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Determinations/Aged Care as amended, taking into account amendments up to Aged Care (Transitional Provisions) (Subsidy and Other Measures) Amendment (September Indexation) Determination 2019
Administered by: Health
Registered 30 Sep 2019
Start Date 20 Sep 2019

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Aged Care (Transitional Provisions) (Subsidy and Other Measures) Determination 2014

made under the

Aged Care (Transitional Provisions) Act 1997

Compilation No. 21

Compilation date:                              20 September 2019

Includes amendments up to:            F2019L01216

Registered:                                         30 September 2019

 

About this compilation

This compilation

This is a compilation of the Aged Care (Transitional Provisions) (Subsidy and Other Measures) Determination 2014 that shows the text of the law as amended and in force on 20 September 2019 (the compilation date).

The notes at the end of this compilation (the endnotes) include information about amending laws and the amendment history of provisions of the compiled law.

Uncommenced amendments

The effect of uncommenced amendments is not shown in the text of the compiled law. Any uncommenced amendments affecting the law are accessible on the Legislation Register (www.legislation.gov.au). The details of amendments made up to, but not commenced at, the compilation date are underlined in the endnotes. For more information on any uncommenced amendments, see the series page on the Legislation Register for the compiled law.

Application, saving and transitional provisions for provisions and amendments

If the operation of a provision or amendment of the compiled law is affected by an application, saving or transitional provision that is not included in this compilation, details are included in the endnotes.

Editorial changes

For more information about any editorial changes made in this compilation, see the endnotes.

Modifications

If the compiled law is modified by another law, the compiled law operates as modified but the modification does not amend the text of the law. Accordingly, this compilation does not show the text of the compiled law as modified. For more information on any modifications, see the series page on the Legislation Register for the compiled law.

Self‑repealing provisions

If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.

  

  

  


Contents

Chapter 1—Preliminary                                                                                                                    1

1............ Name of determination.................................................................................................. 1

3............ Authority....................................................................................................................... 1

4............ Determination applies to continuing care recipients....................................................... 1

5............ Definitions..................................................................................................................... 1

Chapter 2—Residential care subsidy                                                                                   3

Part 1—Basic subsidy amount                                                                                                                  3

6............ Purpose of this Part....................................................................................................... 3

7............ Definitions..................................................................................................................... 3

8............ Basic subsidy amount for day on or after date of effect of ACFI classification—general....... 3

9............ Basic subsidy amount for day before date of effect of ACFI classification—late receipt of appraisal or reappraisal...................................................................................................................................... 4

10.......... Basic subsidy amount for day on or after date of effect of ACFI classification—care recipients whose RCS classification ceased to have effect on or after 20 March 2008........................................................... 5

11.......... Basic subsidy amount for care recipients on extended hospital leave............................ 6

Part 2—Amounts of primary supplements                                                                                       7

Division 1—Accommodation supplement                                                                                     7

13.......... Purpose of this Division................................................................................................ 7

14.......... Definitions..................................................................................................................... 7

15.......... Maximum amount of accommodation supplement........................................................ 7

16.......... Amount of accommodation supplement—accommodation bond or accommodation bond not charged etc.             8

17.......... Amount of accommodation supplement—reduced accommodation bond or accommodation bond charged etc.      8

Division 2—Concessional resident supplement                                                                       10

19.......... Purpose of this Division.............................................................................................. 10

20.......... Definitions................................................................................................................... 10

21.......... Amount of concessional resident supplement—eligible concessional residents.......... 10

22.......... Amount of concessional resident supplement—eligible assisted residents.................. 11

23A....... Amount of concessional resident supplement for certain care recipients who entered relevant residential care service before 17 October 2014............................................................................................... 11

Division 3—Charge exempt resident supplement                                                                  12

24.......... Purpose of this Division.............................................................................................. 12

25.......... Definitions................................................................................................................... 12

26.......... Amount of charge exempt resident supplement........................................................... 12

Division 4—Respite supplement                                                                                                      13

28.......... Purpose of this Division.............................................................................................. 13

29.......... Definitions................................................................................................................... 13

30.......... Care recipients whose classification level is low level residential respite care............. 13

31.......... Care recipients whose classification level is high level residential respite care............ 13

32.......... How to work out the actual proportion of respite care provided through a residential care service for a relevant year.................................................................................................................................... 14

33.......... How to work out the specified proportion of respite care provided through a residential care service for a relevant year.................................................................................................................................... 15

34.......... Number of days or proportion of specified care exceeded........................................... 17

Division 5—Oxygen supplement                                                                                                     18

35.......... Purpose of this Division.............................................................................................. 18

36.......... Amount of oxygen supplement................................................................................... 18

Division 6—Enteral feeding supplement                                                                                     19

37.......... Purpose of this Division.............................................................................................. 19

38.......... Amount of enteral feeding supplement........................................................................ 19

Division 8—Transitional supplement                                                                                            20

52.......... Purpose of this Division.............................................................................................. 20

53.......... Amount of transitional supplement.............................................................................. 20

Division 9—Accommodation charge top‑up supplement                                                   21

54.......... Purpose of this Division.............................................................................................. 21

55.......... Amount of accommodation charge top‑up supplement................................................ 21

Division 10—Transitional accommodation supplement                                                     22

56.......... Purpose of this Division.............................................................................................. 22

57.......... Amount of transitional accommodation supplement.................................................... 22

Division 11—Basic daily fee supplement                                                                                    23

58.......... Purpose of this Division.............................................................................................. 23

59.......... Definitions................................................................................................................... 23

60.......... Amount of basic daily fee supplement......................................................................... 23

Part 3—Reductions in subsidy                                                                                                               24

64.......... Purpose of this Part..................................................................................................... 24

65.......... Amount of adjusted subsidy reduction........................................................................ 24

Part 4—Amounts of other supplements                                                                                           25

Division 1—Pensioner supplement                                                                                                 25

66.......... Purpose of this Division.............................................................................................. 25

67.......... Amount of pensioner supplement................................................................................ 25

Division 2—Viability supplement                                                                                                    26

68.......... Purpose of this Division.............................................................................................. 26

69.......... Amount of viability supplement.................................................................................. 26

Division 3—Hardship supplement                                                                                                  27

70.......... Purpose of this Division.............................................................................................. 27

71.......... Amount of hardship supplement—certain pre‑2008 reform residents......................... 27

72.......... Amount of hardship supplement—certain charge exempt residents............................ 27

73.......... Amount of hardship supplement—care recipients who occupied a place in a hostel on 30 September 1997            28

74.......... Amount of hardship supplement—care recipients in relation to whom a financial hardship determination is in force.................................................................................................................................... 28

Division 4—Veterans’ supplement                                                                                                 29

76.......... Purpose of this Division.............................................................................................. 29

77.......... Amount of veterans’ supplement................................................................................. 29

Division 5—Homeless supplement                                                                                                  30

78.......... Purpose of this Division.............................................................................................. 30

79.......... Amount of homeless supplement................................................................................ 30

Chapter 3—Home care subsidy                                                                                              31

Part 1—Preliminary                                                                                                                                      31

80.......... Purpose of this Chapter............................................................................................... 31

81.......... Definitions................................................................................................................... 31

Part 2—Amount of home care subsidy                                                                                             32

Division 1—Amount of home care subsidy                                                                                32

82.......... Amount of home care subsidy..................................................................................... 32

Division 2—Basic subsidy amount                                                                                                 33

83.......... Basic subsidy amount—general.................................................................................. 33

84.......... Basic subsidy amount—during suspension period...................................................... 33

Division 3—Viability supplement                                                                                                    35

85.......... Amount of viability supplement.................................................................................. 35

Division 4—Dementia and cognition supplement                                                                   36

86.......... Eligibility for dementia and cognition supplement....................................................... 36

87.......... Amount of dementia and cognition supplement........................................................... 37

Division 5—Veterans’ supplement                                                                                                 38

88.......... Eligibility for veterans’ supplement............................................................................. 38

89.......... Amount of veterans’ supplement................................................................................. 38

Division 6—Top‑up supplement                                                                                                       39

90.......... Eligibility for top‑up supplement................................................................................. 39

91.......... Amount of top‑up supplement amount........................................................................ 39

Chapter 4—Flexible care subsidy                                                                                          40

92.......... Purpose of this Chapter............................................................................................... 40

93.......... Amount of flexible care subsidy.................................................................................. 40

Endnotes                                                                                                                                                               42

Endnote 1—About the endnotes                                                                                                      42

Endnote 2—Abbreviation key                                                                                                          43

Endnote 3—Legislation history                                                                                                       44

Endnote 4—Amendment history                                                                                                     47


Chapter 1Preliminary

  

  

1  Name of determination

                   This determination is the Aged Care (Transitional Provisions) (Subsidy and Other Measures) Determination 2014.

3  Authority

                   This determination is made under the Aged Care (Transitional Provisions) Act 1997.

4  Determination applies to continuing care recipients

                   This determination applies only in relation to continuing care recipients.

5  Definitions

                   In this determination:

innovative care service has the same meaning as in the Subsidy Principles 2014.

low‑means care recipient has the same meaning as in the Transitional Provisions Principles.

multi‑purpose service has the same meaning as in the Subsidy Principles 2014.

newly built residential care service has the meaning given by section 50 of the Aged Care (Subsidy, Fees and Payments) Determination 2014.

relevant resident has the same meaning as in the Subsidy Principles 2014.

short‑term restorative care has the same meaning as in the Subsidy Principles 2014.

significantly refurbished residential care service has the same meaning as in the Subsidy Principles 2014.

Transitional Provisions Act means the Aged Care (Transitional Provisions) Act 1997.

Transitional Provisions Principles means the Aged Care (Transitional Provisions) Principles 2014.

transition care has the same meaning as in the Subsidy Principles 2014.

Note 1:       A number of expressions used in this determination are defined in the Transitional Provisions Act, including the following:

(a)    assisted resident;

(b)    concessional resident;

(c)    continuing care recipient;

(d)    post‑2008 reform resident;

(e)    pre‑2008 reform resident;

(f)    supported resident.

Note 2:       Continuing care recipient is defined in clause 1 of Schedule 1 to the Aged Care Act 1997 to mean:

(a)    a continuing flexible care recipient; or

(b)    a continuing home care recipient; or

(c)    a continuing residential care recipient.

Chapter 2Residential care subsidy

Part 1Basic subsidy amount

  

6  Purpose of this Part

                   For subsection 44‑3(2) of the Transitional Provisions Act, this Part sets out the basic subsidy amount for a day for a care recipient who is being provided with residential care other than as respite care through a residential care service.

7  Definitions

                   In this Part:

ACFI amount, for a care recipient, has the meaning given by subsection 8(3).

ACFI classification means a classification, or a renewal of a classification, of a care recipient under the Aged Care Act 1997 and:

                     (a)  the Classification Principles 1997, as in force on or after the commencement of Schedule 1 to the Aged Care Amendment (Residential Care) Act 2007; or

                     (b)  the Classification Principles 2014.

RCS classification means a classification, or renewal of a classification, of a care recipient under the Aged Care Act 1997 and the Classification Principles 1997 as in force immediately before 20 March 2008.

8  Basic subsidy amount for day on or after date of effect of ACFI classification—general

             (1)  This section applies in relation to a care recipient and a day if the care recipient has an ACFI classification that is in effect on the day.

Note:          For when a classification of a care recipient takes effect, see Division 26 of the Aged Care Act 1997.

             (2)  The basic subsidy amount for the day for the care recipient is the ACFI amount for the care recipient.

             (3)  The ACFI amount, for a care recipient, is the sum of the domain amounts for each domain category in the care recipient’s ACFI classification, as set out in the following table.

 

ACFI amounts

Item

Domain category

Domain amount ($)

1

Nil ADL category

$0.00

2

Low ADL category

$37.68

3

Medium ADL category

$82.05

4

High ADL category

$113.67

5

Nil behaviour category

$0.00

6

Low behaviour category

$8.61

7

Medium behaviour category

$17.85

8

High behaviour category

$37.21

9

Nil CHC category

$0.00

10

Low CHC category

$16.71

11

Medium CHC category

$47.61

12

High CHC category

$68.74

9  Basic subsidy amount for day before date of effect of ACFI classification—late receipt of appraisal or reappraisal

Appraisal or reappraisal received within 3 months after end of appraisal or reappraisal period

             (1)  Subsection (2) applies in relation to a care recipient and a day if:

                     (a)  on the day, the care recipient is taken, under subsection 25‑1(4) of the Aged Care Act 1997, to have been classified at the lowest applicable classification level; and

                     (b)  either:

                              (i)  an appraisal in respect of the care recipient has been received by the Secretary in the 3 months beginning at the end of the period referred to in paragraph 26‑1(a) or (b) of the Aged Care Act 1997 (whichever is applicable); or

                             (ii)  a reappraisal in respect of the care recipient has been received by the Secretary in the 3 months beginning at the end of the reappraisal period for the classification determined under section 27‑2 of the Aged Care Act 1997.

             (2)  The basic subsidy amount for the day for the care recipient is:

                     (a)  if the ACFI amount for the care recipient under section 8, for the day the care recipient’s ACFI classification takes effect, is at least $25—the ACFI amount less $25; or

                     (b)  in any other case—nil.

Appraisal or reappraisal received more than 3 months after end of appraisal or reappraisal period

             (3)  The basic subsidy amount for the day for a care recipient is nil if:

                     (a)  on the day, the care recipient is taken, under subsection 25‑1(4) of the Aged Care Act 1997, to have been classified at the lowest applicable classification level; and

                     (b)  either:

                              (i)  an appraisal in respect of the care recipient has been received by the Secretary more than 3 months after the end of the period referred to in paragraph 26‑1(a) or (b) of the Aged Care Act 1997 (whichever is applicable); or

                             (ii)  a reappraisal in respect of the care recipient has been received by the Secretary more than 3 months after the end of the reappraisal period for the classification determined under section 27‑2 of the Aged Care Act 1997.

10  Basic subsidy amount for day on or after date of effect of ACFI classification—care recipients whose RCS classification ceased to have effect on or after 20 March 2008

             (1)  This section applies to a care recipient on a day if:

                     (a)  the care recipient had an RCS classification before the day; and

                     (b)  the care recipient’s most recent RCS classification ceased to have effect on or after 20 March 2008; and

                     (c)  the care recipient has an ACFI classification that is in effect on the day.

Note:          For when a classification of a care recipient takes effect, see Division 26 of the Aged Care Act 1997.

             (2)  The basic subsidy amount for the day for the care recipient is:

                     (a)  if the ACFI amount for the care recipient is at least $15 more than the RCS amount for the care recipient—the ACFI amount for the care recipient; or

                     (b)  in any other case—the RCS amount for the care recipient.

             (3)  The RCS amount, for a care recipient, is the amount specified in the item of the following table that relates to the care recipient’s most recent expired RCS classification.

 

RCS amounts

Item

RCS classification

RCS amount ($)

1

Classification level 1

$170.12

2

Classification level 2

$154.26

3

Classification level 3

$132.88

4

Classification level 4

$93.94

5

Classification level 5

$57.23

6

Classification level 6

$47.39

7

Classification level 7

$36.41

8

Classification level 8

$0.00

11  Basic subsidy amount for care recipients on extended hospital leave

             (1)  This section applies in relation to a care recipient and a day if, on the day, the care recipient:

                     (a)  has an ACFI classification that is in effect; and

                     (b)  is on extended hospital leave.

             (2)  The basic subsidy amount for the day for the care recipient is:

                     (a)  for a day that is before the 29th day of the care recipient’s leave—the amount for the care recipient for the day under section 8, 9 or 10 (whichever is applicable); or

                     (b)  for any other day—half of the basic subsidy amount for the care recipient for the 28th day of the care recipient’s leave.

Part 2Amounts of primary supplements

Division 1Accommodation supplement

13  Purpose of this Division

                   For subsection 44‑5A(3) of the Transitional Provisions Act, this Division sets out the amount of the accommodation supplement for a day for an eligible supported resident.

Note 1:       If the value of a person’s assets exceeds the maximum asset threshold determined under paragraph 44‑5B(1)(c) of the Transitional Provisions Act, the person will not be eligible for an accommodation supplement because the person will not be a supported resident (unless there is a determination in force under section 57‑14 or 57A‑9 of the Transitional Provisions Act in relation to the person and the person is a post‑2008 reform resident) (see subsection 44‑5B(2) of the Transitional Provisions Act).

Note 2:       See also Subdivision A of Division 3 of Part 3 of Chapter 2 of the Transitional Provisions Principles.

14  Definitions

                   In this Division:

applicable maximum amount, for a day for an eligible supported resident, means the maximum amount of accommodation supplement that applies for the day for the supported resident under section 15.

eligible supported resident means a supported resident who is eligible for an accommodation supplement on a day under section 44‑5A of the Transitional Provisions Act.

minimum permissible asset value, for a supported resident, means the minimum permissible asset value for the resident under subsection 57‑12(3) of the Transitional Provisions Act.

relevant residential care service, in relation to an eligible supported resident and a day, means the residential care service through which the supported resident is being provided with residential care on that day.

15  Maximum amount of accommodation supplement

             (1)  The maximum amount of accommodation supplement for a day for an eligible supported resident is $57.49 if, on the day, the relevant residential care service in relation to the supported resident meets the building requirements specified in Schedule 1 to the Aged Care (Transitional Provisions) Principles 2014 and is:

                     (a)  a newly built residential care service; or

                     (b)  a significantly refurbished residential care service.

             (2)  The maximum amount of accommodation supplement for a day for an eligible supported resident is $37.47 if, on the day, the relevant residential care service in relation to the supported resident:

                     (a)  is not covered by paragraph (1)(a) or (b); and

                     (b)  meets the building requirements specified in Schedule 1 to the Transitional Provisions Principles.

             (3)  The maximum amount of accommodation supplement for a day for an eligible supported resident is $31.48 if the relevant residential care service in relation to the supported resident is not covered by subsection (1) or (2) on the day.

16  Amount of accommodation supplement—accommodation bond or accommodation bond not charged etc.

             (1)  This section applies in relation to an eligible supported resident and a day if, on the day:

                     (a)  a determination is in force under paragraph 57‑14(1)(a) or 57A‑9(1)(a) of the Transitional Provisions Act in relation to the supported resident; or

                     (b)  the value of the supported resident’s assets is less than the minimum permissible asset value for the supported resident.

             (2)  The amount of the accommodation supplement for a day for the eligible supported resident is:

                     (a)  the applicable maximum amount for the day for the supported resident if on the day, either of the following (the specified circumstances) applies:

                              (i)  more than 40% of care recipients to whom the relevant residential care service provides residential care, who are both post‑2008 reform residents and relevant residents, are low‑means care recipients or supported residents;

                             (ii)  more than 40% of relevant residents to whom the relevant residential care service provides residential care are assisted residents, concessional residents, low‑means care recipients or supported residents; or

                     (b)  if neither of the specified circumstances apply—75% of the applicable maximum amount for the day for the supported resident.

17  Amount of accommodation supplement—reduced accommodation bond or accommodation bond charged etc.

             (1)  This section applies in relation to an eligible supported resident and a day if section 16 does not apply.

             (2)  The notional amount of the accommodation supplement for the day for the eligible supported resident is worked out in accordance with the following formula:

where:

A is:

                     (a)  if a determination is in force under paragraph 57‑14(1)(b) of the Transitional Provisions Act in relation to the supported resident—the sum of:

                              (i)  the maximum amount of accommodation bond specified in the determination; and

                             (ii)  the minimum permissible asset value for the supported resident; or

                     (b)  if a determination is in force under paragraph 57A‑9(1)(b) of the Transitional Provisions Act in relation to the supported resident—the sum of:

                              (i)  the maximum amount of accommodation charge specified in the determination multiplied by 2080; and

                             (ii)  the minimum permissible asset value for the supported resident; or

                     (c)  in any other case—the value of the supported resident’s assets at the time when he or she entered the relevant residential care service or at another time specified in the Transitional Provisions Principles for paragraph 44‑5B(1)(c) of the Transitional Provisions Act.

AMA is the applicable maximum amount for the day for the supported resident.

T (short for threshold) is the minimum permissible asset value for the supported resident.

             (3)  The amount of the accommodation supplement for a day for the eligible supported resident is:

                     (a)  the notional amount of accommodation supplement for the day for the supported resident, worked out under subsection (2), if on the day, either of the following (the specified circumstances) applies:

                              (i)  more than 40% of care recipients to whom the relevant residential care service provides residential care, who are both post‑2008 reform residents and relevant residents, are low‑means care recipients or supported residents;

                             (ii)  more than 40% of relevant residents to whom the relevant residential care service provides residential care are assisted residents, concessional residents, low‑means care recipients or supported residents; or

                     (b)  if neither of the specified circumstances apply—75% of the notional amount of accommodation supplement for the day for the supported resident, worked out under subsection (2).

Division 2Concessional resident supplement

19  Purpose of this Division

                   For subsection 44‑6(4) of the Transitional Provisions Act, this Division sets out the amount of the concessional resident supplement for a day for an eligible concessional resident or an eligible assisted resident.

Note:          See also Subdivision B of Division 3 of Part 3 of Chapter 2 of the Transitional Provisions Principles.

20  Definitions

                   In this Division:

certified, in relation to a relevant residential care service, means certified under Part 2.6 of the Aged Care Act 1997, as in force before 17 October 2014.

eligible assisted resident means an assisted resident who is eligible for a concessional resident supplement on a day under section 44‑6 of the Transitional Provisions Act.

eligible concessional resident means a concessional resident who is eligible for a concessional resident supplement on a day under section 44‑6 of the Transitional Provisions Act.

relevant residential care service, for an eligible concessional resident or an eligible assisted resident, means the residential care service that provides residential care (other than respite care) to the concessional resident or assisted resident on a day.

21  Amount of concessional resident supplement—eligible concessional residents

Care provided in newly built or significantly refurbished residential care service

             (1)  If the relevant residential care service in relation to an eligible concessional resident is a newly built residential care service, or a significantly refurbished residential care service, the amount of the concessional resident supplement for a day for the concessional resident is:

                     (a)  $57.49; or

                     (b)  if, on the day, not more than 40% of relevant residents to whom the relevant residential care service provides residential care are assisted residents, concessional residents, low‑means care recipients or supported residents—the amount referred to in paragraph (a) reduced by 25%.

Care not provided in newly built or significantly refurbished residential care service

             (2)  If the relevant residential care service in relation to an eligible concessional resident is neither a newly built residential care service, nor a significantly refurbished residential care service, the amount of the concessional resident supplement for a day for the concessional resident is:

                     (a)  $22.91; or

                     (b)  if, on the day, not more than 40% of relevant residents to whom the relevant residential care service provides residential care are assisted residents, concessional residents, low‑means care recipients or supported residents—$14.97.

22  Amount of concessional resident supplement—eligible assisted residents

Care provided in newly built or significantly refurbished residential care service

             (1)  If the relevant residential care service in relation to an eligible assisted resident is a newly built residential care service, or a significantly refurbished residential care service, the amount of the concessional resident supplement for a day for the assisted resident is:

                     (a)  $57.49; or

                     (b)  if, on the day, not more than 40% of relevant residents to whom the relevant residential care service provides residential care are assisted residents, concessional residents, low‑means care recipients or supported residents—the amount referred to in paragraph (a) reduced by 25%.

Care not provided in newly built or significantly refurbished residential care service

             (2)  If the relevant residential care service in relation to an eligible assisted resident is neither a newly built residential care service, nor a significantly refurbished residential care service, the amount of the concessional resident supplement for a day for the assisted resident is $9.42.

23A  Amount of concessional resident supplement for certain care recipients who entered relevant residential care service before 17 October 2014

             (1)  Despite section 21, the amount of the concessional resident supplement for a day for an eligible concessional resident is nil if:

                     (a)  the eligible concessional resident entered the relevant residential care service in question before 17 October 2014; and

                     (b)  on the day of entry, the service was not certified.

             (2)  Despite section 22, the amount of the concessional resident supplement for a day for an eligible assisted resident is nil if:

                     (a)  the eligible assisted resident entered the relevant residential care service in question before 17 October 2014; and

                     (b)  on the day of entry, the service was not certified.

Division 3Charge exempt resident supplement

24  Purpose of this Division

                   For paragraph 44‑8A(3)(b) of the Transitional Provisions Act, this Division sets out the amount of the charge exempt resident supplement for a day for an eligible charge exempt resident.

Note:          See also Subdivision C of Division 3 of Part 3 of Chapter 2 of the Transitional Provisions Principles.

25  Definitions

                   In this Division:

eligible charge exempt resident means a charge exempt resident who is eligible for a charge exempt resident supplement on a day under section 44‑8A of the Transitional Provisions Act.

26  Amount of charge exempt resident supplement

             (1)  The amount of the charge exempt resident supplement for a day for an eligible charge exempt resident who is a pre‑2008 reform resident is the amount that is the difference between:

                     (a)  $57.49; and

                     (b)  the amount of the concessional resident supplement for the day for the care recipient under Division 2 of this Part.

             (2)  The amount of the charge exempt resident supplement for a day for any other eligible charge exempt resident is the amount that is the difference between:

                     (a)  $57.49; and

                     (b)  the amount of the accommodation supplement for the day for the care recipient under Division 1 of this Part.

Division 4Respite supplement

28  Purpose of this Division

                   For subsection 44‑12(3) of the Transitional Provisions Act, this Division provides for the amount of the respite supplement for a day for a care recipient or the way in which that amount is to be worked out.

Note:          See also Subdivision D of Division 3 of Part 3 of Chapter 2 of the Transitional Provisions Principles.

29  Definitions

                   In this Division:

allocation of places, in relation to a residential care service, means an allocation of places to the approved provider of the residential care service made under Division 14 of the Aged Care Act 1997.

conditions, in relation to a residential care service, means conditions under section 14‑5 or 14‑6 of the Aged Care Act 1997 attached to an allocation of places to the approved provider of the service.

30  Care recipients whose classification level is low level residential respite care

             (1)  This section applies in relation to a care recipient and a day if, on the day:

                     (a)  the classification level for the care recipient is low level residential respite care; and

                     (b)  section 34 does not apply in relation to the care recipient and the day.

             (2)  The amount of the respite supplement for the day for the care recipient is $39.39.

31  Care recipients whose classification level is high level residential respite care

             (1)  This section applies in relation to a care recipient and a day if:

                     (a)  the classification level for the care recipient on the day is high level residential respite care; and

                     (b)  section 34 does not apply in relation to the care recipient and the day.

             (2)  The amount of the respite supplement for the day for the care recipient is the sum of:

                     (a)  $55.21; and

                     (b)  if, for a relevant year, the actual proportion of respite care provided through the residential care service is equal to or more than 70% of the specified proportion of respite care for the approved provider of the service—$38.73.

Residential care provided through service that is not certified residential care service

             (4)  For paragraph (2)(b):

                     (a)  the relevant year, in relation to a day, means a period of 12 months ending at the expiration of the month in which the day occurs; and

                     (b)  the actual proportion of respite care provided through a residential care service for a relevant year is the proportion of care, worked out using the method statement in section 32, provided through the service in that year to recipients of respite care; and

                     (b)  the specified proportion of respite care, for the approved provider of a residential care service and a relevant year, is the proportion of care, worked out using the method statement in section 33, specified in respect of recipients of respite care in the conditions attached to each allocation of places to the approved provider in the relevant year.

32  How to work out the actual proportion of respite care provided through a residential care service for a relevant year

             (1)  For section 31, the actual proportion of respite care provided through a residential care service for a relevant year is worked out as follows:

Method statement

Step 1.   Work out, for the relevant year and for each care recipient to whom the residential care service provided residential care in the relevant year, the total number of respite bed days provided by the residential care service.

Step 2.   Add together each of the total numbers of respite bed days worked out under step 1.

Step 3.   Identify, for each care recipient referred to in step 1, the total number of respite bed days provided to the care recipient in the relevant year that exceeded the maximum number of days on which residential care as respite care could be provided to the care recipient during the relevant financial year.

                   Note:             The maximum number of days on which a care recipient may be provided with residential care as respite care during a financial year is set out in section 25 of the Transitional Provisions Principles.

Step 4.   Add together each of the total numbers of respite bed days identified under step 3.

Step 5.   Identify each respite bed day provided by the residential care service in the relevant year that exceeded the proportion of care for recipients of respite care that was specified in the conditions that applied in respect of the residential care service at the time the respite bed day was provided.

Step 6.   Add together all the respite bed days identified under step 5.

Step 7.   Add the total number of respite bed days worked out under step 4 to the total number of respite bed days worked out under step 6.

Step 8.   Subtract the sum worked out under step 7 from the total number of respite bed days worked out under step 2.

The result is the actual proportion of respite care provided through the residential care service for the relevant year.

Definitions

             (2)  In this section:

respite bed day, in relation to a residential care service and a care recipient, means a day on which the residential care service provided the care recipient with residential care as respite care.

33  How to work out the specified proportion of respite care provided through a residential care service for a relevant year

             (1)  For section 31, the specified proportion of respite care for the approved provider of a residential care service and a relevant year is worked out as follows:

Method statement

Step 1.   Work out the proportion of care for recipients of respite care, expressed as a number of notional respite bed days, as specified in the conditions that applied in respect of the residential care service at the start of the relevant year.

Step 2.   Work out the applicable period of time in relation to the proportion of care worked out under step 1.

Step 3.   Multiply the proportion of care worked out under step 1 by the applicable period of time worked out under step 2.

Step 4.   If the basis for the calculation of the proportion of care in relation to the residential care service changes during the relevant year, work out the proportion of care for recipients of respite care, expressed as a number of notional respite bed days, as specified in the conditions that applied at the time the change took effect.

Step 5.   Work out the applicable period of time in relation to the proportion of care worked out under step 4.

Step 6.   Multiply the proportion of care worked out under step 4 by the applicable period of time worked out under step 5.

Step 7.   Repeat steps 4 to 6 in respect of each further change to the basis for the calculation of the proportion of care in relation to the residential care service in the relevant year.

Step 8.   Add the amount worked out under step 3 to any amount or amounts worked out under step 6.

The result is the specified proportion of respite care for the approved provider of a residential care service for the relevant year.

When a proportion of care is taken to have been in effect

             (2)  For this section, a proportion of care is taken to have been in effect in relation to a residential care service for the period that:

                     (a)  commences on the first day of the relevant year or the first day on which the basis for the calculation of the proportion of care changed (as applicable); and

                     (b)  ends on the last day of the relevant year or the last day before the day on which the basis for the calculation of the proportion of care changed (as applicable).

Definitions

             (3)  In this section:

applicable period of time, in relation to a proportion of care worked out under step 1 or 4 (as applicable) of the method statement in subsection (1) and a residential care service, means the period (expressed as a number of days) during which the proportion of care was in effect in the relevant year in relation to the service, as described in subsection (2).

basis for the calculation of the proportion of care, in relation to a residential care service, means any factor that is relevant to the calculation of the proportion of care through the service, including:

                     (a)  the number of places allocated in respect of the residential care service; and

                     (b)  the conditions in relation to the residential care service.

notional respite bed day, in relation to a residential care service, means a day on which the residential care service is required to provide a care recipient with residential care as respite care.

34  Number of days or proportion of specified care exceeded

Maximum number of days exceeded

             (1)  For a care recipient in respect of whom the maximum number of days on which the care recipient may be provided with residential care as respite care during the relevant financial year has been exceeded, the amount of the respite supplement for a day is nil.

Note:          The maximum number of days on which a care recipient may be provided with residential care as respite care during a financial year is set out in section 25 of the Transitional Provisions Principles.

Proportion of specified care exceeded

             (2)  For a care recipient to whom residential care is provided through a residential care service that provides a greater proportion of care to recipients of respite care than that (if any) specified in the conditions attached to the allocation of places to the approved provider in respect of the service, the amount of the respite supplement for a day is nil.

Division 5Oxygen supplement

35  Purpose of this Division

                   For subsection 44‑13(6) of the Transitional Provisions Act, this Division sets out the amount of the oxygen supplement for a day for a care recipient.

Note:          See also Subdivision E of Division 3 of Part 3 of Chapter 2 of the Transitional Provisions Principles.

36  Amount of oxygen supplement

             (1)  Subject to subsection (2), the amount of the oxygen supplement for a day for a care recipient is $11.72.

             (2)  If the actual cost to the approved provider of providing oxygen to the care recipient on the day is equal to or more than 125% of the amount referred to in subsection (1) (that is, $14.65), the amount of the oxygen supplement for the day for the care recipient is the amount equivalent to that actual cost.

Division 6Enteral feeding supplement

37  Purpose of this Division

                   For subsection 44‑14(6) of the Transitional Provisions Act, this Division sets out the amount of the enteral feeding supplement for a day for a care recipient.

Note:          See also Subdivision F of Division 3 of Part 3 of Chapter 2 of the Transitional Provisions Principles.

38  Amount of enteral feeding supplement

             (1)  Subject to subsection (2), the amount of the enteral feeding supplement for a day for a care recipient is:

                     (a)  for bolus feeding—$18.57; and

                     (b)  for non‑bolus feeding—$20.86.

             (2)  If the actual cost to the approved provider of providing enteral feeding to the care recipient on the day is equal to or more than 125% of the applicable amount referred to in subsection (1) (that is, $23.21 for bolus feeding and $26.08 for non‑bolus feeding), the amount of the enteral feeding supplement for the day for the care recipient is the amount equivalent to that actual cost.

Division 8Transitional supplement

52  Purpose of this Division

             (1)  For subsection 44‑16(3) of the Transitional Provisions Act, this Division sets out the amount of the transitional supplement for a day for a care recipient.

             (2)  For this Division, the transitional supplement is the transitional supplement set out in Subdivision B of Division 4 of Part 3 of Chapter 2 of the Transitional Provisions Principles.

53  Amount of transitional supplement

             (1)  The amount of the transitional supplement for a day for a care recipient is $22.91.

Division 9Accommodation charge top‑up supplement

54  Purpose of this Division

             (1)  For subsection 44‑16(3) of the Transitional Provisions Act, this Division sets out the amount of the accommodation charge top‑up supplement for a day for a care recipient.

             (2)  For this Division, the accommodation charge top‑up supplement is the accommodation charge top‑up supplement set out in Subdivision C of Division 4 of Part 3 of Chapter 2 of the Transitional Provisions Principles.

55  Amount of accommodation charge top‑up supplement

             (1)  The amount of the accommodation charge top‑up supplement for a day for a care recipient is the amount that is the difference between:

                     (a)  the maximum daily accommodation charge that would be payable by the care recipient if the care recipient were not receiving an income support payment on his or her date of entry, as calculated under section 57A‑6 of the Transitional Provisions Act; and

                     (b)  the maximum daily accommodation charge that is payable by a post‑2008 reform resident who was receiving an income support payment on his or her date of entry, as specified under subsection 118(2) of the Transitional Provisions Principles.

             (2)  However, the amount of accommodation charge top‑up supplement for a day for the care recipient is nil if the amount worked out under subsection (1) is a negative amount.

Division 10Transitional accommodation supplement

56  Purpose of this Division

             (1)  For subsection 44‑16(3) of the Transitional Provisions Act, this Division sets out the amount of the transitional accommodation supplement for a day for a care recipient.

             (2)  For this Division, the transitional accommodation supplement is the transitional accommodation supplement set out in Subdivision D of Division 4 of Part 3 of Chapter 2 of the Transitional Provisions Principles.

57  Amount of transitional accommodation supplement

             (1)  The amount of the transitional accommodation supplement for a day for a care recipient is the amount that is the difference between:

                     (a)  the amount specified in the following table for the day when the care recipient entered residential care; and

                     (b)  the amount of accommodation supplement payable for the day for the care recipient under Division 1 of this Part.

 

Amount of transitional accommodation supplement

Item

Entry date

Amount ($)

1

After 19 March 2008 and before 20 September 2010

$8.57

2

After 19 September 2010 and before 20 March 2011

$5.71

3

After 19 March 2011 and before 20 September 2011

$2.86

             (2)  However, the amount of transitional accommodation  supplement for a day for the care recipient is nil if the amount worked out under subsection (1) is a negative amount.

Division 11Basic daily fee supplement

58  Purpose of this Division

             (1)  For subsection 44‑16(3) of the Transitional Provisions Act, this Division sets out the amount of the basic daily fee supplement for a day for an eligible care recipient.

             (2)  For this Division, the basic daily fee supplement is the basic daily fee supplement set out in Subdivision E of Division 4 of Part 3 of Chapter 2 of the Transitional Provisions Principles.

59  Definitions

                   In this Division:

eligible care recipient means a care recipient who is eligible for a basic daily fee supplement on a day under Subdivision E of Division 4 of Part 3 of Chapter 2 of the Transitional Provisions Principles.

60  Amount of basic daily fee supplement

                   The amount of the basic daily fee supplement for a day for an eligible care recipient is the amount worked out by rounding down to the nearest cent an amount equal to 1% of the basic age pension amount (worked out on a per day basis).

Note:          Basic age pension amount is defined in clause 1 of Schedule 1 to the Transitional Provisions Act.

Part 3Reductions in subsidy

  

64  Purpose of this Part

                   For subsection 44‑19(2) of the Transitional Provisions Act, this Part sets out the amount of the adjusted subsidy reduction for a day for a care recipient.

65  Amount of adjusted subsidy reduction

                   The amount of the adjusted subsidy reduction for a day for a care recipient is $13.39.

Part 4Amounts of other supplements

Division 1Pensioner supplement

66  Purpose of this Division

                   For subsection 44‑28(7) of the Transitional Provisions Act, this Division sets out the amount of the pensioner supplement for a day for a care recipient.

67  Amount of pensioner supplement

                   The amount of the pensioner supplement for a day for a care recipient is $8.57.

Division 2Viability supplement

68  Purpose of this Division

                   For subsection 44‑29(8) of the Transitional Provisions Act, this Division sets out the amount of the viability supplement for a day for a care recipient.

Note:          See also Subdivision A of Division 8 of Part 3 of Chapter 2 of the Transitional Provisions Principles.

69  Amount of viability supplement

                   The amount of the viability supplement for a day for a care recipient is the amount of the viability supplement that would apply for the day for the care recipient under Division 3 of Part 4 of Chapter 2 of the Aged Care (Subsidy, Fees and Payments) Determination 2014 if:

                     (a)  the care recipient were not a continuing care recipient; and

                     (b)  the viability supplement applied to the care recipient under the Aged Care Act 1997.

Division 3Hardship supplement

70  Purpose of this Division

                   For subsection 44‑30(5) of the Transitional Provisions Act, this Division sets out the amount of the hardship supplement for a day for a care recipient.

Note:          See also Subdivision B of Division 8 of Part 3 of Chapter 2 of the Transitional Provisions Principles.

71  Amount of hardship supplement—certain pre‑2008 reform residents

             (1)  The amount of the hardship supplement for a day for a care recipient who is a member of the class specified in paragraph 56(1)(a) of the Transitional Provisions Principles is the lesser of:

                     (a)  the sum of:

                              (i)  the amount of basic income support compensation, worked out under subsection (2); and

                             (ii)  $0.40, being the amount of pharmaceutical allowance compensation; and

                            (iii)  $1.40, being the amount of pharmaceutical concessions compensation; and

                     (b)  the amount that is the difference between:

                              (i)  the amount of standard resident contribution for a care recipient under section 58‑3C of the Transitional Provisions Act; and

                             (ii)  the amount of standard resident contribution for a care recipient under section 58‑4 of the Transitional Provisions Act.

             (2)  For subparagraph (1)(a)(i), the amount of basic income support compensation is the amount worked out in accordance with the following formula, rounded to the nearest 5 cents:

where:

X is $1 774.42.

Y is the amount of the care recipient’s total assessable fortnightly income determined under section 44‑24 of the Transitional Provisions Act.

72  Amount of hardship supplement—certain charge exempt residents

             (1)  The amount of the hardship supplement for a day for a care recipient who is a member of the class specified in paragraph 56(1)(b) of the Transitional Provisions Principles is the sum of:

                     (a)  the amount of basic income support compensation referred to in subsection (2); and

                     (b)  $0.40, being the amount of pharmaceutical allowance compensation; and

                     (c)  $1.40, being the amount of pharmaceutical concessions compensation.

             (2)  For paragraph (1)(a), the basic income support compensation for a care recipient is the amount of residential care allowance the care recipient was receiving on the day before 1 October 1997, as advised by Centrelink, indexed in line with the pensioner supplement.

Note 1:       Charge exempt resident has the meaning given by section 44‑8B of the Transitional Provisions Act.

Note 2:       Pensioner supplement means the supplement referred to in section 44‑28 of the Transitional Provisions Act.

73  Amount of hardship supplement—care recipients who occupied a place in a hostel on 30 September 1997

                   The amount of the hardship supplement for a day for a care recipient who is a member of the class specified in paragraph 56(1)(c) of the Transitional Provisions Principles is $0.80.

74  Amount of hardship supplement—care recipients in relation to whom a financial hardship determination is in force

                   The amount of the hardship supplement for a day for a care recipient in relation to whom a determination (a financial hardship determination) is in force under section 44‑31 of the Transitional Provisions Act is the amount that is the difference between:

                     (a)  the maximum daily amount of resident fees for the care recipient worked out under subsection 58‑2(1) of the Transitional Provisions Act; and

                     (b)  the lesser amount specified in the financial hardship determination.

Division 4Veterans’ supplement

76  Purpose of this Division

             (1)  For subsection 44‑27(3) of the Transitional Provisions Act, this Division sets out the amount of the veterans’ supplement for a day for a care recipient.

             (2)  For this Division, the veterans’ supplement is the veterans’ supplement set out in Subdivision C of Division 8 of Part 3 of Chapter 2 of the Transitional Provisions Principles.

77  Amount of veterans’ supplement

                   The amount of the veterans’ supplement for a day for a care recipient is $7.18.

Division 5Homeless supplement

78  Purpose of this Division

             (1)  For subsection 44‑27(3) of the Transitional Provisions Act, this Division sets out the amount of the homeless supplement for a day for a care recipient.

             (2)  For this Division, the homeless supplement is the homeless supplement set out in Subdivision D of Division 8 of Part 3 of Chapter 2 of the Transitional Provisions Principles.

79  Amount of homeless supplement

                   The amount of the homeless supplement for a day for a care recipient is $21.30.

Chapter 3Home care subsidy

Part 1Preliminary

  

80  Purpose of this Chapter

                   For subsection 48‑1(3) of the Transitional Provisions Act, this Chapter provides for the amount of home care subsidy for a day for a care recipient who is being provided with home care through a home care service.

81  Definitions

                   In this Chapter:

accepted mental health condition has the meaning given by section 4 of the Subsidy Principles 2014.

enteral feeding supplement means the enteral feeding supplement referred to in section 44‑14 of the Transitional Provisions Act.

Note:          See also Division 6 of Part 2 of Chapter 2 of this determination.

extended aged care at home—dementia has the meaning given by section 15.8 of the Flexible Care Subsidy Principles 1997 as in force immediately before 1 August 2013.

KICA‑Cog has the meaning given by section 4 of the Subsidy Principles 2014.

oxygen supplement means the oxygen supplement referred to in section 44‑13 of the Transitional Provisions Act.

Note:          See also Division 5 of Part 2 of Chapter 2 of this determination.

Psychogeriatric Assessment Scales has the meaning given by section 4 of the Subsidy Principles 2014.

Rowland Universal Dementia Assessment Scale has the meaning given by section 4 of the Subsidy Principles 2014.

suspension period, in relation to the provision of home care, means the period for which the provision of home care is suspended under section 46‑2 of the Transitional Provisions Act.

veteran has the meaning given by section 4 of the Subsidy Principles 2014.

Part 2Amount of home care subsidy

Division 1Amount of home care subsidy

82  Amount of home care subsidy

             (1)  Subject to subsections (2) and (3), the amount of home care subsidy payable to an approved provider in respect of a day for a care recipient receiving home care is the sum of the following amounts:

                     (a)  the basic subsidy amount in respect of the day worked out under Division 2;

                     (b)  the amount of the viability supplement in respect of the day worked out under Division 3;

                     (c)  the amount of the dementia and cognition supplement (if applicable) in respect of the day worked out under Division 4;

                     (d)  the amount of the veterans’ supplement (if applicable) in respect of the day worked out under Division 5;

                     (e)  the amount of the top‑up supplement (if applicable) in respect of the day worked out under Division 6;

                      (f)  the amount of the oxygen supplement (if applicable) that would be payable in respect of the day if the care recipient were receiving residential care on that day;

                     (g)  the amount of the enteral feeding supplement (if applicable) that would be payable in respect of the day if the care recipient were receiving residential care on that day.

             (2)  If the provision of home care to a care recipient is suspended, under section 46‑2 of the Transitional Provisions Act, on a day referred to in paragraph 84(2)(b), (4)(b) or (5)(b):

                     (a)  the amount of home care subsidy payable to an approved provider for the care recipient in respect of the day is the sum of:

                              (i)  the amount referred to in that paragraph; and

                             (ii)  the amount of the viability supplement in respect of the day worked out under Division 3; and

                     (b)  no amount of a supplement referred to in paragraphs (1)(c) to (g) is payable in respect of the day.

             (3)  If more than one approved provider is eligible for home care subsidy for a day for a particular care recipient, the amount of home care subsidy payable in respect of the day for the care recipient to each approved provider, other than the approved provider that first entered into a home care agreement with the care recipient, is nil.

Division 2Basic subsidy amount

83  Basic subsidy amount—general

                   Subject to section 84, the basic subsidy amount payable in respect of a day for a care recipient is the amount specified in the following table for the level of care that is, on the day, the care recipient’s level of care as a prioritised home care recipient determined under subsection 23B‑1(1) of the Aged Care Act 1997.

 

Basic subsidy amount

Item

Level of home care

Amount ($)

1

Level 1

$24.07

2

Level 2

$42.35

3

Level 3

$92.16

4

Level 4

$139.70

84  Basic subsidy amount—during suspension period

             (1)  If the provision of home care to a care recipient is suspended, on a temporary basis, under section 46‑2 of the Transitional Provisions Act, the basic subsidy amount payable for the care recipient in respect of a day during the suspension period is the amount worked out in accordance with subsection (2), (4) or (5).

             (2)  If the provision of home care is suspended because the care recipient is receiving transition care, or is attending hospital for the purpose of receiving hospital treatment, the amount is the following:

                     (a)  for up to 28 consecutive days in the suspension period—the amount specified in the table in section 83 for the level of care that is, on the day, the care recipient’s level of care as a prioritised home care recipient determined under subsection 23B‑1(1) of the Aged Care Act 1997;

                     (b)  for a subsequent consecutive day in the suspension period—the amount that is 25% of the amount specified in the table in section 83 for the level of care that is, on the day, the care recipient’s level of care as a prioritised home care recipient determined under subsection 23B‑1(1) of the Aged Care Act 1997.

             (3)  If a suspension period starts in a financial year and ends in the next financial year, then, for the purpose of calculating the number of consecutive days in subsection (2), the number of days restarts on 1 July of that next financial year.

             (4)  If the provision of home care is suspended because the care recipient is receiving respite care for which subsidy is payable to an approved provider, the amount is the following:

                     (a)  for up to 28 days in a financial year when the provision of home care is suspended because the care recipient is receiving the respite care—the amount specified in the table in section 83 for the level of care that is, on the day, the care recipient’s level of care as a prioritised home care recipient determined under subsection 23B‑1(1) of the Aged Care Act 1997;

                     (b)  for a subsequent day in the financial year when the provision of home care is suspended because the care recipient is receiving the respite care—the amount that is 25% of the amount specified in the table in section 83 for the level of care that is, on the day, the care recipient’s level of care as a prioritised home care recipient determined under subsection 23B‑1(1) of the Aged Care Act 1997.

Note:          The 28 days referred to in paragraph (a) do not need to be consecutive days.

             (5)  If the provision of home care is suspended for a reason other than those referred to in subsection (2) or (4), the amount is the following:

                     (a)  for up to 28 days in a financial year when the provision of home care to the care recipient is suspended for a reason other than those referred to in subsection (2) or (4)—the amount specified in the table in section 83 for the level of care that is, on the day, the care recipient’s level of care as a prioritised home care recipient determined under subsection 23B‑1(1) of the Aged Care Act 1997;

                     (b)  for a subsequent day in the financial year when the provision of home care to the care recipient is suspended for a reason other than those referred to in subsection (2) or (4)—the amount that is 25% of the amount specified in the table in section 83 for the level of care that is, on the day, the care recipient’s level of care as a prioritised home care recipient determined under subsection 23B‑1(1) of the Aged Care Act 1997.

Note:          The 28 days referred to in paragraph (a) do not need to be consecutive days.

             (6)  If, during a financial year, the determination made under subsection 23B‑1(1) of the Aged Care Act 1997 in relation to the care recipient is varied (under subsection 23B‑2(1) of that Act) to increase the care recipient’s level of care as a prioritised home care recipient to a new level, only days on which the provision of home care to the care recipient was suspended whilst the care recipient’s level of care as a prioritised home care recipient is the new level are to be counted for the purpose of calculating a number of days under subsection (2), (4) or (5) of this section for the new level.

Division 3Viability supplement

85  Amount of viability supplement

                   The amount of the viability supplement payable in respect of a day for a care recipient is the amount of the viability supplement that would apply for the day for the care recipient under Division 2 of Part 4 of Chapter 3 of the Aged Care (Subsidy, Fees and Payments) Determination 2014 if:

                     (a)  the care recipient were not a continuing care recipient; and

                     (b)  the viability supplement applied to the care recipient under the Aged Care Act 1997.

Division 4Dementia and cognition supplement

86  Eligibility for dementia and cognition supplement

             (1)  The dementia and cognition supplement applies to a care recipient (in this Division called an eligible care recipient) in respect of a day if:

                     (a)  there was in force on the day a home care agreement under which the care recipient was to be provided with home care, whether or not the care was provided on the day; and

                     (b)  subsection (2), (3), (4) or (5) applied to the care recipient on the day; and

                     (c)  if subsection (2), (3) or (4) applied to the care recipient on the day—the approved provider had a record of the assessment referred to in that subsection that was conducted in relation to the care recipient; and

                     (d)  an amount of veterans’ supplement is not payable under Division 5 in respect of the day for the care recipient.

             (2)  This subsection applies to a care recipient on a day if:

                     (a)  the care recipient has been assessed in accordance with the Psychogeriatric Assessment Scales; and

                     (b)  the assessment was conducted by a registered nurse, clinical nurse consultant, nurse practitioner or medical practitioner; and

                     (c)  the assessment resulted in a score of 10 or more.

             (3)  This subsection applies to a care recipient on a day if:

                     (a)  the care recipient is from a culturally or linguistically diverse background; and

                     (b)  the care recipient has been assessed in accordance with the Rowland Universal Dementia Assessment Scale; and

                     (c)  the assessment was conducted by a registered nurse, clinical nurse consultant, nurse practitioner or medical practitioner; and

                     (d)  the assessment resulted in a score of 22 or less.

             (4)  This subsection applies to a care recipient on a day if:

                     (a)  the care recipient is an Aboriginal person, or a Torres Strait Islander, who lives in a rural or remote area; and

                     (b)  the care recipient has been assessed in accordance with the KICA‑Cog; and

                     (c)  the assessment was conducted by:

                              (i)  a registered nurse, clinical nurse consultant, nurse practitioner or medical practitioner; or

                             (ii)  another health practitioner trained in assessing a person in accordance with the KICA‑Cog; and

                     (d)  the assessment resulted in a score of 33 or less.

             (5)  This subsection applies to a care recipient on a day if, immediately before 1 August 2013, the care recipient was receiving care, or was approved to receive care, in respect of a place allocated for the provision of flexible care in the form called extended aged care at home—dementia.

Note:          KICA‑Cog, Psychogeriatric Assessment Scales and Rowland Universal Dementia Assessment Scale have the meanings given by section 4 of the Subsidy Principles 2014 (see section 81 of this Part).

87  Amount of dementia and cognition supplement

                   The amount of the dementia and cognition supplement payable in respect of a day for an eligible care recipient is the amount that is 11.5% of the basic subsidy amount that is payable in respect of the day for the care recipient under section 83.

Division 5Veterans’ supplement

88  Eligibility for veterans’ supplement

                   The veterans’ supplement applies to a care recipient (in this Division called an eligible care recipient) in respect of a day if:

                     (a)  on that day:

                              (i)  there was in force a home care agreement under which the care recipient was to be provided with home care by an approved provider, whether or not the care was provided on the day; and

                             (ii)  the care recipient was a veteran who had an accepted mental health condition; and

                     (b)  the care recipient has before, on or after the day, authorised either, or both, of the following to disclose to the approved provider that the care recipient is a veteran with an accepted mental health condition:

                              (i)  the Secretary of the Department administered by the Minister administering the Veterans’ Entitlements Act 1986;

                             (ii)  the Secretary of the Department administered by the Minister administering the Human Services (Centrelink) Act 1997.

Note:          Accepted mental health condition and veteran have the meanings given by section 4 of the Subsidy Principles 2014 (see section 81 of this Part).

89  Amount of veterans’ supplement

                   The amount of the veterans’ supplement payable in respect of a day for an eligible care recipient is the amount that is 11.5% of the basic subsidy amount that is payable in respect of the day for the care recipient under section 83.

Division 6Top‑up supplement

90  Eligibility for top‑up supplement

                   The top‑up supplement applies to a care recipient (in this Division called an eligible care recipient) in respect of a day (the relevant day) if:

                     (a)  on a day (the eligibility start day) within the period of 28 days ending immediately before 1 August 2013, the care recipient was being provided with care in respect of a place allocated for the provision of flexible care in the form of extended aged care at home—dementia; and

                     (b)  during the relevant day, there was in force a home care agreement under which the care recipient was to be provided with home care level 4 by an approved provider, whether or not the care was to be provided on the relevant day; and

                     (c)  there has not been 28 consecutive days within the period beginning on the eligibility start day and ending on the relevant day during which:

                              (i)  care of a kind referred to in paragraph (a); or

                             (ii)  home care in accordance with a home care agreement;

                            was not provided to the care recipient.

Note:          If the provision of home care to the eligible care recipient is suspended for a period under section 46‑2 of the Transitional Provisions Act, the home care agreement under which the home care is provided is taken to remain in force during the suspension period, and the care recipient is taken to have been provided with home care, as required by the agreement, on each day of the suspension period (see Part 1 of Chapter 3 of the Transitional Provisions Principles).

91  Amount of top‑up supplement amount

                   The amount of the top‑up supplement payable in respect of a day for an eligible care recipient is $2.77.

Chapter 4Flexible care subsidy

  

  

92  Purpose of this Chapter

                   For section 52‑1 of the Transitional Provisions Act, this Chapter provides for the amount of flexible care subsidy that is payable for a day in respect of flexible care that is provided through a flexible care service.

93  Amount of flexible care subsidy

Flexible care provided through multi‑purpose service

             (1)  The amount of flexible care subsidy payable for a day in respect of flexible care that is provided through a multi‑purpose service is the amount of flexible care subsidy that would apply for the day under Part 1 of Chapter 4 of the Aged Care (Subsidy, Fees and Payments) Determination 2014 if:

                     (a)  the flexible care were provided to care recipients who were not continuing care recipients; and

                     (b)  the flexible care subsidy were payable under the Aged Care Act 1997.

Flexible care provided through innovative care service

             (2)  The amount of flexible care subsidy payable for a day for a care recipient who is being provided with flexible care through an innovative care service is the amount of flexible care subsidy that would apply for the day under Part 2 of Chapter 4 of the Aged Care (Subsidy, Fees and Payments) Determination 2014 if:

                     (a)  the care recipient were not a continuing care recipient; and

                     (b)  the flexible care subsidy were payable under the Aged Care Act 1997.

Flexible care provided as transition care

             (3)  The amount of flexible care subsidy payable for a day for a care recipient who is being provided with transition care through a flexible care service is the amount of flexible care subsidy that would apply for the day under Part 3 of Chapter 4 of the Aged Care (Subsidy, Fees and Payments) Determination 2014 if:

                     (a)  the care recipient were not a continuing care recipient; and

                     (b)  the flexible care subsidy were payable under the Aged Care Act 1997.

Flexible care provided as short‑term restorative care

             (4)  The amount of flexible care subsidy payable for a day for a care recipient who is being provided with short‑term restorative care through a flexible care service is the amount of flexible care subsidy that would apply for the day under Part 4 of Chapter 4 of the Aged Care (Subsidy, Fees and Payments) Determination 2014 if:

                     (a)  the care recipient were not a continuing care recipient; and

                     (b)  the flexible care subsidy were payable under the Aged Care Act 1997.


Endnotes

Endnote 1—About the endnotes

The endnotes provide information about this compilation and the compiled law.

The following endnotes are included in every compilation:

Endnote 1—About the endnotes

Endnote 2—Abbreviation key

Endnote 3—Legislation history

Endnote 4—Amendment history

Abbreviation key—Endnote 2

The abbreviation key sets out abbreviations that may be used in the endnotes.

Legislation history and amendment history—Endnotes 3 and 4

Amending laws are annotated in the legislation history and amendment history.

The legislation history in endnote 3 provides information about each law that has amended (or will amend) the compiled law. The information includes commencement details for amending laws and details of any application, saving or transitional provisions that are not included in this compilation.

The amendment history in endnote 4 provides information about amendments at the provision (generally section or equivalent) level. It also includes information about any provision of the compiled law that has been repealed in accordance with a provision of the law.

Editorial changes

The Legislation Act 2003 authorises First Parliamentary Counsel to make editorial and presentational changes to a compiled law in preparing a compilation of the law for registration. The changes must not change the effect of the law. Editorial changes take effect from the compilation registration date.

If the compilation includes editorial changes, the endnotes include a brief outline of the changes in general terms. Full details of any changes can be obtained from the Office of Parliamentary Counsel.

Misdescribed amendments

A misdescribed amendment is an amendment that does not accurately describe the amendment to be made. If, despite the misdescription, the amendment can be given effect as intended, the amendment is incorporated into the compiled law and the abbreviation “(md)” added to the details of the amendment included in the amendment history.

If a misdescribed amendment cannot be given effect as intended, the abbreviation “(md not incorp)” is added to the details of the amendment included in the amendment history.

 

Endnote 2—Abbreviation key

 

ad = added or inserted

o = order(s)

am = amended

Ord = Ordinance

amdt = amendment

orig = original

c = clause(s)

par = paragraph(s)/subparagraph(s)

C[x] = Compilation No. x

    /sub‑subparagraph(s)

Ch = Chapter(s)

pres = present

def = definition(s)

prev = previous

Dict = Dictionary

(prev…) = previously

disallowed = disallowed by Parliament

Pt = Part(s)

Div = Division(s)

r = regulation(s)/rule(s)

ed = editorial change

reloc = relocated

exp = expires/expired or ceases/ceased to have

renum = renumbered

    effect

rep = repealed

F = Federal Register of Legislation

rs = repealed and substituted

gaz = gazette

s = section(s)/subsection(s)

LA = Legislation Act 2003

Sch = Schedule(s)

LIA = Legislative Instruments Act 2003

Sdiv = Subdivision(s)

(md) = misdescribed amendment can be given

SLI = Select Legislative Instrument

    effect

SR = Statutory Rules

(md not incorp) = misdescribed amendment

Sub‑Ch = Sub‑Chapter(s)

    cannot be given effect

SubPt = Subpart(s)

mod = modified/modification

underlining = whole or part not

No. = Number(s)

    commenced or to be commenced

 

Endnote 3—Legislation history

 

Name

Registration

Commencement

Application, saving and transitional provisions

Aged Care (Transitional Provisions) (Subsidy and Other Measures) Determination 2014

28 June 2014 (F2014L00872)

1 July 2014 (s 2)

 

Aged Care (Transitional Provisions) (Subsidy and Other Measures) Amendment (September 2014 Indexation) Determination 2014

18 Sept 2014 (F2014L01242)

20 Sept 2014 (s 2)

Aged Care (Transitional Provisions) (Subsidy and Other Measures) Amendment (March 2015 Indexation) Determination 2015

18 Mar 2015 (F2015L00315)

20 Mar 2015 (s 2)

Aged Care (Transitional Provisions) (Subsidy and Other Measures) Amendment (Removal of Certification and Other Measures) Determination 2015

30 June 2015 (F2015L01009)

1 July 2015 (s 2(1) item 1)

Aged Care (Transitional Provisions) (Subsidy and Other Measures) Amendment (Indexation, Pre‑Entry Leave and Other Measures) Determination 2015

30 June 2015 (F2015L01019)

Sch 1 and 2: 1 July 2015 (s 2(1) items 1, 2)
Sch 3: 17 Sept 2015 (s 2(1) item 3)

Aged Care (Transitional Provisions) (Subsidy and Other Measures) Amendment (September 2015 Indexation) Determination 2015

18 Sept 2015 (F2015L01453)

20 Sept 2015 (s 2)

Aged Care (Transitional Provisions) (Subsidy and Other Measures) Amendment (March 2016 Indexation) Determination 2016

18 Mar 2016 (F2016L00351)

20 Mar 2016 (s 2)

Aged Care (Transitional Provisions) (Subsidy and Other Measures) Amendment (Short‑term Restorative Care) Determination 2016

5 May 2016 (F2016L00663)

6 May 2016 (s 2(1) item 1)

Aged Care (Transitional Provisions) (Subsidy and Other Measures) Amendment (July Indexation) Determination 2016

30 June 2016 (F2016L01107)

1 July 2016 (s 2)

Aged Care (Transitional Provisions) (Subsidy and Other Measures) Amendment (September 2016 Indexation) Determination 2016

19 Sept 2016 (F2016L01456)

20 Sept 2016 (s 2)

Aged Care (Transitional Provisions) (Subsidy and Other Measures) Amendment (Increasing Consumer Choice) Determination 2016

23 Sept 2016 (F2016L01494)

27 Feb 2017 (s 2(1) item 1)

Aged Care (Transitional Provisions) (Subsidy and Other Measures) Amendment (Viability Supplement) Determination 2016

19 Dec 2016 (F2016L01994)

1 Jan 2017 (s 2(1) item 1)

Aged Care (Transitional Provisions) (Subsidy and Other Measures) Amendment (March 2017 Indexation) Determination 2017

17 Mar 2017 (F2017L00246)

20 Mar 2017 (s 2)

Aged Care (Transitional Provisions) (Subsidy and Other Measures) Amendment (July Indexation) Determination 2017

21 June 2017 (F2017L00716)

1 July 2017 (s 2)

Aged Care (Transitional Provisions) (Subsidy and Other Measures) Amendment Determination 2017

23 June 2017 (F2017L00744)

1 July 2017 (s 2)

Aged Care (Transitional Provisions) (Subsidy and Other Measures) Amendment (September 2017 Indexation) Determination 2017

14 Sept 2017 (F2017L01189)

20 Sept 2017 (s 2)

Aged Care (Transitional Provisions) (Subsidy and Other Measures) Amendment (March 2018 Indexation) Determination 2018

16 Mar 2018 (F2018L00263)

20 Mar 2018 (s 2)

Aged Care (Transitional Provisions) (Subsidy and Other Measures) Amendment (July Indexation) Determination 2018

27 June 2018 (F2018L00893)

1 July 2018 (s 2)

Aged Care (Transitional Provisions) (Subsidy and Other Measures) Amendment (September 2018 Indexation) Determination 2018

17 Sept 2018 (F2018L01303)

20 Sept 2018 (s 2)

Aged Care (Transitional Provisions) (Subsidy and Other Measures) Amendment (March Indexation and Other Measures) Determination 2019

15 Mar 2019 (F2019L00308)

Sch 1 (Pt 2): 1 Apr 2019 (s 2(1) item 3)
Remainder: 20 Mar 2019 (s 2(1) items 1, 2)

Aged Care (Transitional Provisions) (Subsidy and Other Measures) Amendment (July Indexation) Determination 2019

26 June 2019 (F2019L00882)

1 July 2019 (s 2)

Aged Care (Transitional Provisions) (Subsidy and Other Measures) Amendment (September Indexation) Determination 2019

19 Sept 2019 (F2019L01216)

20 Sept 2019 (s 2)

 

Endnote 4—Amendment history

 

Provision affected

How affected

Chapter 1

 

s 2.............................................

rep LIA s 48D

s 5.............................................

am F2015L01009; F2016L00663

 

ed C18

Chapter 2

 

Part 1

 

s 8.............................................

am F2015L01019; F2016L01107; F2017L00716; F2017L00744; F2018L00893; F2018L01303; F2019L00308; F2019L00882

s 10...........................................

am F2015L01019; F2016L01107; F2017L00716; F2018L00893; F2019L00308; F2019L00882

s 12...........................................

rs F2015L01019

 

rep F2015L01019

Part 2

 

Division 1

 

s 14...........................................

am F2015L01009

s 15...........................................

am F2014L01242; F2015L00315; F2015L01009; F2015L01453; F2016L00351; F2016L01456; F2017L00246; F2017L01189; F2018L00263; F2018L01303; F2019L00308; F2019L01216

s 16...........................................

am F2015L01009

s 17...........................................

am F2015L01009

s 18...........................................

rep F2015L01019

Division 2

 

s 20...........................................

am F2015L01009

s 21...........................................

am F2014L01242; F2015L00315; F2015L01009; F2015L01453; F2016L00351; F2016L01456; F2017L00246; F2017L01189; F2018L00263; F2018L01303; F2019L00308; F2019L01216

s 22...........................................

am F2014L01242; F2015L00315; F2015L01009; F2015L01453; F2016L00351; F2016L01456; F2017L00246; F2017L01189; F2018L00263; F2018L01303; F2019L00308; F2019L01216

s 23...........................................

rep F2015L01019

s 23A........................................

ad F2015L01009

Division 3

 

s 26...........................................

am F2014L01242; F2015L00315; F2015L01453; F2016L00351; F2016L01456; F2017L00246; F2017L01189; F2018L00263; F2018L01303; F2019L00308; F2019L01216

s 27...........................................

rep F2015L01019

Division 4

 

s 29...........................................

am F2015L01009

s 30...........................................

am F2014L01242; F2015L00315; F2015L01009; F2015L01453; F2016L00351; F2016L01456; F2017L00246; F2017L01189; F2018L00263; F2018L01303; F2019L00308; F2019L01216

s 31...........................................

am F2014L01242; F2015L00315; F2015L01009; F2015L01453; F2016L00351; F2016L01456; F2017L00246; F2017L01189; F2018L00263; F2018L01303; F2019L00308; F2019L01216

Division 5

 

s 36...........................................

am F2015L01019; F2016L01107; F2017L00716; F2018L00893; F2019L00882

Division 6

 

s 38...........................................

am F2015L01019; F2016L01107; F2017L00716; F2018L00893; F2019L00882

Division 7.................................

rep 1 Apr 2015 (s 39(3))

s 39...........................................

rep 1 Apr 2015 (s 39(3))

s 40...........................................

rep 1 Apr 2015 (s 39(3))

s 41...........................................

rep 1 Apr 2015 (s 39(3))

s 42...........................................

rep 1 Apr 2015 (s 39(3))

s 43...........................................

rep 1 Apr 2015 (s 39(3))

s 44...........................................

rep 1 Apr 2015 (s 39(3))

s 45...........................................

rep 1 Apr 2015 (s 39(3))

s 46...........................................

rep 1 Apr 2015 (s 39(3))

s 47...........................................

rep 1 Apr 2015 (s 39(3))

s 48...........................................

rep 1 Apr 2015 (s 39(3))

s 49...........................................

rep 1 Apr 2015 (s 39(3))

s 50...........................................

rep 1 Apr 2015 (s 39(3))

s 51...........................................

rep 1 Apr 2015 (s 39(3))

Division 8

 

s 53...........................................

am F2014L01242; F2015L00315; F2015L01019; F2015L01453; F2016L00351; F2016L01456; F2017L00246; F2017L01189; F2018L00263; F2018L01303; F2019L00308; F2019L01216

Division 9

 

s 55...........................................

am F2015L01019

Division 10

 

s 57...........................................

am F2014L01242; F2015L00315; F2015L01019; F2015L01453; F2016L00351; F2016L01456; F2017L00246; F2017L01189; F2018L00263; F2018L01303; F2019L00308; F2019L01216

Division 12...............................

rep 1 Nov 2014 (s 63)

s 61...........................................

rep 1 Nov 2014 (s 63)

s 62...........................................

rep 1 Nov 2014 (s 63)

s 63...........................................

rep 1 Nov 2014 (s 63)

Part 3

 

s 65...........................................

am F2015L01019; F2016L01107; F2017L00716; F2018L00893; F2019L00882

Part 4

 

Division 1

 

s 67...........................................

am F2014L01242; F2015L00315; F2015L01453; F2016L00351; F2016L01456; F2017L00246; F2017L01189; F2018L00263; F2018L01303; F2019L00308; F2019L01216

Division 3

 

s 74...........................................

am F2015L01019

s 75...........................................

rep F2015L01019

Division 4

 

s 76...........................................

am F2015L01019

s 77...........................................

rs F2015L01019

 

am F2016L01107; F2017L00716; F2018L00893; F2019L00882

Division 5

 

s 78...........................................

am F2015L01019

s 79...........................................

rs F2015L01019

 

am F2016L01107; F2017L00716; F2018L00893; F2019L00308; F2019L00882

Chapter 3

 

Part 1

 

s 80...........................................

am F2016L00663

s 81...........................................

am F2016L00663; F2016L01994

Part 2

 

Division 1

 

s 82...........................................

am F2016L01494

Division 2

 

s 83...........................................

am F2015L01019; F2016L01107; F2016L01494; F2017L00716; F2018L00893; F2019L00882

s 84...........................................

am F2016L01494

Division 3

 

s 85...........................................

am F2015L01019; F2016L01107

 

rs F2016L01994

Division 4

 

s 87...........................................

am F2019L00308

Division 5

 

s 89...........................................

am F2019L00308

Division 6

 

s 91...........................................

am F2015L01019; F2016L01107; F2017L00716; F2018L00893; F2019L00882

Chapter 4

 

s 93...........................................

am F2016L00663