{"id":"m9a3e387155dfdda7","name":"在宅ターミナルケア加算、看取り加算、訪問看護ターミナルケア療養費、看取り介護加算","aka":[],"category":{"slug":"korei","name":"高齢者・介護"},"provider":{"level":"national","name":"国（厚生労働省）","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":"service","apply_method":"auto","apply_note":null,"eligibility":"在宅や介護施設等で人生の最終段階を迎え、医師・看護師・介護職員等による看取りケアを受けた患者・利用者","amount_unit":"yen","amount_period":null,"amount_monthly_equiv":null,"amount_direction":null,"notice_kind":null,"rate_percent":null,"summary":"国（厚生労働省）による個人向けの現物・サービス。対象は在宅や介護施設等で人生の最終段階を迎え、医師・看護師・介護職員等による看取りケアを受けた患者・利用者。上限75,000円。申請不要（自動適用）、サービス提供後、窓口は利用している医療機関、訪問看護ステーション、介護施設。","fields":{"amount_max":{"value":75000,"status":"ok","method":"deep_research"},"amount_min":{"value":1440,"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":"サービス提供後","status":"ok","kind":"text"}},"income_limits":[],"notes":[{"kind":"context","title":"看取り関連報酬は死亡日前14日以内に2回以上の訪問が算定要件","body":"令和8年度改定後の看取り関連報酬は、医科診療報酬の在宅ターミナルケア加算が3,500〜7,500点（35,000〜75,000円）、看取り加算が3,000点（30,000円）で、いずれも死亡日および死亡日前14日以内に2回以上の往診・訪問診療等があることが要件。訪問看護は介護保険のターミナルケア加算が2,500単位（約25,000円）、医療保険の訪問看護ターミナルケア療養費1が25,000円で、こちらは死亡日および死亡日前14日以内に2日（回）以上の訪問が要件。施設の看取り介護加算は1日144〜1,280単位（約1,440〜12,800円）で死亡日に近づくほど単位数が上がる。これらは報酬総額で、患者負担は保険の負担割合（1割〜3割）分。だから最期の2週間に訪問の実績が無いと数万円規模の加算が算定できず、在宅看取りを望むなら早めに在宅療養支援診療所と契約しておく必要がある。","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":"利用している医療機関、訪問看護ステーション、介護施設","phone":null},"source":{"url":"https://www.mhlw.go.jp/content/12400000/001686053.pdf","original_url":null,"checked_at":"2026-09-03","title":null},"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看取り加算訪問看護ターミナルケア療養費看取り介護加算"}