Aged Care Subsidies and Supplements New Rates of Payment from 20 September 2014 Home Care Subsidies and Supplements These rates are applicable from 1 July 2014 – 30 June 2015. Home Care Subsidy Rates Home Care Package Level Level 1 Subsidy Rate $21.43 Level 2 $38.99 Level 3 $85.73 Level 4 $130.32 Home Care Supplements 1. Dementia and Cognition and Veterans’ Supplement Home Care Package Level Level 1 Level 2 Level 3 Amount of Supplement $2.14 $3.90 $8.57 Level 4 $13.03 2. Oxygen and Enteral Feeding Supplements Supplement Oxygen Supplement Enteral Feeding Supplement – Bolus Enteral Feeding Supplement – Non-bolus Amount of Supplement $10.84 $17.17 $19.29 3. EACHD Top Up Supplement From 1 August 2013, the Extended Aged Care at Home Dementia (EACHD) package level converted to a Home Care Level 4 with a Dementia and Cognition Supplement or Veterans’ Supplement. To ensure that people receiving an EACHD package continued to receive the same level of funding plus indexation, an additional Top Up Supplement is available for these consumers. This supplement is paid automatically to the home care provider. This rate is $2.58 per day. 4. Home Care Viability Supplement ARIA Score ARIA Score 0 to 3.51 inclusive ARIA Score 3.52 to 4.66 inclusive ARIA Score 4.67 to 5.80 inclusive ARIA Score 5.81 to 7.44 inclusive ARIA Score 7.45 to 9.08 inclusive ARIA Score 9.09 to 10.54 inclusive ARIA Score 10.55 to 12.00 inclusive Amount of Supplement $0.00 $5.15 $6.19 $8.66 $10.39 $14.54 $17.45 Residential Aged Care Subsidies and Supplements These rates are applicable from 1 July 2014 to 30 June 2015. Basic Subsidy Rates 1. Daily ACFI subsidy rates Level Nil Low Medium High Activities of daily living (ADL) $0.00 $35.65 $77.61 $107.52 Behaviour (BEH) $0.00 $8.14 $16.88 $35.20 Complex Health Care (CHC) $0.00 $16.04 $45.68 $65.96 2. Default rate for a new resident with an ACAT approval For a new resident with an ACAT approval, the payments system will pay a care subsidy rate of $54.68 per day until an Application for Classification is received by Medicare Australia. Payments will be backdated as appropriate when the application is received. 3. Late receipt of appraisal or reappraisal Where an appraisal or reappraisal is received within 3 months after the end of the appraisal or reappraisal period, if the daily amount for a resident is at least $25 the basic subsidy for the period up until the appraisal or reappraisal is received (the late claim period) is that amount less $25. If the daily amount for a resident is less than $25 the basic subsidy for the late claim period is $0. Where an appraisal or reappraisal is received more than 3 months after the end of the appraisal or reappraisal period, the basic subsidy is $0 for the late claim period. 4. Daily RCS Rates for Grandparented Residents RCS classification level Classification level 1 Classification level 2 Classification level 3 Classification level 4 Classification level 5 Classification level 6 Classification level 7 Classification level 8 Full amount $158.70 $143.90 $123.97 $87.63 $53.39 $44.21 $33.96 $0.00 5. Daily Residential Respite Subsidy Rates (a) low level residential respite care —$44.21 (b) high level residential respite care — $123.97 2 Reduced amount for late applications $123.70 $108.90 $88.97 $52.63 $33.39 $24.21 $13.96 $0.00 Residential Aged Care Supplements These rates are applicable from 1 July 2014 to 30 June 2015. Supplement Oxygen Supplement Enteral Feeding Supplement – Bolus Enteral Feeding Supplement – Non-bolus Adjusted Subsidy Reduction Conditional Adjustment Payment Amount of Supplement $10.84 $17.17 $19.29 $12.50 Rolled into subsidy rates Residential Aged Care Veterans’ Supplement Approved Providers who provide residential care for Veterans accepted by the Department of Veterans’ Affairs as having a mental health condition associated with their service will receive the Veterans’ Supplement. Eligible Veterans may also attract the Dementia and Severe Behaviours Supplement. This rate is $6.69 per day. Residential Aged Care Homeless Supplement Approved Providers registered for the homeless component of the Viability Supplement with greater than 50 per cent of all residents meeting the homeless criterion automatically receive the Homeless Supplement. This rate is $15.29 per day. 3 Residential Aged Care Viability Supplement These rates are applicable from 1 July 2014 to 30 June 2015. 2005 Scheme Services* Score Eligibility score of 100 Eligibility score of 95 Eligibility score of 90 Eligibility score of 85 Eligibility score of 80 Eligibility score of 75 Eligibility score of 70 Eligibility score of 65 Eligibility score of 60 Eligibility score of 55 Eligibility score of 50 Eligibility score of 45 # Eligibility score of 40 # Less than a score of 40 Amount of Supplement $49.30 $43.69 $39.22 $33.63 $27.99 $22.40 $17.98 $12.31 $10.08 $6.73 $4.49 $0.00 $0.00 $0.00 # Safety net – former 1997 or 2001 scheme services: viability supplement is $1.85. 2001 Scheme Services* Score Eligibility score of 100 Eligibility score of 90 Eligibility score of 80 Eligibility score of 70 Eligibility score of 60 Eligibility score of 50 Eligibility score of 40 1997 Scheme Services* Degree of Isolation^ Isolated Remote Area Isolated Remote Area Isolated Remote Area Remote Centre Remote Centre Remote Centre Rural Outside Large Centre Rural Outside Large Centre Rural Outside Large Centre All Other Areas Amount of Supplement $29.95 $18.42 $14.29 $10.16 $6.02 $2.08 $1.85 Number of Places 1-15 16-29 30 or more 1-15 16-29 30 or more 1-15 16-29 30 or more Any Amount of Supplement $29.95 $18.42 $1.85 $14.29 $10.16 $1.85 $6.02 $1.85 $1.85 $1.85 ^ The degree of isolation refers to the classification given to Statistical Local Areas in the “Rural Remote and Metropolitan Area Classification, 1991 Census Edition.” AGPS 1994. * “2005 scheme services”, “2001 scheme services” and “1997 scheme services” have the meanings given to them in the Aged Care Act 1997. 4 Residential Aged Care Supplements (Accommodation and Hotel Related) These rates are applicable from 20 September 2014 – 19 March 2015. Supplement Concessional Supplement Assisted residents More than 40% concessional residents 40% or fewer concessional residents Concessional or Assisted if a service is significantly refurbished or newly built Pensioner Supplement Accommodation Supplement (maximum) - If a service is significantly refurbished or newly built - 40% or fewer low means, supported, concessional and assisted residents OR - If on the day the service meets building requirements - 40% or fewer low means, supported, concessional and assisted residents OR - If on the day of service does not meet those requirements Transitional Accommodation Supplement for the day when the care recipient entered residential care less the amount of accommodation supplement payable for the care recipient. Item 1 After 19 March 2008 and before 20 September 2010 Item 2 After 19 September 2010 and before 20 March 2011 Item 3 After 19 March 2011 and before 20 September 2011 Transitional Supplement Aged care services where residents meet the requirements under the Aged Care (Transitional Provisions) Act 1997. Basic Daily Fee Supplement Where residents meet the requirements under the Aged Care (Transitional Provisions) Act 1997. Respite Supplement Respite Care – High Level is equal to or greater than 70% of the specified proportion of respite care for the approved provider. Amount of Supplement $8.70 $21.13 $13.81 $53.04 $7.92 $53.04 $39.78 $34.56 $25.92 $29.05 $7.92 $5.28 $2.64 $21.13 $0.55 Certified Non certified $86.66 $78.64 Respite Care – High Level is less than 70% of the specified proportion of respite care for the approved provider. $50.93 $42.91 Respite Care – Low Level $36.33 $28.31 5
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