"I need nursing care, but my nursing care needs are not applicable..."
I was expecting a heavier grade."
We often hear these comments from family members and individuals who are providing care.
Although certification of the need for long-term care is an indispensable system for using long-term care insurance services, the decisions that are made can sometimes have "different" results than expected.
In this article,Why can't I be certified for long-term care?And the reason why,Points to keep in mind when reapplyingThe following is an easy-to-understand explanation of the We will also introduce the process of dealing with the situation in Numata City and other parts of Gunma Prefecture, as well as where to consult with us.
What is nursing care requirement certification?
In order to use long-term care insurance services, you must be "certified" as needing long-term care.
This is a system whereby you apply to your local municipality and have them determine "the level of care needed.
The results are divided into the following categories
| classification | Contents |
|---|---|
| not applicable | Considered independent and unable to use long-term care insurance services |
| Needs support 1 and 2 | Mild support needs. Primarily preventive service eligible. |
| Nursing care required 1-5 | The numbers increase as the level of care increases. |
Why is it a "Not Applicable"? Common Reasons
1. I emphasized "what can be done" during the survey.
During the visit, we asked questions such as, "Can I change my clothes?" Can I take a bath?" but I am not sure if I can answer all of these questions."Usually I can."I may answer, "I am not sure.
2. difficulty in communicating difficulties in daily life
Support needs that are difficult to identify from the outside, such as dementia or mental health concerns, tend to be difficult to assess.
3. the physician's opinion does not reflect the actual situation
In the certification of the need for long-term care, a written opinion from the family physician is also a factor in the decision.
If this written opinion does not correctly reflect the person's living conditions and problems, the certification may be lightened.
Can I reapply? The process and key points
There is no need to give up because you were not eligible for the program.
System of "reapplication" and "application for change of classification" for certification of long-term care needsThere are
Reapplication (normal)
You can apply again, following the same process as the initial application.
A six-month gap from the last time is typical, but can be earlier if there is a change in circumstances.
Application for change of classification (in case of worsening of condition)
This can be used for those who have already been certified and wish to receive a higher grade due to worsening of their condition, etc.
[Points to consider when reapplying
- Keep records (e.g., falls, hospital visitation records, caregiver logbooks, etc.)
- Not only the person in question.Also communicate the family's sense of burden and time constraints.
- To care managers and counselors.Request Support
Numata City Consultation and Support System
Community Comprehensive Support Center
As a general consultation service for nursing care and welfare, they can also provide advice and apply on your behalf for certification for nursing care needs.
There are several in Numata, divided according to the district for which they are responsible.
Care manager
If you are already using the service, your care manager will assist you in reapplying. We can also prepare the documents and be present during the investigation.
Support from Daiseikai
The Taiseikai Group provides community-based nursing care and disability welfare services mainly in Numata City.
- Related to the certification of long-term care needs.Application Consultation
- After certificationCare plan preparation and service utilization support
- Full support system including day-care, home-visit, short stay, and group home
We will provide first-time visitors with easy-to-understand and detailed support, such as "I don't know which system to use" or "I was not certified, but I want to consult with you.
▶ For more information, click here:https://taiseikai-group.com/kaigo/
Conclusion｜To Receive Satisfactory Support
Just because the nursing care needs certification was not applicable does not mean that you cannot receive assistance.
The difficulty of living and caring for a loved one is often not measured in numbers.
I'm in trouble, but I don't know what to do about it."
This is when you should try to connect with local support and professional organizations.
Early consultation and correct information will lead to a secure everyday life for you and your family.
＼ Please feel free to contact us if you have any problems ／.
Medical Corporation Taiseikai Uchida Hospital Community Medical Cooperation Office
(TEL) 0278-24-5329
Uchida Home Care Office
(TEL) 0278-23-7535
