Aged Care (Consequential Provisions) Act 1997 - Determination of additional amount payable in respect of residential care services under subsection 60(1) (AC(CP)A Ch 3 No. 1/2007)

Administered by Department of Social Services

Legislation au F2007L02053 Not in force Legislative Instrument

Legislation content

 

AC(CP)A Ch3 No. 1/2007

 

 

EXPLANATORY STATEMENT

 

AGED CARE (CONSEQUENTIAL PROVISIONS) ACT 1997

 

SUBSECTION 60 (1)

 

Determination of additional amount payable in respect of residential care services (AC(CP)A Ch 3 No. 1/2007)

 

Subsection 60(1) of the Aged Care (Consequential Provisions) Act 1997 (the Act) provides that the Minister may specify circumstances in which additional amounts in respect of residential care services in respect of which residential care subsidy are payable under section 43-1 of the Aged Care Act 1997.

In accordance with subsection 60(1) of the Act, the Determination of additional amount payable in respect of residential care services (AC(CP)A Ch 3 No. 1/2007) (the Determination) specifies circumstances in which an additional amount (the Interim Accommodation Supplement) is payable to an approved provider under section 43-1 of the Aged Care Act.  

From 1 July 2007, pending the introduction of new accommodation charge and subsidy arrangements on 20 March 2008, the Australian Government will pay aged care providers an Interim Accommodation Supplement in respect of each care recipient approved for a high level of residential care under the Aged Care Act who is provided with care of that type in a residential care service and for whom a residential care subsidy is payable.  The Interim Accommodation Supplement will be paid from 1 July 2007 to 19 March 2008 (inclusive).

Providers will receive the supplement in respect of a resident for a day if on that day subsidy is payable for the resident and they:

 

  • were classified as receiving high level care under the Resident Classification Scale; or
  • had a classification that had lapsed, but whose most recent classification was for high level care under the Resident Classification Scale; or
  • were not yet classified, but had an approval for residential care under the Aged Care Act that was not restricted to low level care; or
  • were a respite resident whose approval was not restricted to low level care.
     

The subsidy will not be paid in respect of:

 

  • residents who receive care on an extra service basis (in line with the arrangements that apply for the concessional resident supplement);
  • occupants of flexibly-funded places;
  • permanent residents (including those on leave) for whom a subsidy is not payable;
  • respite residents for whom a subsidy is not payable;
  • provisional allocations; and
  • off-line allocations.
     

The Interim Accommodation Supplement will be paid in three instalments, following processing of a provider’s claims for the September 2007, December 2007 and March 2008 payment periods.
 

The amount of each instalment payable to an approved provider under section 43-1 of the Aged Care Act will equal to $3.50 times the number of eligible care days:

 

  • from 1 July 2007 to 30 September 2007 (inclusive), for the first instalment;
  • from 1 October 2007 to 31 December 2007 (inclusive), for the second instalment; and
  • from 1 January 2008 to 19 March 2008 (inclusive) for the third instalment.

 

The amount of a provider’s instalment payment will be determined once a provider’s claim has been finalised for all of the payment periods in the instalment period.

 

There will be no retrospective adjustment of the amount of a provider’s instalment payment, up or down, once the amount has been determined (except in the case of fraudulent behaviour).

 

The Determination is a “legislative instrument” for the purposes of the Legislative Instruments Act 2003.

Consultation

The Interim Accommodation Supplement was announced as part of the Securing the future of aged care for Australians reform package.  This is the Government’s final response to Professor Warren Hogan’s independent Review of Pricing Arrangements in Residential Aged Care.  Professor Hogan held extensive consultations with the industry as part of his Review.

 

Overview

The Aged Care (Consequential Provisions) Act 1997 was enacted to address the need for legislative provisions arising from other aged care-related reforms and policy changes. The Act provides a framework for making consequential amendments and includes provisions for payments such as the Interim Accommodation Supplement to address transitional issues in the aged care sector. This legislative instrument was introduced to ensure a smooth transition to new accommodation charge and subsidy arrangements, providing temporary financial support to aged care providers. The Australian Government enacted this legislation to manage the interim period between the announcement of new arrangements and their implementation, ensuring providers received adequate support during this transition. The policy objective is to facilitate a seamless shift to the new subsidy arrangements while supporting the aged care sector during the interim period.

Scope and Application

The Determination of additional amount payable in respect of residential care services (AC(CP)A Ch 3 No. 1/2007) applies to approved providers of residential care services under the Aged Care Act 1997. Specifically, it targets those providers who are delivering care to recipients who have been approved for a high level of residential care and are classified as such under the Resident Classification Scale. This interim supplement is applicable from 1 July 2007 to 19 March 2008 and is designed to provide financial support during the transition to new accommodation charge and subsidy arrangements. The supplement is not applicable to certain categories of residents such as those receiving care on an extra service basis, occupants of flexibly-funded places, and permanent residents for whom a subsidy is not payable. Additionally, it excludes respite residents for whom a subsidy is not payable, provisional allocations, and off-line allocations. The amount of the supplement is calculated based on the number of eligible care days and is payable in three instalments corresponding to the September 2007, December 2007, and March 2008 payment periods. Once an instalment payment amount is determined, there will be no retrospective adjustments unless fraudulent behaviour is involved.

Key Provisions

The main operative sections of the Determination of additional amount payable in respect of residential care services (AC(CP)A Ch 3 No. 1/2007) are found under subsection 60(1) of the Aged Care (Consequential Provisions) Act 1997. This subsection allows the Minister to specify circumstances under which additional amounts in respect of residential care services, for which a residential care subsidy is payable under section 43-1 of the Aged Care Act 1997, are to be determined. The Determination specifies that an Interim Accommodation Supplement will be payable to approved providers for each care recipient approved for a high level of residential care who is provided with care of that type in a residential care service, and for whom a residential care subsidy is payable. This supplement will be paid from 1 July 2007 to 19 March 2008 (inclusive). Providers will receive the supplement in respect of a resident for a day if on that day subsidy is payable for the resident and they were classified as receiving high level care under the Resident Classification Scale, or had a classification that had lapsed, but whose most recent classification was for high level care, or were not yet classified but had an approval for residential care under the Aged Care Act that was not restricted to low level care, or were a respite resident whose approval was not restricted to low level care. The Act imposes several obligations and requirements on the parties it governs. Approved providers must ensure that their claims for the Interim Accommodation Supplement are based on the correct number of eligible care days within the specified periods. The supplement is not payable in respect of certain residents, including those receiving care on an extra service basis, occupants of flexibly-funded places, permanent residents for whom a subsidy is not payable, respite residents for whom a subsidy is not payable, provisional allocations, and off-line allocations. Providers are also required to submit their claims for the September 2007, December 2007 and March 2008 payment periods to ensure that their instalment payments are determined accurately and in a timely manner. Additionally, the Determination itself must be considered a “legislative instrument” for the purposes of the Legislative Instruments Act 2003, indicating that it was developed through a formal legislative process and consultation. The Act does not explicitly outline specific offences, penalties, or consequences for breach. However, it is implied that any fraudulent behaviour related to the submission of claims for the Interim Accommodation Supplement could result in civil or criminal penalties. The absence of retrospective adjustment of the amount of a provider’s instalment payment, except in cases of fraudulent behaviour, suggests that any fraudulent activity would be met with severe consequences. While the exact penalties are not specified within the Act, such activities could potentially lead to legal action, fines, or other enforcement measures as determined by the relevant authorities.

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Aged Care Law
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