2023년 가사 간병 방문지원사업 안내 pdf

2023년_가사간병_방문지원사업_안내(최종) (1).pdf

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2023년 가사 간병 방문지원사업 안내

CONTENTS

제1편 사회서비스 투자사업 개요 · 1

Ⅰ. 사회서비스의 개념 및 필요성 ··················································· 3

1. 사회서비스의 개념(사회보장기본법 제3조제4항) ························· 3

2. 사회서비스의 특징 ········································································· 3

3. 사회서비스 투자의 필요성：복지-고용-성장 선순환 ··················· 3

 

Ⅱ. 지역자율형 사회서비스 투자사업(지역자율계정) ······················ 5

1. 개요 ······························································································· 5

2. 추진 경과 ······················································································ 6

3. 가사 간병 방문지원사업(시 도 자율편성사업) 예산 편성 절차 ·········· 6

 

제2편 가사 간병 방문지원사업 개요 · 9

Ⅰ. 사업 개요 ················································································ 11

1. 추진개요 ······················································································ 11

2. 추진체계 ······················································································ 13

 

Ⅱ. 사회서비스 전자 바우처 운영 ················································ 14

1. 국민행복카드 ··············································································· 14

2. 제공인력 카드 ············································································· 18

3. 바우처 본인부담금 ······································································ 19

4. 바우처 생성 ················································································· 22

5. 서비스 비용 관리 ········································································ 24

6. 청구비용 사전심사 ······································································ 31

7. 부당이득의 징수 ·········································································· 34

8. 전자바우처 관리 시스템 ····························································· 36

9. 개인정보 보호 등 ········································································ 39

 

제3편 이용자 선정 · 41

Ⅰ. 바우처 지원 대상 ···································································· 43

1. 지원 대상 ···················································································· 43

2. 중복 지원 예방 ··········································································· 44

 

Ⅱ. 바우처 신청 ············································································· 46

1. 신청 개요 ···················································································· 46

2. 처리 절차 ···················································································· 47

 

Ⅲ. 바우처 자격 결정 ···································································· 49

1. 바우처 자격 판정 ········································································ 49

2. 바우처 자격 결정 ········································································ 51

3. 이의신청 ······················································································ 52

4. 자격관리 ······················································································ 52

 

제4편 서비스 제공 · 57

Ⅰ. 서비스 가격 ············································································· 59

1. 서비스 가격 ················································································· 59

2. 비용 지급 기준 ··········································································· 60

 

Ⅱ. 서비스 계약 ············································································· 61

1. 계약의 효과 ················································································· 61

2. 계약체결 절차 ············································································· 61

3. 계약의 변경 ················································································· 64

 

Ⅲ. 서비스 제공 ············································································· 65

1. 서비스 기간 ················································································· 65

2. 서비스 내용 ················································································· 65

3. 서비스 준비 ················································································· 66

4. 서비스 제공 ················································································· 66

5. 제공기록 작성 및 보고 ······························································· 67

6. 비용 결제 ···················································································· 68

 

Ⅳ. 서비스 품질관리 ······································································ 72

1. 제공기관 서비스 모니터링 ·························································· 72

2. 감독기관 현장조사 ······································································ 72

3. 기타 품질관리 활동 ···································································· 74

 

제5편 제공기관 및 제공인력 관리 · 77

Ⅰ. 제공기관 운영 ········································································· 79

1. 제공기관 역할 ············································································· 79

2. 제공기관 등록 ············································································· 80

3. 시스템 관리 ················································································· 84

4. 회계 관리 ···················································································· 86

5. 개인정보 관리 등 ········································································ 86

6. 문서관리 ······················································································ 88

 

Ⅱ. 제공인력 관리 ········································································· 89

1. 제공인력 채용 ············································································· 89

2. 제공인력 관리 ············································································· 90

3. 제공인력 교육훈련 ······································································ 91

4. 시 군 구 인정 제공인력 ····························································· 93

5. 가사 간병 방문 지원서비스 제공인력 대체인력 풀(pool) 구축 ·············· 96

 

Ⅲ. 원거리 교통지원금 ·································································· 97

1. 지원 대상 ···················································································· 97

2. 지원 방법 및 절차 ······································································ 98

 

부록 1 관련서식 · 103

<서식 제1호> 사회보장급여(사회서비스이용권) 신청(변경)서 ································· 106

<서식 제1-1호> 사회서비스이용권(가사 간병 방문지원사업) 발급 신청 위임장 ········· 109

<서식 제2호> 사회서비스 전용 국민행복카드 발급(재발급) 신청서 ··························· 110

<서식 제2-1호> 사회서비스 전용 국민행복카드 발급을 위한 법정대리인 동의서 ······ 111

<서식 제2-2호> 국민행복카드 상담전화를 위한 개인정보 제공동의서 ····················· 112

<서식 제3호> 제공인력 카드 발급(재발급) 신청서 ··············································· 113

<서식 제4호> 개인정보 수집 이용 및 제3자 제공 동의서(제공인력) ························ 114

<서식 제5호> 사회보장급여(결정(적합), 결정(대상제외), 통지서 ··· 115

<서식 제5-1호> 가사 간병 방문지원 서비스 이용 안내문 ································· 121

<서식 제6호> 이의신청서 ································································ 123

<서식 제7호> 사회서비스 제공자 등록신청서 ······································ 124

<서식 제7-1호> 가사 간병 방문지원사업 운영 계획서 ···································· 127

<서식 제8호> 사회서비스 제공자 등록대장 ························································ 129

<서식 제9호> 사회서비스 제공자 등록증 ····················································· 131

<서식 제10호> 사회서비스 제공자 등록사항 변경신청서 ························ 132

<서식 제11호> 사회서비스 제공자 등록증 재발급신청서 ·························· 133

<서식 제12호> 사회서비스 제공자 폐업 휴업 신고서 ································· 134

<서식 제13호> 사회서비스 제공자료 이관/자체보관 신청서 ··························· 135

<서식 제13-1호> 사회서비스 제공자료 이관 목록표 ······························ 137

<서식 제13-2호> 사회서비스 제공자료 망실 및 훼손 목록표 ··································· 138

<서식 제14호> 사회서비스 제공자 지위승계 신고서 ······························ 139

<서식 제15호> 가사 간병 방문지원 서비스 제공기록지 ························· 141

<서식 제16호> 원거리 교통지원금 (적용 적용변경 적용중단) 신청서 ··············142

<서식 제17-1호> 사실 확인서(청구비용 사전심사) ······················· 143

<서식 제17-2호> 사실 확인서(현장조사) ··················144

<서식 제18호> 청구비용 재검토 신청서 ·················································· 146

<서식 제19호> 실시간 미결제 사유서 ···········································147

부록 2 참고자료 · 149

<참고 1> 가사 간병 방문지원 서비스 표준 ····································151

<참고 2> 의료급여 희귀질환자 및 중증난치질환자 산정 특례대상 ·· 155

<참고 3> 중증질환자 산정 특례대상 ············································195

<참고 4> 건강보험료 경감 도서 벽지 지역 ····································201

<참고 5> 성장촉진지역 ······························································211

<참고 6> 가사 간병 방문지원 서비스 이용계약서(예시) ·················212

<참고 7> 가사 간병 방문지원 서비스 제공기관 현장조사 착안사항 · 217

<참고 8> 사회서비스 이용 및 이용권 관리에 관한 법률 ·················221