Aged Care (Subsidy, Fees and Payments) Amendment (Viability Supplement) Determination 2016 (Cth)
Aged Care (Subsidy, Fees and Payments) Amendment (Viability Supplement) Determination 2016
I, Sussan Ley, Minister for Health and Aged Care, make the following determination.
Dated 13 December 2016
Sussan Ley
Minister for Health and Aged Care
Contents
1............ Name............................................................................................................................. 1
2............ Commencement............................................................................................................. 1
3............ Authority....................................................................................................................... 1
4............ Schedules...................................................................................................................... 1
Schedule 1—Amendments 2
Aged Care (Subsidy, Fees and Payments) Determination 2014 2
1 Name
This instrument is the Aged Care (Subsidy, Fees and Payments) Amendment (Viability Supplement) Determination 2016.
2 Commencement
(1) Each provision of this instrument specified in column 1 of the table commences, or is taken to have commenced, in accordance with column 2 of the table. Any other statement in column 2 has effect according to its terms.
| Commencement information | ||
| Column 1 | Column 2 | Column 3 |
| Provisions | Commencement | Date/Details |
| 1. The whole of this instrument | 1 January 2017. | 1 January 2017 |
Note: This table relates only to the provisions of this instrument as originally made. It will not be amended to deal with any later amendments of this instrument.
(2) Any information in column 3 of the table is not part of this instrument. Information may be inserted in this column, or information in it may be edited, in any published version of this instrument.
3 Authority
This instrument is made under the Aged Care Act 1997.
4 Schedules
Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.
Schedule 1—Amendments
Aged Care (Subsidy, Fees and Payments) Determination 2014
1 Section 4
Insert:
Modified Monash Model classification has the same meaning as in the Subsidy Principles 2014.
2 Section 56
Insert:
2017 scheme service has the same meaning as in the Subsidy Principles 2014.
3 Section 59
Omit “the scoring system set out in”, substitute “the points calculator in”.
4 Subsection 60(1)
Repeal the section, substitute:
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 $1.90.
5 At the end of Division 3 of Part 4 of Chapter 2
Add:
60A Amount of viability supplement—care recipients being provided with residential care through 2017 scheme services
For a care recipient to whom residential care is provided through a 2017 scheme service on a day, the amount of the viability supplement for the day is the amount specified in the item in the following table for the score attained by the service on the day under the points calculator in subsection 66A(2) of the Subsidy Principles 2014.
| Amount of viability supplement | ||
| Item | Score | Amount ($) |
| 1 | 50 | 4.18 |
| 2 | 55 | 6.27 |
| 3 | 60 | 9.38 |
| 4 | 65 | 11.47 |
| 5 | 70 | 16.74 |
| 6 | 75 | 23.03 |
| 7 | 80 | 30.22 |
| 8 | 85 | 36.31 |
| 9 | 90 | 42.35 |
| 10 | 95 | 47.17 |
| 11 | 100 | 53.22 |
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
(2) A residential care service meets the requirements of this subsection if:
(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
(3) A residential care service meets the requirements of this subsection if:
(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 $1.90.
6 After section 84
Insert:
84A Definitions
In this Division:
ARIA value has the same meaning as in the Subsidy Principles 2014.
ARIA value viability supplement amount, for a day for a care recipient, means the amount (if any) that corresponds to the ARIA value for the location where the care recipient resided on that day, as set out in the following table.
| Amount of viability supplement | ||
| Item | ARIA value | Amount ($) |
| 1 | Less than 3.52 | 0 |
| 2 | At least 3.52 but less than 4.67 | 5.30 |
| 3 | At least 4.67 but less than 5.81 | 6.36 |
| 4 | At least 5.81 but less than 7.45 | 8.90 |
| 5 | At least 7.45 but less than 9.09 | 10.69 |
| 6 | At least 9.09 but less than 10.55 | 14.95 |
| 7 | At least 10.55 | 17.95 |
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.
| Amount of viability supplement | ||
| Item | Modified Monash Model classification | Amount ($) |
| 1 | MMM 1 | 0.00 |
| 2 | MMM 2 | 0.00 |
| 3 | MMM 3 | 0.00 |
| 4 | MMM 4 | 1.03 |
| 5 | MMM 5 | 2.26 |
| 6 | MMM 6 | 14.95 |
| 7 | MMM 7 | 17.95 |
Note: In 2017, the Modified Monash Model classification for a suburb or locality was available at the Health Department’s website Section 85
Repeal the section, substitute:
85 Amount of viability supplement
Amount—care recipient to whom subsection 99(1) of the Subsidy Principles 2014 applies
(1) The amount of the viability supplement for a day for a care recipient to whom subsection 99(1) of the Subsidy Principles 2014 applies is the MMM classification viability supplement amount for a day for the care recipient.
Amount—care recipient to whom subsection 99(2) of the Subsidy Principles 2014 applies
(2) The amount of the viability supplement for a day for a care recipient to whom subsection 99(2) of the Subsidy Principles 2014 applies is the greater of:
(a) the ARIA value viability supplement amount for a day for the care recipient; and
(b) the MMM classification viability supplement amount for a day for the care recipient.
Amount—care recipient to whom subsection 99(3) of the Subsidy Principles 2014 applies
(3) The amount of the viability supplement for a day for a care recipient to whom subsection 99(3) of the Subsidy Principles 2014 applies is the ARIA value viability supplement amount for a day for the care recipient.
8 Section 87
Insert:
ARIA value additional amount, for a day for a home care place allocated in respect of a multi‑purpose service, means the amount (if any) that corresponds to the ARIA value for the location of the service, as set out in the following table.
Additional amount of home care subsidy Item ARIA value for location of multi‑purpose service Amount ($) 1 0 to 3.51 inclusive 0 2 3.52 to 4.66 inclusive 5.30 3 4.67 to 5.80 inclusive 6.36 4 5.81 to 7.44 inclusive 8.90 5 7.45 to 9.08 inclusive 10.69 6 9.09 to 10.54 inclusive 14.95 7 10.55 to 12.00 inclusive 17.95 Category D service has the meaning given by section 90A.
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.
Additional amount of home care subsidy Item Modified Monash Model classification for street address of multi‑purpose service Amount ($) 1 MMM 1 0.00 2 MMM 2 0.00 3 MMM 3 0.00 4 MMM 4 1.03 5 MMM 5 2.26 6 MMM 6 14.95 7 MMM 7 17.95 Note: In 2017, the Modified Monash Model classification for a street address was available at Section 87 (after paragraph (c) of the definition of viability supplement equivalent amount)
Insert:
(ca) for a Category D service—the amount specified in section 99A that relates to the service for the day; or
10 Paragraph 88(1)(b)
Omit “subsection 90(3)”, substitute “subsection 90(3) or 90A(3)”.
11 Paragraph 89(1)(b)
Omit “subsection 90(4)”, substitute “subsection 90(4) or 90A(4)”.
12 Subsection 90(1)
Repeal the subsection, substitute:
(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).
13 At the end of Division 2 of Part 1 of Chapter 4
Add:
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 Item Criterion Points 1 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.
0
0
0
30
40
55
65
2 Places:
(a) less than 20;
(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.
30
25
20
15
10
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 Note: In 2017, the Modified Monash Model classification for a street address was available at (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:
(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 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:
(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 C service.
14 Section 96
Repeal the section, substitute:
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.
15 At the end of Division 4 of Part 1 of Chapter 4
Add:
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 Item Score Amount ($) 1 50 4.62 2 55 6.92 3 60 10.36 4 65 12.66 5 70 18.48 6 75 23.03 7 80 28.78 8 85 34.58 9 90 40.33 10 95 44.92 11 100 50.69
0
0
0