よむ、つかう、まなぶ。
資料２ 令和６年度障害福祉サービス等報酬改定の概要（案） (187 ページ)
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| 出典情報 | 障害福祉サービス等報酬改定検討チーム（第45回 2／6）《厚生労働省》 |
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福祉・介護職員等処遇改善加算の加算率について
福祉・介護職員等処遇改善
サービス区分
Ⅰ
Ⅱ
Ⅲ
Ⅳ
Ⅴ(1)
Ⅴ(2)
Ⅴ(3)
Ⅴ(4)
Ⅴ(5)
Ⅴ(6)
Ⅴ(7)
Ⅴ(8)
Ⅴ(9)
居宅介護
41.7%
40.2%
34.7%
27.3%
37.2%
34.3%
35.7%
32.8%
29.8%
28.3%
25.4%
30.2%
23.9%
20.9%
22.8%
19.4%
18.4%
13.9%
重度訪問介護
34.3%
32.8%
27.3%
21.9%
29.8%
28.9%
28.3%
27.4%
24.4%
22.9%
22.4%
22.8%
20.9%
17.9%
17.4%
16.4%
15.4%
10.9%
同行援護
41.7%
40.2%
34.7%
27.3%
37.2%
34.3%
35.7%
32.8%
29.8%
28.3%
25.4%
30.2%
23.9%
20.9%
22.8%
19.4%
18.4%
13.9%
行動援護
38.2%
36.7%
31.2%
24.8%
33.7%
31.8%
32.2%
30.3%
27.3%
25.8%
24.0%
26.7%
22.5%
19.5%
20.3%
18.0%
17.0%
12.5%
重度障害者等包括支援
22.3%
16.2%
13.8%
17.8%
19.9%
17.0%
11.7%
12.5%
9.3%
10.9%
6.4%
生活介護
8.1%
6.7%
5.5%
7.0%
6.9%
5.5%
5.6%
4.4%
4.4%
4.1%
3.0%
施設入所支援
15.9%
13.8%
11.5%
13.1%
13.6%
10.8%
10.8%
11.0%
8.0%
8.7%
8.7%
5.9%
短期入所
15.9%
13.8%
11.5%
13.1%
13.6%
10.8%
10.8%
11.0%
8.0%
8.7%
8.7%
5.9%
療養介護
13.7%
13.5%
11.6%
9.9%
10.9%
12.0%
10.7%
11.8%
9.2%
9.0%
9.9%
8.8%
9.7%
7.1%
7.1%
6.9%
7.8%
5.0%
自立訓練（機能訓練）
13.8%
13.4%
9.8%
8.0%
12.0%
12.0%
11.6%
11.6%
10.2%
9.8%
9.8%
8.0%
9.4%
8.0%
6.2%
7.6%
5.8%
4.0%
自立訓練（生活訓練）
13.8%
13.4%
9.8%
8.0%
12.0%
12.0%
11.6%
11.6%
10.2%
9.8%
9.8%
8.0%
9.4%
8.0%
6.2%
7.6%
5.8%
4.0%
就労選択支援
10.3%
10.1%
8.6%
6.9%
就労移行支援
10.3%
10.1%
8.6%
6.9%
9.0%
8.6%
8.8%
8.4%
7.3%
7.1%
6.5%
7.3%
6.3%
5.2%
5.6%
5.0%
4.8%
3.5%
就労継続支援Ａ型
9.6%
9.4%
7.9%
6.3%
8.3%
8.0%
8.1%
7.8%
6.7%
6.5%
6.2%
6.6%
6.0%
4.9%
5.0%
4.7%
4.5%
3.2%
就労継続支援Ｂ型
9.3%
9.1%
7.6%
6.2%
8.0%
7.9%
7.8%
7.7%
6.6%
6.4%
6.1%
6.3%
5.9%
4.8%
4.9%
4.6%
4.4%
3.1%
就労定着支援
10.3%
8.6%
6.9%
9.0%
8.6%
6.5%
7.3%
5.2%
5.6%
4.8%
3.5%
自立生活援助
10.3%
10.1%
8.6%
6.9%
9.0%
8.6%
8.8%
8.4%
7.3%
7.1%
6.5%
7.3%
6.3%
5.2%
5.6%
5.0%
4.8%
3.5%
共同生活援助（介護サービス包括型 ）
14.7%
14.4%
12.8%
10.5%
12.1%
12.4%
11.8%
12.1%
9.8%
9.5%
9.6%
10.2%
9.3%
7.0%
7.9%
6.7%
7.7%
5.1%
共同生活援助（日中サービス支援型）
14.7%
14.4%
12.8%
10.5%
12.1%
12.4%
11.8%
12.1%
9.8%
9.5%
9.6%
10.2%
9.3%
7.0%
7.9%
6.7%
7.7%
5.1%
共同生活援助（外部サービス利用型）
21.1%
20.8%
19.2%
15.2%
18.5%
17.1%
18.2%
16.8%
14.5%
14.2%
12.2%
16.6%
11.9%
9.6%
12.6%
9.3%
10.3%
7.7%
児童発達支援
13.1%
12.8%
11.8%
9.6%
11.1%
10.9%
10.8%
10.6%
8.9%
8.6%
8.3%
9.8%
8.0%
6.3%
7.6%
6.0%
7.0%
5.0%
医療型児童発達支援
17.6%
17.3%
16.3%
12.9%
15.6%
14.2%
15.3%
13.9%
12.2%
11.9%
10.1%
14.3%
9.8%
8.1%
10.9%
7.8%
8.8%
6.8%
放課後等デイサービス
13.4%
13.1%
12.1%
9.8%
11.4%
11.1%
11.1%
10.8%
9.1%
8.8%
8.4%
10.1%
8.1%
6.4%
7.8%
6.1%
7.1%
5.1%
居宅訪問型児童発達支援
12.9%
11.8%
9.6%
10.9%
10.7%
8.7%
8.1%
9.8%
6.1%
7.6%
7.0%
5.0%
保育所等訪問支援
12.9%
11.8%
9.6%
10.9%
10.7%
8.7%
8.1%
9.8%
6.1%
7.6%
7.0%
5.0%
福祉型障害児入所施設
21.1%
20.7%
16.8%
14.1%
17.3%
18.4%
16.9%
18.0%
14.6%
14.2%
15.2%
13.0%
14.8%
11.4%
10.3%
11.0%
10.9%
7.1%
医療型障害児入所施設
19.1%
18.7%
14.8%
12.7%
15.3%
17.0%
14.9%
16.6%
13.2%
12.8%
14.4%
11.0%
14.0%
10.6%
8.9%
10.2%
10.1%
6.3%
障害者支援施設が行う生活介護
10.1%
8.4%
6.7%
9.0%
8.4%
7.3%
6.5%
7.3%
5.4%
5.6%
4.8%
3.7%
障害者支援施設が行う自立訓練（機能訓練）
12.5%
9.9%
8.1%
10.7%
10.7%
8.9%
8.5%
8.1%
6.7%
6.3%
5.9%
4.1%
障害者支援施設が行う自立訓練（生活訓練）
12.5%
9.9%
8.1%
10.7%
10.7%
8.9%
8.5%
8.1%
6.7%
6.3%
5.9%
4.1%
障害者支援施設が行う就労移行支援
10.7%
8.9%
7.1%
9.4%
8.9%
7.6%
6.7%
7.6%
5.4%
5.8%
4.9%
3.6%
障害者支援施設が行う就労継続支援Ａ型
10.5%
8.7%
6.9%
9.2%
8.7%
7.4%
6.6%
7.4%
5.3%
5.6%
4.8%
3.5%
障害者支援施設が行う就労継続支援Ｂ型
10.4%
8.6%
6.9%
9.1%
8.7%
7.4%
6.6%
7.3%
5.3%
5.6%
4.8%
3.5%
8.0%
15.4%
6.9%
6.8%
5.8%
5.7%
7.3%
※経過措置区分として、令和６年度末まで福祉・介護職員等処遇改善加算(Ⅴ)(1)～(14)を設ける。
187
5.4%
Ⅴ(10)
Ⅴ(11)
Ⅴ(12)
4.3%
Ⅴ(13)
Ⅴ(14)
福祉・介護職員等処遇改善
サービス区分
Ⅰ
Ⅱ
Ⅲ
Ⅳ
Ⅴ(1)
Ⅴ(2)
Ⅴ(3)
Ⅴ(4)
Ⅴ(5)
Ⅴ(6)
Ⅴ(7)
Ⅴ(8)
Ⅴ(9)
居宅介護
41.7%
40.2%
34.7%
27.3%
37.2%
34.3%
35.7%
32.8%
29.8%
28.3%
25.4%
30.2%
23.9%
20.9%
22.8%
19.4%
18.4%
13.9%
重度訪問介護
34.3%
32.8%
27.3%
21.9%
29.8%
28.9%
28.3%
27.4%
24.4%
22.9%
22.4%
22.8%
20.9%
17.9%
17.4%
16.4%
15.4%
10.9%
同行援護
41.7%
40.2%
34.7%
27.3%
37.2%
34.3%
35.7%
32.8%
29.8%
28.3%
25.4%
30.2%
23.9%
20.9%
22.8%
19.4%
18.4%
13.9%
行動援護
38.2%
36.7%
31.2%
24.8%
33.7%
31.8%
32.2%
30.3%
27.3%
25.8%
24.0%
26.7%
22.5%
19.5%
20.3%
18.0%
17.0%
12.5%
重度障害者等包括支援
22.3%
16.2%
13.8%
17.8%
19.9%
17.0%
11.7%
12.5%
9.3%
10.9%
6.4%
生活介護
8.1%
6.7%
5.5%
7.0%
6.9%
5.5%
5.6%
4.4%
4.4%
4.1%
3.0%
施設入所支援
15.9%
13.8%
11.5%
13.1%
13.6%
10.8%
10.8%
11.0%
8.0%
8.7%
8.7%
5.9%
短期入所
15.9%
13.8%
11.5%
13.1%
13.6%
10.8%
10.8%
11.0%
8.0%
8.7%
8.7%
5.9%
療養介護
13.7%
13.5%
11.6%
9.9%
10.9%
12.0%
10.7%
11.8%
9.2%
9.0%
9.9%
8.8%
9.7%
7.1%
7.1%
6.9%
7.8%
5.0%
自立訓練（機能訓練）
13.8%
13.4%
9.8%
8.0%
12.0%
12.0%
11.6%
11.6%
10.2%
9.8%
9.8%
8.0%
9.4%
8.0%
6.2%
7.6%
5.8%
4.0%
自立訓練（生活訓練）
13.8%
13.4%
9.8%
8.0%
12.0%
12.0%
11.6%
11.6%
10.2%
9.8%
9.8%
8.0%
9.4%
8.0%
6.2%
7.6%
5.8%
4.0%
就労選択支援
10.3%
10.1%
8.6%
6.9%
就労移行支援
10.3%
10.1%
8.6%
6.9%
9.0%
8.6%
8.8%
8.4%
7.3%
7.1%
6.5%
7.3%
6.3%
5.2%
5.6%
5.0%
4.8%
3.5%
就労継続支援Ａ型
9.6%
9.4%
7.9%
6.3%
8.3%
8.0%
8.1%
7.8%
6.7%
6.5%
6.2%
6.6%
6.0%
4.9%
5.0%
4.7%
4.5%
3.2%
就労継続支援Ｂ型
9.3%
9.1%
7.6%
6.2%
8.0%
7.9%
7.8%
7.7%
6.6%
6.4%
6.1%
6.3%
5.9%
4.8%
4.9%
4.6%
4.4%
3.1%
就労定着支援
10.3%
8.6%
6.9%
9.0%
8.6%
6.5%
7.3%
5.2%
5.6%
4.8%
3.5%
自立生活援助
10.3%
10.1%
8.6%
6.9%
9.0%
8.6%
8.8%
8.4%
7.3%
7.1%
6.5%
7.3%
6.3%
5.2%
5.6%
5.0%
4.8%
3.5%
共同生活援助（介護サービス包括型 ）
14.7%
14.4%
12.8%
10.5%
12.1%
12.4%
11.8%
12.1%
9.8%
9.5%
9.6%
10.2%
9.3%
7.0%
7.9%
6.7%
7.7%
5.1%
共同生活援助（日中サービス支援型）
14.7%
14.4%
12.8%
10.5%
12.1%
12.4%
11.8%
12.1%
9.8%
9.5%
9.6%
10.2%
9.3%
7.0%
7.9%
6.7%
7.7%
5.1%
共同生活援助（外部サービス利用型）
21.1%
20.8%
19.2%
15.2%
18.5%
17.1%
18.2%
16.8%
14.5%
14.2%
12.2%
16.6%
11.9%
9.6%
12.6%
9.3%
10.3%
7.7%
児童発達支援
13.1%
12.8%
11.8%
9.6%
11.1%
10.9%
10.8%
10.6%
8.9%
8.6%
8.3%
9.8%
8.0%
6.3%
7.6%
6.0%
7.0%
5.0%
医療型児童発達支援
17.6%
17.3%
16.3%
12.9%
15.6%
14.2%
15.3%
13.9%
12.2%
11.9%
10.1%
14.3%
9.8%
8.1%
10.9%
7.8%
8.8%
6.8%
放課後等デイサービス
13.4%
13.1%
12.1%
9.8%
11.4%
11.1%
11.1%
10.8%
9.1%
8.8%
8.4%
10.1%
8.1%
6.4%
7.8%
6.1%
7.1%
5.1%
居宅訪問型児童発達支援
12.9%
11.8%
9.6%
10.9%
10.7%
8.7%
8.1%
9.8%
6.1%
7.6%
7.0%
5.0%
保育所等訪問支援
12.9%
11.8%
9.6%
10.9%
10.7%
8.7%
8.1%
9.8%
6.1%
7.6%
7.0%
5.0%
福祉型障害児入所施設
21.1%
20.7%
16.8%
14.1%
17.3%
18.4%
16.9%
18.0%
14.6%
14.2%
15.2%
13.0%
14.8%
11.4%
10.3%
11.0%
10.9%
7.1%
医療型障害児入所施設
19.1%
18.7%
14.8%
12.7%
15.3%
17.0%
14.9%
16.6%
13.2%
12.8%
14.4%
11.0%
14.0%
10.6%
8.9%
10.2%
10.1%
6.3%
障害者支援施設が行う生活介護
10.1%
8.4%
6.7%
9.0%
8.4%
7.3%
6.5%
7.3%
5.4%
5.6%
4.8%
3.7%
障害者支援施設が行う自立訓練（機能訓練）
12.5%
9.9%
8.1%
10.7%
10.7%
8.9%
8.5%
8.1%
6.7%
6.3%
5.9%
4.1%
障害者支援施設が行う自立訓練（生活訓練）
12.5%
9.9%
8.1%
10.7%
10.7%
8.9%
8.5%
8.1%
6.7%
6.3%
5.9%
4.1%
障害者支援施設が行う就労移行支援
10.7%
8.9%
7.1%
9.4%
8.9%
7.6%
6.7%
7.6%
5.4%
5.8%
4.9%
3.6%
障害者支援施設が行う就労継続支援Ａ型
10.5%
8.7%
6.9%
9.2%
8.7%
7.4%
6.6%
7.4%
5.3%
5.6%
4.8%
3.5%
障害者支援施設が行う就労継続支援Ｂ型
10.4%
8.6%
6.9%
9.1%
8.7%
7.4%
6.6%
7.3%
5.3%
5.6%
4.8%
3.5%
8.0%
15.4%
6.9%
6.8%
5.8%
5.7%
7.3%
※経過措置区分として、令和６年度末まで福祉・介護職員等処遇改善加算(Ⅴ)(1)～(14)を設ける。
187
5.4%
Ⅴ(10)
Ⅴ(11)
Ⅴ(12)
4.3%
Ⅴ(13)
Ⅴ(14)