Untitled document
Aged Care (Transitional Provisions) Principles 2014
I, Mitch Fifield, Assistant Minister for Social Services, make the following principles.
Dated 27 June 2014
Mitch Fifield
Assistant Minister for Social Services
Contents
Chapter 1—Preliminary 1
1............ Name of principles........................................................................................................ 1
2............ Commencement............................................................................................................. 1
3............ Authority....................................................................................................................... 1
3A......... Principles apply to continuing care recipients................................................................ 1
4............ Definitions..................................................................................................................... 1
5............ Meaning of homeowner................................................................................................ 5
6............ Meaning of high level of residential care...................................................................... 6
7............ Meaning of low‑means care recipient........................................................................... 6
8............ Meaning of maximum permissible interest rate............................................................ 7
Chapter 2—Residential care subsidy 8
Part 1—Who is eligible for residential care subsidy? 8
Division 1—Purpose of this Part 8
9............ Purpose of this Part....................................................................................................... 8
Division 2—Leave from residential care services 9
10.......... Care recipient provided with transition care................................................................... 9
Part 2—How is residential care subsidy paid? 10
Division 1—Purpose of this Part 10
11.......... Purpose of this Part..................................................................................................... 10
Division 2—Capital repayment deductions 11
12.......... Kinds of payment that are capital payments................................................................. 11
13.......... Working out proportion of amounts to be deducted if distinct part of residential care service has extra service status.................................................................................................................................... 11
Division 3—Non‑compliance deductions 13
14.......... Circumstances in which non‑compliance deductions do not apply.............................. 13
15.......... Working out amounts of non‑compliance deductions.................................................. 14
16.......... Working out the care day deficit.................................................................................. 14
Part 3—What is the amount of residential care subsidy? 16
Division 1—Purpose of this Part 16
17.......... Purpose of this Part..................................................................................................... 16
Division 2—Basic subsidy amount 17
18.......... Determination by Minister of basic subsidy amount for care recipient—other matters 17
Division 3—Primary supplements 18
Subdivision A—Accommodation supplement 18
19.......... Determination of accommodation supplement amount—other matters........................ 18
Subdivision B—Concessional resident supplement 18
20.......... Determination of concessional resident supplement amount—other matters............... 18
Subdivision C—Charge exempt resident supplement 19
21.......... Determination of charge exempt resident supplement amount—other matters............. 19
22.......... Circumstances in which charge exempt resident supplement is not payable to approved provider 19
23.......... Persons to whom charge exempt resident supplement may be paid............................. 19
Subdivision D—Respite supplement 20
24.......... Eligibility for respite supplement—requirements......................................................... 20
25.......... Maximum number of days of respite care................................................................... 20
26.......... Determination of respite supplement amount—other matters...................................... 20
Subdivision E—Oxygen supplement 20
27.......... Circumstances relating to provision of oxygen............................................................ 20
Subdivision F—Enteral feeding supplement 21
28.......... Circumstances relating to provision of enteral feeding................................................ 21
Division 4—Additional primary supplements 22
29.......... Purpose of this Division.............................................................................................. 22
Subdivision A—Payroll tax supplement 22
30.......... Payroll tax supplement................................................................................................ 22
31.......... Eligibility for payroll tax supplement........................................................................... 22
Subdivision B—Transitional supplement 23
32.......... Transitional supplement............................................................................................... 23
33.......... Eligibility for transitional supplement.......................................................................... 23
Subdivision C—Accommodation charge top‑up supplement 23
34.......... Accommodation charge top‑up supplement................................................................. 23
35.......... Eligibility for accommodation charge top‑up supplement............................................ 24
Subdivision D—Transitional accommodation supplement 24
36.......... Transitional accommodation supplement..................................................................... 24
37.......... Eligibility for transitional accommodation supplement................................................ 24
Subdivision E—Basic daily fee supplement 24
38.......... Basic daily fee supplement.......................................................................................... 24
39.......... Eligibility for basic daily fee supplement..................................................................... 25
Subdivision F—Dementia and severe behaviours supplement 25
40.......... Dementia and severe behaviours supplement.............................................................. 25
41.......... Eligibility for dementia and severe behaviours supplement......................................... 25
42.......... Assessment requirements............................................................................................ 26
Division 5—Value of assets 28
43.......... Supported residents—time for assessing assets.......................................................... 28
44.......... Working out the value of assets................................................................................... 28
Division 6—Reductions in subsidy 30
45.......... Compensation payment reduction—judgment or settlement does not, or does not adequately, take into account future costs of residential care................................................................................................ 30
Division 7—The income test 31
Subdivision A—Daily income tested reduction—general 31
46.......... Classes of people for whom daily income tested reduction is taken to be zero............ 31
47.......... Matters to which Secretary must have regard in deciding whether to determine if daily income tested reduction is to be taken to be zero............................................................................................................ 31
Subdivision B—Daily income test reduction—amounts excluded from total assessable income 32
48.......... Amounts excluded from care recipient’s total assessable income................................ 32
49.......... Excluded amounts—disability pensions and permanent impairment compensation payments 33
50.......... Excluded amounts—gifts............................................................................................ 33
51.......... Excluded amounts—rent receipts................................................................................ 33
52.......... Excluded amounts—GST compensation..................................................................... 34
53.......... Excluded amounts—pre‑2008 reform residents.......................................................... 35
54.......... Excluded amounts—clean energy payments................................................................ 36
Division 8—Other supplements 37
Subdivision A—Viability supplement 37
55.......... Determination of viability supplement for care recipient—other matters..................... 37
Subdivision B—Hardship supplement 37
56.......... Eligibility for hardship supplement—classes of care recipients................................... 37
57.......... Eligibility for hardship supplement—determination by Secretary................................ 38
58.......... Circumstances in which Secretary may revoke financial hardship determination........ 39
Subdivision C—Veterans’ supplement 39
59.......... Veterans’ supplement.................................................................................................. 39
60.......... Eligibility for veterans’ supplement............................................................................. 39
61.......... Amount of veterans’ supplement................................................................................. 40
Subdivision D—Homeless supplement 40
62.......... Homeless supplement.................................................................................................. 40
63.......... Eligibility for homeless supplement............................................................................. 40
64.......... Amount of homeless supplement................................................................................ 40
Chapter 3—Home care subsidy 41
Part 1—Who is eligible for home care subsidy? 41
65.......... Purpose of this Part..................................................................................................... 41
66.......... Suspension of home care............................................................................................. 41
Part 2—Basis on which home care subsidy is paid? 42
67.......... Purpose of this Part..................................................................................................... 42
68.......... Working out amounts of advances of home care subsidy............................................ 42
Chapter 3A—Flexible care subsidy 43
68A....... Purpose of this Chapter............................................................................................... 43
68B....... Application of Chapter 4 of the Subsidy Principles 2014............................................ 43
Chapter 4—Responsibilities of approved providers 44
Part 1—Accommodation bonds 44
Division 1—Basic rules about accommodation bonds 44
Subdivision A—Information about accommodation bonds etc. 44
69.......... Purpose of this Subdivision........................................................................................ 44
70.......... Information about accommodation bonds.................................................................... 44
71.......... Extension of time for entering into accommodation bond agreement........................... 45
Subdivision B—Other rules about accommodation bonds 45
72.......... Purpose of this Subdivision........................................................................................ 45
73.......... Accommodation bond agreement required even if financial hardship determination is sought 45
74.......... Payment if agreed accommodation bond not paid........................................................ 45
75.......... Payment of accommodation bond before refund of pre‑allocation lump sum.............. 46
Division 2—Contents of accommodation bond agreements 47
76.......... Purpose of this Division.............................................................................................. 47
77.......... Amount of accommodation bond—no financial hardship........................................... 47
78.......... Retention amounts and interest, or interest equivalent, charges................................... 47
79.......... Periodic payments....................................................................................................... 48
80.......... Providing information to third parties.......................................................................... 48
Division 3—Financial hardship determinations 49
81.......... Purpose of this Division.............................................................................................. 49
82.......... Matters to which Secretary must have regard in deciding whether to make financial hardship determination 49
83.......... Circumstances in which Secretary may revoke financial hardship determination........ 50
Division 4—Paying accommodation bond by periodic payments 51
84.......... Purpose of this Division.............................................................................................. 51
85.......... Frequency of periodic payments.................................................................................. 51
86.......... Agreement on periodic payments................................................................................ 51
87.......... Method for working out amounts of periodic payments.............................................. 51
88.......... Respite care periods to be disregarded......................................................................... 52
89.......... Minimum amount of periodic payments...................................................................... 52
Division 5—Rights of approved providers 53
Subdivision A—Retention of income derived from investment of accommodation bond balance 53
90.......... Purpose of this Subdivision........................................................................................ 53
91.......... Working out amounts.................................................................................................. 53
92.......... Respite care periods to be disregarded......................................................................... 54
93.......... Financial hardship—period to be disregarded............................................................. 55
Subdivision B—Deduction from accommodation bond balance of interest on amounts owed 55
94.......... Purpose of this Subdivision........................................................................................ 55
95.......... Interest on amounts owed............................................................................................ 55
Subdivision C—Deduction of retention amounts in respect of accommodation bond 55
96.......... Purpose of this Subdivision........................................................................................ 55
97.......... Maximum retention amount......................................................................................... 56
98.......... Indexation of maximum retention amounts.................................................................. 56
Subdivision D—Restriction on deduction of amounts 57
99.......... Purpose of this Subdivision........................................................................................ 57
100........ When amounts must not be deducted from accommodation bond balance.................. 57
101........ Financial hardship—period to be disregarded............................................................. 57
Subdivision E—Period for deduction of retention amounts 57
102........ Purpose of this Subdivision........................................................................................ 57
103........ Period of suspension of certification to be disregarded............................................... 57
104........ Entry date if care recipient is transferred from respite care to permanent accommodation....... 58
Part 2—Accommodation charges 59
Division 1—Basic rules about accommodation charges 59
105........ Purpose of this Division.............................................................................................. 59
106........ Information about accommodation charges................................................................. 59
107........ Accommodation charge agreement required even if financial hardship determination is sought 60
108........ Extension of time for entering into accommodation charge agreement........................ 60
109........ Period of respite care................................................................................................... 60
110........ Period of suspension of certification of service........................................................... 60
111........ Period of prohibition on charging accommodation charge........................................... 60
112........ Period of financial hardship......................................................................................... 61
Division 2—Contents of accommodation charge agreements 62
113........ Purpose of this Division.............................................................................................. 62
114........ Amount of accommodation charge—no financial hardship......................................... 62
115........ Providing information to third parties.......................................................................... 62
Division 3—Maximum daily accrual amount of accommodation charge 63
116........ Purpose of this Division.............................................................................................. 63
117........ Specified amounts for maximum daily accommodation charge—pre‑2008 reform residents 63
118........ Specified amounts for maximum daily accommodation charge—post‑2008 reform residents 64
119........ Indexation of maximum daily accommodation charge................................................. 66
Division 4—Financial hardship determinations 68
120........ Purpose of this Division.............................................................................................. 68
121........ Matters to which Secretary must have regard in deciding whether to make financial hardship determination 68
122........ Circumstances in which Secretary may revoke financial hardship determination........ 69
Division 5—Interest on accommodation charge 70
123........ Purpose of this Division.............................................................................................. 70
124........ Rate of interest on outstanding accommodation charge............................................... 70
Part 3—Resident fees 71
125........ Purpose of this Part..................................................................................................... 71
126........ Additional amount for residential care service in remote area...................................... 71
127........ Additional amounts may be agreed by care recipient in unfunded place...................... 71
Part 4—Home care fees 73
128........ Purpose of this Part..................................................................................................... 73
129........ Refund of home care fees............................................................................................ 73
130........ Determination of levels of maximum daily amounts of home care fees....................... 73
Chapter 5—Miscellaneous 75
131........ Expiry of certain provisions........................................................................................ 75
Schedule 1—Building requirements 76
1............ Definitions................................................................................................................... 76
2............ Fire and safety requirements........................................................................................ 76
3............ Privacy and space requirements—pre‑end‑July 1999 buildings.................................. 76
4............ Privacy and space requirements—post‑end‑July 1999 buildings................................ 77
Chapter 1—Preliminary
1 Name of principles
These principles are the Aged Care (Transitional Provisions) Principles 2014.
2 Commencement
These principles commence on 1 July 2014.
3 Authority
These principles are made under section 96‑1 of the Aged Care (Transitional Provisions) Act 1997.
3A Principles apply to continuing care recipients
These principles apply only to continuing care recipients.
4 Definitions
In these principles:
ACAP code has the meaning given by section 4 of the Subsidy Principles 2014.
accepted mental health condition means a mental health condition for which:
(a) the Repatriation Commission has accepted liability to pay a pension under the Veterans’ Entitlements Act; or
(b) the Military Rehabilitation and Compensation Commission has accepted liability to pay compensation under the Military Rehabilitation and Compensation Act 2004 or the Safety, Rehabilitation and Compensation Act 1988.
accessible location means a location that has an ARIA value of more than 1.84 but no more than 3.51.
ACFI classification means a classification, or a renewal of a classification, of a care recipient under the Aged Care Act 1997 and:
(a) the Classification Principles 1997, as in force on or after the commencement of Schedule 1 to the Aged Care Amendment (Residential Care) Act 2007; or
(b) the Classification Principles 2014.
agreed fee, for a care recipient and an approved provider, means a fee, charge or other payment that is:
(a) agreed between the care recipient and approved provider; and
(b) not prohibited under the Aged Care Act 1997 or the Transitional Provisions Act.
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), Revised Edition, Occasional Papers: New Series Number 14, published by the Health Department in October 2001, as the document existed on 1 August 2013.
Note: In 2014, the Measuring Remoteness: Accessibility/Remoteness Index of Australia (ARIA) was accessible at accounting standards means the accounting standards in force under section 334 of the Corporations Act 2001.
Note: In 2014, the Australian accounting standards were accessible at means:
(a) an accommodation bond; or
(b) an entry contribution.
bond balance means:
(a) in relation to a bond that is an accommodation bond—an accommodation bond balance; or
(b) in relation to a bond that is an entry contribution—an entry contribution balance.
care day deficit, for a residential care service for a quarter, means the number of days worked out for the service for the quarter under section 16.
CPI number means the All Groups Consumer Price Index number (that is, the weighted average of the 8 Australian capital cities) published by the Australian Statistician.
due date, in relation to an accommodation bond payable by a care recipient to an approved provider, has the meaning given by subsection 57‑18(6) of the Transitional Provisions Act.
earlier CPI number, for a financial year, means:
(a) the CPI number for the last March quarter before the beginning of the financial year; or
(b) if the CPI number for the March quarter of an earlier financial year is higher than the most recent earlier CPI number—the higher CPI number.
entry day, for a person who is being provided with residential care through a residential care service or a flexible care service, means:
(a) the day when the person starts to be provided with care through the service (other than respite care); or
(b) if the person is transferred from respite care to permanent accommodation—the day of the transfer.
financial hardship determination, in relation to a person, means:
(a) in Part 1 of Chapter 4—a determination made in relation to the person under subsection 57‑14(1) of the Transitional Provisions Act; and
(b) in Part 2 of Chapter 4—a determination made in relation to the person under subsection 57A‑9(1) of the Transitional Provisions Act.
Health Department means the Department responsible for the administration of the National Health Act 1953.
highly accessible location means a location that has an ARIA value of no more than 1.84.
homeowner: see section 5.
hostel place means a hostel place within the meaning of the Aged or Disabled Persons Care Act 1954, as in force on 30 September 1997.
indexable amount means:
(a) the amount X or Y referred to in subsection 97(3); or
(b) if that amount has previously been increased under section 97—the amount as most recently increased.
interest equivalent, in relation to an accommodation bond balance, means the amount an approved provider could have been expected to have derived from investment of the accommodation bond balance.
key personnel has the same meaning as in section 8‑3A of the Aged Care Act 1997.
latest CPI number, for a financial year, means the CPI number for the March quarter in the financial year.
low‑means care recipient: see section 7.
lump sum equivalent, for a care recipient who has elected to pay an accommodation bond wholly or partly by periodic payments, means an amount equal to the amount of the lump sum that the care recipient would have paid if the care recipient had not elected to pay the accommodation bond by periodic payments.
maximum permissible interest rate, for a day, means the maximum permissible interest rate for that day worked out in accordance with the calculator in section 8.
minimum permissible asset value has the same meaning as in subsection 57‑12(3) of the Transitional Provisions Act.
moderately accessible location means a location that has an ARIA value of more than 3.51 but no more than 5.8.
multi‑purpose service has the meaning given by section 104 of the Subsidy Principles 2014.
net value, of a person’s property, means the gross value of the property less any debts, charges and encumbrances on the property.
new resident means a care recipient who is being provided with residential care through a residential care service and who:
(a) is not receiving care on an extra service basis; and
(b) enters the service:
(i) if the service was certified on 1 October 1997—after 30 September 1997; or
(ii) if the service was certified after 1 October 1997—after the date the service is certified.
non‑registered entity means an entity that:
(a) is not a registered entity; and
(b) has incurred a liability to pay payroll tax to a registered entity in relation to residential care provided to care recipients through a residential care service.
Example: An approved provider will be more likely to be a non‑registered entity if it is operated by a charitable, religious or government provider.
NPI‑NH test means the test called the Neuropsychiatric Inventory—Nursing Home Version, as the test exists on 1 August 2013.
nursing home bed means a nursing home bed in a nursing home approved under section 40AA of the National Health Act 1953, as in force on 30 September 1997.
Quality Agency means the Australian Aged Care Quality Agency established by the Australian Aged Care Quality Agency Act 2013.
RCS classification means a classification, or renewal of a classification, of a care recipient under the Aged Care Act 1997 and the Classification Principles 1997 as in force immediately before the commencement of Schedule 1 to the Aged Care Amendment (Residential Care) Act 2007.
registered entity means an entity that is registered with a revenue office (however described) of a State or Territory for the purposes of paying payroll tax in accordance with the laws of that State or Territory.
Example: An approved provider will be more likely to be a registered entity if it is operated on a for profit basis.
remote area has the meaning given by subsection 14(1) of the Social Security Act.
remote location means a location that has an ARIA value of more than 5.8 but no more than 9.08.
single‑rate social security pension means a pension under the Social Security Act that is payable in the circumstances:
(a) referred to in column 2 of item 1 in table B in point 1064‑B1 of that Act; or
(b) referred to in column 2 of item 1 in table B in point 1065‑B12 of that Act; or
(c) to which the rate at point 1066‑B1 of that Act is applicable.
Social Security Act means the Social Security Act 1991.
transfer, of a care recipient from respite care to permanent accommodation in an aged care service, means the entry of the care recipient to the aged care service on a permanent basis after having received respite care.
Transitional Provisions Act means the Aged Care (Transitional Provisions) Act 1997.
transition care has the meaning given by section 106 of the Subsidy Principles 2014.
unrealisable asset, of a care recipient, has the meaning given by subsections 11(12) and (13) of the Social Security Act.
very remote location means a location that has an ARIA score of more than 9.08 but no more than 12.
veteran means a person:
(a) who is taken to have rendered eligible war service under section 7 of the Veterans’ Entitlements Act; or
(b) in respect of whom a pension is payable under subsection 13(6) of that Act; or
(c) who is:
(i) a member of the Forces within the meaning of subsection 68(1) of that Act; or
(ii) a member of a Peacekeeping Force within the meaning of that subsection; or
(d) who is:
(i) a member within the meaning of the Military Rehabilitation and Compensation Act 2004; or
(ii) a former member within the meaning of that Act; or
(e) who is an employee within the meaning of the Safety, Rehabilitation and Compensation Act 1988.
Note: The Acts referred to in paragraphs (d) and (e) provide that, in some cases:
(a) a member of the Forces, or a member of a Peacekeeping Force, includes a person who is no longer serving; and
(b) an employee includes a person who has ceased to be an employee.
Veterans’ Entitlements Act means the Veterans’ Entitlements Act 1986.
Note: A number of expressions used in these principles are defined in the Transitional Provisions Act, including the following:
(a) home care service;
(b) flexible care service;
(c) residential care service.
5 Meaning of homeowner
For the definition of homeowner in subsection 44‑11(1) of the Transitional Provisions Act:
(a) a person is not a homeowner for the purposes of paragraph 44‑7(1)(b) of the Transitional Provisions Act if the value of the person’s interest in the person’s home does not exceed:
(i) if a determination covered by subsection 44‑7(1B) of the Transitional Provisions Act for the person specifies a time after 19 September 2009—2.25 times the basic age pension amount at that time; or
(ii) if the applicable time under subsection 44‑7(2) of the Transitional Provisions Act for a determination covered by subsection 44‑7(1C) of the Transitional Provisions Act for the person is after 19 September 2009—2.25 times the basic age pension amount at the applicable time; or
(iii) in any other case—2.5 times the basic age pension amount at the applicable time under subsection 44‑7(2) of the Transitional Provisions Act; and
(b) a person is not a homeowner for the purposes of paragraph 44‑8(1)(b) of the Transitional Provisions Act if the value of the person’s interest in the person’s home does not exceed:
(i) if a determination covered by subsection 44‑8(1B) of the Transitional Provisions Act for the person specifies a time after 19 September 2009—3.61 times the basic age pension at that time; or
(ii) if the applicable time under subsection 44‑8(2) of the Transitional Provisions Act for a determination covered by subsection 44‑8(1C) of the Transitional Provisions Act for the person is after 19 September 2009—3.61 times the basic age pension amount at the applicable time; or
(iii) in any other case—4 times the basic age pension amount at the applicable time under subsection 44‑8(2) of the Transitional Provisions Act.
6 Meaning of high level of residential care
(1) For the definition of high level of residential care in clause 1 of Schedule 1 to the Transitional Provisions Act, high level of residential care means residential care provided to a care recipient whose classification level includes one or more of the following domain categories:
(a) high ADL category;
(b) high CHC category;
(c) high behaviour category;
(d) a medium domain category in at least 2 domains.
(2) For this section, domain and domain category have the same meanings as in the Classification Principles 2014.
7 Meaning of low‑means care recipient
A care recipient is a low‑means care recipient on a day if:
(a) the care recipient is being provided with residential care through a residential care service on that day; and
(b) either:
(i) the care recipient is eligible for accommodation supplement under section 44‑28 of the Aged Care Act 1997 for that day; or
(ii) on the day (the entry day) on which the care recipient entered the residential care service, the care recipient’s means tested amount was less than the maximum accommodation supplement amount for the entry day.
Note: Maximum accommodation supplement amount has the meaning given by subsection 44‑21(6) of the Aged Care Act 1997.
8 Meaning of maximum permissible interest rate
The maximum permissible interest rate for a day (the relevant day) is worked out as follows:
Maximum permissible interest rate calculator
Step 1. Work out the general interest charge rate for the relevant day under section 8AAD of the Taxation Administration Act 1953.
Step 2. Multiply the rate worked out at step 1 by the number of days in the calendar year in which the relevant day falls.
Step 3. Subtract 3 percentage points from the amount worked out at step 2.
The result is the maximum permissible interest rate for the relevant day.
Chapter 2—Residential care subsidy
Part 1—Who is eligible for residential care subsidy?
Division 1—Purpose of this Part
9 Purpose of this Part
For Division 42 of the Transitional Provisions Act, this Part specifies matters in relation to whether an approved provider of a residential care service is eligible for residential care subsidy for providing residential care to care recipients, including the requirements for when a care recipient is on leave from a residential care service (Division 2).
Division 2—Leave from residential care services
10 Care recipient provided with transition care
(1) For paragraph 42‑2(3A)(b) of the Transitional Provisions Act, this section specifies requirements that must be met for a care recipient (in respect of whom flexible leave subsidy is payable for a day) to be on leave under section 42‑2 of the Transitional Provisions Act from a residential care service on that day.
Note: A care recipient can be taken to be provided with residential care while he or she is on leave from that care (see section 42‑2 of the Transitional Provisions Act).
(2) The kind of care provided to the care recipient, for which the flexible care subsidy is payable, must be transition care.
Note: Transition care is defined in section 4.
Part 2—How is residential care subsidy paid?
Division 1—Purpose of this Part
11 Purpose of this Part
For Division 43 of the Transitional Provisions Act, this Part specifies matters in relation to the payment of residential care subsidy by the Commonwealth to an approved provider for providing residential care to care recipients, including the following:
(a) the kinds of payments made in respect of the service that are capital payments and working out the proportion of the amounts equal to the capital payments that are to be deducted (Division 2);
(b) the conditions that must be met for non‑compliance deductions to not apply in respect of the residential care service and the circumstances in which a non‑compliance deduction will not apply even if a condition has not been met (Division 3).
Division 2—Capital repayment deductions
12 Kinds of payment that are capital payments
For paragraph (b) of the definition of capital payment in subsection 43‑6(5) of the Transitional Provisions Act, each of the following kinds of payment is a capital payment:
(a) financial assistance by way of a grant under Part II, or Division 3 of Part III, of the Aged or Disabled Persons Care Act 1954, as in force before it was repealed;
(b) a grant of a Commonwealth benefit under Part VAB or VAC of the National Health Act 1953;
(c) a grant under the Aged or Disabled Persons Hostels Act 1972, as in force before it was repealed;
(d) a grant approved on or after 1 July 1989 under the Commonwealth program known as the Residential Aged Care Upgrading Program;
(e) capital funding approved on or after 1 July 1989 under the Commonwealth program known as the Small Homes Capital Funding Initiative.
Note: A residential care grant is also a capital payment (see paragraph (a) of the definition of capital payment in subsection 43‑6(5) of the Transitional Provisions Act).
13 Working out proportion of amounts to be deducted if distinct part of residential care service has extra service status
(1) For subsection 43‑6(3) of the Transitional Provisions Act, this section sets out how the proportion of the amounts equal to the capital payments made in respect of a residential care service (for which extra service status is granted only in respect of a distinct part of the service) is to be worked out.
Note: Extra service status is defined in the Dictionary to the Transitional Provisions Act.
(2) The proportion is:
where:
AP (short for allocated places) is the number of places allocated by the Secretary to the approved provider under Part 2.2 of the Aged Care Act 1997, in respect of residential care subsidy, that are included in the residential care service.
ESP (short for extra service places) is the number of places included in the distinct part of the residential care service, for which extra service status is granted, that are extra service places.
Note: Extra service place is defined in the Dictionary to the Transitional Provisions Act.
P (short for proportion) is:
(a) for each capital payment for which the first capital repayment deduction is to be made within 5 years after approval of the capital payment—100%; or
(b) for each capital payment for which the first capital repayment deduction is to be made more than 5 years after approval of the capital payment—100% reduced by 10% for each complete year over 5 years.
(3) For subsection (2):
(a) a place can only be counted as an extra service place or an allocated place if the allocation of the place has taken effect under section 15‑1 of the Aged Care Act 1997; and
(b) a period of at least 6 months and less than 1 year is to be counted as a complete year.
Note: The allocation of a place that is a provisional allocation cannot be counted (see section 15‑1 of the Aged Care Act 1997).
Division 3—Non‑compliance deductions
14 Circumstances in which non‑compliance deductions do not apply
(1) For subsection 43‑8(2) of the Transitional Provisions Act, this section specifies the circumstances in which non‑compliance deductions do not apply in respect of a residential care service even if a condition specified in subsection 43‑8(1) of the Transitional Provisions Act has not been met.
(2) Non‑compliance deductions do not apply in respect of the residential care service for a quarter if:
(a) fewer than 6 care recipients being provided with residential care through the service in the quarter entered the service after 30 September 1997; or
(b) for a service that has extra service status—fewer than 6 care recipients being provided with residential care through the service in the quarter (each receiving care on a permanent basis and not occupying extra service places) entered the service after 30 September 1997; or
(c) the care day deficit for the service for the quarter is less than 92.
Note: The care day deficit is worked out under section 16.
(3) If:
(a) one or more allocated places (the additional places) are transferred to the residential care service (the receiving service) from another residential care service (the other service); and
(b) some or all of the additional places are occupied by care recipients from the other service; and
(c) the receiving service was not subject to a non‑compliance deduction for the quarter before the transfer of the allocated places;
then non‑compliance deductions do not apply in respect of the receiving service for the number of quarters that is the lesser of:
(d) 4; and
(e) the number of additional places divided by 3 (rounded up to the nearest whole number).
(4) Non‑compliance deductions do not apply in respect of the residential care service for a quarter if:
(a) one or more allocated places are not occupied for the quarter; and
(b) the care day deficit for the service would have been less than 92 if the allocated place or places had been occupied by:
(i) an assisted resident; or
(ii) a concessional resident; or
(iii) a low‑means care recipient; or
(iv) a supported resident.
15 Working out amounts of non‑compliance deductions
(1)For subsection 43‑8(4) of the Transitional Provisions Act, this section sets out how to work out the amount of a non‑compliance deduction in respect of a residential care service for a quarter.
(2) The non‑compliance deduction, for a residential care service for a quarter, is:
where:
A is the care day deficit for the residential care service for the quarter.
B is the total of the basic subsidy amounts, worked out under Subdivision 44‑B of the Transitional Provisions Act and Subdivision 44‑B of the Aged Care Act 1997, for each day of residential care provided through the residential care service in the quarter for each care recipient.
C is the total of the reductions, worked out by applying the income test under Subdivision 44‑E of the Transitional Provisions Act and sections 44‑21 to 44‑23 of the Aged Care Act 1997, for each day of residential care provided through the residential care service in the quarter for each care recipient.
D is the total of the number of days of residential care provided through the residential care service in the quarter for each care recipient.
(3) However, if C is greater than B, the non‑compliance deduction is zero.
16 Working out the care day deficit
The care day deficit for a residential care service for a quarter is worked out as follows:
Care day deficit calculator
Step 1. Count the number of care recipients being provided with residential care through the residential care service who:
(a) entered the service after 30 September 1997; and
(b) during the quarter, are receiving care on a permanent basis and are not occupying a place that is an extra service place.
Step 2. Multiply the number of care recipients counted under step 1 by the number of days in the quarter.
Step 3. Count the number of care recipients referred to in step 1 who are:
(a) assisted residents; and
(b) concessional residents; and
(c) low‑means care recipients; and
(d) supported residents.
Step 4. Multiply the number of care recipients counted under step 3 by the number of days in the quarter.
Step 5. Subtract the number worked out under step 4 from the number worked out under step 2.
The result is the care day deficit for the residential care service for the quarter.
Part 3—What is the amount of residential care subsidy?
Division 1—Purpose of this Part
17 Purpose of this Part
For Division 44 of the Transitional Provisions Act, this Part sets out matters in relation to the amount of residential care subsidy payable to an approved provider of a residential care service in respect of a care recipient who is being provided with residential care through the service, including:
(a) other matters on which the Minister may base a determination of different amounts (including nil amounts) of the basic subsidy amount for the care recipient (Division 2); and
(b) other matters relating to the following primary supplements (Division 3):
(i) the accommodation supplement;
(ii) the concessional resident supplement;
(iii) the charge exempt resident supplement;
(iv) the respite supplement;
(v) the oxygen supplement;
(vi) the enteral feeding supplement; and
(c) the following additional primary supplements that may apply to the care recipient (Division 4):
(i) the payroll tax supplement;
(ii) the transitional supplement;
(iii) the accommodation charge top‑up supplement;
(iv) the transitional accommodation supplement;
(v) the basic daily fee supplement;
(vi) the dementia and severe behaviours supplement; and
(d) working out the value of the care recipient’s assets (Division 5); and
(e) matters relating to the following reductions in subsidy that may apply to the care recipient (Division 6):
(i) the compensation payment reduction;
(ii) the daily income tested reduction; and
(f) matters relating to the income test for the care recipient (Division 7); and
(g) other matters relating to the following other supplements that may apply to the care recipient (Division 8):
(i) the viability supplement;
(ii) the hardship supplement; and
(h) the following other supplements that may apply to the care recipient (Division 8):
(i) the veterans’ supplement;
(ii) the homeless supplement.
Division 2—Basic subsidy amount
18 Determination by Minister of basic subsidy amount for care recipient—other matters
For paragraph 44‑3(3)(e) of the Transitional Provisions Act, other matters on which the Minister may base a determination of different amounts (including nil amounts) of the basic subsidy amount for a care recipient who is being provided with residential care through a residential care service are the following:
(a) whether the service provides a greater or lesser proportion of care to recipients of respite care than that (if any) specified in the conditions attached to the allocation of places to the approved provider of the service;
(b) whether, on a particular 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 maximum number of days specified in section 25 for paragraph 44‑12(2)(c) of the Transitional Provisions Act;
(c) if an appraisal of the care recipient’s care needs is received after the end of the period referred to in paragraph 26‑1(a) or (b) of the Aged Care Act 1997 (whichever is applicable)—the circumstances of the appraisal not being received in that period;
(d) if a reappraisal of the care recipient’s needs is received after the end of the applicable reappraisal period referred to in section 27‑2 of the Aged Care Act 1997—the circumstances of the reappraisal not being received in that period.
Division 3—Primary supplements
Subdivision A—Accommodation supplement
19 Determination of accommodation supplement amount—other matters
(1) For paragraph 44‑5A(4)(b) of the Transitional Provisions Act, other matters on which the Minister may base a determination of different amounts (including nil amounts) of the accommodation supplement for a care recipient who is being provided with residential care through a residential care service are the following:
(a) whether more than 40% of care recipients being provided with residential care (other than respite care) through the service are the kinds of care recipients referred to in paragraph (2)(a) or (b);
(b) whether the service meets the building requirements specified in Schedule 1.
(2) For paragraph (1)(a), the kinds of care recipients are the following:
(a) care recipients who are:
(i) both post‑2008 reform residents and new residents; and
(ii) low‑means care recipients or supported residents;
(b) care recipients who are:
(i) assisted residents; or
(ii) concessional residents; or
(iii) low‑means care recipients; or
(iv) supported residents.
Note: New resident is defined in section 4.
(3) For paragraph (1)(b), a service is taken not to meet the building requirements specified in Schedule 1 if a building forming part of the service does not meet the building requirements for a building of that kind.
Subdivision B—Concessional resident supplement
20 Determination of concessional resident supplement amount—other matters
For paragraph 44‑6(5)(d) of the Transitional Provisions Act, another matter on which the Minister may base a determination of different amounts (including nil amounts) of the concessional resident supplement for a care recipient who is being provided with residential care through a residential care service is whether more than 40% of new residents being provided with residential care (other than respite care) through the service are:
(a) assisted residents; or
(b) concessional residents; or
(c) low‑means care recipients; or
(d) supported residents.
Note: New resident is defined in section 4.
Subdivision C—Charge exempt resident supplement
21 Determination of charge exempt resident supplement amount—other matters
For paragraph 44‑8A(4)(c) of the Transitional Provisions Act, other matters on which the Minister may base a determination of different amounts (including nil amounts) of the charge exempt resident supplement for a care recipient who is being provided with residential care through a residential care service, and who is a pre‑2008 reform resident, are the following:
(a) the amount by which the maximum rate of concessional resident supplement is greater than $12.17 for a day;
(b) if the care recipient has paid an accommodation charge as an assisted resident—the amount of the difference between the charge exempt resident supplement for a day and the rate of concessional resident supplement paid to the relevant approved provider.
22 Circumstances in which charge exempt resident supplement is not payable to approved provider
(1) For subsection 44‑8A(5) of the Transitional Provisions Act, the circumstances in which the Secretary may determine that an amount of charge exempt resident supplement otherwise payable for a particular care recipient is not payable to the approved provider concerned are the following:
(a) the approved provider, despite using its best endeavours, is unable to find the care recipient or, if the care recipient is deceased, the care recipient’s legal representatives or a person specified in section 23;
(b) a sanction is imposed, under section 66‑1 of the Aged Care Act 1997, on the approved provider;
(c) the Secretary has refunded, or will refund, the amount to an appropriate person, or to the care recipient’s estate, in accordance with paragraph 44‑8A(6)(b) of the Transitional Provisions Act.
(2) If the Secretary makes a determination under subsection 44‑8A(5) of the Transitional Provisions Act, the Secretary must give written notice of the determination to the approved provider.
23 Persons to whom charge exempt resident supplement may be paid
For paragraph 44‑8A(6)(a) of the Transitional Provisions Act, the following persons are specified in relation to a care recipient:
(a) an executor of the care recipient’s estate;
(b) a person appointed by a State or Territory guardianship board (however described) to deal with the care recipient’s estate;
(c) an authorised nominee of the care recipient;
(d) a person who holds an enduring power of attorney for the care recipient.
Subdivision D—Respite supplement
24 Eligibility for respite supplement—requirements
For subparagraph 44‑12(2)(a)(ii) of the Transitional Provisions Act, a requirement for a care recipient who is being provided with residential care through a residential care service to be eligible for the respite supplement on a day is that the care recipient is approved under Part 2.3 of the Aged Care Act 1997 as a recipient of residential care provided as respite care.
Note: For the approval of care recipients, see also the Approval of Care Recipients Principles 2014.
25 Maximum number of days of respite care
(1) For paragraph 44‑12(2)(c) of the Transitional Provisions Act, the number of days is:
(a) 63; or
(b) if the Secretary has increased the number of days under subsection (2)—the number of days as so increased (or as most recently increased).
(2) The Secretary may increase the number of days on which a care recipient can be provided with residential care as respite care during a financial year by up to 21 if the Secretary considers that an increase in the number of days is necessary because of any of the following:
(a) carer stress;
(b) severity of the care recipient’s condition;
(c) absence of the care recipient’s carer;
(d) any other relevant matter.
(3) An increase under subsection (2) may be made more than once in a financial year.
26 Determination of respite supplement amount—other matters
For paragraph 44‑12(4)(f) of the Transitional Provisions Act, other matters on which the Minister may base a determination of different amounts (including nil amounts) of the respite supplement for a care recipient who is being provided with residential care through a residential care service are the following:
(a) whether the service provides a greater or lesser proportion of care to recipients of respite care than that (if any) specified in the conditions attached to the allocation of places to the approved provider of the service;
(b) the time when the care recipient entered the service.
Subdivision E—Oxygen supplement
27 Circumstances relating to provision of oxygen
For paragraph 44‑13(1)(c) of the Transitional Provisions Act, the circumstances for the provision of oxygen to a care recipient provided with residential care through a residential care service are as follows:
(a) the materials and equipment used by the residential care service to provide the oxygen must be hired, temporarily obtained or owned by the residential care service;
(b) the oxygen must not be provided:
(i) because of a medical emergency; or
(ii) on a short‑term or episodic basis;
(c) a medical practitioner must have certified, in writing, that the care recipient has a continual need for the provision of oxygen;
(d) the oxygen must be provided in the most economical way available, taking into account the medical needs of the care recipient.
Subdivision F—Enteral feeding supplement
28 Circumstances relating to provision of enteral feeding
For paragraph 44‑14(1)(c) of the Transitional Provisions Act, the circumstances for the provision of enteral feeding to a care recipient provided with residential care through a residential care service are as follows:
(a) a medical practitioner must have certified, in writing, that the care recipient has a medical need for enteral feeding;
(b) the care recipient must have been given a liquid dietary formula (not including food supplements or any supplementary feeding connected with the administration of the dietary formula) administered by a nasogastric, gastrostomy or jejeunostomy feeding method;
(c) a medical practitioner or dietician must have certified, in writing, that the dietary formula is a nutritionally complete formula;
(d) the enteral feeding must not be intermittent or supplementary enteral feeding given in addition to oral feeding;
(e) the enteral feeding must be provided in the most economical way available, taking into account the medical needs of the care recipient.
Division 4—Additional primary supplements
29 Purpose of this Division
For subsections 44‑16(1) and (2), this Division provides for additional primary supplements and specifies, for each supplement, the circumstances in which the supplement will apply to a care recipient in respect of a payment period.
Subdivision A—Payroll tax supplement
30 Payroll tax supplement
The payroll tax supplement for a care recipient in respect of a payment period ending on or before 31 December 2014 is the sum of all the payroll tax supplements for the days during the period on which:
(a) the care recipient was provided with residential care (including care provided as respite care) through the residential care service in question; and
(b) for a care recipient provided with care, other than as respite care—the care recipient’s classification level is not:
(i) for a care recipient with an RCS classification—classification level 8; or
(ii) for a care recipient with an ACFI classification—the lowest applicable classification level; and
(c) the residential care service met the requirements for eligibility for payroll tax supplement under section 31.
Note 1: RCS classification and ACFI classification are defined in section 4.
Note 2: Lowest applicable classification level is defined in the Dictionary to the Transitional Provisions Act (see also the Classification Principles 2014).
31 Eligibility for payroll tax supplement
(1) A residential care service meets the requirements for eligibility for a payroll tax supplement on a day in a payment period ending on or before 31 December 2014 if the approved provider has satisfied the Secretary that:
(a) if the approved provider is a registered entity—the approved provider incurred a payroll tax liability in respect of the payment period that is payable to a State or Territory revenue office (however described) with which it is registered for the purposes of paying payroll tax; and
(b) if the approved provider is a non‑registered entity:
(i) the approved provider received, from a registered entity, an invoice including a cost breakdown showing, for the services provided, a salary and wages component and a payroll tax component; and
(ii) the approved provider has incurred a liability to pay the amount of the payroll tax component to the registered entity; and
(iii) in relation to the payment period, the approved provider has complied with the requirements in subsection (2).
Note: Registered entity and non‑registered entity are defined in section 4.
Condition for eligibility—non‑registered entities
(2) For subparagraph (1)(b)(iii), the approved provider must, at the end of each payment period, notify the Secretary in writing of:
(a) any variation, in relation to the previous payment period, in its liability for payroll tax; and
(b) for any variation—to what extent its liability for payroll tax is affected by the variation.
Note: This Subdivision expires on 1 April 2015 (see section 131).
Subdivision B—Transitional supplement
32 Transitional supplement
The transitional supplement for a care recipient in respect of a payment period is the sum of all the transitional supplements for the days during the period on which:
(a) the care recipient was provided with residential care through the residential care service in question; and
(b) the care recipient was eligible for a transitional supplement.
33 Eligibility for transitional supplement
A care recipient is eligible for a transitional supplement on a day if:
(a) on that day, the residential care provided through the residential care service to the care recipient was not respite care; and
(b) the care recipient is not a post‑2008 reform resident; and
(c) for a care recipient who entered the service after 30 September 1997—the service was not certified on the day the care recipient entered the service; and
(d) for a care recipient who occupied a hostel place or a nursing home bed on 30 September 1997—the care recipient:
(i) continued to receive residential care from the service after 30 September 1997; and
(ii) has been classified under Part 2.4 of the Aged Care Act 1997.
Note: Hostel place and nursing home bed are defined in section 4.
Subdivision C—Accommodation charge top‑up supplement
34 Accommodation charge top‑up supplement
The accommodation charge top‑up supplement for a care recipient in respect of a payment period is the sum of all the accommodation charge top‑up supplements for the days during the period on which:
(a) the care recipient was provided with residential care through the residential care service in question; and
(b) the care recipient was eligible for an accommodation charge top‑up supplement.
35 Eligibility for accommodation charge top‑up supplement
A care recipient is eligible for an accommodation charge top‑up supplement on a day if:
(a) on that day, the care recipient:
(i) is a post‑2008 reform resident; and
(ii) receives an income support payment; and
(b) on that day, the residential care service was certified; and
(c) the care recipient was eligible to pay an accommodation charge on entry to the residential care service; and
(d) the accommodation charge the care recipient was eligible to pay was less than the accommodation charge the care recipient would have been eligible to pay had the care recipient not been receiving an income support payment.
Subdivision D—Transitional accommodation supplement
36 Transitional accommodation supplement
The transitional accommodation supplement for a care recipient in respect of a payment period is the sum of all the transitional accommodation supplements for the days during the period on which:
(a) the care recipient was provided with residential care through the residential care service in question; and
(b) the care recipient was eligible for a transitional accommodation supplement.
37 Eligibility for transitional accommodation supplement
(1) A care recipient is eligible for a transitional accommodation supplement on a day if:
(a) on that day, the care recipient is a post‑2008 reform resident; and
(b) the care recipient entered a residential care service after 19 March 2008 and before 20 September 2011; and
(c) the care recipient is eligible to pay an accommodation bond.
(2) For paragraph (1)(b), a care recipient who first entered a residential care service before 20 September 2011 (the relevant date), is not taken to have entered a residential care service after the relevant date only because the person moved from one residential care service to another residential care service within 28 days after the relevant date.
Subdivision E—Basic daily fee supplement
38 Basic daily fee supplement
The basic daily fee supplement for a care recipient in respect of a payment period is the sum of all the basic daily fee supplements for the days during the period on which:
(a) the care recipient was provided with residential care through the residential care service in question; and
(b) the care recipient was eligible for a basic daily fee supplement.
39 Eligibility for basic daily fee supplement
A care recipient is eligible for a basic daily fee supplement on a day if:
(a) on that day, the residential care provided through the residential care service to the care recipient was not respite care; and
(b) on 1 July 2012, the care recipient was not receiving either of the following clean energy qualifying payments referred to in subsection 914(4) of the Social Security Act:
(i) an age pension;
(ii) a seniors supplement; and
(c) on 1 July 2012, the care recipient was not receiving either of the following clean energy underlying payments referred to in subsection 5Q(1) of the Veterans’ Entitlements Act:
(i) a service pension;
(ii) a seniors supplement; and
(d) on 1 July 2012, the care recipient was not the holder of a seniors health card; and
(e) the approved provider of the residential care service has, in respect of the provision of residential care to the care recipient, received subsidy:
(i) under Chapter 3 of the Aged Care Act 1997 on each day during the period beginning on 1 July 2012 and ending on 30 June 2014; and
(ii) under Chapter 3 of the Transitional Provisions Act on 1 July 2014 and on each day since that date; and
(f) the approved provider charges the care recipient no more than the maximum daily amount of resident fees permitted under Division 58 of the Transitional Provisions Act less an amount obtained by rounding down to the nearest cent an amount equal to 1% of the basic age pension amount (worked out on a daily basis).
Subdivision F—Dementia and severe behaviours supplement
40 Dementia and severe behaviours supplement
The dementia and severe behaviours supplement for a care recipient in respect of a payment period ending on or before 31 July 2014 is the sum of all the dementia and severe behaviours supplements for the days during the period on which:
(a) the care recipient was provided with residential care through the residential care service in question; and
(b) the care recipient was eligible for a dementia and severe behaviours supplement.
41 Eligibility for dementia and severe behaviours supplement
(1) A care recipient is eligible for a dementia and severe behaviours supplement on a particular day in a payment period ending on or before 31 July 2014 if:
(a) on that day, the residential care provided through the residential care service to the care recipient was not respite care; and
(b) the care recipient has been medically diagnosed by a registered medical practitioner with one or more of the health conditions assigned an ACAP code between 0500 and 0599; and
(c) each of the assessment requirements in section 42 are satisfied in respect of the care recipient and the day; and
(d) the approved provider of the residential care service has received a written copy of:
(i) the medical diagnosis referred to in paragraph (b); and
(ii) the results of the assessment referred to in paragraph 42(1)(a).
Note: ACAP code is defined in section 4.
(2) However, the care recipient is not eligible for a dementia and severe behaviours supplement on a particular day if a claim, under paragraph 43‑4(1)(a) of the Transitional Provisions Act, for residential care subsidy that includes the dementia and severe behaviours supplement for that day is not made within 56 days after that day.
(3) Also, the care recipient is not eligible for a dementia and severe behaviours supplement on any day in July 2014 unless a dementia and severe behaviours supplement under this Subdivision was payable in respect of the care recipient on 7 July 2014.
42 Assessment requirements
(1) The assessment requirements in respect of a care recipient and a day (the relevant day) are the following:
(a) the care recipient must have been assessed, before the relevant day, in accordance with the NPI‑NH test;
(b) the results of the assessment must include:
(i) for at least 2 behavioural domains referred to in subsection (2)—both a score of 4 for frequency and a score of 3 for severity; and
(ii) also, for at least 2 behavioural domains referred to in subsection (2)—a score of 4 or higher for occupational disruptiveness; and
(iii) for the 12 behavioural domains referred to in the NPI‑NH test—a score of at least 50 for the sum of the total scores for each domain.
Note: NPI‑NH test is defined in section 4.
(2) For subparagraphs (1)(b)(i) and (ii), the behavioural domains are the following:
(a) delusions;
(b) hallucinations;
(c) agitation/aggression;
(d) depression/dysphoria;
(e) anxiety;
(f) disinhibition.
(3) The assessment must have been conducted, in respect of the care recipient and the relevant day:
(a) by a registered nurse, clinical nurse consultant, nurse practitioner or medical practitioner; and
(b) if the dementia and severe behaviours supplement was not payable for the care recipient for the day before the relevant day—within 3 months before the relevant day; and
(c) if the dementia and severe behaviours supplement was payable for the care recipient for the day before the relevant day, and the relevant day was within 12 months of the care recipient’s eligibility start day—within 3 months before the care recipient’s eligibility start day; and
(d) if the dementia and severe behaviours supplement was payable for the care recipient for the day before the relevant day, and the relevant day was within 12 months of an anniversary of the care recipient’s eligibility start day—within 3 months before that anniversary; and
(e) more than 7 days after the care recipient commenced being provided with residential care through the residential care service (not including a day on which the care recipient was on pre‑entry leave).
(4) For subsection (3), the eligibility start day for the care recipient is:
(a) the first day for which residential care subsidy that includes the dementia and severe behaviours supplement becomes payable for the care recipient; or
(b) if residential care subsidy that includes the dementia and severe behaviours supplement was payable for the care recipient but has ceased to be payable for the care recipient—the first day for which residential care subsidy that includes the dementia and severe behaviours supplement becomes payable again for the care recipient.
(5) The results of the assessment must have been given to the Secretary, but not during the period of 28 days (not including any day on which the care recipient was on pre‑entry leave) starting on the day on which an approved provider began providing residential care to the care recipient.
Note: This Subdivision expires on 1 November 2014 (see section 131).
Division 5—Value of assets
43 Supported residents—time for assessing assets
(1) For paragraph 44‑5B(1)(c) of the Transitional Provisions Act, the other time at which the value of the person’s assets is to be determined by the Secretary is the following:
(a) the first time after 19 March 2008 that the person entered a residential care service without having had a break in residential care of more than 28 days;
(b) if the person entered another residential care service and a determination of the person’s assets, made under section 44‑8AB of the Transitional Provisions Act because of that entry, is less than the valuation of the person’s assets at the time referred to in paragraph (a)—the time referred to in the determination.
(2) For paragraph (1)(a), break in residential care has the same meaning as in subsection 44‑5D(2) of the Transitional Provisions Act.
44 Working out the value of assets
(1) For section 44‑10 of the Transitional Provisions Act, and subject to subsections 44‑10(2), (3) and (4) of the Transitional Provisions Act, the value of a person’s assets is the net value of the person’s property (including property outside Australia) reduced by any compensation payments received by the person under:
. (a) the Compensation (Japanese Internment) Act 2001; or
(b) the Veterans’ Entitlements (Compensation—Japanese Internment) Regulations 2001; or
(c) Part 2 of the Veterans’ Entitlements (Clarke Review) Act 2004; or
(d) Schedule 5 to the Social Security and Veterans’ Affairs Legislation Amendment (One‑off Payments and Other 2007 Budget Measures) Act 2007.
Note: Net value is defined in section 4.
(2) For subsection (1), a person’s property includes the following:
(a) accounts, including interest‑free accounts, with banks, building societies and credit unions;
(b) interest‑bearing deposits;
(c) fixed deposits;
(d) bonds;
(e) debentures;
(f) shares;
(g) investments in property trusts, friendly societies, equity trusts, mortgage trusts and bond trusts;
(h) superannuation assets from which lump sum amounts can be withdrawn;
(i) real estate;
(j) businesses;
(k) farms;
(l) loans, including interest‑free loans;
(m) motor vehicles, boats and caravans;
(n) the surrender value of life insurance policies;
(o) investment collections, including investment collections of coins or stamps;
(p) household contents and personal effects.
(3) For paragraph (2)(p), if there is no evidence of the value of a person’s household contents and personal effects, the value is taken to be $5 000.
Division 6—Reductions in subsidy
45 Compensation payment reduction—judgment or settlement does not, or does not adequately, take into account future costs of residential care
(1) For subsections 44‑20(5) and (6) of the Transitional Provisions Act, in making a determination in respect of a judgment or settlement entitling a care recipient to compensation, the Secretary must take into account the following matters:
(a) the amount of the judgment or settlement;
(b) for a judgment—the components stated in the judgment and the amount stated for each component;
(c) the proportion of liability apportioned to the care recipient;
(d) the amounts spent on residential care at the time of the judgment or settlement.
Note: For paragraph (1)(b), examples of the components of a judgment include the following:
(a) loss of income;
(b) costs of future care.
(2) The Secretary may also take into account any other matters the Secretary considers relevant, including the following:
(a) the amounts that are likely to be paid to, or withheld by, other government agencies because of the judgment or settlement;
(b) the amounts spent on care (other than residential care) at the time of the judgment or settlement;
(c) the likely cost of residential care for the care recipient;
(d) other costs of care for which the care recipient is likely to be liable;
(e) the amount of the accommodation bond paid or payable by the care recipient;
(f) other reasonable amounts (not related to care) that the care recipient:
(i) had spent at the time of the judgment or settlement; or
(ii) is likely to be liable for.
Division 7—The income test
Subdivision A—Daily income tested reduction—general
46 Classes of people for whom daily income tested reduction is taken to be zero
(1) For paragraph 44‑22(1)(c) of the Transitional Provisions Act, the classes of people for whom the daily income tested reduction is taken to be zero are the following:
(a) care recipients who leave a residential care service (without entering another residential care service), or who die, before the approved provider of the service has been informed of the care recipient’s daily income tested reduction (if any);
(b) care recipients who are not, within 6 months of entry to a residential care service, informed of the care recipient’s daily income tested reduction (if any);
(c) care recipients who have one or more dependent children;
(d) care recipients who are described in paragraph 85(4)(b) of the Veterans’ Entitlements Act 1986 (which describes former prisoners of war);
(e) care recipients who:
(i) are provided with residential care at any time after 30 September 1997 and before 1 March 1998; or
(ii) are, before 1 March 1998, on leave, as described in subsection 42‑3(3) of the Transitional Provisions Act;
(f) care recipients for whom the daily income tested reduction is worked out as less than $1.
(2) If a care recipient is included in the class of persons referred to in paragraph (1)(b), the care recipient is included in that class from the day the care recipient enters the residential care service until the day the care recipient is informed of the care recipient’s daily income tested reduction.
(3) This section does not apply to a care recipient at a time when the care recipient is being provided with respite care.
47 Matters to which Secretary must have regard in deciding whether to determine if daily income tested reduction is to be taken to be zero
(1) For subsection 44‑22(4) of the Transitional Provisions Act, in deciding whether to determine that the daily income tested reduction in respect of a care recipient is to be taken to be zero, the Secretary must have regard to the following matters:
(a) the care recipient’s income;
(b) the care recipient’s financial arrangements;
(c) the care recipient’s entitlement to income support:
(i) under the Social Security Act; or
(ii) under the Veterans’ Entitlements Act; or
(iii) from any other source;
(d) whether the care recipient has taken steps to obtain information about his or her entitlement to pension, benefit or other income support payments;
(e) whether the care recipient has access to financial assistance:
(i) under section 1129 of the Social Security Act (relating to access to financial hardship rules for pensions); or
(ii) under the pension loans scheme under Division 4 of Part 3.12 of the Social Security Act; or
(iii) from any other source;
(f) whether any income of the care recipient is income that the care recipient does not reasonably have access to;
(g) whether there is a charge on the care recipient’s income over which the payment of resident fees cannot practically take precedence;
(h) whether the care recipient has significant assets;
(i) if the care recipient has significant assets—whether any assets of the care recipient are unrealisable assets;
(j) whether the care recipient is in Australia on a temporary basis.
Note: Unrealisable asset is defined in section 4.
(2) The Secretary may have regard to any other matters the Secretary considers relevant.
(3) To enable the Secretary to have regard to the matters referred to in paragraph (1)(c) or (d), the Secretary may:
(a) require the care recipient to seek information from the relevant Department about his or her entitlement to a benefit, income support payment or other assistance, and give the Secretary copies of written replies from the Department; or
(b) advise the care recipient to seek advice about his or her financial arrangements from the Financial Information Service established by Centrelink.
Subdivision B—Daily income test reduction—amounts excluded from total assessable income
48 Amounts excluded from care recipient’s total assessable income
For subsection 44‑24(5) of the Transitional Provisions Act, the amounts (in this Subdivision called excluded amounts) that are to be taken, in relation to the kinds of care recipients specified in sections 49 to 54, to be excluded from determinations by the Secretary under subsection 44‑24(1) or paragraph 44‑24(2)(b), (3)(b) or (4)(b) of the Transitional Provisions Act are the following:
(a) disability pensions and permanent impairment compensation payments referred to in section 49;
(b) gifts referred to in section 50;
(c) rent receipts referred to in section 51;
(d) GST compensation referred to in section 52;
(e) amounts referred to in section 53;
(f) clean energy payments referred to in section 54.
49 Excluded amounts—disability pensions and permanent impairment compensation payments
(1) For a person who has qualifying service under section 7A of the Veterans’ Entitlements Act, or the partner of such a person, the amount (if any) of disability pension (within the meaning of subsection 5Q(1) of the Veterans’ Entitlements Act) paid to the person that is exempt under section 5H of that Act is an excluded amount.
(2) For a person who is a member or former member (within the meaning of the Military Rehabilitation and Compensation Act 2004) or the partner of such a person, each of the following is an excluded amount:
(a) any amount of compensation for permanent impairment paid to the person under Part 2 of Chapter 4 of the Military Rehabilitation and Compensation Act 2004;
(b) any amount of Special Rate Disability Pension paid to the person under Part 6 of Chapter 4 of the Military Rehabilitation and Compensation Act 2004.
50 Excluded amounts—gifts
(1) For a person who, on or before 20 August 1996, disposed of ordinary income, the amount of ordinary income disposed of on or before 20 August 1996 that is included in the person’s ordinary income under:
(a) sections 1106, 1107, 1108 and 1109 of the Social Security Act; or
(b) sections 48, 48A, 48B and 48C of the Veterans’ Entitlements Act;
is an excluded amount.
Note: Sections 1106, 1107, 1108 and 1109 of the Social Security Act, and sections 48, 48A, 48B and 48C of the Veterans’ Entitlements Act, deal with disposal of ordinary income.
(2) For a person who, on or before 20 August 1996, disposed of assets, the amount of ordinary income the person is taken to receive because assets disposed of on or before 20 August 1996 are assessed as financial assets under:
(a) section 1076, 1077 or 1078 of the Social Security Act; or
(3) For paragraph 57A‑6(1)(c) of the Transitional Provisions Act, the amount for a post‑2008 reform resident who:
(a) first entered a residential care service for the provision of residential care (other than respite care) on or after 1 July 2004; and
(b) does not receive an income support payment; and
(c) is receiving care through a service that meets the building requirements referred to in Schedule 1 to these principles; and
(d) entered care during a period specified in the following table;
is the amount specified in the table for that period.
| Post‑2008 reform residents who first enter residential care on or after 1 July 2004 and do not receive income support payment and service meets building requirements | ||
| Item | If the person entered care … | the amount is … |
| 1 | after 19 March 2008 and before 20 September 2010 | $26.88 |
| 2 | on or after 20 September 2010 and before 20 March 2011 | $28.72 |
| 3 | on or after 20 March 2011 and before 20 September 2011 | $30.55 |
| 4 | on or after 20 September 2011 and before 20 March 2012 | $32.38 |
| 5 | on or after 20 March 2012 and before 20 September 2012 | $32.58 |
| 6 | on or after 20 September 2012 and before 20 March 2013 | $32.76 |
| 7 | on or after 20 March 2013 and before 20 September 2013 | $33.29 |
| 8 | on or after 20 September 2013 and before 20 March 2014 | $33.55 |
| 9 | on or after 20 March 2014 and before 30 June 2014 | $34.20 |
(4) For paragraph 57A‑6(1)(c) of the Transitional Provisions Act, the amount for a post‑2008 reform resident who:
(a) first entered a residential care service for the provision of residential care (other than respite care) on or after 1 July 2004; and
(b) does not receive an income support payment; and
(c) is receiving care through a service that does not meet the building requirements referred to in Schedule 1 to these principles; and
(d) entered care during a period specified in the following table;
is the amount specified in the table for that period.
| Post‑2008 reform residents who first enter residential care on or after 1 July 2004 and do not receive income support payment and service does not meet building requirements | ||
| Item | If the person entered care … | the amount is … |
| 1 | after 19 March 2008 and before 20 September 2008 | $24.37 |
| 2 | on or after 20 September 2008 and before 20 March 2009 | $25.06 |
| 3 | on or after 20 March 2009 and before 20 September 2009 | $25.28 |
| 4 | on or after 20 September 2009 and before 20 March 2010 | $25.49 |
| 5 | on or after 20 March 2010 and before 20 September 2010 | $25.87 |
| 6 | on or after 20 September 2010 and before 20 March 2011 | $26.27 |
| 7 | on or after 20 March 2011 and before 20 September 2011 | $26.56 |
| 8 | on or after 20 September 2011 and before 20 March 2012 | $27.22 |
| 9 | on or after 20 March 2012 and before 20 September 2012 | $27.39 |
| 10 | on or after 20 September 2012 and before 20 March 2013 | $27.54 |
| 11 | on or after 20 March 2013 and before 20 September 2013 | $27.98 |
| 12 | on or after 20 September 2013 and before 20 March 2014 | $28.20 |
| 13 | on or after 20 March 2014 and before 30 June 2014 | $28.75 |
Note: An amount specified in a table in this section applies only if paragraph 57A‑6(1)(a) or (b) of the Transitional Provisions Act does not apply.
119 Indexation of maximum daily accommodation charge
(1) In this section:
earlier CPI number, for a financial year, means:
(a) for the purpose of working out an amount under subsection 117(2):
(i) the CPI number for the last March quarter before the beginning of the financial year (the most recent earlier CPI number); or
(ii) if the CPI number for the March quarter of an earlier financial year that started on or after 1 July 1998 is higher than the most recent earlier CPI number—the higher CPI number; and
(b) for the purpose of working out an amount under subsection 117(4):
(i) the CPI number for the last March quarter before the beginning of the financial year (the most recent earlier CPI number); or
(ii) if the CPI number for the March quarter of an earlier financial year that started on or after 1 July 2003 is higher than the most recent earlier CPI number—the higher CPI number.
indexed element means:
(a) for the purpose of working out an amount under subsection 117(2)—the element X or Y referred to in that subsection; or
(b) for the purpose of working out an amount under subsection 117(4)—the element A or B referred to in that subsection.
latest CPI number, for a financial year, means the CPI number for the March quarter in the financial year.
relevant amount, in a financial year, means the amount of the indexed element for the financial year.
Note: CPI number is defined in section 4.
(2) For the purpose of working out an amount under subsection 117(2) for a financial year, if the latest CPI number is more than the earlier CPI number, the amount of each indexed element is increased on 1 July of the next financial year.
(3) For the purpose of working out an amount under subsection 117(4) for a financial year, if the latest CPI number is more than the earlier CPI number, the amount of each indexed element is increased on 1 July of the next financial year.
(4) The amount of the increased indexed element is the amount worked out in accordance with the formula:
Division 4—Financial hardship determinations
120 Purpose of this Division
This Division specifies:
(a) for section 57A‑9 of the Transitional Provisions Act—matters to which the Secretary must have regard in deciding whether to make a financial hardship determination in relation to a person; and
(b) for section 57A‑10 of the Transitional Provisions Act—circumstances in which the Secretary may revoke a financial hardship determination.
121 Matters to which Secretary must have regard in deciding whether to make financial hardship determination
(1) For section 57A‑9 of the Transitional Provisions Act, this section sets out matters to which the Secretary must have regard in deciding whether to make a financial hardship determination in relation to a person.
(2) The Secretary must not make a financial hardship determination in relation to a person if:
(a) the person’s means have not been assessed in accordance with the Aged Care Act 1997; or
(b) the value of the person’s assets (worked out under section 44‑26A of the Aged Care Act 1997 and section 47 of the Subsidy Principles 2014) is more than 1.5 times the sum of the annual amount of the following (worked out under the Social Security Act):
(i) the basic age pension amount;
(ii) the pension supplement amount;
(iii) the clean energy supplement; or
(c) the person has gifted:
(i) more than $10 000 in the previous 12 months; or
(ii) more than $30 000 in the previous 5 years.
Note: Basic age pension amount is defined in clause 1 of Schedule 1 to the Aged Care Act 1997.
(3) In determining the value of a person’s assets for paragraph (2)(b), unrealisable assets are not to be included.
Note: Unrealisable asset is defined in section 4.
(4) In deciding whether to make a financial hardship determination in relation to a person, the Secretary may have regard to the following matters:
(a) the person’s total assessable income (worked out under section 44‑24 of the Aged Care Act 1997 and section 41 of the Subsidy Principles 2014);
(b) whether the amount of income available to the person after expenditure on essential expenses is less than 15% of the basic age pension amount;
(c) the person’s financial arrangements;
(d) the person’s entitlement to income support:
(i) under the Social Security Act; or
(ii) under the Veterans’ Entitlements Act; or
(iii) from any other source;
(e) whether the person has taken steps to obtain information about his or her entitlement to a pension, benefit or other income support payment;
(f) whether the person has access to financial assistance:
(i) under section 1129 of the Social Security Act (relating to access to financial hardship rules for pensions); or
(ii) under the pension loans scheme under Division 4 of Part 3.12 of the Social Security Act; or
(iii) from any other source;
(g) whether any income of the person is income that he or she does not reasonably have access to;
(h) whether there is a charge on the person’s income over which the payment of an accommodation charge cannot practically take precedence;
(i) whether the person is in Australia on a temporary basis;
(j) any other matters the Secretary considers relevant.
(5) A financial hardship determination may be expressed to take effect from a date before it is made.
(6) For paragraph (4)(b), essential expenses, has the same meaning as in section 39 of the Fees and Payments Principles 2014 (No. 2).
122 Circumstances in which Secretary may revoke financial hardship determination
For subsection 57A‑10(1) of the Transitional Provisions Act, the Secretary may revoke a financial hardship determination in relation to a person if:
(a) the circumstances of the person have changed; and
(b) the Secretary is satisfied that:
(i) paying an accommodation charge would not cause the person financial hardship; or
(ii) paying an accommodation charge of more than the maximum daily amount specified in the determination would not cause the person financial hardship.
Example: For paragraph (a), a person’s circumstances may change if assets of the person that were unrealisable assets are no longer assets of that kind.
Division 5—Interest on accommodation charge
123 Purpose of this Division
For subsection57A‑12(2) of the Transitional Provisions Act, this Division specifies the maximum rate at which interest may be charged under an accommodation charge agreement on the outstanding balance of an accommodation charge.
124 Rate of interest on outstanding accommodation charge
The maximum rate at which interest may be charged on the outstanding balance of an accommodation charge is a rate that is not more than twice the below threshold rate determined by the Minister under subsection 1082(1) of the Social Security Act.
Part 3—Resident fees
125 Purpose of this Part
For Division 58 of the Transitional Provisions Act, this Division specifies:
(a) an additional amount that may be added to the maximum daily amount of resident fees; and
(b) the circumstances in which an amount agreed between a care recipient and an approved provider may be included in working out the maximum daily amount of resident fees for the care recipient.
126 Additional amount for residential care service in remote area
(1) For subparagraph 58‑1(a)(ii) of the Transitional Provisions Act, this section specifies an amount that may be added to the maximum daily amount of resident fees for residential care provided through a residential care service that is located in a remote area.
(2) The additional amount is the amount worked out in accordance with the following formula:
where:
remote area amount means the amount referred to in column 4 (basic allowance per fortnight) of table item 1 (person whose family situation is not a member of a couple) of Table H—Remote area allowance set out in section 1064‑H2 of the Social Security Act.
Note 1: Remote area is defined in section 4.
Note 2: The amount worked out using the formula is an amount equal to 85% of the daily equivalent of the fortnightly amount of remote area allowance at the rate in force immediately before the commencement of the A New Tax System (Compensation Measures Legislation Amendment) Act 1999.
127 Additional amounts may be agreed by care recipient in unfunded place
(1) This section specifies the circumstances in which an amount (an additional amount), agreed between a care recipient and the approved provider of the residential care service through which the care recipient is being provided with residential care, may be included at step 5 of the resident fee calculator set out in section 58‑2 of the Transitional Provisions Act in working out the maximum daily amount of resident fees for the care recipient.
(2) The maximum daily amount of resident fees (the maximum daily fee) payable by the care recipient for a day (the relevant day) may include an additional amount agreed between the care recipient and the approved provider if:
(a) before entering into the agreement with the care recipient, the approved provider has informed the care recipient, in writing, that the proposed maximum daily fee is more than the maximum daily amount that would have been payable if the care recipient’s place were funded; and
(b) the care recipient agrees to pay the amount before it is incurred; and
(c) on the relevant day:
(i) the care recipient is approved under Part 2.3 of the Aged Care Act 1997 as a recipient of residential care; and
(ii) the care recipient’s place in the service is unfunded.
(3) For this section:
(a) a care recipient’s place in a residential care service is funded if residential care subsidy is payable under Chapter 3 of the Transitional Provisions Act for the provision of care to the care recipient through the service; and
(b) a care recipient’s place in a residential care service is unfunded if residential care subsidy otherwise payable under Chapter 3 of the Transitional Provisions Act for the provision of care to the care recipient through the service is not payable because of paragraph 42‑1(2)(a) of that Act.
Note: Under paragraph 42‑1(2)(a) of the Transitional Provisions Act, an approved provider is not eligible for residential care subsidy in respect of a care recipient if residential care provided to the care recipient is excluded (see section 42‑7 of the Transitional Provisions Act because the approved provider exceeds the approved provider’s allocation of places for residential care subsidy.
Part 4—Home care fees
128 Purpose of this Part
For Division 60 of the Transitional Provisions Act, this Part:
(a) makes provision in relation to the refund of home care fees if a care recipient dies or provision of home care ceases; and
(b) specifies matters for determining the maximum daily amount of home care fees payable by a care recipient if the approved provider requires the care recipient to pay ongoing home care fees.
129 Refund of home care fees
For paragraph 60‑1(d) of the Transitional Provisions Act, any refundable fee must be paid as soon as practicable to:
(a) the care recipient; or
(b) a person authorised to receive the refund for the care recipient’s estate.
Examples for paragraph (b):
The care recipient’s executor or legal personal representative.
130 Determination of levels of maximum daily amounts of home care fees
(1) For section 60‑2 of the Transitional Provisions Act, this section specifies matters for determining the maximum daily amount of home care fees payable by a care recipient if the approved provider requires the care recipient to pay home care fees.
(2)If the care recipient’s income does not exceed the amount of the maximum basic rate of pension payable from time to time under Part 2.2 of the Social Security Act to persons classed as “Not a member of a couple”, the fees must be determined so that they do not exceed 17.5% of that maximum basic rate of pension, unless subsection (4) applies.
(3) If the care recipient’s income exceeds the amount of maximum basic rate of pension, the fees must be determined so that they do not exceed an amount equal to the amount of fees permitted under subsection (2) plus 50% of the amount by which the care recipient’s income exceeds the amount of maximum basic rate of pension, unless subsection (4) applies.
(4) If:
(a) the care recipient receives a pension under the Social Security Act and the care recipient’s family situation under Part 2.2 of that Act is classified as “Partnered (partner getting pension or benefit)”; or
(b) the care recipient receives an equivalent pension under the Veterans’ Entitlements Act;
the fees must be determined so that they do not exceed an amount equal to the amount of fees permitted under subsection (2) plus 50% of the amount by which the care recipient’s income exceeds the amount of maximum basic rate of pension payable to the care recipient.
(5) The care recipient must not be charged a home care fee for any period during which:
(a) the provision of home care to the care recipient is suspended under section 46‑2 of the Transitional Provisions Act; and
(b) the care recipient is receiving:
(i) transition care; or
(ii) residential care provided as respite care.
(6) For this section:
income:
(a) means income after income tax and medicare levy; and
(b) does not include:
(i) pharmaceutical allowance, rent assistance or telephone allowance payable under the Social Security Act or the Veterans’ Entitlements Act; or
(ii) a pension supplement payable under the Social Security Act or the Veterans’ Entitlements Act; or
(iii) in relation to a pension payable under the Veterans’ Entitlements Act (except a service pension), an amount equal to 4% of the amount of the pension.
Chapter 5—Miscellaneous
131 Expiry of certain provisions
Payroll tax supplement
(1) The following provisions of these principles expire on 1 April 2015 as if they had been repealed by another legislative instrument:
(a) subparagraph 17(c)(i);
(b) Subdivision A of Division 4 of Part 3 of Chapter 2.
Dementia and severe behaviours supplement
(2) The following provisions of these principles expire on 1 November 2014 as if they had been repealed by another legislative instrument:
(a) subparagraph 17(c)(vi);
(b) Subdivision F of Division 4 of Part 3 of Chapter 2.
Schedule 1—Building requirements
Note: See paragraph 19(1)(b).
1 Definitions
In this Schedule:
building means a building forming part of a residential care service.
Building Code of Australia means the code developed by the Australian Building Codes Board under the agreement between the Commonwealth, States and Territories made on 26 April 2006.
fire and safety requirements, for a building, means adequate provision for the following in the building:
(a) sprinklers and fire suppression;
(b) fire compartmentation and separation;
(c) egress;
(d) smoke compartmentation and separation;
(e) fire fighting equipment;
(f) alarm detection and evacuation systems;
(g) summoning assistance and evacuation systems.
post‑end‑July 1999 building means a building, or part of a building, for which plans were submitted after July 1999 to a body (including a local government body) responsible for building or development approval in the area where the building is located or proposed, for approval to construct or alter the building, or part of the building.
pre‑end‑July 1999 building means a building, or a part of a building, that is not a post‑end‑July 1999 building.
2 Fire and safety requirements
(1) A building is taken to meet the fire and safety requirements if the building is assessed with a score of at least 19 out of 25 for those requirements under the Aged Care Certification Assessment Instrument, November 2002 Revision, issued by the then Department of Health and Ageing.
(2) For this clause, the assessment may be conducted as part of an assessment carried out under the Certification Principles 1997 or under subclause (3).
(3) An assessment under this subclause must be carried out by a person or body who is suitably qualified to assess buildings in accordance with the Building Code of Australia (for example, as a member of a professional body such as the Australian Institute of Building Surveyors).
3 Privacy and space requirements—pre‑end‑July 1999 buildings
(1) A pre‑end‑July 1999 building is taken to meet the privacy and space requirements if the building has:
(a) an average of no more than 4 residents per room; and
(b) no more than 6 residents per toilet; and
(c) no more than 7 residents per shower or bath; and
(d) toilets, showers and baths distributed across the building to ensure equitable and ready access for all residents.
Example: If a building has more than one wing, toilets and bathing facilities must not be restricted to one wing, or at a point in a wing where it would be difficult for residents to access them.
(2) However, paragraph (1)(a) does not apply to a room or rooms usually occupied by particular residents if the approved provider, when requested by the Secretary, is able to demonstrate that it is not, having regard to the culture of those residents, appropriate for that paragraph to apply.
(3) For working out the number of residents per toilet for paragraph (1)(b):
(a) toilets off common areas are to be included; and
(b) toilets primarily for the use of staff are to be excluded.
(4) For working out the number of residents per shower or bath for paragraph (1)(c):
(a) showers and baths off common areas are to be included; and
(b) showers and baths primarily for the use of staff are to be excluded.
4 Privacy and space requirements—post‑end‑July 1999 buildings
(1) A post‑end‑July 1999 building is taken to meet the privacy and space requirements if the building has:
(a) an average of no more than 1.5 residents per room; and
(b) no room that may accommodate more than 2 residents; and
(c) no more than 3 residents per toilet; and
(d) no more than 4 residents per shower or bath; and
(e) toilets, showers and baths distributed across the building to ensure equitable and ready access for all residents.
Example: If a building has more than one wing, toilets and bathing facilities must not be restricted to one wing, or at a point in a wing where it would be difficult for residents to access them.
(2) However, paragraphs(1)(a) and (b) do not apply to a room or rooms usually occupied by particular residents if the approved provider, when requested by the Secretary, is able to demonstrate that it is not, having regard to the culture of those residents, appropriate for those paragraphs to apply.
(3) For working out the number of residents per toilet for paragraph (1)(c):
(a) toilets off common areas are to be included; and
(b) toilets primarily for the use of staff are to be excluded.
(4) For working out the number of residents per shower or bath for paragraph (1)(d):
(a) showers and baths off common areas are to be included; and
(b) showers and baths primarily for the use of staff are to be excluded.
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