Independence support medical care (psychiatric outpatient medical care) For medical institutions and pharmacies

When a medical institution in Yokohama handles independence support medical care (psychiatric outpatient medical care), it is necessary to receive the designation of Yokohama City and become a designated medical institution.
For medical institutions other than Yokohama City, please contact the local city (designated city) or prefecture.

---------------------------------------------------------------------------------------------------------------------
◎The application deadline is 20th of every month, and in principle it will be a designated medical institution from the 1st of the following month.
　The medical treatment before becoming a designated medical institution is not eligible for the system. (No retroactive application is possible.)
◎It is not a requirement for hospitals and clinics to have Medical consultation fee, such as Psychiatry or psychosomatic medicine, but a requirement for doctors who are primarily responsible for them to have at least three years of experience in the mental field (including epilepsy).
◎For pharmacies, there is a requirement that "the manager (managed pharmacist) has experience as a manager (managed pharmacist) at another designated medical institution in the past."
If a pharmacist reporting as a manager (managed pharmacist) at a new pharmacy has no experience as a manager (managed pharmacist) at another designated medical institution in the past, the designated month will be delayed.
Example) When the managed pharmacist does not have experience as a managed pharmacist at another designated medical institution opening on June 1
June 1 Designated → Not allowed
July 1 Designated → Not allowed
Decided on August 1 → Allowed　※You must have submitted required documents by July 20.
---------------------------------------------------------------------------------------------------------------------
Please mail the following documents to Yokohama City.

※If you are a newly opened medical institution and have not yet decided the medical institution code, please submit it blank and contact us by phone as soon as it is decided.

If any of the following changes occur, please mail the documents to Yokohama within 10 days.

※In each case, if the name "and" location (in the case of a designated home-visit nursing company, the location of the main office) is changed, the procedure of "abolition & new application" instead of "change application" is required .
※If the medical institution code changes due to the change, please fill in the "Changes" column of registration form. At that time, if the new medical institution code has not been determined yet, please leave the "new" column blank and contact us by telephone as soon as it is decided.

Designated medical institution needs procedure of designated update by six years after designation.
Notifications are sent to medical institutions whose renewal deadline is approaching.
If there are any changes at the timing of renewal, please refer to the “Application for Change” above and submit required documents together.

When we suspend, abolish, and resume duties of medical institution, report to Yokohama-shi is necessary.
registration form (No. 5 style)
　・Word version (word: 16KB)
　・PDF version (PDF: 183KB)

When you decline a designated medical institution, you need to notify Yokohama City. Please notify us at least one month in advance.
Application form for designated decline (No. 6 style)
　・Word version (word: 16KB)
　・PDF version (PDF: 180KB)
※Please be sure to give an explanation in advance to the recipient.

※Development of independence support medical care The Health and Social Welfare Bureau Medical Aid Division (Tel: 045-671-4115) is in charge of medical care and rehabilitation medical care.
You need to apply for it.

★If you are going to ask many patients to change the description of the independence support medical care certificate due to establishment, change, abolition, decline, etc. of a medical institution, please consult with your mental health consultation center in advance. (Tel: 045-671-2415)
If many people come to the ward office window to apply in a short period of time, we may not be able to respond. We apologize for any inconvenience, but we appreciate your cooperation.
★Please check the patient's recipient ID and the upper limit management slip at each consultation. If you forget to show your beneficiary ID, the system will not be applied. (Refunds will not be available at a later date.)
★There are conditions for refunds in Yokohama City. For more information, please read this information (PDF: 306KB) or contact the Mental Health Consultation Center. Telephone 045-671-2415　※Refunds are not available at the ward office.

◎The recipient ID of Yokohama City is B7 size and the color is yellow.
◎The public expenditure payer number for independence support medical care (psychiatric outpatient medical care) in Yokohama City is "21146022".
◎Hospitals, clinics, pharmacies, and home-visit nursing stations that are not listed on the recipient ID are not eligible for the system.
◎Even if the pharmacy is listed on the beneficiary card, if the medicine is prescribed by a prescription from a hospital or clinics that is not listed on the beneficiary card, independence support medical care will not be applied to payment at the pharmacy. In addition, if the prescription date of the medicine is out of the validity period, independence support medical care will not be applied even if the dispensing date is within the validity period.
◎If you forget your recipient ID, you will not be eligible for the system. (There is no refund in Yokohama City.)
◎Changes to medical institutions can be made at the ward office window (same day) or by mail. (Application from the patient is required.)
　Changes will be made from the date of receipt of the application and cannot be retroactively applied.
◎In principle, one hospital or clinics can be designated, two pharmacies, and one home-visit nursing station can be designated.
◎The description in the “Maximum monthly burden” column is as follows.

◎Yokohama City's self-pay upper limit management slip is a B7 size, light blue booklet. (It is issued separately from the yellow recipient ID.)
◎It is not issued to those who do not have self-pay (social security recipients) or those who do not have an upper limit.
◎For those who have the upper limit in the "monthly burden upper limit" column of the yellow recipient ID, please fill out the upper limit management slip when collecting the copayment.

◎After the monthly limit is reached, there is no user burden. In that case, it is not necessary to enter the upper limit management slip.
◎For those who have both independence support medical care certificate and Medical Certificate with severe disabilities, please give priority to independence support medical care and apply medical care for severely disabled people to the remaining co-payment even if you apply independence support medical care. At that time, there is no co-payment of the recipient himself, but for the upper limit management of independence support medical care, please fill out the co-payment that occurred without using medical care for severely disabled people on the upper limit management slip . (If you have a Medical Certificate for infant, please do the same.)
◎If you do not bring the upper limit management slip (forget it, etc.), please print out this auxiliary paper (Excel: 11KB) and use it.
◎If all the upper limit management slips are filled, ask the person to call the paperwork center. (I will send you a new one.) ★Office processing center 045-671-3623

◎Please contact us if you need a copy-type medical certificate form for Yokohama City. We will mail it to each medical institution.
　➡City of Yokohama, Health and Social Welfare Bureau Kokoro Health Consultation Center 045-671-2415
◎You can also download and use the data version.

◎Two copies of the medical certificate form for the independence support medical care (psychiatric outpatient medical care) and the Mental Handicapped Health and Welfare Handbook in Yokohama City.
Please give a copy of the original to the patient. If you use the data version, please hand one original to the patient. At that time, please make a copy and keep a copy at a medical institution. (We may contact you from Yokohama City.)
◎If the ICD code of the disease name is F4 to F9, if (6) or (7) of 4 is not checked, even if you check 11 (1) and (2), it will be severe and continuous It does not correspond. Please be careful when filling out the medical certificate.
(Severe and non-continuation do not apply, some people are not eligible for the system or those who do not set an upper limit.)

If you want to introduce patients to the application of the system, please print out this information form and use it.
Yokohama City recommends application by mail.
Information on mail application (PDF: 395KB)　※It is a style that can be printed on both sides in A3 or A4 and folded.
Information on the system (PDF: 650KB)　※It is a style that can be printed on both sides with A3 and folded.
Application form (PDF: 226KB)

Designated independence support medical institutions must provide high quality and appropriate independence support medical care in accordance with the “Designated Independence Support Medical Institution (Ministry of Health, Labour and Welfare Notification No. 66 of February 28, 2006).
Regulations for Medical Care (PDF: 5KB)
We look forward to your continued cooperation.