Page 70 - 2023 Taiwan Health and Welfare Report

05 2023 Taiwan Health and Welfare Report 05

(3) Long-term care personnel management: to to deliver services such as care and professional
provide complete long-term care services, services, transportation services, assistive device
"Regulations for the Training, Certification, services, home accessibility improvement services,
Continuous Education and Registration for Long- and respite care.
term Care Personnel" stipulating the training that 3. Once the contracted long-term care providers
care workers should have, contents of certification have fully provided the services, they can apply
and other courses and their procedure and other to the local government for cost reimbursement.
matters; also, for matters that foreign in-home Considering the limited service resources and
caregivers should comply with, the "Regulation for transportation difficulties in indigenous areas and
the supplementary training of foreigners engaged offshore islands, a payment price that is 20% higher
in in-home care work." than that in general areas is provided. However, the
(4) Long-term care services resources development: payment is still calculated based on the prices in
The "Regulations Governing Subsidies and general areas, and the additional payment amount
Rewards for Long-term Care Services Resource is borne by the government. To prevent cases with
Development" have been formulated, providing challenging care needs or special service time
subsidies and rewards and methods for requirements from being rejected, an additional
the development of various long-term care payment amount is provided for difficult care cases
resources, with subsidies and rewards given on or services provided during special time periods,
a priority base to offshore islands, remote areas, such as evenings or nights. This aims to encourage
indigenous areas and other areas lacking long- the strengthening of care for difficult cases and the
term care resources. provision of services during special time periods in
line with the policy.
Section 2 Long-term Care Benefits and
Payments System Chapter 2 The Long-Term Care Resource

1. From 2018 onwards, the promotion of a new system Development
for long-term care benefits and payments has been
Section 1 Service System and Resource
initiated to meet the diverse needs of individuals.
Integrated Development
The goal is to encourage service providers to
enhance their capacity and quality of services by 1. Community care service networks
defining the items, content, and payment prices To develop a community-based integrated care
for long-term care services. In alignment with the service model, Long-term Care 2.0 promotes the
amendment to Article 8-1, paragraph 4 of the Long- community overall care system with cultivating
Term Care Services Act, promulgated on June 9, community integrated services centers (A)
2021, the new system for long-term care benefits expanding combined service center (B) and widely
and payments has been elevated in legal status. establishing LTC stations around the blocks (C)as
The "Regulations on Application and Payment for the principle. City / county governments have been
Long-Term Care Services" were established and encouraged to work with long-term care, medical
became effective from February 1, 2022. care, nursing and social welfare units. The MOHW
2. Individuals who meet the eligibility criteria for long- plans to establish 469 integrated service centers,
term care benefits and payments, and are assessed 829 combined service centers and 2,529 LTC
by care managers as falling within Long-Term Care stations around the blocks in four years (between
Case-Mix System(CMS) Levels 2 to 8, are entitled 2017- 2020) (469A-829B-2,529C). As of the end
to have a care plan developed by Community of 2022, the progress thus far was (684A-7,432B-
Integrated Service Centers. These centers 3,758C), with the following deployment in various
coordinate with contracted long-term care providers municipalities as shown in Figure 5-1.

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