tsusho care and presentation of paperwork procedure and style example (PDF: 861KB)
Please refer to ↓ for the calculation schedule for FY2023.
Please refer to ↓ for the calculation schedule for FY2022.
●The Long-term Care Insurance latest information VOL1035 (PDF: 242KB)
In addition, please refer to the "Q & A on Revision of Nursing Care Fees for FY2021" issued by the Ministry of Health, Labour and Welfare.
● Q & A regarding the revision of the nursing care fee in FY2021 (3% addition, excerpt version of special cases for scale classification) (PDF: 1,036KB)
　
(Reference) ADL maintenance, etc. Additional I or II
★For the new calculation requirements, please refer to the excerpt (PDF: 989KB) issued by the Ministry of Health, Labour and Welfare (PDF: 989KB) for the new calculation requirements.
★A document has been created for an example (PDF: 115KB) for which ADL gains are calculated. Please take advantage of it.
★In order to calculate I or II from April 2022, I or II.
１） Apply for LIFE by March 25
２） Submit a notification of addition to the fact that you applied for the use of LIFE by April 1 (= ADL maintenance etc. addition [application] and registration to LIFE) to Motoichi
３） After obtaining the password in April, enter the measurement results of the evaluation period (R3.4 to R4.3) in LIFE.
４） As a result of input, calculation is possible if the calculation requirements are met.
　
(Reference) ADL maintenance, etc. III
★This is a transitional measure only for establishments that have reported the addition (application) for ADL maintenance etc. (application) by March 31, 2021. Thank you for your attention.★
※Addition I up to FY2020 can continue to be calculated as Addition III (the number of credits and requirements are the same as 3 credits as additional I up to FY2020) by transitional measures up to FY2022.
[Country Notice] ★The following rules are the contents of the transitional measures.
The Long-term Care Insurance latest information vol.648 Promulgation of "Administrative Procedures and Style Examples for ADL Maintenance and Other Additions" (PDF: 585KB)
[Frequently Asked Questions]
Q & A (outside site) regarding the 2018 Nursing Care Fee Revision
※（VoL.1） Refer to Q38 and (VoL.4) Q7 (bottom of the linked page)
ADL maintenance, etc. Frequently Asked Questions 1 [Created by Yokohama City on January 30, 2019] (PDF: 182KB)
ADL maintenance, etc. Frequently Asked Questions 2 [Prepared by Yokohama City on February 5, 2019] (PDF: 58KB)