How to get certified as needing long-term care? Explanation of the process from application to start of services

You may need to care for a family member. When this happens, the first thing you should consider is applying for "certification of care required.
By obtaining the nursing care required certification, public nursing care insurance services become available, greatly reducing the burden of caregiving.
In this article,What is a nursing care requirement certification?From,How to apply, the certification process, and how to use the serviceswill be explained in an easy-to-understand manner.

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What is the nursing care requirement certification?

The "nursing care requirement certification" is a system under which the national government (municipality) determines the level of nursing care required.
By getting accredited,Home-visit care, day service, short stay, welfare equipment rental, etc.The long-term care insurance services of the

The results of the nursing care needs certification are divided into the following seven levels

  • Not applicable (Independent): Nursing care insurance services are not available.
  • Needs support 1 and 2: Need light care prevention.
  • Nursing care required 1-5: The higher the number, the greater the need for nursing care.

How to apply for certification

Applications are available at your local municipal office (Numata City Hall, etc.)Contact person in charge of long-term care insuranceThis will be done at
The applicant, or a family member, community comprehensive support center, or care manager can apply on behalf of the applicant.

What is required for application?

  • Insured person's card (nursing care insurance card)
  • unofficial and unregistered personal seal
  • Information on medical institutions (family doctors)

Step-by-Step Process to Certification

(1) Application for certification of nursing care requirements

You can apply at the counter or by mail. Application forms are available at city halls, and some municipalities offer downloadable forms from their websites.

(2) Investigation (home-visit survey)

Within a few days to a week after applicationMunicipal officials and commissioned surveyorswill visit the person's home or facility to interview and investigate the person's physical condition and living situation.

Examples of survey contents

  • Level of independence in daily living such as eating, bathing, and elimination
  • Presence of symptoms of dementia
  • Availability of communication

*In principle, the survey is conducted on the person himself/herself, but interviews are also conducted with family members.

(iii) Submission of a written opinion of the attending physician

The municipality will request the family doctor to prepare an "Opinion of the attending physician".
This is a medical evaluation by a physician of the person's medical condition, physical function, and presence of dementia.

(4) Computerized primary judgment

Based on the content of the on-site survey, a primary judgment will be made using the government-approved software.

(5) Secondary decision by the Long-Term Care Accreditation Board

Based on the results of the primary determination and the attending physician's opinion,Nursing Care Certification Examination Board(a committee of experts in health, medicine, and welfare) will review the application and make the final certification decision.

Notification of results and validity period of accreditation

You will receive the results by mail within approximately 30 days of your application.
The certification results also include the level of care required and a limit on "how much of which services can be used.

Validity period of certification

  • Initial certification: 6 months in principle
  • Renewal: Can be extended by applying for renewal of accreditation (12 to 24 months)

Flow after certification of nursing care needs

Once the certification is granted, the following procedures are to be taken in order to actually use the long-term care insurance services.

(1) Selection of care manager

Regional comprehensive support centers for those requiring support, and in-home care support offices for those requiring nursing carecare managerwill provide assistance.

(2) Creation of care plans

The care manager, in consultation with the individual and family, compiles a plan (care plan) for the content and frequency of services.

(iii) Contract with service providers and start of use

In accordance with the care plan, a contract is signed with a home care or day care service provider, and services begin.

Frequently Asked Questions (Q&A)

Q. When should I renew my nursing care requirement certification?

A. Expiration dateRenewal application can be submitted 60 days in advanceIt is. Care managers are available to assist you with the procedures.

Q. If I am once declared "not applicable," can I no longer apply?

A. If circumstances changeReapplicableIt is. If your condition worsens due to a fall or illness, consider applying again.

By obtaining certification of the need for long-term care, a variety of public services become available,Great help in reducing the burden on the family members who care for the patient.will be.

Although the process from application to start of use may seem complicated, consulting with the Regional Comprehensive Support Center or a care manager can make the process go smoothly.

When you hear of long-term care services, you may have an image of admission to a facility, but there are also many services that support your life at home. If you have any problems in your daily life or would like some help, please consult with us.

The Taiseikai Group also provides full support from consultation for certification of care requirements to actual provision of care services. If you feel that you do not know where to turn for help, please feel free to contact us.

Please contact us for more information.

Medical Corporation Taiseikai Uchida Hospital Community Medical Cooperation Office

(TEL) 0278-24-5329

▶ For more information, click here:Medical Corporation Taiseikai Nursing Care Service

        Social Welfare Corporation Kuninkai Nursing Care Service
▶ Please consult with us:Daiseikai Contact Form

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