Document ID: chunk:federal_register_of_legislation:F2024C00744:reg:18:p12
Version: federal_register_of_legislation:F2024C00744
Segment Type: reg
Provision Reference: reg 18 (pt 12/47)
Character Range: 203886–206694

"relevant entitled veteran" or "relevant entitled widow(er)" in relation to a particular eligible person, where the eligible person was residing with that veteran or that widow(er) at the time of the death of the veteran or widow(er) or at the time of the departure of the veteran or widow(er) from the home for treatment, and the eligible person is relying on that fact as constituting an element necessary to establish the basis for the person's entitlement to a service.

Note (1): the intention is to ensure that the conditions for providing a service to an eligible person are related to that person's particular circumstances.  For example, a former child who resided with an entitled widow before her death is only entitled to the domestic‑type assistance that widow was receiving and is not entitled to the domestic‑type assistance some other widow was receiving.  Similarly, the former child is not entitled to Home and Garden‑type maintenance if the widow had not been receiving Home and Garden Maintenance.  The entitlement of the eligible person is to reflect the entitlement of the primary beneficiary (entitled veteran, including deceased entitled veteran, or entitled widow(er)).

Note (2): in the case of a child or former child, it is that person's relationship with a veteran, as distinct from a relationship with a veteran's widow or widower, that establishes the eligibility of the child or former child to treatment.

7.3B Sustainability payments—Veterans' Home Care Program
7.3B.1 This subpart deals with a quarterly payment made to an approved provider for the Veterans' Home Care Program (a sustainability payment):

         (a) for the costs incurred by the provider in delivering care coordination and management necessary for the provision of a service under the program; and
         (b) that is to be paid between 1 July 2024 and 30 June 2026.

7.3B.2 The Commission will, on its own initiative, pay a sustainability payment to an approved provider, for a quarter between 1 April 2024 and 31 March 2026 (the claim processed period), if:

         (a) the provider delivers a service under the program to an entitled person in accordance with this Part; and
         (b) the service is delivered under an agreement with the Commission that is in force at the time the eligibility for the payment is determined; and
         (c) a claim for payment for the service is approved during the quarter.

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

         (a) work out the number of entitled people who received from the provider a service under the program for which a claim for payment was approved in each calendar month during the quarter;