Classification Principles 2014

made under the

Aged Care Act 1997

Compilation No. 1

Compilation date:    1 July 2016

Includes amendments up to: F2016L00804

Registered:    1 July 2016

 

About this compilation

This compilation

This is a compilation of the Classification Principles 2014 that shows the text of the law as amended and in force on 1 July 2016 (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If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.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

Part 1—Preliminary

1 Name of principles

3 Authority

4 Definitions

Part 2—Classification of care recipients

5 Purpose of this Part

6 Procedure for determining classification level—residential care other than respite care

7 Procedure for determining classification level—respite care

Part 3—Classes of care recipients excluded from classification

8 Purpose of this Part

9 Exclusion of class of care recipients

Part 4—Classification levels

10 Purpose of this Part

11 Classification levels

12 Lowest applicable classification level—care other than respite care

Part 5—Appraisals of the level of care needed

13 Purpose of this Part

14 Circumstance and alternative period

15 Appraisal procedure

Part 6—Suspending approved providers from making appraisals and reappraisals

16 Purpose of this Part

17 Requirements for applications for the lifting of suspensions

Part 7—When respite care classifications take effect

18 Purpose of this Part

19 Day of effect

Part 8—Expiry and renewal of classifications

20 Purpose of this Part

21 Different expiry dates

22 Circumstances in which care needs are taken to have changed significantly

23 Procedure for determining renewal of classification

Schedule 1—Scores for question ratings

Part 1—ADL domain

1 Scores

Part 2—Behaviour domain

2 Scores

Part 3—CHC domain

3 Scores

Schedule 2—Domain categories

Part 1—ADL domain

1 Domain categories

Part 2—Behaviour domain

2 Domain categories

Part 3—CHC domain

3 Domain categories

Endnotes

Endnote 1—About the endnotes

Endnote 2—Abbreviation key

Endnote 3—Legislation history

Endnote 4—Amendment history

Part 1Preliminary

 

1  Name of principles

  These principles are the Classification Principles 2014.

3  Authority

  These principles are made under section 961 of the Aged Care Act 1997.

4  Definitions

  In these principles:

Act means the Aged Care Act 1997.

ADL domain means the domain relating to activities of daily living.

Answer Appraisal Pack means the Aged Care Funding Instrument (ACFI) Answer Appraisal Pack published by the Department, as it exists on 1 July 2014.

Note: In 2014, the Answer Appraisal Pack was accessible at http://www.dss.gov.au.

application for classification means an application completed in accordance with section 15 for classification of a care recipient under section 251 of the Act.

Assessment Pack means the Aged Care Funding Instrument (ACFI) Assessment Pack published by the Department, as it exists on 1 July 2014.

Note: In 2014, the Assessment Pack was accessible at http://www.dss.gov.au.

behaviour domain means the domain relating to behaviour.

CHC domain means the domain relating to complex health care.

domain means a group of questions in the Answer Appraisal Pack relating to one of the following:

 (a) activities of daily living;

 (b) behaviour;

 (c) complex health care.

domain aggregate range has the meaning given by subsection 6(2).

domain category means a domain category mentioned in a table in Schedule 2.

multipurpose service has the meaning given by section 104 of the Subsidy Principles 2014.

User Guide means the Aged Care Funding Instrument (ACFI) User Guide published by the Department, as it exists on 1 July 2014.

Note 1: In 2014, the User Guide was accessible at http://www.dss.gov.au.

Note 2: A number of expressions used in these principles are defined in the Act, including:

(a) classification level; and

(b) lowest applicable classification level.

Part 2Classification of care recipients

 

5  Purpose of this Part

  For subsection 251(2) of the Act, this Part specifies the procedure the Secretary must follow in determining the appropriate classification level for a care recipient being provided with residential care.

6  Procedure for determining classification level—residential care other than respite care

 (1) The procedure set out in subsection (2) is specified for determining the appropriate classification level for a care recipient being provided with residential care (other than respite care).

 (2) The Secretary must take the following steps, using the application for classification completed in respect of the care recipient.

Procedure for determining classification level

Step 1. For the ADL domain and the behaviour domain in the completed application, the Secretary must:

 (a) use the tables in Parts 1 and 2 of Schedule 1 to identify the score for the rating for each question in each domain; and

 (b) add up the scores to work out an aggregate figure for each domain (the domain aggregate); and

 (c) use the tables in Parts 1 and 2 of Schedule 2 to identify, for each domain:

 (i) the range within which the domain aggregate falls (the domain aggregate range); and

 (ii) the domain category that applies to that domain aggregate range.

Step 2. If:

 (a) the domain category identified for the behaviour domain is the high behaviour category; and

 (b) the completed application does not include a mental and behavioural diagnosis code;

 the Secretary must reduce the domain category to the medium behaviour category.

Step 3. For the CHC domain in the completed application, the Secretary must:

 (a) use the matrix in Part 3 of Schedule 1, which combines ratings for the questions in the domain, to work out the overall score for the domain; and

 (b) identify the domain category mentioned in the table in Part 3 of Schedule 2 that applies to that score.

Step 4. The Secretary must determine that the appropriate classification level for the care recipient consists of the domain categories identified for each domain.

Note 1: For the classification level for a care recipient being provided with residential care (other than respite care), see subsection 11(1).

Note 2: The procedure set out in this subsection also applies in relation to a renewal of the classification level for a care recipient being provided with residential care (other than respite care). See section 23.

7  Procedure for determining classification level—respite care

 (1) The procedure set out in subsection (2) is specified for determining the appropriate classification level for a care recipient being provided with residential care as respite care.

 (2) The Secretary must determine the appropriate classification level for the care recipient according to the limitation of the care recipients approval under the Approval of Care Recipients Principles 2014.

Note: For the classification levels for care recipients being provided with residential care as respite care, see subsection 11(2).

Part 3Classes of care recipients excluded from classification

 

8  Purpose of this Part

  For subsection 251(5) of the Act, this Part specifies:

 (a) a class of care recipients excluded from classification under Part 2.4 of the Act; and

 (b) the period for which that class is excluded.

9  Exclusion of class of care recipients

 (1) The class of care recipients who receive flexible care provided through a multipurpose service is excluded from classification.

 (2) An indefinite period is specified in relation to the class mentioned in subsection (1).

Part 4Classification levels

 

10  Purpose of this Part

  For section 252 of the Act, this Part sets out classification levels for care recipients being provided with residential care.

11  Classification levels

Care other than respite care

 (1) For subsection 252(1) of the Act, the classification level for care recipients being provided with residential care (other than respite care) consists of a domain category for each domain.

Respite care

 (2) For subsection 252(1) of the Act, the classification levels for care recipients being provided with residential care as respite care are:

 (a) low level residential respite care; and

 (b) high level residential respite care.

12  Lowest applicable classification level—care other than respite care

  For subsection 252(3) of the Act, the lowest applicable classification level for a care recipient being provided with residential care (other than respite care) consists of the following domain categories:

 (a) nil ADL category;

 (b) nil behaviour category;

 (c) nil CHC category.

Part 5Appraisals of the level of care needed

 

13  Purpose of this Part

  For section 253 of the Act, this Part specifies:

 (a) a circumstance in which subsection 253(2) of the Act does not apply in relation to an appraisal of the level of care needed by a care recipient being provided with residential care, relative to the needs of other care recipients; and

 (b) an alternative period during which the appraisal may be made; and

 (c) procedures for making the appraisal.

14  Circumstance and alternative period

  For subsection 253(2A) of the Act:

 (a) subsection 253(2) of the Act does not apply in relation to the appraisal if the care recipient leaves the residential care service through which the care is provided within 7 days after the day the approved provider began providing the care; and

 (b) if paragraph (a) applies, the appraisal may be:

 (i) made during the period in which the care recipient was provided with the care; and

 (ii) given to the Secretary within 28 days after the day the provider began providing the care.

15  Appraisal procedure

 (1) For subsection 253(3) of the Act, the procedure set out in subsection (2) is specified for the appraisal.

 (2) The person making the appraisal must:

 (a) complete an Answer Appraisal Pack in accordance with the User Guide, using:

 (i) accurate and reliable information; and

 (ii) if required by the Answer Appraisal Pack—the assessment tools in the Assessment Pack; and

 (b) complete an application for classification using the completed Answer Appraisal Pack.

Part 6Suspending approved providers from making appraisals and reappraisals

 

16  Purpose of this Part

  For paragraph 254C(3)(b) of the Act, this Part specifies requirements that must be met by an application for the lifting of a suspension of an approved provider from making appraisals and reappraisals.

17  Requirements for applications for the lifting of suspensions

  The application must include information about:

 (a) action the approved provider has taken to correct false, misleading or inaccurate information given in appraisals or reappraisals made by the approved provider; and

 (b) consultations (if any) held by the approved provider with staff, care recipients or the relatives of care recipients in relation to the giving of the false, misleading or inaccurate information; and

 (c) action the approved provider proposes to take to ensure that false, misleading or inaccurate information is not given in future appraisals or reappraisals made by the approved provider.

Part 7When respite care classifications take effect

 

18  Purpose of this Part

  For section 263 of the Act, this Part specifies the day when a classification of a care recipient in relation to care provided as respite care takes effect.

19  Day of effect

  The classification takes effect on the first day the care recipient enters respite care.

Part 8Expiry and renewal of classifications

 

20  Purpose of this Part

  For sections 272, 274 and 276 of the Act, this Part specifies the following:

 (a) different expiry dates in relation to certain classifications;

 (b) circumstances in which the care needs of a care recipient are taken to have changed significantly;

 (c) procedures the Secretary must follow in determining the appropriate classification level for a care recipient when renewing the care recipient’s classification.

21  Different expiry dates

Care recipient being provided with respite care

 (1) For paragraph 272(6)(a) of the Act, the expiry date for the classification of a care recipient to whom the circumstance mentioned in item 7 of the table in subsection 272(1) of the Act applies is the first day after the earlier of the following:

 (a) the day in a financial year on which the number of days on which the care recipient has been provided with residential care as respite care in the financial year equals the number of days specified in paragraph 23(1)(c) of the Subsidy Principles 2014;

 (b) the day the care recipients approval as a care recipient ceases to have effect.

Note: For when a care recipients approval as a care recipient ceases to have effect, see Division 23 of the Act.

Care recipient eligible for dementia and severe behaviours supplement

 (2) For paragraph 272(6)(a) of the Act:

 (a) the expiry date for the classification of a care recipient being provided with residential care whose classification has been renewed because the care recipient became eligible for a dementia and severe behaviours supplement under the Subsidy Principles 2014 is the day immediately after the period of 28 days starting on the day the care recipient ceases being provided with residential care (other than because the care recipient is on leave); and

 (b) the expiry date specified in item 5 of the table in subsection 272(1) of the Act does not apply in relation to the classification.

22  Circumstances in which care needs are taken to have changed significantly

  For subsection 274(4) of the Act, the care needs of a care recipient being provided with residential care are taken to have changed significantly if the care recipient:

 (a) becomes eligible for a dementia and severe behaviours supplement under the Subsidy Principles 2014; or

 (b) experiences an event likely to increase the level of care needed by the care recipient by:

 (i) 2 or more domain categories within a domain; or

 (ii) at least one domain category within 2 or more domains; or

 (c) for a care recipient whose classification level includes the high ADL category and the medium CHC category—experiences an event likely to change the level of complex health care needed by the care recipient to the high CHC category.

23  Procedure for determining renewal of classification

  For subsection 276(2) of the Act, in determining the appropriate classification level for a care recipient, the procedure mentioned in subsection 6(2) of these principles is specified.

Schedule 1Scores for question ratings

Note: See section 6.

Part 1ADL domain

 

1  Scores

  The following table sets out the score for each rating for each question in the ADL domain.

 

ADL domain

Question

Rating

Score

1 Nutrition

A

0

B

6.69

C

13.39

D

20.09

2 Mobility

A

0

B

6.88

C

13.76

D

20.65

3 Personal hygiene

A

0

B

6.88

C

13.76

D

20.65

4 Toileting

A

0

B

6.11

C

12.21

D

18.31

5 Continence

A

0

B

5.79

C

11.53

D

17.31

Part 2Behaviour domain

 

2  Scores

  The following table sets out the score for each rating for each question in the behaviour domain.

 

Behaviour domain

Question

Rating

Score

6 Cognitive skills

A

0

B

6.98

C

13.91

D

20.88

7 Wandering

A

0

B

5.91

C

11.82

D

17.72

8 Verbal behaviour

A

0

B

7.04

C

14.10

D

21.14

9 Physical behaviour

A

0

B

7.70

C

15.40

D

23.11

10 Depression

A

0

B

5.71

C

11.43

D

17.15

Part 3CHC domain

 

3  Scores

  The following matrix sets out the score for each combination of ratings in the CHC domain.

 

CHC domain

Matrix

 

 

Question 12 Complex health care

 

Rating

A

B

C

D

Question 11 Medication

A

0

0

1

2

B

0

1

2

3

C

1

1

2

3

D

1

2

2

3

Schedule 2Domain categories

Note: See section 6.

Part 1ADL domain

 

1  Domain categories

  The following table sets out the domain category that applies to each domain aggregate range for the ADL domain.

 

ADL domain

Item

Domain aggregate range

Domain category

1

017.99

Nil ADL category

2

18–61.99

Low ADL category

3

62–87.99

Medium ADL category

4

88–100

High ADL category

Part 2Behaviour domain

 

2  Domain categories

  The following table sets out the domain category that applies to each domain aggregate range for the behaviour domain.

 

Behaviour domain

Item

Domain aggregate range

Domain category

5

0–12.99

Nil behaviour category

6

13–29.99

Low behaviour category

7

30–49.99

Medium behaviour category

8

50–100

High behaviour category

Part 3CHC domain

 

3  Domain categories

  The following table sets out the domain category that applies to each overall score for the CHC domain.

 

CHC domain

Item

Score

Domain category

9

0

Nil CHC category

10

1

Low CHC category

11

2

Medium CHC category

12

3

High CHC category

 

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

    /subsubparagraph(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

SubCh = SubChapter(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

Classification Principles 2014

24 June 2014 (F2014L00805)

1 July 2014 (s 2)

 

Classification Amendment (CHC Domain Scores) Principles 2016

17 May 2016 (F2016L00804)

1 July 2016 (s 2(1) item 1)

 

Endnote 4—Amendment history

 

Provision affected

How affected

Part 1

 

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

rep LA s 48D

Schedule 1

 

Part 3

 

c 3.....................

rs F2016L00804