Confusion and concern are spreading among families of children with developmental disabilities and medical professionals over the revision to Japan’s medical fee schedule that took effect on June 1.
A provider of after-school day services for children with disabilities designated by Kawasaki City has failed to repay more than ¥548 million in fraudulently obtained funds and related charges, and the city has announced its intention to file a criminal complaint. Mutsumi Tanno, director of Kawasaki City’s Disability Health and Welfare Department, said:
“The misconduct is extremely malicious. We regard this as a very serious incident. We intend to take the appropriate measures.”
An internal document acknowledged the risk that reviews could be repeated until staff were satisfied, suggesting potential arbitrariness, but the Ministry of Health, Labour and Welfare concluded it could not confirm such behaviour and attributed most cases to errors or scheduling constraints under a strict three-month processing deadline. However, some staff remain skeptical of the ministry’s findings, arguing that internal investigations cannot uncover the truth and that reassessments were sometimes influenced by expectations about how particular doctors would rule, raising concerns about transparency and fairness in the system.
A controversy has emerged over Japan’s disability pension system after reports that staff at the Japan Pension Service had, in some cases, secretly discarded doctors’ assessment results and asked other doctors to re-evaluate applications. An internal document acknowledged the risk that reviews could be repeated until staff were satisfied, suggesting potential arbitrariness, but the Ministry of Health, Labour and Welfare concluded it could not confirm such behavior and attributed most cases to errors or scheduling constraints under a strict three-month processing deadline. However, some staff remain skeptical of the ministry’s findings, arguing that internal investigations cannot uncover the truth and that reassessments were sometimes influenced by expectations about how particular doctors would rule, raising concerns about transparency and fairness in the system
At the Fiscal System Subcommittee of the Fiscal System Council held on April 28, discussions were also held on the field of disability welfare. The Ministry of Finance stated that the total cost of disability welfare services, combining public expenditures and user co-payments, had reached 4.2 trillion yen as of fiscal year 2024, roughly doubling over the past decade, and expressed the view that it is necessary to curb further cost increases.
At the Fiscal System Subcommittee of the Fiscal System Council held on April 28, discussions were also held on the field of disability welfare. The Ministry of Finance stated that the total cost of disability welfare services, combining public expenditures and user co-payments, had reached 4.2 trillion yen as of fiscal year 2024, roughly doubling over the past decade, and expressed the view that it is necessary to curb further cost increases.
The fraudulent claims amounted to approximately 7 million yen in total, disbursed across 17 municipalities in four prefectures: Ibaraki, Chiba, Saitama, and Tokyo. The respective local governments will demand the return of approximately 9.8 million yen, which includes surcharge penalties. This marks the fifth time since July 2025 that Ibaraki prefecture has revoked a facility’s designation due to fraudulent benefit claims and document forgery.
The fraudulent claims amounted to approximately 7 million yen in total, disbursed across 17 municipalities in four prefectures: Ibaraki, Chiba, Saitama, and Tokyo. The respective local governments will demand the return of approximately 9.8 million yen, which includes surcharge penalties. This marks the fifth time since July 2025 that Ibaraki prefecture has revoked a facility’s designation due to fraudulent benefit claims and document forgery.
According to police, from June 2020 to April two years ago, the suspect allegedly falsified attendance records on 45 occasions for two child users at a facility he operated in Higashimatsuyama City, and is suspected of defrauding the city of about 8.81 million yen, including disability child day-care benefits.
The people either worked at the welfare offices or from home, and Thankslab received a support fee of about ¥200,000 per person per month from client companies.
Barrier Free Japan