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(영문) 서울행정법원 2019.05.30 2017구합58380
장기요양급여비용환수결정취소
Text

1. Of the instant lawsuit, the Defendant’s redemption disposition of expenses for long-term care benefits amounting to KRW 100,062,20,000 against the Plaintiff on December 28, 2016.

Reasons

Details of the disposition

The Plaintiff is establishing and operating the D Center (hereinafter referred to as the “instant Center”) that was established and reported as a long-term care facility for older persons designated as a long-term care facility for older persons in Yongsan-gu Seoul Metropolitan Government as a care facility for older persons.

On September 2016, the head of Yongsan-gu Seoul Metropolitan Government conducted on-site investigations (from November 2014 to July 2016) as to whether the expenses for long-term care benefits of the Center C and the instant center have been appropriately claimed with the Defendant.

(2) In the event that a long-term care institution provides long-term care benefits to beneficiaries and claims expenses incurred in providing long-term care benefits, the amount of benefits shall be calculated as follows; 100,062,200 won; 10,062,20 won; 200 won; 31 or 32 of the Long-Term Care Insurance Act for Long-Term Care; and 4-4-2 of Chapter 4-4-2 of the Ministry of Health and Welfare Notice No. 2014-6 ( June 26, 2014), “The amount of benefits for all beneficiaries who violated the standards for placement of human resources under Articles 23 and 24 of the Enforcement Rule of the Long-Term Care Insurance Act for Long-Term Care Benefits shall be calculated as follows; 200,062,200 won; 3-185,000 won, 20,000 won or more; 3-16,000 hours or more, and the Defendant shall be calculated as 16-6,0,06 days or more.

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