{"text_format":"1","workbook":"xlsx","n_sheets":5,"sheets":["過誤調整フロー (事業者用)","過誤納金手順（事業所）","別紙１過誤納金調整リスト ","別紙１過誤納金調整リスト (記載例)","別紙２過誤納金調書（事業所）"],"not_rendered":{"charts":0,"images":0,"macros":1,"external_links":1,"defined_names":388,"comments":2,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"過誤調整フロー (事業者用)","index":0,"n_rows":29,"n_cols":6,"rows_kept":29,"cut":false,"hidden":false,"merged":[[25,2,27,2]]}
[null,"＜運営指導から過誤調整までの簡易フロー＞"]
["TS","指導監査課","事業者","障がい福祉課","各市町障害福祉担当課","test1"]
[]
["N","運営指導の実施"]
[null,"（現地での講評：過誤調整有り）","自己点検(仮)"]
[null,null,"（※運営指導月の5年前に遡って点検）"]
[null,null,"過誤調整相談の実施(仮)","過誤調整相談の受付(仮)"]
[null,"「過誤調整処理手順」をﾒｰﾙ送付",null,null,"過誤調整相談の受付(仮)"]
[]
[null,"課内検討会"]
[]
["N+2ヶ月","運営指導結果通知の発送","運営指導結果通知の受理"]
[null,"（運営指導結果の情報提供）※1",null,"運営指導結果情報の受理"]
[]
[null,null,"自己点検"]
[null,null,"（※運営指導月の5年前に遡って点検）"]
[null,null,"過誤調整相談の実施","過誤調整相談の受付"]
[null,null,"（「過誤調整金リスト」の作成）",null,"過誤調整相談の受付"]
[]
[null,null,"是正改善報告書の作成"]
["N+3ヶ月","是正改善報告書の受理"]
[null,"過誤調整に係る情報提供　※2",null,null,"結果情報の受理"]
[]
[null,null,"過誤調整依頼書の提出","過誤調整の対応"]
[null,null,"（※提出〆は月末）",null,"過誤調整の対応"]
[null,null,"※過誤調整件数が100件を超える場合は、\n障がい福祉担当課と調整の上分割返済\nとなる"]
[]
[]
[null,null,"翌月10日までに国保連へ再請求"]

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["＜過誤調整が発生した場合の手順＞"]
[]
["１．自己点検・返還協議（返還時期等の調整）"]
[null,"　指摘内容について自己点検を行い、「（別紙１）過誤納金等調整リスト」により、過誤調整が必要な利用者、該当期間及び返還額等の内容を整理し、同リストにより、当該利用者の受給者証発行自治体の障害福祉担当課と、返還協議をしてください。"]
[]
[]
[]
[null,"※","過誤調整に係る運営指導結果は、当課からも該当する各障害福祉担当課に通知します。\n"]
[]
["　　別紙１の作成留意事項"]
["(1)","受給者証発行自治体が異なる場合は自治体別に作成してください。別紙１の自治体名を適宜修正して作成してください。（同一自治体内でも事業所のサービス種別ごとに作成してください。）"]
[]
["(2)","事業所における請求月の古い順から作成してください。同年同月内では受給者毎に一行ずつ給付費項目（サービス内容）別に作成してください。※詳しくは記載例を参照ください。"]
[]
["(3)","福祉・介護職員処遇改善加算、特定処遇改善加算、ベースアップ等支援加算を算定している事業所については、全体報酬額が変更となるため、当該加算額も変更となるので、合わせて過誤調整が発生します。"]
[]
["(4)","行が足りない場合は適宜追加して作成してください。その際は計算式で合計がでるようになっておりますので、合計に誤りがないか確認のうえ提出してください。"]
[]
[]
["２．過誤納金調整等調書・是正改善報告書の作成"]
[null,"　各自治体の障害福祉担当課との返還協議により返還額及び返還予定時期が確定した後、「（別紙２）過誤納金調整調書」を作成し、「指摘事項通知兼是正改善報告書」を完成させてください。"]
[]
[]
[]
[null,"※","国の会計検査項目事項でもありますので、遺漏ないようにお願いいたします。\n（２年に１度の国の会計検査において、別紙２を更新の上提出をしていただく場合があります。）"]
[]
[]
["３．是正改善報告書等の提出"]
[null,"　①是正改善報告書・②（別紙１）過誤納金調整リスト・③（別紙２）過誤納金調整等調書・④改善内容が分かる根拠書類を揃え、指導監査課にメールにて提出してください。\n　また、過誤調整を行うにあたっては、各自治体の障害福祉担当課に調整依頼書等を提出する必要がありますので、各自治体の指示に従い対応してください。"]
[]
[]
[]
[]
[]
[null,"■","提出期限：",null,null,null,"「運営指導の結果について（通知）」に記載されている提出期限"]
[null,null,null,null,null,null,null,"※可能な限り早めにご提出ください。"]
[null,"■","提出方法：",null,null,null,"指導監査課あてメールにて提出（sidouk@city.sasebo.lg.jp）"]
[null,null,null,null,null,null,null,"※容量が大きくメール送付が困難な場合は、根拠書類のみ郵送することも可"]
[null,null,null,null,null,null,null,"※過誤調整依頼書等は、各自治体の指示に従い提出してください。"]
[]
["【提出書類・提出先まとめ】"]
["#","書類名",null,null,null,null,null,null,null,null,null,null,"提出データ形式",null,null,null,null,null,null,null,"提出先"]
[1,"　（別紙1）過誤納金調整リスト",null,null,null,null,null,null,null,null,null,null,"エクセル",null,null,null,null,null,null,null,"指導監査課・各自治体障害福祉担当課"]
["2","　（別紙2）過誤納金調整等調書",null,null,null,null,null,null,null,null,null,null,"エクセル",null,null,null,null,null,null,null,"指導監査課"]
["3","　指摘事項通知兼是正改善報告書",null,null,null,null,null,null,null,null,null,null,"エクセル or PDF",null,null,null,null,null,null,null,"指導監査課"]
["4","　介護給付費明細書過誤調整依頼書\n　　（各自治体のHPからダウンロード）",null,null,null,null,null,null,null,null,null,null,"（各自治体の指示に従うこと）",null,null,null,null,null,null,null,"各自治体障害福祉担当課"]

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["（別紙１）"]
["　過誤納金調整リスト　（受給者証発行自治体：",null,null,null,null,null,"）"]
[null,null,null,null,null,"※自治体名は適宜修正し、受給者証発行自治体別に作成してください。"]
["法人名",null,null,null,null,null,null,"作成日"]
["事業所名",null,null,null,"サービス種別",null,null,"作成者"]
["※　このリストを作成し、当該利用者の受給者証を発行している自治体の障害福祉担当課と調整をしてください。\n　　\n　　　　　　　　　　　　　　　　　　　　"]
["該当年月","受給者番号","利用者氏名","誤",null,"正",null,"単位差\n（返還）","備考"]
[null,null,null,"該当項目（サービス内容）","給付費単位数","該当項目（サービス内容）","給付費単位数"]
[null,null,null,null,null,null,null,{"$f":"E9-G9","v":0}]
[null,null,null,null,null,null,null,{"$f":"E10-G10","v":0}]
[null,null,null,null,null,null,null,0]
[null,null,null,null,null,null,null,0]
[null,null,null,null,null,null,null,0]
[null,null,null,null,null,null,null,0]
[null,null,null,null,null,null,null,{"$f":"E15-G15","v":0}]
[null,null,null,null,null,null,null,0]
[null,null,null,null,null,null,null,0]
[null,null,null,null,null,null,null,0]
[null,null,null,null,null,null,null,0]
[null,null,null,null,null,null,null,0]
[null,null,null,null,null,null,null,0]
[null,null,null,null,null,null,null,0]
[null,null,null,null,null,null,null,0]
[null,null,null,null,null,null,null,0]
[null,null,null,null,null,null,null,0]
[null,null,null,null,null,null,null,0]
["合計",null,null,{"$f":"SUM(E9:E26)","v":0},null,{"$f":"SUM(G9:G26)","v":0},null,{"$f":"SUM(H9:H26)","v":0}]

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["（別紙１）"]
["　過誤納金調整リスト　（受給者証発行自治体：　　佐世保市　　　　）"]
[null,null,null,null,null,"※自治体名は適宜修正し、受給者証発行自治体別に作成してください。"]
["法人名",null,null,null,null,null,null,"作成日"]
["事業所名",null,null,null,"サービス種別",null,null,"作成者"]
["※　このリストを作成し、当該利用者の受給者証を発行している自治体の障害福祉担当課と調整をしてください。\n　　\n　　　　　　　　　　　　　　　　　　　　"]
["該当年月","受給者番号","利用者氏名","誤",null,"正",null,"単位差\n（返還）","備考"]
[null,null,null,"該当項目（サービス内容）","給付費単位数","該当項目（サービス内容）","給付費単位数"]
["（記入例）"]
["R〇年〇月","XXXXXXXXXX","佐世保　太郎","送迎加算Ⅰ","△△△","送迎加算Ⅰ","○○○","□□□","〇回→△回"]
["R〇年〇月","XXXXXXXXXX","佐世保　太郎","福祉専門職員配置等加算Ⅰ","△△","福祉専門職員配置等加算Ⅱ","○○","□□"]
["R〇年〇月","XXXXXXXXXX","佐世保　太郎","処遇改善加算Ⅰ","▲▲","処遇改善加算Ⅰ","●●","■■"]
["R〇年〇月","XXXXXXXXXX","佐世保　太郎","特定処遇改善加算","▲","特定処遇改善加算","●","■"]
["R〇年〇月","XXXXXXXXXX","佐世保　太郎","ベースアップ等支援加算","△","ベースアップ等支援加算","○","□"]
["R〇年〇月","YYYYYYYYYY","佐世保　花子","福祉専門職員配置等加算Ⅰ","△△","福祉専門職員配置等加算Ⅱ","○○","□□"]
["R〇年〇月","YYYYYYYYYY","佐世保　花子","処遇改善加算Ⅰ","▲▲","処遇改善加算Ⅰ","●●","■■"]
["R〇年〇月","YYYYYYYYYY","佐世保　花子","特定処遇改善加算","▲","特定処遇改善加算","●","■"]
["R〇年〇月","YYYYYYYYYY","佐世保　花子","ベースアップ等支援加算","△","ベースアップ等支援加算","○","□"]
["R〇年△月","XXXXXXXXXX","佐世保　太郎","福祉専門職員配置等加算Ⅰ","△△","福祉専門職員配置等加算Ⅱ","○○","□□"]
["R〇年△月","XXXXXXXXXX","佐世保　太郎","処遇改善加算Ⅰ","▲▲","処遇改善加算Ⅰ","●●","■■"]
["R〇年△月","XXXXXXXXXX","佐世保　太郎","特定処遇改善加算","▲","特定処遇改善加算","●","■"]
["R〇年△月","XXXXXXXXXX","佐世保　太郎","ベースアップ等支援加算","△","ベースアップ等支援加算","○","□"]
["R〇年△月","YYYYYYYYYY","佐世保　花子","福祉専門職員配置等加算Ⅰ","△△","福祉専門職員配置等加算Ⅱ","○○","□□"]
["R〇年△月","YYYYYYYYYY","佐世保　花子","処遇改善加算Ⅰ","▲▲","処遇改善加算Ⅰ","●●","■■"]
["R〇年△月","YYYYYYYYYY","佐世保　花子","特定処遇改善加算","▲","特定処遇改善加算","●","■"]
["R〇年△月","YYYYYYYYYY","佐世保　花子","ベースアップ等支援加算","△","ベースアップ等支援加算","○","□"]
[]
["合　　計",null,null,"△,△△△",null,"〇,〇〇〇",null,"□,□□□"]

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["（別紙２）過誤納金調整等調書",null,null,null,null,null,null,null,null,null,"事業所名："]
[null,"※　本調書は、運営指導　・　監査　により返還額が生じたもの全てについて作成し、返還計画を調整後に提出し、返還完了後に再度提出してください。"]
[null,"　　（ただし、返還計画調整時と返還完了日が近い場合は、返還完了後のみの提出で結構です。）"]
[null,1,2,3,4,5,6,7,8,9,10,11,12,13]
[null,"指導監査年月日","所在地","サービスの種類","事業者名・事業所名","指導の種類","該当項目","返還の根拠","返還額","返還対象\n市町村","左の返還額内訳","返還方法\n（過誤調整、納付、その他）","返還処理","加算金"]
[null,null,"佐世保市"]
[null,null,"佐世保市"]
[null,null,"佐世保市"]
[null,null,"佐世保市"]
[null,null,"佐世保市"]
[null,null,"佐世保市"]
[]
[null,"（記入例）"]
[null,1,2,3,4,5,6,7,8,9,10,11,12,13]
[null,"年月日","所在地","サービスの種類","事業者名・事業所名","指導の種類","該当項目","返還の根拠","返還額","返還対象\n市町村","左の返還額内訳","返還方法\n（過誤調整、納付、その他）","返還処理","加算金"]
[null,"2021-07-01","○○市","就労継続支援Ｂ","(福)○○会・△△デイサービスセンター","運営指導","定員超過減算","定員を超えてサービスを提供していたが減算をしていなかった。",1000000,"○○市",800000,"過誤調整","R4.3返還済","無し"]
[null,null,null,null,null,null,null,null,null,"▲▲市",200000,"納付","R4.3返還済","無し"]
[null,null,null,null,null,null,"処遇改善加算","定員超過減算等に付随するもの",54000,"○○市",43200,"過誤調整","R4.3返還済","無し"]
[null,null,null,null,null,null,null,null,null,"▲▲市",10800,"納付","R4.3返還済","無し"]
[null,null,null,null,null,null,"特定処遇改善加算","定員超過減算等に付随するもの",17000,"○○市",13600,"過誤調整","R4.3返還済","無し"]
[null,null,null,null,null,null,null,null,null,"▲▲市",3400,"納付","R4.3返還済","無し"]
[null,null,null,null,null,null,"ベースアップ等支援加算","定員超過減算等に付随するもの",13000,"○○市",10400,"過誤調整","R4.3返還済","無し"]
[null,null,null,null,null,null,null,null,null,"▲▲市",2600,"納付","R4.3返還済","無し"]
[null,"2022-10-01","○○市","放課後等デイサービス","(福)□□・児童デイサービスセンター","運営指導","児童発達支援管理責任者欠如減算","児童発達支援管理責任者が配置されていなかったのに減算していなかった。",2000000,"○○市",1000000,"納付","R6.5～8返還予定","無し"]
[null,null,null,null,null,null,null,null,null,"▲▲市",500000,"納付","R6.5～8返還予定","無し"]
[null,null,null,null,null,null,null,null,null,"□□市",500000,"その他","R6.5～8返還予定","無し"]
[null,null,null,null,null,null,"処遇改善加算","児発管欠如減算等に付随するもの",168000,"○○市",84000,"納付","R6.5～8返還予定","無し"]
[null,null,null,null,null,null,null,null,null,"▲▲市",42000,"納付","R6.5～8返還予定","無し"]
[null,null,null,null,null,null,null,null,null,"□□市",42000,"その他","R6.5～8返還予定","無し"]
[null,null,null,null,null,null,"特定処遇改善加算","児発管欠如減算等に付随するもの",26000,"○○市",13000,"納付","R6.5～8返還予定","無し"]
[null,null,null,null,null,null,null,null,null,"▲▲市",6500,"納付","R6.5～8返還予定","無し"]
[null,null,null,null,null,null,null,null,null,"□□市",6500,"その他","R6.5～8返還予定","無し"]
[null,null,null,null,null,null,"ベースアップ等支援加算","児発管欠如減算等に付随するもの",40000,"○○市",20000,"納付","R6.5～8返還予定","無し"]
[null,null,null,null,null,null,null,null,null,"▲▲市",10000,"納付","R6.5～8返還予定","無し"]
[null,null,null,null,null,null,null,null,null,"□□市",10000,"その他","R6.5～8返還予定","無し"]
[]
[null,"【記入要領】"]
[null,"　運営指導又は監査で指摘され返還が生じるものについて、自己点検を行い返還が生じる期間を決定し、利用者の属する自治体の障害福祉サービス等担当課と協議（※）を行った上で、返還額が生じた全てについて作成してください。"]
[]
[1,"年月日","指導・監査を行った年月日"]
[2,"所在地","事業所の所在地（法人等の本部ではなくサービスの提供を行った事業所の所在：市町村名のみ）"]
[3,"サービスの種類","当該事業所のサービスの種類（複合施設の場合は返還が生じたサービスの種類のみ）"]
[4,"事業者名","事業者名（法人名も含む）"]
[6,"該当項目","返還対象額が加算又は減算に係るものである場合には当該項目名を記入してください。"]
[7,"返還の根拠","返還の事態となった具体的な根拠を記入してください。"]
[null,null,"（複数の事態がある場合は返還額が最も多い事態を記入、また、指定の取消を行った事業者については、取消年月日を記入）"]
[8,"返還額","返還の対象となった金額"]
[9,"返還対象市町村","返還の対象となった市町村（市町村が複数ある場合は行を追加してください。）"]
[10,"左の返還額内訳","返還の対象となった市町村における返還額の内訳"]
[11,"返還方法","事業所から市町村への返還方法（過誤調整、納付、その他）をプルダウンから選択してください。「その他」を選択した場合は、備考欄に詳細を記入してください。"]
[12,"返還処理","返還額の処理状況（返還済みの場合は全額返還した月、返還中、未済の場合はそれぞれ「返還中」「未済」と記入）"]
[13,"加算金","加算金の有無"]