Compensation system for child development support
Updated: July 2026, 2
*New applications for this service are currently temporarily suspended.
One of the challenges in starting a child development support business is creating an income and expenditure budget.
Sales of welfare projects are mainly based on benefit costs, so it will be difficult to make a financing plan unless you know when the benefit costs will start coming in and how much initial investment and working capital will be required.
Our company receives approximately 100 consultations regarding child development support each year.
I have seen many companies unable to proceed with the application because they were unable to clear the hearing regarding the local government's revenue and expenditure plan.
Therefore, this time we will explain the income and expenditure structure of child development support from the perspective of an administrative scrivener's office.
Specifically, its activities include:
〇Basic system of welfare business remuneration and sales
〇 Child development support project benefit cost structure
〇How to increase sales at a child development support office
I will explain the important points in order.
By reading this page, you will not only understand the cash flow structure of child development support, but also how to obtain sales. Please use this as a reference when creating your income and expenditure plan.
Basic system of compensation and sales in welfare services
In child welfare services, 10% of the usage fee is borne by the user, and the remaining 90% is paid to the operator as a day-to-day allowance for children with disabilities based on the Child Welfare Act.
We calculate the total usage amount for each user each month, including compensation additions and subtractions, and divide the amount into the user's share (1%) and the National Health Insurance Federation's share (9%), and bill them separately.
In other words, the usage fee paid by the user + the deposit from the National Health Insurance Federation constitutes sales.
Breakdown of total usage amount
①Benefit expenses : Usage fee. The amount per session is determined.
②Remuneration addition : If the conditions are met, you can request an additional charge.
③Remuneration subtraction : Subtraction will be made if the standards are not met.
The calculation method for ① is as follows
Total usage amount = Basic benefit unit x Capacity x Opening date x Area grade unit price
Of this amount, the amount billed to the user (1%) and the amount billed to the National Health Insurance Federation (9%).
This benefit will be transferred to your business approximately two months after you use it.
Child development support project benefit cost structure
Specifically, let's calculate the benefit costs in the case of child development support projects.
There are several basic classifications of child development support projects.
It is the most minimal operating system among them.
“Child development support project (for children with disabilities (excluding children with severe mental and physical disabilities))” and “operation format targeting preschool children”
Assuming this, I would like to do some calculations.
*Example of calculating benefit costs for a certain month*
Example: If a child development support office with a capacity of 10 people opens on the 20th and accepts children.
→827 units (basic benefit) x 10 people (capacity) x 20 days (opening day) x 10 yen (regional grade unit price)
= 1,654,000 yen/month
Amount charged to user (1%): 165,400 yen
Amount requested to National Health Insurance Federation (9%): 14,886,000 yen
The above is basic sales.
Actual expenses such as snacks will be billed to the user separately from the 1% share and the maximum amount.
The amount exceeding 9% of the total usage fee and the upper limit of the user's burden will be billed to the National Health Insurance Federation (National Health Insurance Association) as public funds.
We will explain the process from invoicing to payment in detail later.
Process until compensation is paid
As explained earlier, most of the compensation is covered by public funds.
We will explain how to apply for remuneration from public funds and the process until remuneration is paid.
1. Calculate the total amount spent
Based on usage records, we calculate the total usage amount for each user for one month, taking into account additions and subtractions, at the end of the month.
2. Submission or receipt of user burden maximum amount management result slip
If the office does not manage the upper limit, create a "List of User Charges" and submit it to the office managing the upper limit by about the 3rd of the month following the month in which the service is provided.
The upper limit management office will create a ``User burden upper limit management result form'' based on the received ``User burden list'' and submit it to the relevant facilities by the 6th day following the month in which the service is provided. .
3. Request to the Federation of National Health Insurance Organizations
By the 10th of the month following the month in which services are provided, submit the "Bills/Details of day-to-day care benefits for disabled children, admission benefits, etc." and "Service Provision Record Sheet" to the National Federation of Health Insurance Organizations (National Health Insurance Federation), and manage the upper limit. If there are any users, please submit a "User Burden Maximum Amount Management Result Sheet". In principle, submissions are made over the Internet using the "simple input system" or "import/transmission system" provided by the National Health Insurance Federation.
4. get paid
Compensation will be paid between the middle and the end of the month following the month in which the service is provided.
Points to note when getting rewards
So far, we have explained how compensation is calculated and how it works. There are many differences from other industries, such as the fact that most of the compensation is covered by public funds and the unit price is set. Therefore, we will explain the points that should be noted when opening and operating a child development support office.
1. It takes a month and a half from the time you request to the time you receive your reward.
As explained earlier, it takes about a month and a half from the time you request compensation to the National Health Insurance Federation until you actually receive it. When you first open your business, you may not be able to attract enough users, so it is important to have a financial plan with sufficient margin.
2. Calculations are complex and time-consuming
Billing operations require complex calculations and document preparation within a set deadline. You may be responsible for billing while also serving as an administrator or child care supervisor, but if billing becomes a burden and the quality of the service deteriorates, you are putting the cart before the horse. Additionally, if you miss the 10th of each month, which is the deadline for filing applications with the National Health Insurance Federation, your payment will be delayed as you will be billed the following month. In order to streamline billing operations and improve the quality of daily services, one option is to introduce calculation software or hire administrative staff.
3. Rewards vary depending on addition or subtraction
In the remuneration system for day services such as after school, the amount of remuneration changes greatly depending on the addition. It is important not only to allocate personnel and ensure that day-to-day operations are carried out in a way that does not result in subtraction, but also to consider service content and hire personnel with consideration for additions.
How to increase sales at a child development support office
In addition to the above, there is something called remuneration addition that can be claimed if the conditions are met.
Here are some examples of things that are easy to add.
○Meal provision addition: 30 to 40 units per day
○Additional allowance for welfare specialist staff placement, etc. 6 to 15 credits/per day
○Additional allowance for vacancies (maximum of 94 times per month) XNUMX credits/per time
○Additional transportation fee: 37 units to 54 units/per one way
○Welfare/nursing care staff treatment improvement addition, etc.
List of basic unit prices and major additions for child development support in 3
The main unit prices and additions are as follows.
Child development support benefit (per day) | |
① When providing designated child development support to children with disabilities at a child development support center | |
(1) Medical care category 3 ㈠ Usage capacity is30If it is less than a person 3,086unit ㈡Usage capacity is31more than people40If it is less than a person 3,005unit ㈢ The usage capacity is41more than people50If it is less than a person 2,930unit ㈣ Usage capacity is51more than people60If it is less than a person 2,859unit ㈤ Usage capacity is61more than people70If it is less than a person 2,830unit ㈥ Usage capacity is71more than people80If it is less than a person 2,804unit ㈦ Usage capacity is81For more than one person 2,778unit | |
(2) Medical care category 2 ㈠ Usage capacity is30If it is less than a person 2,086unit ㈡Usage capacity is31more than people40If it is less than a person 2,005unit ㈢ The usage capacity is41more than people50If it is less than a person 1,930unit ㈣ Usage capacity is51more than people60If it is less than a person 1,859unit ㈤ Usage capacity is61more than people70If it is less than a person 1,830unit ㈥ Usage capacity is71more than people80If it is less than a person 1,804unit ㈦ Usage capacity is81For more than one person 1,778unit | |
(3) Medical care category 1 ㈠ Usage capacity is30If it is less than a person 1,753unit ㈡Usage capacity is31more than people40If it is less than a person 1,672unit ㈢ The usage capacity is41more than people50If it is less than a person 1,597unit ㈣ Usage capacity is51more than people60If it is less than a person 1,526unit ㈤ Usage capacity is61more than people70If it is less than a person 1,497unit ㈥ Usage capacity is71more than people80If it is less than a person 1,471unit ㈦ Usage capacity is81For more than one person 1,445unit | |
⑷ When calculating for children with disabilities who do not fall under ⑴ to ⑶ ㈠ Usage capacity is30If it is less than a person 1,086unit ㈡Usage capacity is31more than people40If it is less than a person 1,005unit ㈢ The usage capacity is41more than people50If it is less than a person 930unit ㈣ Usage capacity is51more than people60If it is less than a person 859unit ㈤ Usage capacity is61more than people70If it is less than a person 830unit ㈥ Usage capacity is71more than people80If it is less than a person 804unit ㈦ Usage capacity is81For more than one person 778unit | |
②When designated child development support is provided to children with hearing loss at a child development support center. | |
(1) Medical care category 3 ㈠ Usage capacity is20If it is less than a person 3,384unit ㈡Usage capacity is21more than people30If it is less than a person 3,191unit ㈢ The usage capacity is31more than people40If it is less than a person 3,075unit ㈣ Usage capacity is41For more than one person 2,975unit | |
(2) Medical care category 2 ㈠ Usage capacity is20If it is less than a person 2,384unit ㈡Usage capacity is21more than people30If it is less than a person 2,191unit ㈢ The usage capacity is31more than people40If it is less than a person 2,075unit ㈣ Usage capacity is41For more than one person 1,975unit | |
(3) Medical care category 1 ㈠ Usage capacity is20If it is less than a person 2,051unit ㈡Usage capacity is21more than people30If it is less than a person 1,858unit ㈢ The usage capacity is31more than people40If it is less than a person 1,742unit ㈣ Usage capacity is41For more than one person 1,642unit | |
⑷ When calculating for children with disabilities who do not fall under ⑴ to ⑶ ㈠ Usage capacity is20If it is less than a person 1,384unit ㈡Usage capacity is21more than people30If it is less than a person 1,191unit ㈢ The usage capacity is31more than people40If it is less than a person 1,075unit ㈣ Usage capacity is41For more than one person 975unit | |
③ When designated child development support is provided to children with severe mental and physical disabilities (referring to children with severe mental and physical disabilities as defined in Article 7, Paragraph 2 of the Act; the same shall apply hereinafter) at a child development support center. | |
⑴ The usage capacity is15If it is less than a person 1,331unit ⑵ The usage capacity is16more than people20If it is less than a person 1,040unit ⑶ The usage capacity is21For more than one person 924unit | |
④ When designated child development support is provided to children with disabilities at facilities specified by Ordinance of the Ministry of Health, Labor and Welfare (excluding those that are child development support centers; the same shall apply hereinafter) as prescribed in Article 6-2-2, Paragraph 2 of the Act (Ho ) | |
(1) When providing designated child development support primarily to children with disabilities who have not yet entered elementary school (hereinafter referred to as "preschool children"). ㈠ Medical care category 3 a The usage capacity is10If it is less than a person 2,885unit b The usage capacity is11more than people20If it is less than a person 2,613unit c The usage capacity is21For more than one person 2,486unit ㈡ Medical care category 2 a The usage capacity is10If it is less than a person 1,885unit b The usage capacity is11more than people20If it is less than a person 1,613unit c The usage capacity is21For more than one person 1,486unit ㈢ Medical care category 1 a The usage capacity is10If it is less than a person 1,552unit b The usage capacity is11more than people20If it is less than a person 1,280unit c The usage capacity is21For more than one person 1,153unit ㈣ When calculating for children with disabilities who do not fall under ㈠ to ㈢. a The usage capacity is10If it is less than a person 885unit b The usage capacity is11more than people20If it is less than a person 613unit c The usage capacity is21For more than one person 486unit | |
⑵ Cases other than ⑴ ㈠ Medical care category 3 a The usage capacity is10If it is less than a person 2,754unit b The usage capacity is11more than people20If it is less than a person 2,513unit c The usage capacity is21For more than one person 2,404unit ㈡ Medical care category 2 a The usage capacity is10If it is less than a person 1,754unit b The usage capacity is11more than people20If it is less than a person 1,513unit c The usage capacity is21For more than one person 1,404unit ㈢ Medical care category 1 a The usage capacity is10If it is less than a person 1,421unit b The usage capacity is11more than people20If it is less than a person 1,180unit c The usage capacity is21For more than one person 1,071unit ㈣ When calculating for children with disabilities who do not fall under ㈠ to ㈢. a The usage capacity is10If it is less than a person 754unit b The usage capacity is11more than people20If it is less than a person 513unit c The usage capacity is21For more than one person 404unit | |
⑤ When providing designated child development support to children with severe mental and physical disabilities at a facility specified by Ordinance of the Ministry of Health, Labor and Welfare as prescribed in Article 6-2-2, Paragraph 2 of the Act. | |
⑴ When the usage capacity is 5 people 2,098unit ⑵ When the usage capacity is 6 people 1,757unit ⑶ When the usage capacity is 7 people 1,511unit ⑷ When the usage capacity is 8 people 1,326unit ⑸ When the usage capacity is 9 people 1,184unit ⑹ The usage capacity is10for people 1,069unit ⑺ The usage capacity is11For more than one person 837unit | |
⑥Symbiotic child development support benefit cost 591unit | |
⑦Child development support benefit expenses applicable to the criteria (1) Standard applicable child development support benefit expenses(Ⅰ) 701unit (2) Standard applicable child development support benefit expenses(Ⅱ) 591unit | |
★Unit of designated child development support(Limited to child development support centers that primarily send hearing-impaired children.)If designated child development support is provided to children with hearing loss who are wearing cochlear implants, as additional support for children with cochlear implants, according to the number of users,1The following number of units per day will be added to the specified number of units. | |
①Usage capacity is20If it is less than a person 603unit ②Usage capacity is21more than people30If it is less than a person 531unit ③Usage capacity is31more than people40If it is less than a person 488unit ④Usage capacity is41For more than one person 445unit | |
Family cooperation addition | |
B. If the required time is less than 1 hour 187unit (b) If the required time is 1 hour or more 280unit | |
In-office consultation support addition | |
B In-office consultation support addition(Ⅰ) 100unit (b) In-office consultation support addition(Ⅱ) 80unit | |
Meal provision addition | |
B Meal provision addition(Ⅰ) 30unit B Meal provision addition(Ⅱ) 40unit | |
User burden upper limit management addition 150unit | |
Additional allowance for welfare specialist staff placement, etc. | |
B. Additional charges for the placement of welfare specialist staff, etc.(Ⅰ) 15unit (b) Additional charges for the placement of welfare specialist staff, etc.(Ⅱ) 10unit C.Additional charges for welfare specialist staff assignment, etc.(Ⅲ) 6unit | |
Nutritionist placement addition | |
B Nutritionist placement addition(Ⅰ) (1) The usage capacity is40If it is less than a person 37unit (2) The usage capacity is41more than people50If it is less than a person 30unit (3) The usage capacity is51more than people60If it is less than a person 25unit (4) The usage capacity is61more than people70If it is less than a person 21unit (5) The usage capacity is71more than people80If it is less than a person 19unit (6) The usage capacity is81For more than one person 16unit B. Dietitian placement addition(Ⅱ) (1) The usage capacity is40If it is less than a person 20unit (2) The usage capacity is41more than people50If it is less than a person 16unit (3) The usage capacity is51more than people60If it is less than a person 13unit (4) The usage capacity is61more than people70If it is less than a person 11unit (5) The usage capacity is71more than people80If it is less than a person 10unit (6) The usage capacity is81For more than one person 9unit | |
Additional charges for absences 94unit | |
Special support addition 54unit | |
Additional support for children with severe behavioral disorders 155unit | |
Individual support addition | |
B Individual support addition(Ⅰ) 100unit B Individual support addition(Ⅱ) 125unit | |
Medical cooperation system addition | |
B Medical cooperation system addition(Ⅰ) 32unit B. Medical cooperation system addition(Ⅱ) 63unit C. Medical cooperation system addition(Ⅲ) 125unit D. Medical cooperation system addition(Ⅳ) (1) One disabled child received nursing care. 800unit (2) Two children with disabilities received nursing care. 500unit (3) More than 3 but less than 8 children with disabilities received nursing care. 400unit E Medical cooperation system addition(Ⅴ) (1) One disabled child received nursing care. 1,600unit (2) Two children with disabilities received nursing care. 960unit (3) More than 3 but less than 8 children with disabilities received nursing care. 800unit F. Medical cooperation system addition(Ⅵ) 500unit G Medical cooperation system addition(Ⅶ) 100unit | |
Additional transportation fee | |
B. When performing this for children with disabilities (excluding children with severe mental and physical disabilities) 54unit (b) When performed on children with severe mental and physical disabilities. 37unit | |
Extended support addition | |
B. Children with disabilities(Excludes children with severe mental and physical disabilities.), this means a (1) extra time1If less than hours 61unit (2) extra time1over an hour2If less than hours 92unit (3) extra time2If it's more than an hour 123unit B. In the case of children with severe mental and physical disabilities. (1) extra time1If less than hours 128unit (2) extra time1over an hour2If less than hours 192unit (3) extra time2If it's more than an hour 256unit | |
Related organization cooperation addition | |
B Related organization cooperation addition(Ⅰ) 200unit (b) Related organization cooperation addition(Ⅱ) 200unit | |
Childcare/education transition support addition 500unit | |
Welfare/nursing care staff treatment improvement addition | |
B Welfare/nursing care staff treatment improvement addition(Ⅰ) from 112The number of units calculated according to 3 above.1000Min81number of units equivalent to (b) Welfare/nursing care staff treatment improvement addition(Ⅱ) from 112The number of units calculated according to 3 above.1000Min59number of units equivalent to C. Welfare/nursing care staff treatment improvement addition(Ⅲ) from 112The number of units calculated according to 3 above.1000Min33number of units equivalent to | |
Special treatment improvement addition for welfare/nursing care staff, etc. | |
B. Addition for specific treatment improvement for welfare/nursing care staff, etc.(Ⅰ) from 112The number of units calculated according to 3 above.1000Min13number of units equivalent to (b) Addition for specific treatment improvement for welfare/nursing care staff, etc.(Ⅱ) from 112The number of units calculated according to 3 above.1000Min10number of units equivalent to | |
Some of the above benefits can be received if simple requirements are met, while others cannot be received unless a plan is drawn up in advance, such as a procedure manual or operational guidelines.
After listening to your budget, personnel structure, etc., we can suggest additional fees that you should request now and assist you in preparing the documents needed to obtain the additional fees.
Please feel free to contact us to handle your legal affairs after operations.
Summary
In order to operate a child development support office stably, it is important to formulate an income and expenditure plan before starting the business.
We recommend that you create an income and expenditure plan for at least two years before starting your business.
Create a solid plan and achieve long-term stable management that allows you to provide stable services even after opening.
Our initial consultation is free.
Please take a look at our homepage and contact us if you would like to consult or find out more!
