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令和6年度障害福祉サービス等報酬改定の概要 (187 ページ)

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出典情報 令和6年度障害福祉サービス等報酬改定の概要(2/7)《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








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)