証記載保険者番号,サービス種類コード,サービス項目コード,適用開始年月,適用終了年月,サービス名称,単位数,算定単位,制限日数・回数,算定回数制限期間,支給限度額対象区分,予備項目,給付率,利用者負担額,事業対象者実施区分,要支援１受給者実施区分,要支援２受給者実施区分,国保連合会委託区分,作成年月日 16097,A2,1111,201804,201909,訪問型サービスT,1168,3,,,3,,,,2,2,2,1,20180401 16097,A2,1111,201910,202103,訪問型独自サービスT,1172,3,,,3,,,,2,2,2,1,20191001 16097,A2,1111,202104,999999,訪問型独自サービスT,1176,3,1,1,3,,,,2,2,2,1,20210401 16097,A2,1113,201804,201909,訪問型サービスT・初任,818,3,,,3,,,,2,2,2,1,20180401 16097,A2,1114,201804,201909,訪問型サービスT・同一,1051,3,,,3,,,,2,2,2,1,20180401 16097,A2,1114,201910,202103,訪問型独自サービスT・同一,1055,3,,,3,,,,2,2,2,1,20191001 16097,A2,1115,201804,201909,訪問型サービスT・初任・同一,736,3,,,3,,,,2,2,2,1,20180401 16097,A2,1211,201804,201909,訪問型サービスU,2335,3,,,3,,,,2,2,2,1,20180401 16097,A2,1211,201910,202103,訪問型独自サービスU,2342,3,,,3,,,,2,2,2,1,20191001 16097,A2,1211,202104,999999,訪問型独自サービスU,2349,3,1,1,3,,,,2,2,2,1,20210401 16097,A2,1213,201804,201909,訪問型サービスU・初任,1635,3,,,3,,,,2,2,2,1,20180401 16097,A2,1214,201804,201909,訪問型サービスU・同一,2102,3,,,3,,,,2,2,2,1,20180401 16097,A2,1214,201910,202103,訪問型独自サービスU・同一,2108,3,,,3,,,,2,2,2,1,20191001 16097,A2,1215,201804,201909,訪問型サービスU・初任・同一,1472,3,,,3,,,,2,2,2,1,20180401 16097,A2,1321,201804,201909,訪問型サービスV,3704,3,,,3,,,,1,1,2,1,20180401 16097,A2,1321,201910,202103,訪問型独自サービスV,3715,3,,,3,,,,2,1,2,1,20191001 16097,A2,1321,202104,999999,訪問型独自サービスV,3727,3,1,1,3,,,,2,1,2,1,20210401 16097,A2,1323,201804,201909,訪問型サービスV・初任,2593,3,,,3,,,,1,1,2,1,20180401 16097,A2,1324,201804,201909,訪問型サービスV・同一,3334,3,,,3,,,,1,1,2,1,20180401 16097,A2,1324,201910,202103,訪問型独自サービスV・同一,3344,3,,,3,,,,2,1,2,1,20191001 16097,A2,1325,201804,201909,訪問型サービスV・初任・同一,2334,3,,,3,,,,1,1,2,1,20180401 16097,A2,1411,201804,201909,訪問型独自短時間サービス,165,1,,,3,,,,2,2,2,1,20180401 16097,A2,1411,201910,202103,訪問型独自短時間サービス,166,1,,,3,,,,2,2,2,1,20191001 16097,A2,1411,202104,999999,訪問型独自短時間サービス,167,1,22,1,3,,,,2,2,2,1,20210401 16097,A2,1414,201910,202103,訪問型独自短時間サービス・同一,149,1,,,3,,,,2,2,2,1,20191025 16097,A2,2111,201804,201909,訪問型サービスT日割,38,2,,,3,,,,2,2,2,1,20180401 16097,A2,2111,201910,999999,訪問型独自サービスT日割,39,2,,,3,,,,2,2,2,1,20191001 16097,A2,2113,201804,201909,訪問型サービスT日割・初任,27,2,,,3,,,,2,2,2,1,20180401 16097,A2,2114,201804,201909,訪問型サービスT日割・同一,34,2,,,3,,,,2,2,2,1,20180401 16097,A2,2114,201910,202103,訪問型独自サービスT日割・同一,35,2,,,3,,,,2,2,2,1,20191001 16097,A2,2115,201804,201909,訪問型サービスT日割・初任・同一,24,2,,,3,,,,2,2,2,1,20180401 16097,A2,2211,201804,999999,訪問型独自サービスU日割,77,2,,,3,,,,2,2,2,1,20180401 16097,A2,2213,201804,201909,訪問型サービスU日割・初任,54,2,,,3,,,,2,2,2,1,20180401 16097,A2,2214,201804,202103,訪問型サービスU日割・同一,69,2,,,3,,,,2,2,2,1,20180401 16097,A2,2215,201804,201909,訪問型サービスU日割・初任・同一,49,2,,,3,,,,2,2,2,1,20180401 16097,A2,2321,201804,201909,訪問型サービスV日割,122,2,,,3,,,,1,1,2,1,20180401 16097,A2,2321,202104,999999,訪問型独自サービスV日割,123,2,,,3,,,,2,1,2,1,20210401 16097,A2,2323,201804,201909,訪問型サービスV日割・初任,85,2,,,3,,,,1,1,2,1,20180401 16097,A2,2324,201804,201909,訪問型サービスV日割・同一,110,2,,,3,,,,1,1,2,1,20180401 16097,A2,2325,201804,201909,訪問型サービスV日割・初任・同一,77,2,,,3,,,,1,1,2,1,20180401 16097,A2,2411,201910,202103,訪問型独自サービスW,267,1,,,3,,,,2,2,2,1,20191001 16097,A2,2411,202104,999999,訪問型独自サービスW,268,1,4,1,3,,,,2,2,2,1,20210401 16097,A2,2414,201910,202103,訪問型独自サービスW・同一,240,1,,,3,,,,2,2,2,1,20191001 16097,A2,2511,201910,202103,訪問型独自サービスX,271,1,,,3,,,,2,2,2,1,20191001 16097,A2,2511,202104,999999,訪問型独自サービスX,272,1,8,1,3,,,,2,2,2,1,20210401 16097,A2,2514,201910,202103,訪問型独自サービスX・同一,244,1,,,3,,,,2,2,2,1,20191001 16097,A2,2621,201910,202103,訪問型独自サービスY,286,1,,,3,,,,2,1,2,1,20191001 16097,A2,2621,202104,999999,訪問型独自サービスY,287,1,12,1,3,,,,2,1,2,1,20210401 16097,A2,2624,201910,202103,訪問型独自サービスY・同一,257,1,,,3,,,,2,1,2,1,20191025 16097,A2,4001,201804,999999,訪問型独自サービス初回加算,200,3,,,3,,,,2,2,2,1,20180401 16097,A2,4002,201804,999999,訪問型独自サービス生活機能向上連携加算T,100,3,,,3,,,,2,2,2,1,20180401 16097,A2,4002,202104,999999,訪問型独自サービス生活機能向上連携加算U,200,3,3,1,3,,,,2,2,2,1,20210401 16097,A2,6001,202104,999999,訪問型独自サービス同一建物減算,-10,3,1,1,3,,,,2,2,2,1,20210401 16097,A2,6269,201804,999999,訪問型独自サービス処遇改善加算T,137,3,,,3,,,,2,2,2,1,20180401 16097,A2,6270,201804,999999,訪問型独自サービス処遇改善加算U,100,3,,,3,,,,2,2,2,1,20180401 16097,A2,6271,201804,999999,訪問型独自サービス処遇改善加算V,55,3,,,3,,,,2,2,2,1,20180401 16097,A2,6273,201804,202203,訪問型独自サービス処遇改善加算W,55,3,,,3,,,,2,2,2,1,20220331 16097,A2,6275,201804,202203,訪問型独自サービス処遇改善加算X,55,3,,,3,,,,2,2,2,1,20220331 16097,A2,6278,201910,999999,訪問型独自サービス特定処遇改善加算T,63,3,,,3,,,,2,2,2,1,20191001 16097,A2,6279,201910,999999,訪問型独自サービス特定処遇改善加算U,42,3,,,3,,,,2,2,2,1,20191001 16097,A2,8000,201804,999999,訪問型独自サービス特別地域加算,15,3,,,3,,,,2,2,2,1,20180401 16097,A2,8001,201804,999999,訪問型独自サービス特別地域加算日割,15,2,,,3,,,,2,2,2,1,20180401 16097,A2,8002,201804,999999,訪問型独自サービス特別地域加算回数,15,1,,,3,,,,2,2,2,1,20180401 16097,A2,8100,201804,999999,訪問型独自サービス小規模事業加算,10,3,,,3,,,,2,2,2,1,20180401 16097,A2,8101,201804,999999,訪問型独自サービス小規模事業所加算日割,10,2,,,3,,,,2,2,2,1,20180401 16097,A2,8102,201804,999999,訪問型独自サービス小規模事業加算回数独自,10,1,,,3,,,,2,2,2,1,20180401 16097,A2,8110,201804,999999,訪問型独自サービス中山間地域等提供加算,5,3,,,3,,,,2,2,2,1,20180401 16097,A2,8111,201804,999999,訪問型独自サービス中山間地域等加算日割,5,2,,,3,,,,2,2,2,1,20180401 16097,A2,8112,201804,999999,訪問型独自サービス中山間地域等加算回数,5,1,,,3,,,,2,2,2,1,20180401 16097,A2,8310,202104,202109,新型コロナウイルス感染症への対応令和３年９月３０日までの上乗せ分,1,3,1,1,3,,,,2,2,2,1,20210930 16097,A6,1111,201804,201909,通所型サービス1,1647,3,,,3,,,,2,2,1,1,20180401 16097,A6,1111,201910,202103,通所型独自サービス１,1655,3,,,3,,,,2,2,1,1,20191001 16097,A6,1111,202104,999999,通所型独自サービス１,1672,3,1,1,3,,,,2,2,1,1,20210401 16097,A6,1112,201804,202103,通所型サービス1日割,54,2,,,3,,,,2,2,1,1,20180401 16097,A6,1112,202104,999999,通所型独自サービス1日割,55,2,,,3,,,,2,2,1,1,20210401 16097,A6,1113,201910,202103,通所型独自サービス１回数,380,1,,,3,,,,2,2,1,1,20191001 16097,A6,1113,202104,999999,通所型独自サービス１回数,384,1,4,1,3,,,,2,2,1,1,20210401 16097,A6,1121,201804,201909,通所型サービス2,3377,3,,,3,,,,1,1,2,1,20180401 16097,A6,1121,201910,202103,通所型独自サービス２,3393,3,,,3,,,,2,1,2,1,20191001 16097,A6,1121,202104,999999,通所型独自サービス２,3428,3,1,1,3,,,,2,1,2,1,20210401 16097,A6,1122,201804,201909,通所型サービス2日割,111,2,,,3,,,,1,1,2,1,20180401 16097,A6,1122,201910,202103,通所型独自サービス２日割,112,2,,,3,,,,2,1,2,1,20191001 16097,A6,1122,202104,999999,通所型独自サービス２日割,113,2,,,3,,,,2,1,2,1,20210401 16097,A6,1123,201910,202103,通所型独自サービス２回数,391,1,,,3,,,,2,1,2,1,20191001 16097,A6,1123,202104,999999,通所型独自サービス２回数,395,1,8,1,3,,,,2,1,2,1,20210401 16097,A6,4001,202104,999999,通所型独自サービス生活機能向上連携加算T,100,3,1,3,3,,,,2,2,2,1,20210401 16097,A6,4002,202104,999999,通所型独自サービス生活機能向上連携加算U1,200,3,1,3,3,,,,2,2,2,1,20210401 16097,A6,4003,202104,999999,通所型独自サービス生活機能向上連携加算U2,100,3,0,0,3,,,,2,2,2,1,20210401 16097,A6,5002,201804,999999,通所型独自サービス運動器機能向上加算,225,3,,,3,,,,2,2,2,1,20180401 16097,A6,5003,201804,202103,通所型サービス栄養改善加算,150,3,,,3,,,,2,2,2,1,20180401 16097,A6,5003,202104,999999,通所型独自サービス栄養改善加算,200,3,3,1,3,,,,2,2,2,1,20210401 16097,A6,5004,201804,999999,通所型サービス口腔機能向上加算,150,3,,,3,,,,2,2,2,1,20180401 16097,A6,5004,202104,999999,通所型独自サービス口腔機能向上加算T,150,3,1,1,3,,,,2,2,2,1,20210401 16097,A6,5005,201804,999999,通所型独自サービス事業所評価加算,120,3,,,3,,,,2,2,2,1,20180401 16097,A6,5006,201804,999999,通所型独自複数サービス実施加算T　1,480,3,,,3,,,,2,2,2,1,20180401 16097,A6,5007,201804,999999,通所型独自複数サービス実施加算T　2,480,3,,,3,,,,2,2,2,1,20180401 16097,A6,5008,201804,999999,通所型独自複数サービス実施加算T　3,480,3,,,3,,,,2,2,2,1,20180401 16097,A6,5009,201804,999999,通所型独自複数サービス実施加算U,700,3,,,3,,,,2,2,2,1,20180401 16097,A6,5010,201804,999999,通所型独自生活向上グループ活動加算,100,3,,,3,,,,2,2,2,1,20180401 16097,A6,5011,202104,999999,通所型独自サービス口腔機能向上加算U,160,3,,,3,,,,2,2,2,1,20210401 16097,A6,6011,202104,999999,通所型独自サービス提供体制加算T1,88,3,,,3,,,,2,2,1,1,20210401 16097,A6,6012,202104,999999,通所型独自サービス提供体制加算T2,176,3,,,3,,,,2,1,2,1,20210401 16097,A6,6100,201804,999999,通所型独自サービス処遇改善加算T,59,3,,,3,,,,2,2,2,1,20180401 16097,A6,6101,201804,202103,通所型独自サービス提供体制加算T　21,48,3,,,3,,,,2,2,1,1,20180401 16097,A6,6102,201804,202103,通所型独自サービス提供体制加算T　22,96,3,,,3,,,,2,1,2,1,20180401 16097,A6,6103,201804,999999,通所型独自サービス提供体制加算V　1,24,3,,,3,,,,2,2,1,1,20180401 16097,A6,6104,201804,999999,通所型独自サービス提供体制加算V　2,48,3,,,3,,,,2,1,2,1,20180401 16097,A6,6105,201804,999999,通所型独自サービス同一建物減算1,-376,3,,,3,,,,2,2,1,1,20180401 16097,A6,6106,201804,999999,通所型独自サービス同一建物減算2,-752,3,,,3,,,,2,1,2,1,20180401 16097,A6,6107,201804,999999,通所型独自サービス提供体制加算U　1,72,3,,,3,,,,2,2,1,1,20180401 16097,A6,6108,201804,999999,通所型独自サービス提供体制加算U　2,144,3,,,3,,,,2,1,2,1,20180401 16097,A6,6109,201804,999999,通所型独自サービス若年性認知症受入加算,240,3,,,3,,,,2,2,2,1,20180401 16097,A6,6110,201804,999999,通所型独自サービス処遇改善加算U,43,3,,,3,,,,2,2,2,1,20180401 16097,A6,6111,201804,999999,通所型独自サービス処遇改善加算V,23,3,,,3,,,,2,2,2,1,20180401 16097,A6,6113,201804,202203,通所型サービス処遇改善加算W,23,3,,,3,,,,2,2,2,1,20220331 16097,A6,6115,201804,202203,通所型サービス処遇改善加算X,23,3,,,3,,,,2,2,2,1,20220331 16097,A6,6116,202104,999999,通所型独自サービス栄養アセスメント加算,50,3,,,3,,,,2,2,2,1,20210401 16097,A6,6118,201910,999999,通所型独自サービス特定処遇改善加算T,12,3,,,3,,,,2,2,2,1,20191001 16097,A6,6119,201910,999999,通所型独自サービス特定処遇改善加算U,10,3,,,3,,,,2,2,2,1,20191001 16097,A6,6200,202104,999999,通所型独自サービス口腔栄養スクリーニング加算T,20,1,,,3,,,,2,2,2,1,20210401 16097,A6,6201,202104,999999,通所型独自サービス口腔栄養スクリーニング加算U,5,1,,,3,,,,2,2,2,1,20210401 16097,A6,6311,202104,999999,通所型独自サービス科学的介護推進体制加算,40,3,,,3,,,,2,2,2,1,20210401 16097,A6,8001,201804,201909,通所型サービス1・定超,1153,3,,,3,,,,2,2,1,1,20180401 16097,A6,8001,201910,202103,通所型独自サービス１・定超,1159,3,,,3,,,,2,2,1,1,20191001 16097,A6,8001,202104,999999,通所型独自サービス１・定超,1170,3,,,3,,,,2,2,1,1,20210401 16097,A6,8002,201804,202103,通所型サービス1日割・定超,38,2,,,3,,,,2,2,1,1,20180401 16097,A6,8002,202104,999999,通所型独自サービス1日割・定超,39,2,,,3,,,,2,2,1,1,20210401 16097,A6,8003,201804,201909,通所型サービス1回数・定超,265,1,,,3,,,,2,2,1,1,20180401 16097,A6,8003,201910,202103,通所型独自サービス１回数・定超,266,1,,,3,,,,2,2,1,1,20191001 16097,A6,8003,202104,999999,通所型独自サービス１回数・定超,269,1,,,3,,,,2,2,1,1,20210401 16097,A6,8011,201804,201909,通所型サービス2・定超,2364,3,,,3,,,,2,1,2,1,20180401 16097,A6,8011,201910,202103,通所型独自サービス２・定超,2375,3,,,3,,,,2,1,2,1,20191001 16097,A6,8011,202104,999999,通所型独自サービス２・定超,2400,3,,,3,,,,2,1,2,1,20210401 16097,A6,8012,201804,202103,通所型サービス2日割・定超,78,2,,,3,,,,2,1,2,1,20180401 16097,A6,8012,202104,999999,通所型独自サービス2日割・定超,79,2,,,3,,,,2,1,2,1,20210401 16097,A6,8013,201804,201909,通所型サービス2回数・定超,272,1,,,3,,,,2,1,2,1,20180401 16097,A6,8013,201910,202103,通所型独自サービス２回数・定超,274,1,,,3,,,,2,1,2,1,20191001 16097,A6,8013,202104,999999,通所型独自サービス２回数・定超,277,1,,,3,,,,2,1,2,1,20210401 16097,A6,8110,202104,999999,訪問型独自サービス中山間地域等提供加算,5,3,,,3,,,,2,2,2,1,20210401 16097,A6,8111,202104,999999,訪問型独自サービス中山間地域等加算日割,5,2,,,3,,,,2,2,2,1,20210401 16097,A6,8112,202104,999999,訪問型独自サービス中山間地域等加算回数,5,1,,,3,,,,2,2,2,1,20210401 16097,A6,8310,202104,202109,新型コロナウイルス感染症への対応令和３年９月３０日までの上乗せ分,1,3,,,3,,,,2,2,2,1,20210930 16097,A6,9001,201804,201909,通所型サービス1・人欠,1153,3,,,3,,,,2,2,1,1,20180401 16097,A6,9001,201910,202103,通所型独自サービス１・人欠,1159,3,,,3,,,,2,2,1,1,20191001 16097,A6,9001,202104,999999,通所型独自サービス１・人欠,1170,3,,,3,,,,2,2,1,1,20210401 16097,A6,9002,201804,202103,通所型サービス1日割・人欠,38,2,,,3,,,,2,2,1,1,20180401 16097,A6,9002,202104,999999,通所型独自サービス1日割・人欠,39,2,,,3,,,,2,2,1,1,20210401 16097,A6,9003,201804,201909,通所型サービス1回数・定超,265,1,,,3,,,,2,2,1,1,20180401 16097,A6,9003,201910,202103,通所型独自サービス１回数・人欠,266,1,,,3,,,,2,2,1,1,20191001 16097,A6,9003,202104,999999,通所型独自サービス１回数・人欠,269,1,,,3,,,,2,2,1,1,20210401 16097,A6,9011,201804,201909,通所型サービス2・人欠,2364,3,,,3,,,,2,1,2,1,20180401 16097,A6,9011,201910,202103,通所型独自サービス２・人欠,2375,3,,,3,,,,2,1,2,1,20191001 16097,A6,9011,202104,999999,通所型独自サービス２・人欠,2400,3,,,3,,,,2,1,2,1,20210401 16097,A6,9012,201804,202103,通所型サービス2日割・人欠,78,2,,,3,,,,2,1,2,1,20180401 16097,A6,9012,202104,999999,通所型独自サービス2日割・人欠,79,2,,,3,,,,2,1,2,1,20210401 16097,A6,9013,201804,201909,通所型サービス2回数・定超,272,1,,,3,,,,2,1,2,1,20180401 16097,A6,9013,201910,202103,通所型独自サービス２回数・人欠,274,1,,,3,,,,2,1,2,1,20191001 16097,A6,9013,202104,999999,通所型独自サービス２回数・人欠,277,1,,,3,,,,2,1,2,1,20210401 16097,AF,1001,202004,202103,介護予防ケアマネジメントA,431,3,,,3,,,,2,2,2,1,20200317 16097,AF,1001,202104,999999,介護予防ケアマネジメントA,438,3,,,3,,,,2,2,2,1,20210401 16097,AF,1002,202004,999999,介護予防ケアマネジメントA・初回,300,3,,,3,,,,2,2,2,1,20200317 16097,AF,1004,202104,999999,介護予防ケアマネジメントA・委託連携加算,300,3,1,1,3,,,,2,2,2,1,20210401 16097,AF,1005,202104,202109,新型コロナウイルス感染症への対応令和３年９月３０日までの上乗せ分,1,3,1,1,3,,,,2,2,2,1,20210930