Source: https://www.legislation.gov.au/Details/F2019C00738
Timestamp: 2019-10-21 04:40:13
Document Index: 757312209

Matched Legal Cases: ['art 3', 'art 4', 'art 1', 'art 2', 'art 3', 'art 4', 'art 1', 'art 2', 'art 3', 'art 4', 'art 1', 'art 2', 'art 3', 'art 3', 'art 3', 'art 3', 'art 3', 'art 3', 'art 3', 'art 3', 'art 3', 'art 2', 'art 2', 'art 2', 'art 2', 'art 2', 'art 2', 'art 1', 'art 2', 'art 2', 'art 2', 'art 3', 'art 4', 'art 1', 'art 2', 'art 4', 'art 3']

Details: F2019C00738
- F2019C00738
Determinations/Aged Care as amended, taking into account amendments up to Aged Care (Subsidy, Fees and Payments) Amendment (September Indexation) Determination 2019
Aged Care (Subsidy, Fees and Payments) Amendment (September Indexation) Determination 2019 - F2019L01218
F2019C00738
Chapter 5—Fees and payments
Includes amendments up to: F2019L01218
This is a compilation of the Aged Care (Subsidy, Fees and Payments) Determination 2014 that shows the text of the law as amended and in force on 20 September 2019 (the compilation date).
Division 1—Care recipients receiving residential care other than as respite care 2
5............ Purpose of this Division................................................................................................ 2
7............ Basic subsidy amount for day on or after date of effect of ACFI classification............. 2
8............ Basic subsidy amount for day before date of effect of ACFI classification—late receipt of appraisal or reappraisal...................................................................................................................................... 3
9............ Basic subsidy amount for care recipients on extended hospital leave............................ 4
Division 2—Care recipients receiving residential care as respite care 5
11.......... Purpose of this Division................................................................................................ 5
12.......... Basic subsidy amount for days within maximum number for provision of respite care 5
13.......... Basic subsidy amount for days equal to or exceeding maximum number for provision of respite care 5
14.......... Basic subsidy amount for care recipient in residential care service exceeding respite care proportion 5
Division 1—Respite supplement 7
15.......... Purpose of this Division................................................................................................ 7
16.......... Definitions..................................................................................................................... 7
17.......... Care recipients whose classification level is low level residential respite care............... 7
18.......... Care recipients whose classification level is high level residential respite care.............. 7
19.......... How to work out the actual proportion of respite care provided through a residential care service for a relevant year...................................................................................................................................... 8
20.......... How to work out the specified proportion of respite care provided through a residential care service for a relevant year...................................................................................................................................... 9
21.......... Number of days or proportion of specified care exceeded........................................... 10
Division 2—Oxygen supplement 12
22.......... Purpose of this Division.............................................................................................. 12
23.......... Amount of oxygen supplement................................................................................... 12
Division 3—Enteral feeding supplement 13
24.......... Purpose of this Division.............................................................................................. 13
25.......... Amount of enteral feeding supplement........................................................................ 13
Part 3—Reductions in subsidy 14
42.......... Purpose of this Part..................................................................................................... 14
43.......... Amount of adjusted subsidy reduction........................................................................ 14
44.......... Care subsidy reduction—annual cap........................................................................... 14
45.......... Care subsidy reduction—lifetime cap.......................................................................... 14
46.......... Care subsidy reduction—means tested amount—first asset threshold and second asset threshold 14
47.......... Value of person’s assets—maximum home value....................................................... 14
Part 4—Amounts of other supplements 15
Division 1—Accommodation supplement 15
48.......... Purpose of this Division.............................................................................................. 15
49.......... Definitions................................................................................................................... 15
50.......... Meaning of newly built residential care service.......................................................... 15
51.......... Amount of accommodation supplement—matters relating to relevant residential care service 16
52.......... Amount of accommodation supplement—matters relating to eligible care recipient.... 17
Division 2—Hardship supplement 18
53.......... Purpose of this Division.............................................................................................. 18
54.......... Amount of hardship supplement................................................................................. 18
Division 3—Viability supplement 19
55.......... Purpose of this Division.............................................................................................. 19
56.......... Definitions................................................................................................................... 19
57.......... Amount of viability supplement—care recipients being provided with residential care through 1997 scheme services.................................................................................................................................... 19
58.......... Amount of viability supplement—care recipients being provided with residential care through 2001 scheme services.................................................................................................................................... 20
59.......... Amount of viability supplement—care recipients being provided with residential care through 2005 scheme services.................................................................................................................................... 20
60.......... Amount of viability supplement—safety net for former 1997 scheme services and 2001 scheme services 21
60A....... Amount of viability supplement—care recipients being provided with residential care through 2017 scheme services.................................................................................................................................... 21
60B....... Amount of viability supplement—safety net for former 1997 scheme services, 2001 scheme services and certain 2005 scheme services........................................................................................................... 22
Division 4—Veterans’ supplement 23
61.......... Purpose of this Division.............................................................................................. 23
62.......... Amount of veterans’ supplement................................................................................. 23
Division 5—Homeless supplement 24
63.......... Purpose of this Division.............................................................................................. 24
64.......... Amount of homeless supplement................................................................................ 24
Chapter 3—Home care subsidy 25
Part 1—Basic subsidy amount 25
65.......... Purpose of this Part..................................................................................................... 25
66.......... Definitions................................................................................................................... 25
67.......... Basic subsidy amount—general.................................................................................. 25
67A....... Basic subsidy amount—more than one approved provider eligible for subsidy in respect of a day and a care recipient.................................................................................................................................... 25
68.......... Basic subsidy amount—during suspension period...................................................... 25
Part 2—Amounts of primary supplements 28
Division 1—Oxygen supplement 28
69.......... Purpose of this Division.............................................................................................. 28
70.......... Amount of oxygen supplement................................................................................... 28
Division 2—Enteral feeding supplement 29
71.......... Purpose of this Division.............................................................................................. 29
72.......... Amount of enteral feeding supplement........................................................................ 29
Division 3—Dementia and cognition supplement 30
73.......... Purpose of this Division.............................................................................................. 30
74.......... Amount of dementia and cognition supplement........................................................... 30
Division 4—Veterans’ supplement 31
75.......... Purpose of this Division.............................................................................................. 31
76.......... Amount of veterans’ supplement................................................................................. 31
Part 3—Reductions in subsidy 32
77.......... Purpose of this Part..................................................................................................... 32
78.......... Care subsidy reduction—first cap and second cap...................................................... 32
79.......... Care subsidy reduction—income threshold................................................................. 32
80.......... Care subsidy reduction—annual cap........................................................................... 32
81.......... Care subsidy reduction—lifetime cap.......................................................................... 33
Part 4—Amounts of other supplements 34
Division 1—Hardship supplement 34
82.......... Purpose of this Division.............................................................................................. 34
83.......... Amount of hardship supplement................................................................................. 34
Division 2—Viability supplement 35
84.......... Purpose of this Division.............................................................................................. 35
84A....... Definitions................................................................................................................... 35
85.......... Amount of viability supplement.................................................................................. 36
Chapter 4—Flexible care subsidy 37
Part 1—Amount of flexible care subsidy—care provided through multi‑purpose service 37
86.......... Purpose of this Part..................................................................................................... 37
87.......... Definitions................................................................................................................... 37
Division 2—Categories of multi‑purpose service 40
88.......... Category A services.................................................................................................... 40
89.......... Category B services..................................................................................................... 41
90.......... Category C services..................................................................................................... 42
90A....... Category D services.................................................................................................... 43
Division 3—Amount of flexible care subsidy 46
91.......... Amount of flexible care subsidy.................................................................................. 46
92.......... Applicable amount for high care place......................................................................... 47
93.......... Applicable amount for low care place.......................................................................... 47
94.......... Respite supplement equivalent amount........................................................................ 48
95.......... Dementia and veterans’ supplement equivalent amounts............................................. 48
96.......... Additional amount of home care subsidy.................................................................... 48
Division 4—Viability supplement equivalent amounts 50
97.......... Viability supplement equivalent amounts for Category A services.............................. 50
98.......... Viability supplement equivalent amounts for Category B services.............................. 50
99.......... Viability supplement equivalent amounts for Category C services.............................. 51
99A....... Viability supplement equivalent amounts for Category D services.............................. 51
Division 5—Adjusted subsidy reduction multi‑purpose services 52
100........ Adjusted subsidy reduction multi‑purpose services.................................................... 52
Division 6—Concessional resident equivalent amounts 53
101........ Concessional resident equivalent amounts................................................................... 53
Part 2—Amount of flexible care subsidy—care provided through innovative care service 56
102........ Purpose of this Part..................................................................................................... 56
103........ Definitions................................................................................................................... 56
104........ Amount of flexible care subsidy.................................................................................. 56
Part 3—Amount of flexible care subsidy—care provided as transition care 58
105........ Purpose of this Part..................................................................................................... 58
106........ Amount of flexible care subsidy.................................................................................. 58
Part 4—Amount of flexible care subsidy—care provided as short‑term restorative care 59
106A..... Purpose of this Part..................................................................................................... 59
106B..... Amount of flexible care subsidy.................................................................................. 59
Chapter 5—Fees and payments 60
Part 1—Home care fees 60
107........ Purpose of this Part..................................................................................................... 60
107A..... Basic daily care fee...................................................................................................... 60
108........ Basic daily care fee during suspension period............................................................. 60
Part 2—Accommodation payments 61
109........ Purpose of this Part..................................................................................................... 61
110........ Maximum refundable accommodation deposit amount................................................ 61
111........ Maximum daily accommodation payment amount....................................................... 61
Part 3—Daily payments 63
112........ Purpose of this Part..................................................................................................... 63
113........ Maximum rate of interest that may be charged on outstanding amount of daily payment 63
This determination is the Aged Care (Subsidy, Fees and Payments) Determination 2014.
Modified Monash Model classification has the same meaning as in the Subsidy Principles 2014.
Division 1—Care recipients receiving residential care other than as respite care
For subsection 44‑3(2) of the Act, this Division 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.
7 Basic subsidy amount for day on or after date of effect of ACFI classification
Note: For when a classification of a care recipient takes effect, see Division 26 of the Act.
(3) For subsection (2), the ACFI amount for the 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.
8 Basic subsidy amount for day before date of effect of ACFI classification—late receipt of appraisal or reappraisal
(a) on the day, the care recipient is taken, under subsection 25‑1(4) of the Act, to have been classified at the lowest applicable classification level; and
(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 Act (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 Act.
(a) if the ACFI amount for the care recipient under section 7, 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.
(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 Act (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 Act.
9 Basic subsidy amount for care recipients on extended hospital leave
(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 7 or 8 (whichever is applicable); or
Division 2—Care recipients receiving residential care as respite care
For subsection 44‑3(2) of the Act, this Division sets out the basic subsidy amount for a day for a care recipient who is being provided with residential care as respite care.
12 Basic subsidy amount for days within maximum number for provision of respite care
(1) This section applies in relation to a care recipient on a day if, on that day, the number of days on which the care recipient had previously been provided with residential care as respite care during the financial year in which the day occurs does not equal or exceed the number specified under paragraph 23(1)(c) of the Subsidy Principles 2014.
(a) if the care recipient’s approval was, on 30 June 2014, limited to a low level of residential care (within the meaning of the Classification Principles 1997 as in force on 30 June 2014)—$47.39; or
(b) if the care recipient’s approval was, on 30 June 2014, limited to a high level of residential care (within the meaning of the Classification Principles 1997 as in force on 30 June 2014)—$132.88; or
(c) if the care recipient’s classification level is low level residential respite care—$47.39; or
(d) if the care recipient’s classification level is high level residential respite care—$132.88.
13 Basic subsidy amount for days equal to or exceeding maximum number for provision of respite care
The basic subsidy amount for a day for a care recipient is nil if, on that day, the number of days on which the care recipient had previously been provided with residential care as respite care during the financial year in which the day occurs equals or exceeds the number specified under paragraph 23(1)(c) of the Subsidy Principles 2014.
14 Basic subsidy amount for care recipient in residential care service exceeding respite care proportion
(1) This section applies in relation to a care recipient who is being provided with residential care through a residential care service that provides a greater proportion of care to recipients of respite care than that specified in the conditions attached to the allocation of places to the approved provider in respect of the service.
(2) The basic subsidy amount for a day for the care recipient is nil.
Division 1—Respite supplement
15 Purpose of this Division
(1) For subsection 44‑5(3) of the 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.
(2) For this Division, the respite supplement is the respite supplement set out in Subdivision A of Division 3 of Part 3 of Chapter 2 of the Subsidy Principles 2014.
conditions, in relation to a residential care service, means conditions under section 14‑5 or 14‑6 of the Act attached to an allocation of places to the approved provider of the service.
17 Care recipients whose classification level is low level residential respite care
If the classification level for a care recipient on a day is low level residential respite care, then the amount of the respite supplement for the day for the care recipient is, subject to section 21, $39.39.
18 Care recipients whose classification level is high level residential respite care
(1) If the classification level for a care recipient on a day is high level residential respite care, then the amount of the respite supplement for the day for the care recipient is, subject to section 21, the sum of:
(4) For paragraph paragraph (1)(b):
(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 19, 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 20, 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.
19 How to work out the actual proportion of respite care provided through a residential care service for a relevant year
(1) For section 18, the actual proportion of respite care provided through a residential care service for a relevant year is worked out as follows:
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 23 of the Subsidy Principles 2014.
20 How to work out the specified proportion of respite care provided through a residential care service for a relevant year
(1) For section 18, the specified proportion of respite care for the approved provider of a residential care service and a relevant year is worked out as follows:
21 Number of days or proportion of specified care exceeded
Division 2—Oxygen supplement
22 Purpose of this Division
(1) For subsection 44‑5(3) of the Act, this Division sets out the amount of the oxygen supplement for a day for a care recipient.
(2) For this Division, the oxygen supplement is the oxygen supplement set out in Subdivision B of Division 3 of Part 3 of Chapter 2 of the Subsidy Principles 2014.
23 Amount of oxygen supplement
Division 3—Enteral feeding supplement
(1) For subsection 44‑5(3) of the Act, this Division sets out the amount of the enteral feeding supplement for a day for a care recipient.
(2) For this Division, the enteral feeding supplement is the enteral feeding supplement set out in Subdivision C of Division 3 of Part 3 of Chapter 2 of the Subsidy Principles 2014.
25 Amount of enteral feeding supplement
42 Purpose of this Part
This Part sets out the following:
(a) for subsection 44‑19(2) of the Act—the amount of the adjusted subsidy reduction for a day for a care recipient;
(b) for subsection 44‑21(7) of the Act—the annual cap for a start‑date year for certain classes of care recipients;
(c) for subsection 44‑21(8) of the Act—the lifetime cap for a care recipient;
(d) for subsection 44‑22(3) of the Act—the first asset threshold and the second asset threshold;
(e) for the definition of maximum home value in subsection 44‑26B(1) of the Act—the amount of that value.
43 Amount of adjusted subsidy reduction
For subsection 44‑19(2) of the Act, the amount of the adjusted subsidy reduction for a day for a care recipient is $13.39.
44 Care subsidy reduction—annual cap
For subsection 44‑21(7) of the Act, the annual cap applying at a time in a start‑date year for a care recipient is $27,754.52.
Note: Start‑date year is defined in clause 1 of Schedule 1 to the Act.
45 Care subsidy reduction—lifetime cap
For subsection 44‑21(8) of the Act, the lifetime cap for a care recipient is
$66,610.90.
46 Care subsidy reduction—means tested amount—first asset threshold and second asset threshold
For subsection 44‑22(3) of the Act:
(a) the first asset threshold is $169,079.20; and
(b) the second asset threshold is $408,237.60.
47 Value of person’s assets—maximum home value
For the definition of maximum home value in subsection 44‑26B(1) of the Act, the amount is $169,079.20.
For subsection 44‑28(4) of the Act, this Division sets out the amount of accommodation supplement for a day for an eligible care recipient.
Note: See also Subdivision A of Division 5 of Part 3 of Chapter 2 of the Subsidy Principles 2014.
eligible care recipient means a care recipient who is eligible for accommodation supplement on a day under section 44‑28 of the Act.
low‑means care recipient has the same meaning as in the Subsidy Principles 2014.
newly built residential care service has the meaning given by section 50.
post‑2008 reform resident has the meaning given by section 44‑5C of the Aged Care (Transitional Provisions) Act 1997.
relevant residential care service, in relation to an eligible care recipient and a day, means the residential care service through which the care recipient is being provided with residential care on that day.
50 Meaning of newly built residential care service
(1) A residential care service is a newly built residential care service if:
(a) each building in which residential care is provided to care recipients through the service was completed on or after 20 April 2012; or
(b) each building in which residential care is provided to care recipients through the service was converted, on or after 20 April 2012, from one or more buildings that, before that date, were used for a purpose other than providing residential care to care recipients through a residential care service.
(2) A residential care service is also a newly built residential care service if:
(a) more than one building is used to provide residential care to care recipients through the service; and
(b) one or more of those buildings was:
(i) completed on or after 20 April 2012; or
(ii) converted, on or after 20 April 2012, from one or more buildings that, before that date, were used for a purpose other than providing residential care to care recipients through a residential care service; and
(c) none of those buildings had been used, before 20 April 2012, to provide residential care to care recipients through a residential care service.
51 Amount of accommodation supplement—matters relating to relevant residential care service
(1) The amount of accommodation supplement for a day for an eligible care recipient is $57.49 if, on the day, the relevant residential care service in relation to the care recipient meets the building requirements specified in Schedule 1 to the Aged Care (Transitional Provisions) Principles 2014 and is:
(2) The amount of accommodation supplement for a day for an eligible care recipient is $37.47 if, on the day, the relevant residential care service in relation to the care recipient:
(b) meets the building requirements specified in Schedule 1 to the Aged Care (Transitional Provisions) Principles 2014.
(3) The amount of accommodation supplement for a day for an eligible care recipient is $31.48 if the relevant residential care service in relation to the care recipient is not covered by subsection (1) or (2) on the day.
(4) Despite subsection (1), (2) or (3), the amount of accommodation supplement for a day for an eligible care recipient is the amount that applies under subsection (1), (2) or (3), reduced by 25%, if:
(a) not 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; or
(b) not more than 40% of relevant residents (if any) to whom the relevant residential care service provides residential care are assisted residents, concessional residents, low‑means care recipients or supported residents.
(5) Despite subsection (1), (2), (3) or (4), an amount of accommodation supplement is not payable for a day for an eligible care recipient under this section if subsection 52(1), (2) or (3) applies in relation to the day and the eligible care recipient.
52 Amount of accommodation supplement—matters relating to eligible care recipient
(1) If an eligible care recipient’s means tested amount on a day is equal to or more than the amount of accommodation supplement for the day for the care recipient under section 51, the amount of accommodation supplement for the day for the care recipient is nil.
Note: Means tested amount is defined in section 44‑22 of the Act.
(2) If an eligible care recipient’s means tested amount on a day is less than the amount of accommodation supplement for the day for the care recipient under section 51 but greater than zero, the amount of accommodation supplement for the day for the care recipient is the difference between:
(a) the amount of accommodation supplement for the day for the care recipient under section 51; and
(b) the care recipient’s means tested amount on the day.
(3) If a financial hardship determination is in force under subsection 52K‑1(1) of the Act in relation to an eligible care recipient on a day, the amount of accommodation supplement for the day for the care recipient is the difference between:
(b) the amount specified in the determination.
Division 2—Hardship supplement
53 Purpose of this Division
For subsection 44‑30(5) of the Act, this Division sets out the amount of the hardship supplement for a day for a care recipient in relation to whom a determination is in force under section 44‑31 of the Act.
Note: See also Subdivision B of Division 5 of Part 3 of Chapter 2 of the Subsidy Principles 2014.
54 Amount of hardship supplement
(1) 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 Act is the amount that is the difference between:
(a) the maximum daily amount of resident fees for the care recipient worked out under section 52C‑3 of the Act; and
(b) the amount specified in the financial hardship determination.
55 Purpose of this Division
(1) For subsection 44‑27(3) of the Act, this Division sets out the amount of the viability supplement for a day for a care recipient.
(2) For this Division, the viability supplement is the viability supplement set out in Subdivision C of Division 5 of Part 3 of Chapter 2 of the Subsidy Principles 2014.
1997 scheme service has the same meaning as in the Subsidy Principles 2014.
2001 scheme service has the same meaning as in the Subsidy Principles 2014.
2005 scheme service has the same meaning as in the Subsidy Principles 2014.
2017 scheme service has the same meaning as in the Subsidy Principles 2014.
Isolated Remote Area means a Statistical Local Area classified as “Other Remote” in the RRMA Classification.
Remote Centre means a Statistical Local Area classified as “Remote Centre” in the RRMA Classification.
RRMA Classification means the Rural, Remote and Metropolitan Area Classification, 1991 Census Edition, published by the Australian Government Publishing Service, as in force in November 1994.
Rural Outside Large Centre means a Statistical Local Area classified as “Other Rural” or “Small Rural Centre” in the RRMA Classification.
57 Amount of viability supplement—care recipients being provided with residential care through 1997 scheme services
For a care recipient to whom residential care is provided through a 1997 scheme service on a day, the amount of the viability supplement for the day is the amount specified in the item in the following table that relates to the service on the day.
Degree of isolation of service
Number of places allocated in respect of service
An area not referred to in items 1 to 9
Note: Terms used in this table are defined in section 56.
58 Amount of viability supplement—care recipients being provided with residential care through 2001 scheme services
For a care recipient to whom residential care is provided through a 2001 scheme service on a day, the amount of the viability supplement for the day is the amount specified in the item in the following table for the score attained by the service on the day under the scoring system set out in the table in subsection 65(2) of the Subsidy Principles 2014.
59 Amount of viability supplement—care recipients being provided with residential care through 2005 scheme services
For a care recipient to whom residential care is provided through a 2005 scheme service on a day, the amount of the viability supplement for the day is the amount specified in the item in the following table for the score attained by the service on the day under the points calculator in subsection 66(2) of the Subsidy Principles 2014.
60 Amount of viability supplement—safety net for former 1997 scheme services and 2001 scheme services
(1) This section applies in relation to a residential care service if:
(a) on a day, the service is a 2005 scheme service because of subsection 66(6) or (7) of the Subsidy Principles 2014; and
(b) on a later day, the score attained by the service on the later day using the points calculator set out in subsection 66(2) of the Subsidy Principles 2014 is 40 or 45.
(2) For a care recipient to whom residential care is provided through the service on the later day, the amount of the viability supplement for the later day is $2.59.
60A Amount of viability supplement—care recipients being provided with residential care through 2017 scheme services
For a care recipient to whom residential care is provided through a 2017 scheme service on a day, the amount of the viability supplement for the day is the amount specified in the item in the following table for the score attained by the service on the day under the points calculator in subsection 66A(2) of the Subsidy Principles 2014.
60B Amount of viability supplement—safety net for former 1997 scheme services, 2001 scheme services and certain 2005 scheme services
(1) This section applies in relation to a residential care service if the service meets the requirements of subsection (2) or (3).
Former 1997 scheme services and 2001 scheme services
(a) on a day, the service is a 2017 scheme service because of subsection 66A(6) or (7) of the Subsidy Principles 2014; and
(b) on a later day, the score attained by the service on the later day using the points calculator set out in subsection 66A(2) of the Subsidy Principles 2014 is 40 or 45.
Certain former 2005 scheme services
(a) on a day, the service is a 2017 scheme service because of subsection 66A(8) of the Subsidy Principles 2014; and
(b) before that day, section 60 of this determination applied in relation to the service; and
(c) on a later day, the score attained by the service on the later day using the points calculator set out in subsection 66A(2) of the Subsidy Principles 2014 is 40 or 45.
Safety net amount
(4) For a care recipient to whom residential care is provided through the service on the later day, the amount of the viability supplement for the later day is $2.59.
(1) For subsection 44‑27(3) of the 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 D of Division 5 of Part 3 of Chapter 2 of the Subsidy Principles 2014.
62 Amount of veterans’ supplement
63 Purpose of this Division
(1) For subsection 44‑27(3) of the 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 E of Division 5 of Part 3 of Chapter 2 of the Subsidy Principles 2014.
For subsection 48‑2(2) of the Act, this Part sets out the basic subsidy amounts for a day for a care recipient who is being provided with home care through a home care service.
67 Basic subsidy amount—general
Subject to sections 67A and 68, the basic subsidy amount for 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 Act.
68 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 Act, the basic subsidy amount for a day during the suspension period for the care recipient 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 basic subsidy amount for a day during the suspension period is:
(a) for up to 28 consecutive days in the suspension period—the amount specified in the table in section 67 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 Act; or
(b) for a subsequent consecutive day in the suspension period—the amount that is 25% of the amount specified in the table in section 67 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 Act.
(3) If a suspension period starts in one 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 basic subsidy amount for a day during the suspension period is:
(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 67 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 Act; or
(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 67 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 Act.
(5) If the provision of home care is suspended for a reason other than a reason referred to in subsection (2) or (4), the basic subsidy amount for a day during the suspension period is:
(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 a reason referred to in subsection (2) or (4)—the amount specified in the table in section 67 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 Act; or
(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 a reason referred to in subsection (2) or (4)—the amount that is 25% of the amount specified in the table in section 67 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 Act.
Division 1—Oxygen supplement
69 Purpose of this Division
(1) For subsection 48‑3(3) of the Act, this Division sets out the amount of the oxygen supplement for a day for a care recipient.
(2) For this Division, the oxygen supplement is the oxygen supplement set out in Subdivision A of Division 2 of Part 2 of Chapter 3 of the Subsidy Principles 2014.
70 Amount of oxygen supplement
(1) Subject to subsections (2) and (3), the amount of the oxygen supplement for a day for a care recipient is $11.72.
(3) If the provision of home care to a care recipient is suspended under section 46‑2 of the Act on a day referred to in paragraphs 68(2)(b), 68(4)(b) or 68(5)(b) of this Determination, the amount of the oxygen supplement for the day for the care recipient is nil.
Division 2—Enteral feeding supplement
71 Purpose of this Division
(1) For subsection 48‑3(3) of the Act, this Division sets out the amount of the enteral feeding supplement for a day for a care recipient.
(2) For this Division, the enteral feeding supplement is the enteral feeding supplement set out in Subdivision B of Division 2 of Part 2 of Chapter 3 of the Subsidy Principles 2014.
72 Amount of enteral feeding supplement
(1) Subject to subsections (2) and (3), the amount of the enteral feeding supplement for a day for a care recipient is:
(3) If the provision of home care to a care recipient is suspended under section 46‑2 of the Act on a day referred to in paragraphs 68(2)(b), 68(4)(b) or 68(5)(b) of this Determination, the amount of the enteral feeding supplement for the day for the care recipient is nil.
Division 3—Dementia and cognition supplement
(1) For subsection 48‑3(3) of the Act, this Division sets out the amount of the dementia and cognition supplement for a day for a care recipient.
(2) For this Division, the dementia and cognition supplement is the dementia and cognition supplement set out in Subdivision C of Division 2 of Part 2 of Chapter 3 of the Subsidy Principles 2014.
74 Amount of dementia and cognition supplement
(1) Subject to subsection (2), the amount of the dementia and cognition supplement for a day for a care recipient is the amount that is 11.5% of the basic subsidy amount for the day for the care recipient.
(2) If the provision of home care to a care recipient is suspended under section 46‑2 of the Act on a day referred to in paragraphs 68(2)(b), 68(4)(b) or 68(5)(b) of this Determination, the amount of the dementia and cognition supplement for the day for the care recipient is nil.
(1) For subsection 48‑3(3) of the 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 D of Division 2 of Part 2 of Chapter 3 of the Subsidy Principles 2014.
76 Amount of veterans’ supplement
(1) Subject to subsection (2), the amount of the veterans’ supplement for a day for a care recipient is the amount that is 11.5% of the basic subsidy amount for the day for the care recipient.
(2) If the provision of home care to a care recipient is suspended under section 46‑2 of the Act on a day referred to in paragraphs 68(2)(b), 68(4)(b) or 68(5)(b) of this Determination, the amount of the veterans’ supplement for the day for the care recipient is nil.
77 Purpose of this Part
(a) for subsection 48‑7(2) of the Act—the first cap and the second cap;
(b) for subsection 48‑7(6) of the Act—the income threshold for a care recipient;
(c) for subsection 48‑7(7) of the Act—the annual cap for a start‑date year for certain classes of care recipients;
(d) for subsection 48‑7(8)—the lifetime cap for a care recipient.
78 Care subsidy reduction—first cap and second cap
(1) For paragraph (c) of step 4 of the care subsidy reduction calculator in subsection 48‑7(2) of the Act, the first cap is $15.24.
(2) For paragraph (c) of step 5 of the care subsidy reduction calculator in subsection 48‑7(2) of the Act, the second cap is $30.49.
79 Care subsidy reduction—income threshold
For subsection 48‑7(6) of the Act, the income threshold for a care recipient is as follows:
(a) if the care recipient is a member of a couple—$40,586.00;
(b) if the care recipient is a member of an illness separated couple (within the meaning of the Social Security Act 1991)—$52,540.80;
(c) if the care recipient is not a member of a couple—$53,060.80.
80 Care subsidy reduction—annual cap
(1) For subsection 48‑7(7) of the Act, this section provides for the annual cap applying at a time (the relevant time) in a start‑date year for a care recipient who is being provided with home care through a home care service.
(2) If, at the relevant time, the care recipient’s income does not exceed the income threshold for the care recipient under section 79, the annual cap applying at that time for the care recipient is $5,550.90.
(3) If, at the relevant time, the care recipient’s income exceeds the income threshold for the care recipient under section 79, the annual cap applying at that time for the care recipient is $11,101.81.
(4) Despite subsection (3), the annual cap applying at the relevant time in the start‑date year for the care recipient is $5,550.90 if:
(a) at the relevant time, the care recipient’s income exceeds the income threshold for the care recipient under section 79; and
(b) before the relevant time, the care recipient’s income did not exceed the income threshold for the care recipient under section 79; and
(c) combined care subsidy reductions totalling $5,550.90 had been made for the care recipient before the relevant time in the start‑date year.
81 Care subsidy reduction—lifetime cap
For subsection 48‑7(8) of the Act, the lifetime cap for a care recipient is
Division 1—Hardship supplement
82 Purpose of this Division
For subsection 48‑10(4) of the Act, this Division sets out the amount of the hardship supplement for a day for a care recipient in relation to whom a determination is in force under section 48‑11 of the Act.
Note: See also Subdivision A of Division 4 of Part 2 of Chapter 3 of the Subsidy Principles 2014.
83 Amount of hardship supplement
(1) Subject to subsection (2), 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 48‑11 of the Act is the amount that is the difference between:
(a) the maximum daily amount of home care fees for the care recipient worked out under section 52D‑2 of the Act; and
(1) For subsection 48‑9(3) of the Act, this Division sets out the amount of the viability supplement for a day for a care recipient.
(2) For this Division, the viability supplement is the viability supplement set out in Subdivision B of Division 4 of Part 2 of Chapter 3 of the Subsidy Principles 2014.
84A Definitions
ARIA value has the same meaning as in the Subsidy Principles 2014.
ARIA value viability supplement amount, for a day for a care recipient, means the amount (if any) that corresponds to the ARIA value for the location where the care recipient resided on that day, as set out in the following table.
MMM classification viability supplement amount, for a day for a care recipient, means the amount (if any) that corresponds to the Modified Monash Model classification for the suburb or locality where the care recipient resided on that day, as set out in the following table.
Note: In 2017, the Modified Monash Model classification for a suburb or locality was available at the Health Department’s website http://www.health.gov.au.
Amount—care recipient to whom subsection 99(1) of the Subsidy Principles 2014 applies
(1) The amount of the viability supplement for a day for a care recipient to whom subsection 99(1) of the Subsidy Principles 2014 applies is the MMM classification viability supplement amount for a day for the care recipient.
Amount—care recipient to whom subsection 99(2) of the Subsidy Principles 2014 applies
(2) The amount of the viability supplement for a day for a care recipient to whom subsection 99(2) of the Subsidy Principles 2014 applies is the greater of:
(a) the ARIA value viability supplement amount for a day for the care recipient; and
(b) the MMM classification viability supplement amount for a day for the care recipient.
Amount—care recipient to whom subsection 99(3) of the Subsidy Principles 2014 applies
(3) The amount of the viability supplement for a day for a care recipient to whom subsection 99(3) of the Subsidy Principles 2014 applies is the ARIA value viability supplement amount for a day for the care recipient.
Part 1—Amount of flexible care subsidy—care provided through multi‑purpose service
86 Purpose of this Part
For section 52‑1 of the Act, this Part sets out methods for working out the amount of flexible care subsidy payable for a day in respect of flexible care that is provided through a multi‑purpose service.
adjusted subsidy reduction multi‑purpose service means a multi‑purpose service specified in the table in section 100.
ARIA value, in relation to a location, means the value given to that location in accordance with the methodology set out in the document titled Measuring Remoteness: Accessibility/Remoteness Index of Australia (ARIA), Occasional Papers: New Series Number 14, published by the Health Department in October 2001, as the document existed on 1 July 2013.
Note: The document is accessible through the Health Department’s website (http://www.health.gov.au).
ARIA value additional amount, for a day for a home care place allocated in respect of a multi‑purpose service, means the amount (if any) that corresponds to the ARIA value for the location of the service, as set out in the following table.
0 to 3.51 inclusive
3.52 to 4.66 inclusive
4.67 to 5.80 inclusive
5.81 to 7.44 inclusive
7.45 to 9.08 inclusive
9.09 to 10.54 inclusive
10.55 to 12 inclusive
Category A service has the meaning given by section 88.
Category B service has the meaning given by section 89.
Category C service has the meaning given by section 90.
Category D service has the meaning given by section 90A.
high care place means a place allocated in respect of a multi‑purpose service that is designated by the Secretary as being a high care place.
home care place means a place allocated in respect of a multi‑purpose service for the provision of care equivalent to home care.
low care place means a place allocated in respect of a multi‑purpose service that is designated by the Secretary as being a low care place.
MMM classification additional amount, for day for a home care place allocated in respect of a multi‑purpose service, means the amount (if any) that corresponds to the Modified Monash Model classification for the street address of the service, as set out in the following table.
viability supplement equivalent amount, for a multi‑purpose service and a day, means:
(a) for a Category A service—the amount specified in the table in section 97 that relates to the service for the day; or
(b) for a Category B service—the amount specified in section 98 that relates to the service for the day; or
(c) for a Category C service—the amount specified in section 99 that relates to the service for the day; or
(ca) for a Category D service—the amount specified in section 99A that relates to the service for the day; or
(d) for any other multi‑purpose service—nil.
Division 2—Categories of multi‑purpose service
88 Category A services
(1) A multi‑purpose service is a Category A service on a day if the service:
(b) does not meet the requirements of subsection 90(3) or 90A(3).
(2) A multi‑purpose service meets the requirements of this subsection if:
(i) less than 50 points, under the scoring system set out in the table in subsection 90(2); or
(ii) if the viability supplement equivalent amount for a day for the service as a Category A service is more than the viability supplement equivalent amount for the day for the service if the service were taken to be a Category C service—at least 50 points, under the scoring system set out in the table in subsection 90(2).
Category A services—scoring
(4) For item 1 of the table in subsection (2), a location of a particular kind is a statistical local area of that kind defined in the RRMA Classification.
(5) For item 3 of the table in subsection (2), a multi‑purpose service is taken to be unable to co‑locate with another aged care service if:
(b) the service is on the same site as, or an adjoining site to, another residential care service or multi‑purpose service, but the total number of places allocated for the provision of residential care and non‑acute beds on the same or adjoining site is less than 45; or
(d) for a multi‑purpose service in a remote zone—the service is not more than 25 kilometres from the nearest residential care service, and the total number of places in both services is less than 30; or
(e) for a multi‑purpose service that is not in a remote zone—the service is not more than 25 kilometres from the nearest residential care service, and the total number of places in both services is less than 16.
89 Category B services
(1) A multi‑purpose service is a Category B service on a day if the service:
(b) does not meet the requirements of subsection 90(4) or 90A(4).
(ii) if the viability supplement equivalent amount for a day for the service as a Category B service is more than the viability supplement equivalent amount for the day for the service if the service were taken to be a Category C service—at least 50 points, under the scoring system set out in the table in subsection 90(2).
Category B services—scoring
90 Category C services
(1) A multi‑purpose service is a Category C service on a day if the service:
(a) meets the requirements of subsection (2), (3) or (4); and
(b) does not meet the requirements of subsection 90A(5).
(2) A multi‑purpose service meets the requirements of this subsection if, on or after 1 January 2005, the service:
(b) scores at least 50 points, under the scoring system set out in the table in this subsection.
Category C services—scoring
(b) more than 19 but less than 25;
(c) more than 24 but less than 30;
(d) more than 29 but less than 35;
(e) more than 34 but less than 40;
(f) more than 39 but less than 45.
(3) A multi‑purpose service meets the requirements of this subsection if the service meets the requirements of subsection 88(2) (that is, for a Category A service) and, on at least 1 day on or after 1 January 2005:
(a) the service scores at least 50 points, under the scoring system set out in the table in subsection (2) of this section; and
(b) the viability supplement equivalent amount for a day for the service as a Category C service is equal to or more than the viability supplement equivalent amount for the day for the service if the service were taken to be a Category A service.
(4) A multi‑purpose service meets the requirements of this subsection if the service meets the requirements of subsection 89(2) or (3) (that is, for a Category B service) and, on at least 1 day on or after 1 January 2005:
(b) the viability supplement equivalent amount for a day for the service as a Category C service is equal to or more than the viability supplement equivalent amount for the day for the service if the service were taken to be a Category B service.
90A Category D services
(1) A multi‑purpose service is a Category D service on a day if the service meets the requirements of subsection (2), (3), (4) or (5).
(2) A multi‑purpose service meets the requirements of this subsection if, on or after 1 January 2017, the service:
(a) is not a Category A service, a Category B service or a Category C service; and
(b) scores at least 50 points under the scoring system set out in the table in this subsection.
Category D services—scoring
Modified Monash Model classification for a street address:
(a) MMM 1;
(b) MMM 2;
(c) MMM 3;
(d) MMM 4;
(e) MMM 5;
(f) MMM 6;
(g) MMM 7.
(3) A multi‑purpose service meets the requirements of this subsection if the service meets the requirements of subsection 88(2) (that is, for a Category A service) and, on at least one day on or after 1 January 2017:
(a) the service scores at least 50 points under the scoring system set out in the table in subsection (2) of this section; and
(b) the viability supplement equivalent amount for a day for the service as a Category D service is equal to or more than the viability supplement equivalent amount for the day for the service if the service were taken to be a Category A service.
(4) A multi‑purpose service meets the requirements of this subsection if the service meets the requirements of subsection 89(2) or (3) (that is, for a Category B service) and, on at least one day on or after 1 January 2017:
(b) the viability supplement equivalent amount for a day for the service as a Category D service is equal to or more than the viability supplement equivalent amount for the day for the service if the service were taken to be a Category B service.
(5) A multi‑purpose service meets the requirements of this subsection if the service meets the requirements of subsection 90(2), (3) or (4) (that is, for a Category C service) and, on at least one day on or after 1 January 2017:
(b) the viability supplement equivalent amount for a day for the service as a Category D service is equal to or more than the viability supplement equivalent amount for the day for the service if the service were taken to be a Category C service.
Division 3—Amount of flexible care subsidy
91 Amount of flexible care subsidy
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 worked out in accordance with the following formula:
DEA is the amount worked out by multiplying:
(a) the dementia and severe behaviours supplement equivalent amount specified in subsection 95(1); and
(b) the number of high care places and low care places allocated in respect of the service.
DVEA is the amount worked out by multiplying:
(a) the dementia and cognition supplement and veterans’ supplement equivalent amount specified in subsection 95(3); and
(b) the number of home care places allocated in respect of the service.
(a) the amount that applies under section 92 for the day for a high care place allocated in respect of the service; and
HMA is the amount worked out by multiplying:
(a) $39.81; and
HMAA is the amount worked out by multiplying:
(a) the amount that applies under section 96 for a day for a home care place allocated in respect of the service; and
(a) the amount that applies under section 93 for the day for a low care place; and
RSEA is the respite supplement equivalent amount for the service for the day under section 94.
VEA is the amount worked out by multiplying:
(a) the veterans’ supplement equivalent amount specified in subsection 95(2); and
92 Applicable amount for high care place
(1) For a multi‑purpose service that is not an adjusted subsidy reduction multi‑purpose service, the amount for a day for a high care place allocated in respect of the service is the amount worked out in accordance with the following formula:
B is $130.22.
C is the concessional resident equivalent amount specified in section 101 that relates to the region in which the service is located.
(2) For an adjusted subsidy reduction multi‑purpose service, the amount for a day for a high care place allocated in respect of the service is the amount worked out in accordance with the following formula:
F is the number of places specified in the item of the table in section 100 that relates to the service.
R is $13.12.
93 Applicable amount for low care place
The amount for a day for a low care place allocated in respect of a multi‑purpose service is the amount worked out in accordance with the following formula:
B is $34.23.
C is the concessional resident equivalent amount specified in section 101 that relates to the region in which the multi‑purpose service is located.
94 Respite supplement equivalent amount
The respite supplement equivalent amount for a multi‑purpose service for a day is the amount specified in the following table for the total number of high care places and low care places allocated in respect of the service.
Respite supplement equivalent amount
95 Dementia and veterans’ supplement equivalent amounts
Dementia and severe behaviours supplement equivalent amount
(1) The dementia and severe behaviours supplement equivalent amount for a multi‑purpose service for a day is:
(a) for a day before 1 August 2014—$0.18 for each high care place and each low care place allocated to the service; and
(b) for any other day—nil.
Veterans’ supplement equivalent amount
(2) The veterans’ supplement equivalent amount for a multi‑purpose service for a day is $0.08 for each high care place and each low care place allocated to the service.
Dementia and cognition supplement and veterans’ supplement equivalent amount
(3) The dementia and cognition supplement and veterans’ supplement equivalent amount for a multi‑purpose service for a day is $1.23 for each home care place allocated to the service.
96 Additional amount of home care subsidy
(1) The additional amount for a day (the relevant day) for a home care place allocated in respect of a multi‑purpose service is:
(a) for a home care place allocated in respect of a multi‑purpose service to which subsection (2) does not apply—the MMM classification additional amount for a day for a home care place allocated in respect of the service; and
(b) for a home care place allocated in respect of a multi‑purpose service to which subsection (2) applies—the ARIA value additional amount for a day for a home care place allocated in respect of the service.
(2) This subsection applies to a home care place allocated in respect of a multi‑purpose service if:
(a) immediately before 1 January 2017, the service was a Category A service, a Category B service or a Category C service; and
(b) on the relevant day, the ARIA value additional amount for a day for a home care place allocated in respect of the service is greater than the MMM classification additional amount for a day for a home care place allocated in respect of the service.
Division 4—Viability supplement equivalent amounts
97 Viability supplement equivalent amounts for Category A services
The viability supplement equivalent amount for a Category A service for a day is the amount specified in the item in the following table that relates to the service on the day.
Viability supplement equivalent amounts—Category A services
Degree of isolation of the service
Number of places allocated in respect of the service
An area not covered by items 1 to 9
Note: Terms used in this table are defined in section 87.
98 Viability supplement equivalent amounts for Category B services
The viability supplement equivalent amount for a Category B service for a day is the amount specified in the item in the following table for the score attained by the service on the day under the scoring system set out in the table in subsection 89(2).
Viability supplement equivalent amounts—Category B services
99 Viability supplement equivalent amounts for Category C services
The viability supplement equivalent amount for a Category C service for a day is the amount specified in the item in the following table for the score attained by the service on the day under the scoring system set out in the table in subsection 90(2).
Viability supplement equivalent amounts—Category C services
99A Viability supplement equivalent amounts for Category D services
The viability supplement equivalent amount for a Category D service for a day is the amount specified in the item in the following table for the score attained by the service on the day under the scoring system set out in the table in subsection 90A(2).
Viability supplement equivalent amounts—Category D services
Division 5—Adjusted subsidy reduction multi‑purpose services
100 Adjusted subsidy reduction multi‑purpose services
(a) the multi‑purpose services that are adjusted subsidy reduction multi‑purpose services; and
(b) the number of places for each service for the purpose of the formula in subsection 92(2).
Adjusted subsidy reduction multi‑purpose services
Division 6—Concessional resident equivalent amounts
101 Concessional resident equivalent amounts
The concessional resident equivalent amount for a multi‑purpose service is the amount specified in the item of the following table for the region in which the service is located.
Concessional resident equivalent amounts
Region in which multi‑purpose service is located
Loddon‑Mallee
Part 2—Amount of flexible care subsidy—care provided through innovative care service
102 Purpose of this Part
For section 52‑1 of the Act, this Part sets out the method for working out the amount of flexible care subsidy for a day for a care recipient who is being provided with flexible care through an innovative care service.
dementia and cognition supplement means the dementia and cognition supplement set out in Subdivision C of Division 2 of Part 2 of Chapter 3 of the Subsidy Principles 2014.
eligible care recipient means a care recipient who would be eligible for the dementia and cognition supplement or the veterans’ supplement if the care recipient were receiving home care.
innovative care service has the meaning given by section 105 of the Subsidy Principles 2014.
veterans’ supplement means the veterans’ supplement set out in Subdivision D of Division 2 of Part 2 of Chapter 3 of the Subsidy Principles 2014.
104 Amount of flexible care subsidy
(1) For a care recipient who is being provided with care through an innovative care service by an approved provider specified in column 1 of an item in the following table, the amount of flexible care subsidy for a day is:
(a) the amount specified in column 2 of the item; or
(b) if the care recipient is an eligible care recipient—the sum of:
(i) the amount specified in column 2 of the item; and
(ii) $16.07.
Amount of flexible care subsidy
The Uniting Church in Australia Property Trust (NSW)—Orange
(2) For a care recipient who is being provided with care through an innovative care service by an approved provider specified in column 1 of an item in the following table, the amount of flexible care subsidy for a day is:
(ii) $4.87.
Riverland Mallee Coorong Local Health Network Incorporated
Part 3—Amount of flexible care subsidy—care provided as transition care
105 Purpose of this Part
For section 52‑1 of the Act, this Part sets out a method for working out the amount of flexible care subsidy for a day for a care recipient who is being provided with transition care (as defined by section 106 of the Subsidy Principles 2014) through a flexible care service.
106 Amount of flexible care subsidy
(1) The amount of flexible care subsidy for a day for a care recipient is the sum of:
(a) the basic subsidy amount for the day for the care recipient; and
(b) the dementia and veterans’ supplement equivalent amount for the day for the care recipient.
(2) For paragraph (1)(a), the basic subsidy amount for the day for the care recipient is $204.60.
Dementia and veterans’ supplement equivalent amount
(3) For paragraph (1)(b), the dementia and veterans’ supplement equivalent amount for the day for the care recipient is $4.11.
Part 4—Amount of flexible care subsidy—care provided as short‑term restorative care
106A Purpose of this Part
For section 52‑1 of the Act, this Part sets out a method for working out the amount of flexible care subsidy for a day for a care recipient who is being provided with short‑term restorative care (as defined by section 106A of the Subsidy Principles 2014) through a flexible care service.
106B Amount of flexible care subsidy
Part 1—Home care fees
For paragraph 52D‑3(a) of the Act, this Part sets out the basic daily care fee for certain care recipients who are being provided with home care through a home care service.
(a) the provision of home care to a care recipient is suspended during a period (the suspension period) under section 46‑2 of the Act; and
(b) during the suspension period, the care recipient is receiving:
(i) transition care (as defined by section 106 of the Subsidy Principles 2014); or
(ii) residential care provided as respite care;
the basic daily care fee for a care recipient for a day during the suspension period is nil.
Part 2—Accommodation payments
109 Purpose of this Part
For section 52G‑3 of the Act, this Part specifies:
(a) the maximum refundable accommodation deposit amount that an approved provider may charge a person; and
(b) the method for working out the maximum daily accommodation payment amount that an approved provider may charge a person.
110 Maximum refundable accommodation deposit amount
The maximum refundable accommodation deposit amount that an approved provider may charge a person is $550 000.00.
Note: An approved provider may charge a person a refundable accommodation deposit amount of up to the amount specified in this section without obtaining approval from the Aged Care Pricing Commissioner. However, if an approved provider wishes to charge an amount of accommodation payment that is higher than the refundable accommodation deposit amount specified in this section, the approved provider may apply to the Aged Care Pricing Commissioner for approval to charge the higher amount (see section 52G‑4 of the Act and Division 3 of Part 4 of the Fees and Payments Principles 2014 (No. 2)).
111 Maximum daily accommodation payment amount
(1) The maximum daily accommodation payment amount that an approved provider may charge a person is the amount worked out as follows:
Step 2. Multiply the rate worked out at step 1 by $550 000.00 (being the maximum refundable accommodation deposit amount referred to in section 110).
(3) For subsection (2), the person’s price agreement day is the day on which the person and the approved provider of the service agree, under paragraph 52F‑1(1)(b) of the Act, about the maximum amount that would be payable if the person paid an accommodation payment for the service.
Part 3—Daily payments
For subsection 52H‑3(4) of the Act, this Part sets out the maximum rate of interest that may be charged on an outstanding amount of daily payment.
113 Maximum rate of interest that may be charged on outstanding amount of daily payment
(1) The maximum rate of interest that may be charged on an outstanding amount of daily payment is the maximum permissible interest rate for the day (the relevant day) on which the daily payment became due and payable.
(2) The maximum permissible interest rate for the relevant day is worked out as follows:
28 June 2014 (F2014L00875)
Aged Care (Subsidy, Fees and Payments) Amendment (September 2014 Indexation) Determination 2014
18 Sept 2014 (F2014L01241)
Aged Care (Subsidy, Fees and Payments) Amendment (March 2015 Indexation) Determination 2015
18 Mar 2015 (F2015L00316)
Aged Care (Subsidy, Fees and Payments) Amendment (Indexation, Pre‑Entry Leave and Other Measures) Determination 2015
30 June 2015 (F2015L00996)
30 June 2015 (F2015L00997)
Aged Care (Subsidy, Fees and Payments) Amendment (September 2015 Indexation) Determination 2015
18 Sept 2015 (F2015L01454)
Aged Care (Subsidy, Fees and Payments) Amendment (March 2016 Indexation and Other Measures) Determination 2016
18 Mar 2016 (F2016L00349)
Aged Care (Subsidy, Fees and Payments) Amendment (Short‑term Restorative Care) Determination 2016
6 May 2016 (F2016L00674)
Aged Care (Subsidy, Fees and Payments) Amendment (July Indexation) Determination 2016
30 June 2016 (F2016L01105)
Aged Care (Subsidy, Fees and Payments) Amendment (September 2016 Indexation) Determination 2016
19 Sept 2016 (F2016L01451)
Aged Care (Subsidy, Fees and Payments) Amendment ((Increasing Consumer Choice) Determination 2016
23 Sept 2016 (F2016L01495)
Sch 1 (items 1–10): 27 Feb 2017 (s 2(1) item 1)
Aged Care (Subsidy, Fees and Payments) Amendment (Viability Supplement) Determination 2016
16 Dec 2016 (F2016L01984)
Aged Care (Subsidy, Fees and Payments) Amendment (March 2017 Indexation) Determination 2017
17 Mar 2017 (F2017L00244)
Aged Care (Subsidy, Fees and Payments) Amendment (Innovative Care) Determination 2017
25 May 2017 (F2017L00599)
26 May 2017 (s 2)
Aged Care (Subsidy, Fees and Payments) Amendment (July Indexation) Determination 2017
21 June 2017 (F2017L00714)
Aged Care (Subsidy, Fees and Payments) Amendment Determination 2017
23 June 2017 (F2017L00743)
Aged Care (Subsidy, Fees and Payments) Amendment (September 2017 Indexation) Determination 2017
13 Sept 2017 (F2017L01180)
Aged Care (Subsidy, Fees and Payments) Amendment (March 2018 Indexation) Determination 2018
16 Mar 2018 (F2018L00278)
Aged Care (Subsidy, Fees and Payments) Amendment (July Indexation) Determination 2018
27 June 2018 (F2018L00892)
Aged Care (Subsidy, Fees and Payments) Amendment (September 2018 Indexation) Determination 2018
17 Sept 2018 (F2018L01297)
Aged Care (Subsidy, Fees and Payments) Amendment (March Indexation and Other Measures) Determination 2019
14 Mar 2019 (F2019L00302)
Aged Care (Subsidy, Fees and Payments) Amendment (July Indexation) Determination 2019
27 June 2019 (F2019L00895)
Aged Care (Subsidy, Fees and Payments) Amendment (September Indexation) Determination 2019
19 Sept 2019 (F2019L01218)
am F2016L01495; F2016L01984
am F2015L00996; F2016L01105; F2017L00714; F2017L00743; F2018L00892; F2018L01297; F2019L00302; F2019L00895
rs F2015L00996
rep F2015L00996
am F2015L00996; F2016L01105; F2017L00714; F2018L00892; F2019L00302; F2019L00895
am F2015L00997
am F2014L01241; F2015L00316
rs F2015L00997
am F2015L01454; F2016L00349; F2016L01451; F2017L00244; F2017L01180; F2018L00278; F2018L01297; F2019L00302; F2019L01218
am F2014L01241; F2015L00316; F2015L00997; F2015L01454; F2016L00349; F2016L01451; F2017L00244; F2017L01180; F2018L00278; F2018L01297; F2019L00302; F2019L01218
am F2015L00996; F2016L01105; F2017L00714; F2018L00892; F2019L00895
rep 1 Nov 2014 (s 28)
s 26........................................... ...........................................
s 27........................................... ...........................................
s 28........................................... ...........................................
rep 1 Apr 2015 (s 29(3))
s 29........................................... ...........................................
s 30........................................... ...........................................
s 31........................................... ...........................................
s 32........................................... ...........................................
s 33........................................... ...........................................
s 34........................................... ...........................................
s 35........................................... ...........................................
s 36........................................... ...........................................
s 37........................................... ...........................................
s 38........................................... ...........................................
s 39........................................... ...........................................
s 40........................................... ...........................................
s 41........................................... ...........................................
am F2014L01241; F2015L00316; F2015L01454; F2016L00349; F2016L01451; F2017L00244; F2017L01180; F2018L00278; F2018L01297; F2019L00302; F2019L01218
am F2015L00996
am F2016L01984
am F2015L00996; F2016L01105; F2016L01984; F2017L00714; F2018L00892; F2019L00302; F2019L00895
am F2015L00996; F2016L01105
rs F2016L01984
am F2017L00714; F2018L00892; F2019L00302; F2019L00895
s 60A........................................
ad F2016L01984
s 60B........................................
am F2019L00302; F2019L00895
am F2015L00996; F2016L01105; F2016L01495; F2017L00714; F2018L00892; F2019L00895
s 67A........................................
ad F2016L01495
am F2016L01495
am F2015L00996; F2016L00349; F2016L01105; F2017L00714; F2018L00892; F2019L00895
rs F2016L00349
am F2019L00302
s 84A........................................
am F2016L01984; F2017L00714; F2018L00892; F2019L00895
s 88...........................................
s 90...........................................
s 90A........................................
s 91........................................... ...........................................
s 94...........................................
s 96...........................................
s 98...........................................
s 99A........................................
am F2017L00599; F2019L00895
ad F2016L00674
s 106A......................................
s 106B......................................
am F2016L01105; F2017L00714; F2018L00892; F2019L00895
s 107A......................................
ad F2019L00844