Aged Care Subsidies and Supplements New Rates of Payment from

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
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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.
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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.
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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
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