{"id":"m6d9e6287704c644b","name":"在宅ターミナルケア加算 （医療保険）","aka":[],"category":{"slug":"iryo","name":"医療・健康"},"provider":{"level":"prefecture","name":"全国の保険医療機関","municipalities":[{"code":"134023","name":"青ヶ島村"},{"code":"132276","name":"羽村市"},{"code":"133817","name":"三宅村"},{"code":"132144","name":"国分寺市"},{"code":"131113","name":"大田区"},{"code":"131211","name":"足立区"},{"code":"132250","name":"稲城市"},{"code":"131130","name":"渋谷区"},{"code":"131202","name":"練馬区"},{"code":"132110","name":"小平市"},{"code":"134015","name":"八丈町"},{"code":"132217","name":"清瀬市"},{"code":"131148","name":"中野区"},{"code":"133647","name":"神津島村"},{"code":"132098","name":"町田市"},{"code":"134210","name":"小笠原村"},{"code":"132225","name":"東久留米市"},{"code":"131229","name":"葛飾区"},{"code":"131121","name":"世田谷区"},{"code":"131172","name":"北区"},{"code":"132063","name":"府中市"},{"code":"133639","name":"新島村"},{"code":"132136","name":"東村山市"},{"code":"131181","name":"荒川区"},{"code":"132209","name":"東大和市"},{"code":"133621","name":"利島村"},{"code":"131059","name":"文京区"},{"code":"131156","name":"杉並区"},{"code":"132071","name":"昭島市"},{"code":"132101","name":"小金井市"},{"code":"131237","name":"江戸川区"},{"code":"132047","name":"三鷹市"},{"code":"132021","name":"立川市"},{"code":"132284","name":"あきる野市"},{"code":"131164","name":"豊島区"},{"code":"132055","name":"青梅市"},{"code":"132128","name":"日野市"},{"code":"131024","name":"中央区"},{"code":"133825","name":"御蔵島村"},{"code":"133078","name":"檜原村"},{"code":"132012","name":"八王子市"},{"code":"132233","name":"武蔵村山市"},{"code":"132152","name":"国立市"},{"code":"131083","name":"江東区"},{"code":"133035","name":"瑞穂町"},{"code":"132080","name":"調布市"},{"code":"132292","name":"西東京市"},{"code":"131041","name":"新宿区"},{"code":"132187","name":"福生市"},{"code":"133051","name":"日の出町"},{"code":"131032","name":"港区"},{"code":"132039","name":"武蔵野市"},{"code":"133086","name":"奥多摩町"},{"code":"131016","name":"千代田区"},{"code":"132241","name":"多摩市"},{"code":"131105","name":"目黒区"},{"code":"132195","name":"狛江市"},{"code":"131075","name":"墨田区"},{"code":"131067","name":"台東区"},{"code":"131199","name":"板橋区"},{"code":"133612","name":"大島町"},{"code":"131091","name":"品川区"}]},"status":"active","fiscal_year":2026,"audience":"personal","benefit_kind":"subsidy","apply_method":"auto","apply_note":null,"eligibility":"在宅で死亡した患者（死亡日および死亡日前14日以内に2回以上の往診・訪問診療を実施した場合など）","amount_unit":"yen","amount_period":null,"amount_monthly_equiv":null,"amount_direction":null,"notice_kind":null,"rate_percent":null,"summary":"全国の保険医療機関による個人向けの補助金。対象は在宅で死亡した患者（死亡日および死亡日前14日以内に2回以上の往診・訪問診療を実施した場合など）。上限65,000円。申請不要（自動適用）、死亡時、窓口はかかりつけの医療機関、訪問看護ステーション。","fields":{"amount_max":{"value":65000,"status":"ok","method":"deep_research"},"amount_min":{"value":25000,"status":"ok","method":"deep_research"},"rate_percent":{"status":"not_verified"},"has_income_limit":{"status":"not_found","basis":"公式ページで確認（2026-09-04）"},"age_min":{"status":"not_verified"},"age_max":{"status":"not_found","basis":"公式ページで確認（2026-09-04）"},"deadline":{"value":"死亡時","status":"ok","kind":"text"}},"income_limits":[],"notes":[{"kind":"context","title":"在宅で看取ると医師35,000〜65,000円、訪問看護25,000円の加算","body":"在宅での看取りに関する報酬は全国一律で、東京都独自の点数上乗せはない。在宅ターミナルケア加算は、在宅で死亡した患者（死亡日および死亡日前14日以内に2回以上の往診・訪問診療を実施した場合など）について、医師による訪問診療で35,000円〜65,000円、訪問看護ステーションで25,000円（在宅等での死亡）が10割ベースで算定され、患者は1割〜3割を負担する。介護保険の看取り連携体制加算は、訪問入浴介護が640円〜729円/回、短期入所生活介護が640円〜729円/日（7日限度）、小規模多機能型居宅介護が640円〜729円/日。急変時の備えとして在宅療養後方支援病院への事前登録もでき、緊急入院時には在宅患者緊急入院診療加算（10,000円〜25,000円の1〜3割負担）が加わる。これらはいずれも事業者が算定するため利用者の直接申請は不要だが、後方支援病院の事前登録だけは在宅医を通じて自分で行う必要がある。","severity":"medium"}],"schedules":[],"editorial":null,"completeness":{"level":"complete","missing":[],"has_source":true},"usability":{"level":"actionable","who_known":true,"what_known":true,"next_step":"公式ページで確認できます","substitutes":["対象者の説明文","確認済みの金額"]},"contact":{"department":"かかりつけの医療機関、訪問看護ステーション","phone":null},"source":{"url":"https://www.mhlw.go.jp/stf/newpage_67729.html","original_url":null,"checked_at":"2026-08-20","title":"令和８年度診療報酬改定について｜厚生労働省"},"successor":null,"verification":{"verified_at":null,"data_updated_at":"2026-09-04","confidence":"high","verified_fields":3},"index":{"indexable":true,"reasons":[]},"slug":"在宅ターミナルケア加算-医療保険"}