Document ID: chunk:federal_register_of_legislation:F2024C00744:reg:18:p3
Version: federal_register_of_legislation:F2024C00744
Segment Type: reg
Provision Reference: reg 18 (pt 3/47)
Character Range: 181390–184236

during the quarter.

7.3AA.3 A sustainability payment for a quarter within the claim processed period that is payable to a community nursing provider under paragraph 7.3AA.2 is worked out using the following steps:

         (a) work out the number of entitled people who received from the provider a community nursing service for which a claim for payment was approved in each calendar month during the quarter;
         (b) multiply the number worked out under paragraph (a) by the amount determined, in writing, by the Commission for this paragraph.

7.3AA.4 To remove any doubt, for the purposes of paragraph 7.3AA.3(a), an entitled person is counted once for a calendar month even if more than one claim for payment was approved in the calendar month for community nursing services that the person received from the provider.

7.3A  Veterans' Home Care Program

     7.3A.1 (1) The Commission may:

            (a) examine the circumstances of an entitled person and assess the suitability of the person for:

             (i) a Home Care service (category A); or
           (ii) a Home Care service (category B); or
               (iii)  pursuant to a GP Home Care service (category C) Referral, a Home Care service (category C).

                 Note: the Commission has delegated its assessment power to a contractor known as a VHC assessment agency.

     (2) The Commission may determine that an assessment made under paragraph (1) is to be effective from a date before or after the date on which the assessment is made.

      (3) The Commission shall ensure a record is made of any assessment under paragraph (1) and any determination under paragraph (2).
       (4) A record under paragraph (3) may be made and maintained in electronic form.

     7.3A.3 (1) An entitled person is not entitled to a service of Home and Garden Maintenance if the provision of the service would mean the person had received Home and Garden Maintenance for a period or periods that would exceed, or cumulatively exceed, 15 hours over the relevant period.

     7.3A.3 (2) For the purposes of paragraph 7.3A.3 (1), the relevant period is a period of 12 months commencing on the date when the Commission accepted financial liability for the provision of Home and Garden Maintenance to the entitled person, or on the anniversary of that date.

     Note: the intention is that unused hours of Home and Garden Maintenance in a 12 month period are not carried over into the next 12 month period.

     7.3A.4  Outcome of Assessment

    (1) Where under 7.3A.1(1) the Commission decides that an entitled person is not suitable for a relevant service, it shall inform the entitled person accordingly and give reasons for its decision.

    (2) Where under 7.3A.1(1) the Commission decides that an entitled person is suitable for a relevant service, it shall: