Aged Care (Amount of flexible care subsidy multi-purpose services) Determination 2009 (No. 1) (Cth)

Aged Care (Amount of flexible care subsidy — multi‑purpose services) Determination 2009 (No.1)

Aged Care Act 1997

I, JUSTINE ELLIOT, Minister for Ageing, make this Determination under Section 52‑1 of the Aged Care Act 1997.

Dated    June 11th     2009

JUSTINE ELLIOT

Minister for Ageing

Contents

Part 1Preliminary   2

1. Name of Determination   2

1. Commencement   2

1. Revocation of previous determination   2

1. Application   3

1. Definitions   3

1. Category A services   4

1. Category B services   5

1. Category C services   7

Part 2Amount of flexible care subsidy   9

1. Amount of flexible care subsidy   9

1. Applicable amount — high care places   9

1. Applicable amount — low care places   10

1. Respite supplement equivalent amount   10

1. Additional amount of community care subsidy   11

Schedule 2Concessional resident equivalent amounts   12

Schedule 3Adjusted subsidy reduction multi‑purpose services   15

Schedule 4Viability supplement equivalent amounts   16

Part 1                 Preliminary

1. Name of Determination

   This Determination is the Aged Care (Amount of flexible care subsidy — multi‑purpose services) Determination 2009 (No.1)..

1. Commencement

This Determination commences on 1 July 2009.

1. Revocation of previous determination

The Aged Care (Amount of flexible care subsidy —  multi‑purpose services) Determination 2008 made on 16 June 2008, also known as ACA Ch. 3 No. 21/2008 and F2008L02238, is revoked.

1. Application

This Determination applies to a flexible care service that is a multi‑purpose service.

1. Definitions

In this Determination:

adjusted subsidy reduction multi‑purpose service means a multi‑purpose service mentioned in Schedule 3.

Category A service means a multi‑purpose service that:

(a)    meets the requirements of subsection 6(1); and

(b)    does not meet the requirements of subsection 8(3).

Category B service means a multi‑purpose service that:

(a)    meets the requirements of subsection 7(1) or (3); and

(b)    does not meet the requirements of subsection 8(4).

Category C service means a multi‑purpose service that meets the requirements of subsection 8(1), (3) or (4).

community care place means a place allocated in respect of a multi‑purpose service for the provision of care equivalent to community care.

high care place means a place allocated in respect of a multi‑purpose service for the provision of care equivalent to a high level of residential care.

low care place means a place allocated in respect of a multi‑purpose service for the provision of care equivalent to a low level of residential care.

multi‑purpose service has the meaning given by section 15.3 of the Flexible Care Subsidy Principles 1997.

region has the meaning given by Schedule 1 to the Aged Care Act 1997.

RRMA Classification means the ‘Rural, Remote and Metropolitan Area Classification’, 1991 Census Edition, published by the Australian Government Publishing Service, November 1994.

viability supplement equivalent amount, for a multi‑purpose service for a day, means:

(a)    for a multi‑purpose service that is a Category A service, a Category B service or a Category C service — the amount that is specified in Schedule 4 in respect of a care recipient to whom care is provided through the service on that day; and

(b)    for a multi‑purpose service that is not a Category A service, a Category B service or a Category C service — $0.

1. Category A services

(1)   A multi‑purpose service meets the requirements of this subsection if:

(a)    the service was in operation on 31 December 2004, and, on that date, the point score of the service would have been at least 60 points, under the scoring system set out in the following table; and

(b)    on 1 January 2005, either:

(i)    the point score of the service was less than 50 points, under the scoring system set out in the table in subsection 8(1); or

(ii)    the point score of the service was at least 50 points, under that scoring system, and the viability supplement equivalent amount specified in Schedule 4 for a day in respect of the service as a Category A service was more than the viability supplement equivalent amount so specified in respect of the service as a Category C service.

Item	Criterion	Points
1	Location:
(a)  remote zone	40
(b)  other rural area	30
(c)  small rural centre	20
(d)  large rural centre	10
2	Beds:
(a)  less than 30	20
(b)  less than 16	30
3	Service not co‑located with another service and unable to co‑locate	20
4	Supported residents, concessional residents or assisted residents:
(a)  over 70%	20
(b)  50% to 70%	10
5	Caters largely for special groups, including Aboriginal and Torres Strait Islander groups	10

(2)   For subsection (1):

(a)    a location of a particular kind is a statistical local area of that kind defined in the RRMA Classification; and

(b)    a service is taken to be unable to co‑locate with another service if it is:

(i)    not on the same site as, or on an adjoining site to, another multi‑purpose service or residential care service; or

(ii)    on the same site as, or an adjoining site to another multi‑purpose service or residential care service, but the total of the residential places and non‑acute beds on the same or adjacent sites is less than 45; or

(iii)    more than 25 kilometres from the nearest residential care service; or

(iv)    not more than 25 kilometres from the nearest residential care service, but the total number of places in both services is:

(A)     for a service in a remote zone — less than 30 beds; or

(B)     for a service not in a remote zone — less than 16 beds; and

(c)    points may be scored under only 1 paragraph in an item that has paragraphs.

1. Category B services

(1)   A multi‑purpose service meets the requirements of this subsection if:

(a)    the service was in operation on 31 December 2004, and, on that date, the point score of the service would have been at least 40 points, under the scoring system set out in the following table; and

(b)    on 1 January 2005, either:

(i)    the point score of the service was less than 50 points, under the scoring system set out in the table in subsection 8(1); or

(ii)    the point score of the service was at least 50 points, under that scoring system, and the viability supplement equivalent amount specified in Schedule 4 for a day in respect of the service as a Category B service was more than the viability supplement equivalent amount so specified in respect of the service as a Category C service.

Item	Criterion	Points
1	Location:
(a)  very remote location	60
(b)  remote location	50
(c)  moderately accessible location	40
(d)  accessible location	30
(e)  highly accessible location	0
2	Places:
(a)  less than 20	30
(b)  more than 19 but less than 30	20
(c)  more than 29 but less than 45	10
3	More than 50% of care recipients are people with special needs (other than people who are people with special needs only because they live in rural or remote areas or they are financially or socially disadvantaged)	10

(2)   In this section:

accessible location means a location that has an ARIA score of more than 1.84, but not more than 3.51.

ARIA means the ‘Accessibility/Remoteness Index of Australia (ARIA)’, Occasional Papers Series No. 6, prepared by the Department of Health and Aged Care and the National Centre for Social Applications of Geographic Information Systems, University of Adelaide, and published in March 1999 by the Department of Health and Aged Care.

ARIA score, in relation to a location, means the score given to that location under the document titled ‘Viability Funding — ARIA scores for locations as at 30 July 1999’, published by the Department of Health and Aged Care.

highly accessible location means a location that has an ARIA score of not more than 1.84.

moderately accessible location means a location that has an ARIA score of more than 3.51, but not more than 5.8.

remote location means a location that has an ARIA score of more than 5.8, but not more than 9.08.

very remote location means a location that has an ARIA score of more than 9.08, but not more than 12.

(3)   A multi‑purpose service meets the requirements of this subsection if:

(a)    the service commenced operating on or after 1 January 2005 and before 1 July 2005; and

(b)    on the day that the service commenced operating:

(i)    the point score of the service was at least 40 points, under the scoring system set out in subsection (1); and

(ii)    either:

(A)     the point score of the service was less than 50 points, under the scoring system set out in the table in subsection 8 (1); or

(B)     the point score of the service was at least 50 points, under that scoring system, and the viability supplement equivalent amount specified in Schedule 4 for a day in respect of the service as a Category B service was more than the viability supplement equivalent amount so specified in respect of the service as a Category C service.

1. Category C services

(1)   A multi‑purpose service meets the requirements of this subsection if, on or after 1 January 2005, the service:

(a)    is not a Category A service or a Category B service; and

(b)    scores at least 50 points, under the scoring system set out in the following table.

Item	Criterion	Points
1	Location:
(a)  very remote location	65
(b)  remote location	55
(c)  moderately accessible location	40
(d)  accessible location	30
(e)  highly accessible location	0
2	Places:
(a)  less than 20	30
(b)  more than 19 but less than 25	25
(c)  more than 24 but less than 30	20
(d)  more than 29 but less than 35	15
(e)  more than 34 but less than 40	10
(f)  more than 39 but less than 45	5
3	More than 50% of care recipients are people with special needs (other than people who are people with special needs only because they live in rural or remote areas or they are financially or socially disadvantaged)	5

(2)   In this section:

accessible location has the meaning given by subsection 7(2).

ARIA has the meaning given by subsection 7(2).

ARIA score has the meaning given by subsection 7(2).

highly accessible location has the meaning given by subsection 7(2).

moderately accessible location has the meaning given by subsection 7(2).

remote location has the meaning given by subsection 7(2).

very remote location has the meaning given by subsection 7(2).

(3)   A multi‑purpose service meets the requirements of this subsection if the service meets the requirements of subsection 6(1) (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 (1); and

(b)    the viability supplement equivalent amount specified in Schedule 4 for a day in respect of the service as a Category C service is the same as or greater than the viability supplement equivalent amount so specified in respect of the service as a Category A service.

(4)   A multi‑purpose service meets the requirements of this subsection if the service meets the requirements of subsection 7(1) or (3) (that is, for a Category B 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 (1); and

(b)    the viability supplement equivalent amount specified in Schedule 4 for a day in respect of the service as a Category C service is the same as or greater than the viability supplement equivalent amount so specified in respect of the service as a Category B service.

Part 2                 Amount of flexible care subsidy

1. Amount of flexible care subsidy

The amount of flexible care subsidy that is payable in respect of a day in respect of a multi‑purpose service is worked out in accordance with the following method.

HCA + LCA + CCA + RSEA + CCAA

where:

HCA is the amount worked out by multiplying:

(a)    the amount that applies under subsection 10(1) or (2) (whichever is applicable) in respect of the day for a high care place allocated in respect of the service; and

(b)    the number of high care places allocated in respect of the service.

LCA is the amount worked out by multiplying:

(a)    the amount that applies under section 11 in respect of the day for a low care place; and

(b)    the number of low care places allocated in respect of the service.

CCA is the amount worked out by multiplying:

(a)    $33.29; and

(b)    the number of community care places allocated in respect of the service.

RSEA is the respite supplement equivalent amount for the service in respect of the day under section 12.

CCAA is the amount worked out by multiplying:

(a)    the amount that applies under section 13 in respect of a day for a community care place; and

(b)    the number of community care places allocated in respect of the service.

1. Applicable amount — high care places

(1)   For a multi‑purpose service that is not an adjusted subsidy reduction multi‑purpose service, the amount that applies in respect of a day for a high care place allocated in respect of the service is worked out in accordance with the following method.

B + C + V

(2)   For an adjusted subsidy reduction multi‑purpose service, the amount that applies in respect of a day for a high care place allocated in respect of the service is worked out in accordance with the following method.

F

H

 

                (B + C + V) -  (R x      )

(3)   In subsections (1) and (2):

B is $108.67.

C is the concessional resident equivalent amount specified in Schedule 2 for the region in which the service is located.

V is the viability supplement equivalent amount for the service for the day.

(4)   In subsection (2):

R is $10.95

F is the reduction factor mentioned in column 3 of Schedule 3 for the service.

H is the number of high care places allocated in respect of the service for the day.

1. Applicable amount — low care places

The amount that applies in respect of a day for a low care place is worked out in accordance with the following method.

where:

B is $28.56

C is the concessional resident equivalent amount specified in Schedule 2 for the region in which the multi‑purpose service in respect of which the place is allocated is located.

V is the viability supplement equivalent amount for the service for the day.

1. Respite supplement equivalent amount

The respite supplement equivalent amount for a multi‑purpose service in respect of a day is the amount mentioned in the following table for the total number of high care places and low care places allocated in respect of the service.

Item	Total number of high care places and low care places	Respite supplement equivalent amount ($)
1	Less than 11	$44.36
2	More than 10 but less than 21	$70.98
3	More than 20 but less than 31	$79.84
4	More than 30 but less than 41	$88.72
5	More than 40	$97.59

1. Additional amount of community care subsidy

(1)   The amount that applies in respect of a day for a community care place is the amount (if any) that corresponds to the ARIA score for the location of the multi-purpose service, as set out in the following table:

Item	ARIA score for location of multi-purpose service	Additional daily amount of community care subsidy
1	ARIA score of 0 to 3.51 inclusive	$0
2	ARIA score of 3.52 to 4.66 inclusive	$2.77
3	ARIA score of 4.67 to 5.80 inclusive	$3.33
4	ARIA score of 5.81 to 7.44 inclusive	$4.67
5	ARIA score of 7.45 to 9.08 inclusive	$5.60
6	ARIA score of 9.09 to 10.54 inclusive	$7.85
7	ARIA score of 10.55 to 12.00 inclusive	$9.42

(2)    In this section:

ARIA has the meaning given by subsection 7(2).

ARIA score has the meaning given by subsection 7(2).

Schedule 2        Concessional resident equivalent amounts

(sections 10 and 11)

Item	Location of multi‑purpose service Region	Concessional resident equivalent amount ($)
1	ACT	$10.66
2	Alice Springs	$15.17
3	Barkly	$17.36
4	Barwon-South Western	$6.33
5	Brisbane North	$9.42
6	Brisbane South	$10.08
7	Cabool	$10.12
8	Central Coast	$10.31
9	Central West	$8.82
10	Darling Downs	$10.88
11	Darwin	$13.04
12	East Arnhem	$17.36
13	Eastern Metro	$5.72
14	Eyre Peninsula	$12.53
15	Far North	$9.44
16	Far North Coast	$9.38
17	Fitzroy	$5.53
18	Gippsland	$5.98
19	Goldfields	$5.53
18	Grampians	$10.55
21	Great Southern	$6.28
22	Hills, Mallee & Southern	$10.98
23	Hume	$6.12
24	Hunter	$10.40
25	Illawarra	$9.59
26	Inner West	$10.75
27	Katherine	$9.44
28	Kimberley	$13.52
29	Loddon-Mallee	$9.75
30	Logan River Valley	$11.02
31	Mackay	$9.45
32	Metropolitan East	$10.12
33	Metropolitan North	$10.28
34	Metropolitan South	$10.34
35	Metropolitan West	$11.33
36	Mid North	$10.32
37	Mid North Coast	$9.84
38	Mid West	$12.34
39	Midlands	$9.86
40	Nepean	$9.57
41	New England	$6.34
42	North West	$13.81
43	North Western	$9.98
44	Northern	$9.18
45	Northern Metro	$9.67
46	Northern Sydney	$6.18
47	Orana Far West	$11.57
48	Pilbara	$13.28
49	Riverina/Murray	$10.30
50	Riverland	$11.45
51	South Coast	$10.40
52	South East	$10.17
53	South East Sydney	$10.02
54	South West	$9.45
55	South West Sydney	$12.11
56	Southern	$10.43
57	Southern Highlands	$10.85
58	Southern Metro	$6.31
59	Sunshine Coast	$6.38
60	West Moreton	$10.56
61	Western Metro	$6.26
62	Western Sydney	$9.67
63	Whyalla, Flinders & Far North	$10.45
64	Wide Bay	$9.64
65	Yorke, Lower North & Barossa	$10.76

Schedule 3        Adjusted subsidy reduction multi‑purpose services

(sections 5 and 10)

Item	Multi‑purpose service	Reduction factor
1	Alpine Multipurpose Service	50
2	Apollo Bay Multipurpose Service	4
3	Augusta Multipurpose Service	12
4	Beverley Multipurpose Service	4
5	Corryong Multipurpose Service	20
6	Denmark Multipurpose Service	4
7	Eastern Wheatbelt Multipurpose Service	20
8	Grenfell Multipurpose Service	20
9	Kangaroo Island Multipurpose Service	5
10	Katanning Multipurpose Service	18
11	Lake Cargelligo Multipurpose Service	8
12	Leonora/Laverton Multipurpose Service	3
13	Mallee Track Multipurpose Service	30
14	Murchison Multipurpose Service	3
15	Nannup Multipurpose Service	5
16	Oberon Multipurpose Service	8
17	Orbost Multipurpose Service	15
18	Robinvale Multipurpose Service	14
19	Timboon Multipurpose Service	8
20	Trundle Multipurpose Service	4
21	York Multipurpose Service	7

Schedule 4        Viability supplement equivalent amounts

(sections 5, 6, 7 and 8)

1              Viability supplement equivalent amount — Category A services

(1)       For a care recipient to whom flexible care is provided through a Category A service on a day, the viability supplement equivalent amount for the day is the amount mentioned in the item in the following table that applies to the service on the day.

Item	Degree of Isolation	Number of places	Amount ($)
1	Isolated Remote Area	less than 16	$21.94
2	Isolated Remote Area	more than 15 but less than 30	$13.50
3	Isolated Remote Area	more than 29	$1.34
4	Remote Centre	less than 16	$10.46
5	Remote Centre	more than 15 but less than 30	$7.44
6	Remote Centre	more than 29	$1.34
7	Rural Outside Large Centre	less than 16	$4.41
8	Rural Outside Large Centre	more than 15 but less than 30	$1.34
9	Rural Outside Large Centre	more than 29	$1.34
10	An area not mentioned in items 1 to 9	not applicable	$1.34

(2)       In this section:

Isolated Remote Area means a Statistical Local Area classified as ‘Other Remote’ in the RRMA Classification.

number of places, for a multi‑purpose service, means the number of places allocated in respect of the multi‑purpose service.

Remote Centre means a Statistical Local Area classified as ‘Remote Centre’ in the RRMA Classification.

Rural Outside Large Centre means a Statistical Local Area classified as ‘Other Rural’ or ‘Small Rural Centre’ in the RRMA Classification.

2              Viability supplement equivalent amount — Category B services

For a care recipient to whom flexible care is provided through a Category B service on a day, the viability supplement equivalent amount for the day is the amount mentioned 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 7 (1).

Item	Score	Amount ($)
1	40	$1.34
2	50	$1.52
3	60	$4.41
4	70	$7.44
5	80	$10.46
6	90	$13.50
7	100	$21.94

3              Viability supplement equivalent amount — Category C services

For a care recipient to whom flexible care is provided through a Category C service on a day, the viability supplement equivalent amount for the day is the amount mentioned 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 8 (1).

Item	Score	Amount ($)
1	50	$2.12
2	55	$3.18
3	60	$4.77
4	65	$5.83
5	70	$8.51
6	75	$10.61
7	80	$13.26
8	85	$15.92
9	90	$18.57
10	95	$20.70
11	100	$23.35