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十条第二項中「次条第一項」とあるのは「第四十三条第一項において準用する次条第一項」と、第二十三条第二項中「第二十一条第二項」とあるのは「第四十三条第一項において準用する第二十一条第二項」と、第二十五条第一号中「次条第一項」とあるのは「第四十三条第一項において準用する次条第一項」と、第二十六条第一項中「第五条第二項」とあるのは「第七条において準用する第五条第二項」と、第三十条第三項中「第二十六条」とあるのは「第四十三条第一項において準用する第二十六条」と、第三十一条中「第三十五条第一項」とあるのは「第四十三条第一項において準用する第三十五条第一項」と、第三十二条中「食事等の介護」とあるのは「食事等の介護、外出時における移動中の介護」と読み替えるものとする。"]}]}]},{"tag":"Paragraph","attr":{"Num":"2"},"children":[{"tag":"ParagraphNum","attr":{},"children":["２"]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["第九条から第三十一条まで及び第三十三条から前条までの規定は、同行援護及び行動援護に係る指定障害福祉サービスの事業について準用する。"]},{"tag":"Sentence","attr":{"Num":"2","WritingMode":"vertical"},"children":["この場合において、第九条第一項中「第三十一条」とあるのは「第四十三条第二項において準用する第三十一条」と、第二十条第二項中「次条第一項」とあるのは「第四十三条第二項において準用する次条第一項」と、第二十三条第二項中「第二十一条第二項」とあるのは「第四十三条第二項において準用する第二十一条第二項」と、第二十五条第一号中「次条第一項」とあるのは「第四十三条第二項において準用する次条第一項」と、第二十六条第一項中「第五条第二項」とあるのは「第七条において準用する第五条第二項」と、第三十条第三項中「第二十六条」とあるのは「第四十三条第二項において準用する第二十六条」と、第三十一条中「第三十五条第一項」とあるのは「第四十三条第二項において準用する第三十五条第一項」と読み替えるものとする。"]}]}]}]}]},{"tag":"Section","attr":{"Num":"5"},"children":[{"tag":"SectionTitle","attr":{},"children":["第五節　共生型障害福祉サービスに関する基準"]},{"tag":"Article","attr":{"Num":"43_2"},"children":[{"tag":"ArticleCaption","attr":{},"children":["（共生型居宅介護の事業を行う指定訪問介護事業者の基準）"]},{"tag":"ArticleTitle","attr":{},"children":["第四十三条の二"]},{"tag":"Paragraph","attr":{"Num":"1"},"children":[{"tag":"ParagraphNum","attr":{},"children":[]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["居宅介護に係る共生型障害福祉サービス（以下「共生型居宅介護」という。）の事業を行う指定訪問介護事業者（指定居宅サービス等の事業の人員、設備及び運営に関する基準（平成十一年厚生省令第三十七号。以下「指定居宅サービス等基準」という。）第五条第一項に規定する指定訪問介護事業者をいう。以下同じ。）が当該事業に関して満たすべき基準は、次のとおりとする。"]}]},{"tag":"Item","attr":{"Num":"1"},"children":[{"tag":"ItemTitle","attr":{},"children":["一"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["指定訪問介護事業所（指定居宅サービス等基準第五条第一項に規定する指定訪問介護事業所をいう。以下同じ。）の従業者の員数が、当該指定訪問介護事業所が提供する指定訪問介護（指定居宅サービス等基準第四条に規定する指定訪問介護をいう。以下同じ。）の利用者の数を指定訪問介護の利用者の数及び共生型居宅介護の利用者の数の合計数であるとした場合における当該指定訪問介護事業所として必要とされる数以上であること。"]}]}]},{"tag":"Item","attr":{"Num":"2"},"children":[{"tag":"ItemTitle","attr":{},"children":["二"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["共生型居宅介護の利用者に対して適切なサービスを提供するため、指定居宅介護事業所その他の関係施設から必要な技術的支援を受けていること。"]}]}]}]}]},{"tag":"Article","attr":{"Num":"43_3"},"children":[{"tag":"ArticleCaption","attr":{},"children":["（共生型重度訪問介護の事業を行う指定訪問介護事業者の基準）"]},{"tag":"ArticleTitle","attr":{},"children":["第四十三条の三"]},{"tag":"Paragraph","attr":{"Num":"1"},"children":[{"tag":"ParagraphNum","attr":{},"children":[]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["重度訪問介護に係る共生型障害福祉サービス（以下「共生型重度訪問介護」という。）の事業を行う指定訪問介護事業者が当該事業に関して満たすべき基準は、次のとおりとする。"]}]},{"tag":"Item","attr":{"Num":"1"},"children":[{"tag":"ItemTitle","attr":{},"children":["一"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["指定訪問介護事業所の従業者の員数が、当該指定訪問介護事業所が提供する指定訪問介護の利用者の数を指定訪問介護の利用者の数及び共生型重度訪問介護の利用者の数の合計数であるとした場合における当該指定訪問介護事業所として必要とされる数以上であること。"]}]}]},{"tag":"Item","attr":{"Num":"2"},"children":[{"tag":"ItemTitle","attr":{},"children":["二"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["共生型重度訪問介護の利用者に対して適切なサービスを提供するため、指定重度訪問介護事業所その他の関係施設から必要な技術的支援を受けていること。"]}]}]}]}]},{"tag":"Article","attr":{"Num":"43_4"},"children":[{"tag":"ArticleCaption","attr":{},"children":["（準用）"]},{"tag":"ArticleTitle","attr":{},"children":["第四十三条の四"]},{"tag":"Paragraph","attr":{"Num":"1"},"children":[{"tag":"ParagraphNum","attr":{},"children":[]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["第四条（第三項及び第四項を除く。）、第五条第二項及び第三項、第六条並びに前節（第四十三条を除く。）の規定は、共生型居宅介護及び共生型重度訪問介護の事業について準用する。"]}]}]}]}]},{"tag":"Section","attr":{"Num":"6"},"children":[{"tag":"SectionTitle","attr":{},"children":["第六節　基準該当障害福祉サービスに関する基準"]},{"tag":"Article","attr":{"Num":"44"},"children":[{"tag":"ArticleCaption","attr":{},"children":["（従業者の員数）"]},{"tag":"ArticleTitle","attr":{},"children":["第四十四条"]},{"tag":"Paragraph","attr":{"Num":"1"},"children":[{"tag":"ParagraphNum","attr":{},"children":[]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["居宅介護に係る基準該当障害福祉サービス（以下この節において「基準該当居宅介護」という。）の事業を行う者（以下この節において「基準該当居宅介護事業者」という。）が、当該事業を行う事業所（以下この節において「基準該当居宅介護事業所」という。）ごとに置くべき従業者（基準該当居宅介護の提供に当たる者としてこども家庭庁長官及び厚生労働大臣が定めるものをいう。以下この節において同じ。）の員数は、三人以上とする。"]}]}]},{"tag":"Paragraph","attr":{"Num":"2"},"children":[{"tag":"ParagraphNum","attr":{},"children":["２"]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"c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十六条第一項中「第五条第二項」とあるのは「第四十四条第三項」と、第三十条第三項中「第二十六条」とあるのは「第四十八条第二項において準用する第二十六条」と、第三十一条中「第三十五条第一項」とあるのは「第四十八条第二項において準用する第三十五条第一項」と、第四十七条第一項第二号中「第四十四条第三項」とあるのは「第四十八条第二項において準用する第四十四条第三項」と、同条第二項中「次条第一項」とあるのは「第四十八条第二項」と読み替えるほか、重度訪問介護に係る基準該当障害福祉サービスの事業について準用する場合に限り、第四十四条中「こども家庭庁長官及び厚生労働大臣」とあるのは「厚生労働大臣」と読み替えるものとする。"]}]}]}]}]}]},{"tag":"Chapter","attr":{"Num":"3"},"children":[{"tag":"ChapterTitle","attr":{},"children":["第三章　療養介護"]},{"tag":"Section","attr":{"Num":"1"},"children":[{"tag":"SectionTitle","attr":{},"children":["第一節　基本方針"]},{"tag":"Article","attr":{"Num":"49"},"children":[{"tag":"ArticleTitle","attr":{},"children":["第四十九条"]},{"tag":"Paragraph","attr":{"Num":"1"},"children":[{"tag":"ParagraphNum","attr":{},"children":[]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["療養介護に係る指定障害福祉サービス（以下「指定療養介護」という。）の事業は、利用者が自立した日常生活又は社会生活を営むことができるよう、障害者の日常生活及び社会生活を総合的に支援するための法律施行規則（平成十八年厚生労働省令第十九号。以下「規則」という。）第二条の二に規定する者に対して、当該者の身体その他の状況及びその置かれている環境に応じて、機能訓練、療養上の管理、看護、医学的管理の下における介護及び日常生活上の世話を適切かつ効果的に行うものでなければならない。"]}]}]}]}]},{"tag":"Section","attr":{"Num":"2"},"children":[{"tag":"SectionTitle","attr":{},"children":["第二節　人員に関する基準"]},{"tag":"Article","attr":{"Num":"50"},"children":[{"tag":"ArticleCaption","attr":{},"children":["（従業者の員数）"]},{"tag":"ArticleTitle","attr":{},"children":["第五十条"]},{"tag":"Paragraph","attr":{"Num":"1"},"children":[{"tag":"ParagraphNum","attr":{},"children":[]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["指定療養介護の事業を行う者（以下「指定療養介護事業者」という。）が当該事業を行う事業所（以下「指定療養介護事業所」という。）に置くべき従業者及びその員数は、次のとおりとする。"]}]},{"tag":"Item","attr":{"Num":"1"},"children":[{"tag":"ItemTitle","attr":{},"children":["一"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Column","attr":{"Num":"1"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["医師"]}]},{"tag":"Column","attr":{"Num":"2"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["健康保険法（大正十一年法律第七十号）第六十五条第四項第一号に規定する厚生労働大臣の定める基準以上"]}]}]}]},{"tag":"Item","attr":{"Num":"2"},"children":[{"tag":"ItemTitle","attr":{},"children":["二"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Column","attr":{"Num":"1"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["看護職員（看護師、准看護師又は看護補助者をいう。次号において同じ。）"]}]},{"tag":"Column","attr":{"Num":"2"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["指定療養介護の単位ごとに、常勤換算方法で、利用者の数を二で除した数以上"]}]}]}]},{"tag":"Item","attr":{"Num":"3"},"children":[{"tag":"ItemTitle","attr":{},"children":["三"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Column","attr":{"Num":"1"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["生活支援員"]}]},{"tag":"Column","attr":{"Num":"2"},"children":[{"tag":"Sentence","attr":{"Function":"main","Num":"1","WritingMode":"vertical"},"children":["指定療養介護の単位ごとに、常勤換算方法で、利用者の数を四で除した数以上。"]},{"tag":"Sentence","attr":{"Function":"proviso","Num":"2","WritingMode":"vertical"},"children":["ただし、看護職員が、常勤換算方法で、利用者の数を二で除した数以上置かれている指定療養介護の単位については、置かれている看護職員の数から利用者の数を二で除した数を控除した数を生活支援員の数に含めることができるものとする。"]}]}]}]},{"tag":"Item","attr":{"Num":"4"},"children":[{"tag":"ItemTitle","attr":{},"children":["四"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Column","attr":{"Num":"1"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["サービス管理責任者（指定障害福祉サービスの提供に係るサービス管理を行う者として厚生労働大臣が定めるものをいう。以下同じ。）"]}]},{"tag":"Column","attr":{"Num":"2"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["指定療養介護事業所ごとに、イ又はロに掲げる利用者の数の区分に応じ、それぞれイ又はロに掲げる数"]}]}]},{"tag":"Subitem1","attr":{"Num":"1"},"children":[{"tag":"Subitem1Title","attr":{},"children":["イ"]},{"tag":"Subitem1Sentence","attr":{},"children":[{"tag":"Column","attr":{"Num":"1"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["利用者の数が六十以下"]}]},{"tag":"Column","attr":{"Num":"2"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["一以上"]}]}]}]},{"tag":"Subitem1","attr":{"Num":"2"},"children":[{"tag":"Subitem1Title","attr":{},"children":["ロ"]},{"tag":"Subitem1Sentence","attr":{},"children":[{"tag":"Column","attr":{"Num":"1"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["利用者の数が六十一以上"]}]},{"tag":"Column","attr":{"Num":"2"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["一に、利用者の数が六十を超えて四十又はその端数を増すごとに一を加えて得た数以上"]}]}]}]}]}]},{"tag":"Paragraph","attr":{"Num":"2"},"children":[{"tag":"ParagraphNum","attr":{},"children":["２"]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Function":"main","Num":"1","WritingMode":"vertical"},"children":["前項の利用者の数は、前年度の平均値とする。"]},{"tag":"Sentence","attr":{"Function":"proviso","Num":"2","WritingMode":"vertical"},"childre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上であること。"]}]}]},{"tag":"Item","attr":{"Num":"3"},"children":[{"tag":"ItemTitle","attr":{},"children":["三"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["共生型生活介護の利用者に対して適切なサービスを提供するため、指定生活介護事業所その他の関係施設から必要な技術的支援を受けていること。"]}]}]}]}]},{"tag":"Article","attr":{"Num":"93_4"},"children":[{"tag":"ArticleCaption","attr":{},"children":["（共生型生活介護の事業を行う指定小規模多機能型居宅介護事業者等の基準）"]},{"tag":"ArticleTitle","attr":{},"children":["第九十三条の四"]},{"tag":"Paragraph","attr":{"Num":"1"},"children":[{"tag":"ParagraphNum","attr":{},"children":[]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["共生型生活介護の事業を行う指定小規模多機能型居宅介護事業者（指定地域密着型サービス基準第六十三条第一項に規定する指定小規模多機能型居宅介護事業者をいう。）、指定看護小規模多機能型居宅介護事業者（指定地域密着型サービス基準第百七十一条第一項に規定する指定看護小規模多機能型居宅介護事業者をいう。）又は指定介護予防小規模多機能型居宅介護事業者（指定地域密着型介護予防サービスの事業の人員、設備及び運営並びに指定地域密着型介護予防サービスに係る介護予防のための効果的な支援の方法に関する基準（平成十八年厚生労働省令第三十六号。以下「指定地域密着型介護予防サービス基準」という。）第四十四条第一項に規定する指定介護予防小規模多機能型居宅介護事業者をいう。以下同じ。）（以下「指定小規模多機能型居宅介護事業者等」という。）が当該事業に関して満たすべき基準は、次のとおりとする。"]}]},{"tag":"Item","attr":{"Num":"1"},"children":[{"tag":"ItemTitle","attr":{},"children":["一"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["指定小規模多機能型居宅介護事業所（指定地域密着型サービス基準第六十三条第一項に規定する指定小規模多機能型居宅介護事業所をいう。）、指定看護小規模多機能型居宅介護事業所（指定地域密着型サービス基準第百七十一条第一項に規定する指定看護小規模多機能型居宅介護事業所をいう。）又は指定介護予防小規模多機能型居宅介護事業所（指定地域密着型介護予防サービス基準第四十四条第一項に規定する指定介護予防小規模多機能型居宅介護事業所をいう。以下同じ。）（以下「指定小規模多機能型居宅介護事業所等」という。）の登録定員（当該指定小規模多機能型居宅介護事業所等の登録者（指定地域密着型サービス基準第六十三条第一項若しくは第百七十一条第一項又は指定地域密着型介護予防サービス基準第四十四条第一項に規定する登録者をいう。以下同じ。）の数と共生型生活介護、共生型自立訓練（機能訓練）（第百六十二条の二に規定する共生型自立訓練（機能訓練）をいう。）若しくは共生型自立訓練（生活訓練）（第百七十一条の二に規定する共生型自立訓練（生活訓練）をいう。）又は共生型児童発達支援（指定通所支援基準第五十四条の二に規定する共生型児童発達支援をいう。）若しくは共生型放課後等デイサービス（指定通所支援基準第七十一条の二に規定する共生型放課後等デイサービスをいう。）（以下「共生型通いサービス」という。）を利用するために当該指定小規模多機能型居宅介護事業所等に登録を受けた障害者及び障害児の数の合計数の上限をいう。以下この条、第百六十二条の四及び第百七十一条の三において同じ。）を二十九人（サテライト型指定小規模多機能型居宅介護事業所（指定地域密着型サービス基準第六十三条第七項に規定するサテライト型指定小規模多機能型居宅介護事業所をいう。）、サテライト型指定看護小規模多機能型居宅介護事業所（指定地域密着型サービス基準第百七十一条第八項に規定するサテライト型指定看護小規模多機能型居宅介護事業所をいう。）又はサテライト型指定介護予防小規模多機能型居宅介護事業所（指定地域密着型介護予防サービス基準第四十四条第七項に規定するサテライト型指定介護予防小規模多機能型居宅介護事業所をいう。第九十四条の二において同じ。）（以下「サテライト型指定小規模多機能型居宅介護事業所等」という。）にあっては、十八人）以下とすること。"]}]}]},{"tag":"Item","attr":{"Num":"2"},"children":[{"tag":"ItemTitle","attr":{},"children":["二"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["指定小規模多機能型居宅介護事業所等が提供する指定小規模多機能型居宅介護（指定地域密着型サービス基準第六十二条に規定する指定小規模多機能型居宅介護をいう。）、指定看護小規模多機能型居宅介護（指定地域密着型サービス基準第百七十条に規定する指定看護小規模多機能型居宅介護をいう。）又は指定介護予防小規模多機能型居宅介護（指定地域密着型介護予防サービス基準第四十三条に規定する指定介護予防小規模多機能型居宅介護をいう。以下同じ。）（以下「指定小規模多機能型居宅介護等」という。）のうち通いサービス（指定地域密着型サービス基準第六十三条第一項若しくは第百七十一条第一項又は指定地域密着型介護予防サービス基準第四十四条第一項に規定する通いサービスをいう。以下同じ。）の利用定員（当該指定小規模多機能型居宅介護事業所等の通いサービスの利用者の数と共生型通いサービスを受ける障害者及び障害児の数の合計数の一日当たりの上限をいう。以下この条、第百六十二条の四及び第百七十一条の三において同じ。）を登録定員の二分の一から十五人（登録定員が二十五人を超える指定小規模多機能型居宅介護事業所等にあっては、登録定員に応じて、次の表に定める利用定員、サテライト型指定小規模多機能型居宅介護事業所等にあっては、十二人）までの範囲内とすること。"]}]},{"tag":"TableStruct","attr":{},"children":[{"tag":"Table","attr":{"WritingMode":"vertical"},"children":[{"tag":"TableRow","attr":{},"children":[{"tag":"TableColumn","attr":{"BorderBottom":"solid","BorderLeft":"solid","BorderRight":"solid","BorderTop":"solid"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["登録定員"]}]},{"tag":"TableColumn","attr":{"BorderBottom":"solid","BorderLeft":"solid","BorderRight":"solid","BorderTop":"solid"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["利用定員"]}]}]},{"tag":"TableRow","attr":{},"children":[{"tag":"TableColumn","attr":{"BorderBottom":"solid","BorderLeft":"solid","BorderRight":"solid","BorderTop":"solid"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["二十六人又は二十七人"]}]},{"tag":"TableColumn","attr":{"BorderBottom":"solid","BorderLeft":"solid","BorderRight":"solid","BorderTop":"solid"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["十六人"]}]}]},{"tag":"TableRow","attr":{},"children":[{"tag":"TableColumn","attr":{"BorderBottom":"solid","BorderLeft":"solid","BorderRight":"solid","BorderTop":"solid"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["二十八人"]}]},{"tag":"TableColumn","attr":{"BorderBottom":"solid","BorderLeft":"solid","BorderRight":"solid","BorderTop":"solid"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["十七人"]}]}]},{"tag":"TableRow","attr":{},"children":[{"tag":"TableColumn","attr":{"BorderBottom":"solid","BorderLeft":"solid","BorderRight":"solid","BorderTop":"solid"},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["二十九人"]}]},{"tag":"TableColumn","attr":{"BorderBottom":"solid","BorderLeft":"solid","BorderRight":"solid","BorderTop":"solid"},"children":[{"tag":"Sentence","attr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条、第八十一条、第八十六条から第八十八条まで、第八十九条（第十号を除く。）及び第九十条から第九十二条までの規定は、特定基準該当障害福祉サービスの事業について準用する。"]},{"tag":"Sentence","attr":{"Num":"2","WritingMode":"vertical"},"children":["この場合において、第九条第一項中「第三十一条」とあるのは「第二百二十三条第一項において準用する第八十九条」と、第十五条中「介護給付費」とあるのは「特例介護給付費又は特例訓練等給付費」と、第二十条第二項中「次条第一項から第三項まで」とあるのは「第二百二十三条第二項において準用する第八十二条第二項及び第三項、第二百二十三条第三項及び第五項において準用する第百五十九条第二項及び第三項並びに第二百二十三条第四項において準用する第百七十条第二項及び第三項」と、第二十三条第二項中「第二十一条第二項」とあるのは「第二百二十三条第二項において準用する第八十二条第二項、第二百二十三条第三項及び第五項において準用する第百五十九条第二項並びに第二百二十三条第四項において準用する第百七十条第二項」と、第三十六条第三項中「指定居宅介護事業者等」とあるのは「障害福祉サービス事業を行う者等」と、第四十一条中「指定居宅介護事業所ごとに経理を区分するとともに、指定居宅介護の事業の会計をその他の事業の会計と」とあるのは「その提供する特定基準該当障害福祉サービスの事業ごとに、その会計を」と、第五十七条第一項中「次条第一項」とあるのは「第二百二十三条第一項において準用する次条第一項」と、「療養介護計画」とあるのは「特定基準該当障害福祉サービス計画」と、第五十八条中「療養介護計画」とあるのは「特定基準該当障害福祉サービス計画」と、同条第九項中「六月」とあるのは「六月（特定基準該当障害福祉サービス計画のうち特定基準該当自立訓練（機能訓練）に係る計画又は特定基準該当自立訓練（生活訓練）に係る計画にあっては、三月）」と、第五十九条中「前条」とあるのは「第二百二十三条第一項において準用する前条」と、第七十五条第二項第一号中「第五十八条第一項」とあるのは「第二百二十三条第一項において準用する第五十八条第一項」と、「療養介護計画」とあるのは「特定基準該当障害福祉サービス計画」と、同項第二号中「第五十三条の二第一項」とあるのは「第二百二十三条第一項において準用する第十九条第一項」と、同項第三号中「第六十五条」とあるのは「第二百二十三条第一項において準用する第八十八条」と、同項第四号から第六号まで中「次条」とあるのは「第二百二十三条第一項」と、第八十八条第二号中「介護給付費又は特例介護給付費」とあるのは「特例介護給付費又は特例訓練等給付費」と、第九十二条第一項中「前条」とあるのは「第二百二十三条第一項において準用する前条」と読み替えるものとする。"]}]}]},{"tag":"Paragraph","attr":{"Num":"2"},"children":[{"tag":"ParagraphNum","attr":{},"children":["２"]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["第七十七条、第八十二条（第一項を除く。）、第八十三条（第五項を除く。）、第八十四条及び第八十五条の規定は、特定基準該当障害福祉サービス事業者（特定基準該当生活介護の事業を行う者に限る。）について準用する。"]},{"tag":"Sentence","attr":{"Num":"2","WritingMode":"vertical"},"children":["この場合において、第七十七条中「生活介護に係る指定障害福祉サービス（以下「指定生活介護」という。）」とあるのは「特定基準該当生活介護」と、第八十二条中「指定生活介護」とあるのは「特定基準該当生活介護」と、第八十三条第六項中「指定生活介護事業所」とあるのは「特定基準該当障害福祉サービス事業所」と読み替えるものとする。"]}]}]},{"tag":"Paragraph","attr":{"Num":"3"},"children":[{"tag":"ParagraphNum","attr":{},"children":["３"]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["第百五十五条、第百五十九条（第一項を除く。）、第百六十条（第三項を除く。）及び第百六十一条第二項の規定は、特定基準該当障害福祉サービス事業者（特定基準該当自立訓練（機能訓練）の事業を行う者に限る。）について準用する。"]},{"tag":"Sentence","attr":{"Num":"2","WritingMode":"vertical"},"children":["この場合において、第百五十五条中「自立訓練（機能訓練）（規則第六条の六第一号に規定する自立訓練（機能訓練）をいう。以下同じ。）に係る指定障害福祉サービス（以下「指定自立訓練（機能訓練）」という。）」とあるのは「特定基準該当自立訓練（機能訓練）」と、第百五十九条中「指定自立訓練（機能訓練）」とあるのは「特定基準該当自立訓練（機能訓練）」と、第百六十条第四項中「指定自立訓練（機能訓練）事業所」とあるのは「特定基準該当障害福祉サービス事業所」と読み替えるものとする。"]}]}]},{"tag":"Paragraph","attr":{"Num":"4"},"children":[{"tag":"ParagraphNum","attr":{},"children":["４"]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["第百六十条（第三項を除く。）、第百六十一条第二項、第百六十五条及び第百七十条（第一項及び第四項を除く。）の規定は、特定基準該当障害福祉サービス事業者（特定基準該当自立訓練（生活訓練）の事業を行う者に限る。）について準用する。"]},{"tag":"Sentence","attr":{"Num":"2","WritingMode":"vertical"},"children":["この場合において、第百六十条第四項中「指定自立訓練（機能訓練）事業所」とあるのは「特定基準該当障害福祉サービス事業所」と、第百六十五条中「自立訓練（生活訓練）（規則第六条の六第二号に規定する自立訓練（生活訓練）をいう。以下同じ。）に係る指定障害福祉サービス（以下「指定自立訓練（生活訓練）」という。）」とあるのは「特定基準該当自立訓練（生活訓練）」と、第百七十条中「指定自立訓練（生活訓練）」とあるのは「特定基準該当自立訓練（生活訓練）」と読み替えるものとする。"]}]}]},{"tag":"Paragraph","attr":{"Num":"5"},"children":[{"tag":"ParagraphNum","attr":{},"children":["５"]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["第八十四条、第百五十九条（第一項を除く。）、第百六十条（第三項を除く。）、第百九十三条から第百九十五条まで、第百九十八条及び第二百一条の規定は、特定基準該当障害福祉サービス事業者（特定基準該当就労継続支援Ｂ型の事業を行う者に限る。）について準用する。"]},{"tag":"Sentence","attr":{"Num":"2","WritingMode":"vertical"},"children":["この場合において、第百五十九条中「指定自立訓練（機能訓練）」とあるのは「特定基準該当就労継続支援Ｂ型」と、第百六十条第四項中「指定自立訓練（機能訓練）事業所」とあるのは「特定基準該当障害福祉サービス事業所」と、第百九十三条第一項中「第百九十七条」とあるのは「第二百二十三条第一項」と、「就労継続支援Ａ型計画」とあるのは「特定基準該当障害福祉サービス計画」と、第百九十八条中「規則第六条の十第二号に規定する就労継続支援Ｂ型（以下「就労継続支援Ｂ型」という。）に係る指定障害福祉サービス（以下「指定就労継続支援Ｂ型」という。）」とあるのは「特定基準該当就労継続支援Ｂ型」と読み替えるものとする。"]}]}]}]}]},{"tag":"Chapter","attr":{"Num":"20"},"children":[{"tag":"ChapterTitle","attr":{},"children":["第二十章　雑則"]},{"tag":"Article","attr":{"Num":"224"},"children":[{"tag":"ArticleCaption","attr":{},"children":["（電磁的記録等）"]},{"tag":"ArticleTitle","attr":{},"children":["第二百二十四条"]},{"tag":"Paragraph","attr":{"Num":"1"},"children":[{"tag":"ParagraphNum","attr":{},"children":[]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["指定障害福祉サービス事業者及びその従業者は、作成、保存その他これらに類するもののうち、この命令の規定において書面（書面、書類、文書、謄本、抄本、正本、副本、複本その他文字、図形等人の知覚によって認識することができる情報が記載された紙その他の有体物をいう。以下この条において同じ。）で行うことが規定されている又は想定されるもの（第十条第一項（第四十三条第一項及び第二項、第四十三条の四、第四十八条第一項及び第二項、第九十三条、第九十三条の五、第百三十六条、第百六十二条、第百六十二条の五、第百七十一条、第百七十一条の四、第百八十四条、第百九十七条、第二百二条、第二百六条、第二百六条の十二、第二百六条の二十並びに第二百二十三条第一項において準用する場合を含む。）、第十四条（第四十三条第一項及び第二項、第四十三条の四、第四十八条第一項及び第二項、第七十六条、第九十三条、第九十三条の五、第百二十五条、第百二十五条の四、第百三十六条、第百六十二条、第百六十二条の五、第百七十一条、第百七十一条の四、第百八十四条、第百九十七条、第二百二条、第二百六条、第二百六条の十二、第二百六条の二十、第二百十三条、第二百十三条の十一、第二百十三条の二十二並びに第二百二十三条第一項において準用する場合を含む。）、第五十三条第一項、第百十九条第一項（第百二十五条の四において準用する場合を含む。）、第二百十条の三第一項（第二百十三条の十一及び第二百十三条の二十二において準用する場合を含む。）及び次項に規定するものを除く。）については、書面に代えて、当該書面に係る電磁的記録（電子的方式、磁気的方式その他人の知覚によっては認識することができない方式で作られる記録であって、電子計算機による情報処理の用に供されるものをいう。）により行うことができる。"]}]}]},{"tag":"Paragraph","attr":{"Num":"2"},"children":[{"tag":"ParagraphNum","attr":{},"children":["２"]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["指定障害福祉サービス事業者及びその従業者は、交付、説明、同意、締結その他これらに類するもの（以下「交付等」という。）のうち、この命令の規定において書面で行うことが規定されている又は想定されるものについては、当該交付等の相手方の承諾を得て、当該交付等の相手方が利用者である場合には当該利用者に係る障害の特性に応じた適切な配慮をしつつ、書面に代えて、電磁的方法（電子的方法、磁気的方法その他人の知覚によって認識することができない方法をいう。）によることができる。"]}]}]}]}]}]},{"tag":"SupplProvision","attr":{},"children":[{"tag":"SupplProvisionLabel","attr":{},"children":["附　則"]},{"tag":"Article","attr":{"Num":"1"},"children":[{"tag":"ArticleCaption","attr":{},"children":["（施行期日）"]},{"tag":"ArticleTitle","attr":{},"children":["第一条"]},{"tag":"Paragraph","attr":{"Num":"1"},"children":[{"tag":"ParagraphNum","attr":{},"children":[]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["この省令は、平成十八年十月一日から施行する。"]}]}]}]},{"tag":"Article","attr":{"Num":"2"},"children":[{"tag":"ArticleCaption","attr":{},"children":["（旧法施設支援等に関する経過措置）"]},{"tag":"ArticleTitle","attr":{},"children":["第二条"]},{"tag":"Paragraph","attr":{"Num":"1"},"children":[{"tag":"ParagraphNum","attr":{},"children":[]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["法附則第一条第三号に掲げる規定の施行の日の前日までの間は、第二条第十一号中「指定障害福祉サービス等」とあるのは「指定障害福祉サービス等又は指定旧法施設支援（法附則第二十一条第一項に規定する指定旧法施設支援をいう。以下同じ。）」と、「法第二十九条第三項」とあるのは「法第二十九条第三項又は法附則第二十一条第二項若しくは法附則第二十二条第四項」と、第二十二条中「他の指定障害福祉サービス等」とあるのは「他の指定障害福祉サービス等又は指定旧法施設支援」と、「含む。）」とあるのは「含む。）又は法附則第二十一条第二項若しくは法附則第二十二条第四項」と、「指定障害福祉サービス事業者等」とあるのは「指定障害福祉サービス事業者等又は特定旧法指定施設（法附則第二十一条第一項に規定する特定旧法指定施設をいう。以下同じ。）」と、第五十五条及び第百四十四条中「他の指定障害福祉サービス等」とあるのは「他の指定障害福祉サービス等又は指定旧法施設支援」と、「指定障害福祉サービス事業者等」とあるのは「指定障害福祉サービス事業者等又は特定旧法指定施設」と、第百十五条第三項第一号本文中「指定共同生活援助事業所」とあるのは「指定共同生活援助事業所、特定旧法指定施設（通所によるものに限り、法附則第五十八条第一項の規定によりなお従前の例により運営することができることとされた法附則第五十二条による改正前の知的障害者福祉法（昭和三十五年法律第三十七号。以下「旧知的障害者福祉法」という。）第二十一条の八に規定する知的障害者通勤寮のうち旧知的障害者福祉法第十五条の十一第一項の指定を受けているもの（以下「指定知的障害者通勤寮」という。）を含む。）」と、第百十五条第三項第一号イ中「指定共同生活援助」とあるのは「指定共同生活援助、指定旧法施設支援（通所によるものに限り、指定知的障害者通勤寮において行われるものを含む。）」と、第百三十二条第一項中「就労継続支援」とあるのは「就労継続支援並びに法附則第二十条に規定する旧法施設支援（通所によるものに限る。）」と、「又は障害者自立支援法に基づく障害者支援施設の設備及び運営に関する基準（平成十八年厚生労働省令第百七十七号）」とあるのは「、障害者自立支援法に基づく障害者支援施設の設備及び運営に関する基準（平成十八年厚生労働省令第百七十七号）又は障害者自立支援法の一部の施行に伴う厚生労働省関係省令の整備等に関する省令（平成十八年厚生労働省令第百六十九号）による改正前の身体障害者更生援護施設の設備及び運営に関する基準（平成十五年厚生労働省令第二十一号）若しくは廃止前の知的障害者援護施設の設備及び運営に関する基準（平成十五年厚生労働省令第二十二号）」とする。"]}]}]}]},{"tag":"Article","attr":{"Num":"3"},"children":[{"tag":"ArticleCaption","attr":{},"children":["（指定療養介護事業所に置くべき従業員の員数に関する経過措置）"]},{"tag":"ArticleTitle","attr":{},"children":["第三条"]},{"tag":"Paragraph","attr":{"Num":"1"},"children":[{"tag":"ParagraphNum","attr":{},"children":[]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["平成二十四年三月三十一日までの間、この省令の施行の日（以下「施行日」という。）において現に存する指定医療機関（児童福祉法第七条第六項又は身体障害者福祉法（昭和二十四年法律第二百八十三号）第十八条第四項に規定する指定医療機関をいう。以下同じ。）については、第五十条第一項第三号の基準を満たすための人員配置計画を作成した場合は、指定療養介護事業所に置くべき生活支援員の員数は、同号の規定にかかわらず、常勤換算方法で、指定療養介護の単位ごとに、利用者の数を六で除した数以上とする。"]},{"tag":"Sentence","attr":{"Num":"2","WritingMode":"vertical"},"children":["この場合において、看護職員（看護師若しくは准看護師又は看護補助者をいう。以下この条において同じ。）が、常勤換算方法で、利用者の数を二で除した数以上置かれている指定療養介護の単位については、置かれている看護職員の数から利用者の数を二で除した数を控除した数を生活支援員の数に含めることができるものとする。"]}]}]},{"tag":"Paragraph","attr":{"Num":"2"},"children":[{"tag":"ParagraphNum","attr":{},"children":["２"]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["法附則第一条第三号に掲げる規定の施行の日の前日までの間、厚生労働大臣が定める者に対し指定療養介護を提供する指定療養介護事業所については、第五十条第一項第三号中「利用者の数を四で除した数以上」とあるのは、「利用者（厚生労働大臣が定める者を除く。）の数を四で除した数及び厚生労働大臣が定める者の数を六で除した数を合計した数以上」とする。"]}]}]}]},{"tag":"Article","attr":{"Num":"4"},"children":[{"tag":"ArticleCaption","attr":{},"children":["（指定生活介護事業所に置くべき従業者の員数に関する経過措置）"]},{"tag":"ArticleTitle","attr":{},"children":["第四条"]},{"tag":"Paragraph","attr":{"Num":"1"},"children":[{"tag":"ParagraphNum","attr":{},"children":[]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["当分の間、第一号の厚生労働大臣が定める者に対し指定生活介護を提供する指定生活介護事業所に置くべき看護職員（保健師又は看護師若しくは准看護師をいう。以下この条において同じ。）、理学療法士、作業療法士又は言語聴覚士及び生活支援員の総数は、第七十八条第一項第二号イの規定にかかわらず、指定生活介護の単位ごとに、常勤換算方法で、次の各号に掲げる数を合計した数以上とする。"]}]},{"tag":"Item","attr":{"Num":"1"},"children":[{"tag":"ItemTitle","attr":{},"children":["一"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["次のイからハまでに掲げる利用者（厚生労働大臣が定める者を除く。以下この号において同じ。）の平均障害支援区分に応じ、それぞれイからハまでに掲げる数"]}]},{"tag":"Subitem1","attr":{"Num":"1"},"children":[{"tag":"Subitem1Title","attr":{},"children":["イ"]},{"tag":"Subitem1Sentence","attr":{},"children":[{"tag":"Column","attr":{"Num":"1"},"children":[{"tag":"Sentence","attr":{"N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の各号のいずれにも該当するものとして都道府県知事が認めたものにおいて、指定共同生活援助の事業を行う場合に限り、平成二十七年三月三十一日までの間、当該事業所（以下「経過的居宅介護利用型指定共同生活援助事業所」という。）には、第二百八条第一項第二号に掲げる生活支援員及び同項第三号に掲げるサービス管理責任者を置かないことができる。"]}]},{"tag":"Item","attr":{"Num":"1"},"children":[{"tag":"ItemTitle","attr":{},"children":["一"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["施行日において現に居宅介護の支給決定を受けている利用者が、同日以降も引き続き入居していること"]}]}]},{"tag":"Item","attr":{"Num":"2"},"children":[{"tag":"ItemTitle","attr":{},"children":["二"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["生活支援員を置くことが困難であること"]}]}]}]}]},{"tag":"Article","attr":{"Num":"14"},"children":[{"tag":"ArticleCaption","attr":{},"children":["（経過的居宅介護利用型指定共同生活援助事業所における運営に関する特例）"]},{"tag":"ArticleTitle","attr":{},"children":["第十四条"]},{"tag":"Paragraph","attr":{"Num":"1"},"children":[{"tag":"ParagraphNum","attr":{},"children":[]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["経過的居宅介護利用型指定共同生活援助事業所における指定共同生活援助の事業については、第二百十三条において準用する第五十八条及び第二百十一条第三項の規定は適用しない。"]}]}]},{"tag":"Paragraph","attr":{"Num":"2"},"children":[{"tag":"ParagraphNum","attr":{},"children":["２"]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["経過的居宅介護利用型指定共同生活援助事業所の管理者は、第二百十三条において準用する第六十六条に掲げる業務のほか、第二百十条の六各号に掲げる業務を行うものとする。"]}]}]}]},{"tag":"Article","attr":{"Num":"15:17"},"children":[{"tag":"ArticleTitle","attr":{},"children":["第十五条から第十七条まで"]},{"tag":"Paragraph","attr":{"Num":"1"},"children":[{"tag":"ParagraphNum","attr":{},"children":[]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["削除"]}]}]}]},{"tag":"Article","attr":{"Num":"18"},"children":[{"tag":"ArticleCaption","attr":{},"children":["（施行日において現に指定共同生活援助の事業を行っている事業所に係る設備に関する特例）"]},{"tag":"ArticleTitle","attr":{},"children":["第十八条"]},{"tag":"Paragraph","attr":{"Num":"1"},"children":[{"tag":"ParagraphNum","attr":{},"children":[]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["指定共同生活援助事業者等は、施行日において現に存する指定共同生活援助事業所において、指定共同生活援助の事業等を行う場合には、当該事業所の共同生活住居（基本的な設備が完成しているものを含み、この省令の施行の後に増築され、又は改築される等建物の構造を変更したものを除く。）が満たすべき設備に関する基準については、第二百十条第七項及び第八項（これらの規定を第二百十三条の十六において準用する場合を含む。）の規定にかかわらず、旧指定基準第百九条第二項及び第三項に定める基準によることができる。"]}]}]}]},{"tag":"Article","attr":{"Num":"18_2"},"children":[{"tag":"ArticleCaption","attr":{},"children":["（指定共同生活援助事業所又は日中サービス支援型指定共同生活援助事業所において個人単位で居宅介護等を利用する場合の特例）"]},{"tag":"ArticleTitle","attr":{},"children":["第十八条の二"]},{"tag":"Paragraph","attr":{"Num":"1"},"children":[{"tag":"ParagraphNum","attr":{},"children":[]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["第二百十一条第三項及び第二百十三条の八第四項の規定は、指定共同生活援助事業所又は日中サービス支援型指定共同生活援助事業所の利用者のうち、重度訪問介護、同行援護又は行動援護に係る支給決定を受けることができる者であって、障害支援区分に係る市町村審査会による審査及び判定の基準等に関する命令（平成二十六年厚生労働省令第五号）第一条第五号に規定する区分四、同条第六号に規定する区分五又は同条第七号に規定する区分六に該当するものが、共同生活住居内において、当該指定共同生活援助事業所又は日中サービス支援型指定共同生活援助事業所の従業者以外の者による居宅介護又は重度訪問介護の利用を希望する場合については、令和九年三月三十一日までの間、当該利用者については、適用しない。"]}]}]},{"tag":"Paragraph","attr":{"Num":"2"},"children":[{"tag":"ParagraphNum","attr":{},"children":["２"]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["第二百十一条第三項及び第二百十三条の八第四項の規定は、指定共同生活援助事業所又は日中サービス支援型指定共同生活援助事業所の利用者のうち、障害支援区分に係る市町村審査会による審査及び判定の基準等に関する命令第一条第五号に規定する区分四、同条第六号に規定する区分五又は同条第七号に規定する区分六に該当するものが、共同生活住居内において、当該指定共同生活援助事業所又は当該日中サービス支援型指定共同生活援助事業所の従業者以外の者による居宅介護（身体介護に係るものに限る。以下この項において同じ。）の利用を希望し、次の各号に掲げる要件のいずれにも該当する場合については、令和九年三月三十一日までの間、当該利用者については、適用しない。"]}]},{"tag":"Item","attr":{"Num":"1"},"children":[{"tag":"ItemTitle","attr":{},"children":["一"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["当該利用者の個別支援計画に居宅介護の利用が位置付けられていること"]}]}]},{"tag":"Item","attr":{"Num":"2"},"children":[{"tag":"ItemTitle","attr":{},"children":["二"]},{"tag":"ItemSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["当該利用者が居宅介護を利用することについて、市町村が必要と認めること"]}]}]}]},{"tag":"Paragraph","attr":{"Num":"3"},"children":[{"tag":"ParagraphNum","attr":{},"children":["３"]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["前二項の場合において、第二百八条第一項第二号ロからニまで及び第二百十三条の四第一項第二号ロからニまでの規定中「利用者の数」とあるのは「利用者の数（附則第十八条の二第一項又は第二項の規定の適用を受ける者にあっては、当該利用者の数に二分の一を乗じて得た数）」とする。"]}]}]}]},{"tag":"Article","attr":{"Num":"19"},"children":[{"tag":"ArticleCaption","attr":{},"children":["（施行日において現に存する精神障害者生活訓練施設等に係る設備に関する特例）"]},{"tag":"ArticleTitle","attr":{},"children":["第十九条"]},{"tag":"Paragraph","attr":{"Num":"1"},"children":[{"tag":"ParagraphNum","attr":{},"children":[]},{"tag":"ParagraphSenten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準第二十五条の二（新障害福祉サービス基準第五十条、第五十五条、第六十一条、第七十条、第八十五条及び第八十八条において準用する場合を含む。）、新地域活動支援センター基準第十四条の二、新福祉ホーム基準第十三条の二、新障害者支援施設等基準第三十五条の二、新指定通所支援基準第三十八条の二（新指定通所支援基準第五十四条の五、第五十四条の九、第六十四条、第七十一条、第七十一条の二、第七十一条の六、第七十一条の十四及び第七十九条において準用する場合を含む。）、第九条の規定による改正後の設備運営基準（以下「新設備運営基準」という。）第九条の四、新指定入所施設基準第三十五条の二（新指定入所施設基準第五十七条において準用する場合を含む。）、新指定地域相談支援基準第二十八条の二（新指定地域相談支援基準第四十五条において準用する場合を含む。）、新指定計画相談支援基準第二十条の二並びに新指定障害児相談支援基準第二十条の二の規定の適用については、これらの規定中「講じなければ」とあるのは「講ずるよう努めなければ」と、「実施しなければ」とあるのは「実施するよう努めなければ」と、「行う」とあるのは「行うよう努める」とする。"]}]}]}]},{"tag":"Article","attr":{"Num":"4"},"children":[{"tag":"ArticleCaption","attr":{},"children":["（感染症の予防及びまん延の防止のための措置に係る経過措置）"]},{"tag":"ArticleTitle","attr":{},"children":["第四条"]},{"tag":"Paragraph","attr":{"Num":"1"},"children":[{"tag":"ParagraphNum","attr":{},"children":[]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["この省令の施行の日から令和六年三月三十一日までの間、新指定障害福祉サービス基準第三十四条第三項（新指定障害福祉サービス基準第四十三条第一項及び第二項、第四十三条の四、第四十八条第一項及び第二項、第百三十六条、第二百六条の十二並びに第二百六条の二十において準用する場合を含む。）、第七十一条第二項及び第九十条第二項（新指定障害福祉サービス基準第九十三条の五、第百二十五条、第百二十五条の四、第百六十二条、第百六十二条の四、第百七十一条、第百七十一条の四、第百八十四条、第百九十七条、第二百二条、第二百六条、第二百十三条、第二百十三条の十一、第二百十三条の二十二及び第二百二十三条第一項において準用する場合を含む。）、新身体障害者社会参加支援施設基準第二十三条第二項（新身体障害者社会参加支援施設基準第二十八条、第三十三条及び第四十二条において準用する場合を含む。）、新指定障害者支援施設基準第四十五条第二項、新障害福祉サービス基準第二十七条第二項及び第四十八条第二項（新障害福祉サービス基準第五十五条、第六十一条、第七十条、第八十五条及び第八十八条において準用する場合を含む。）、新地域活動支援センター基準第十五条第二項、新福祉ホーム基準第十四条第二項、新障害者支援施設等基準第三十七条第二項、新指定通所支援基準第四十一条第二項（新指定通所支援基準第五十四条の五、第五十四条の九、第六十四条、第七十一条、第七十一条の二、第七十一条の六、第七十一条の十四及び第七十九条において準用する場合を含む。）、新設備運営基準第十条第三項、新指定入所施設基準第三十八条第二項（新指定入所施設基準第五十七条において準用する場合を含む。）、新指定地域相談支援基準第三十条第三項（新指定地域相談支援基準第四十五条において準用する場合を含む。）、新指定計画相談支援基準第二十二条第三項並びに新指定障害児相談支援基準第二十二条第三項の規定の適用については、これらの規定中「講じなければ」とあるのは、「講ずるよう努めなければ」とする。"]}]}]}]},{"tag":"Article","attr":{"Num":"5"},"children":[{"tag":"ArticleCaption","attr":{},"children":["（身体拘束等の禁止に係る経過措置）"]},{"tag":"ArticleTitle","attr":{},"children":["第五条"]},{"tag":"Paragraph","attr":{"Num":"1"},"children":[{"tag":"ParagraphNum","attr":{},"children":[]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["この省令の施行の日から令和四年三月三十一日までの間、新指定障害福祉サービス基準第三十五条の二第三項（新指定障害福祉サービス基準第四十三条第一項及び第二項、第四十三条の四、第七十六条、第九十三条、第九十三条の五、第百二十五条、第百二十五条の四、第百三十六条、第百六十二条、第百六十二条の四、第百七十一条、第百七十一条の四、第百八十四条、第百九十七条、第二百二条、第二百六条、第二百十三条、第二百十三条の十一、第二百十三条の二十二並びに第二百二十三条第一項において準用する場合を含む。）、新指定障害者支援施設基準第四十八条第三項、新障害福祉サービス基準第二十八条第三項（新障害福祉サービス基準第五十条、第五十五条、第六十一条、第七十条、第八十五条及び第八十八条において準用する場合を含む。）、新障害者支援施設等基準第三十九条第三項、新指定通所支援基準第四十四条第三項（新指定通所支援基準第五十四条の五、第五十四条の九、第六十四条、第七十一条、第七十一条の二、第七十一条の六、第七十一条の十四及び第七十九条において準用する場合を含む。）及び新指定入所施設基準第四十一条第三項（新指定入所施設基準第五十七条において準用する場合を含む。）の規定の適用については、これらの規定中「講じなければ」とあるのは、「講ずるよう努めなければ」とする。"]}]}]}]}]},{"tag":"SupplProvision","attr":{"AmendLawNum":"令和三年三月二三日厚生労働省令第五五号"},"children":[{"tag":"SupplProvisionLabel","attr":{},"children":["附　則"]},{"tag":"Paragraph","attr":{"Num":"1"},"children":[{"tag":"ParagraphNum","attr":{},"children":[]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Function":"main","Num":"1","WritingMode":"vertical"},"children":["この省令は、令和三年七月一日から施行する。"]},{"tag":"Sentence","attr":{"Function":"proviso","Num":"2","WritingMode":"vertical"},"children":["ただし、第一条中指定障害福祉サービス等基準第二百二十三条第一項の改正規定、第四条中指定障害者支援施設基準附則第七条第三項、第八条第二項から第六項まで及び第十三条の二から第十四条までの改正規定、第八条中障害者支援施設等基準附則第五条の二、第七条第三項、第八条第二項から第五項まで、第十三条の二及び第十四条の改正規定、第九条中児童福祉法施行規則第十八条の四の改正規定、第十条中設備運営基準第六十三条第四項の改正規定、第十一条中指定通所支援基準第五条第五項、第六条第七項、第六十六条第五項及び第八十条第一項の改正規定並びに第十七条は、令和三年四月一日から施行する。"]}]}]}]},{"tag":"SupplProvision","attr":{"AmendLawNum":"令和五年三月三一日厚生労働省令第四八号","Extract":"true"},"children":[{"tag":"SupplProvisionLabel","attr":{},"children":["附　則"]},{"tag":"Article","attr":{"Num":"1"},"children":[{"tag":"ArticleCaption","attr":{},"children":["（施行期日）"]},{"tag":"ArticleTitle","attr":{},"children":["第一条"]},{"tag":"Paragraph","attr":{"Num":"1"},"children":[{"tag":"ParagraphNum","attr":{},"children":[]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Num":"1","WritingMode":"vertical"},"children":["この省令は、令和五年四月一日から施行する。"]}]}]}]}]},{"tag":"SupplProvision","attr":{"AmendLawNum":"令和六年一月二五日内閣府・厚生労働省令第三号"},"children":[{"tag":"SupplProvisionLabel","attr":{},"children":["附　則"]},{"tag":"Article","attr":{"Num":"1"},"children":[{"tag":"ArticleCaption","attr":{},"children":["（施行期日）"]},{"tag":"ArticleTitle","attr":{},"children":["第一条"]},{"tag":"Paragraph","attr":{"Num":"1"},"children":[{"tag":"ParagraphNum","attr":{},"children":[]},{"tag":"ParagraphSentence","attr":{},"children":[{"tag":"Sentence","attr":{"Function":"main","Num":"1","WritingMode":"vertical"},"children":["この命令は、令和六年四月一日から施行する。"]},{"tag":"Sentence","attr":{"Function":"proviso","Num":"2","WritingMode":"vertical"},"children":["ただし、第三条、第五条及び第七条の規定は、令和七年十月一日から施行する。"]}]}]}]},{"tag":"Article","attr":{"Num":"2"},"children":[{"tag":"ArticleCaption","attr":{},"children":["（経過措置）"]},{"tag":"ArticleTitle","attr":{},"children":["第二条"]},{"tag":"Paragraph","attr":{"Num":"1"},"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