Aged Care (Amount of flexible care subsidy — multi-purpose services) Determination 2005 (No. 3) Aged Care Act 1997
I, JULIE BISHOP, Minister for Ageing, make this Determination under subsection 52-1 (1) of the Aged Care Act 1997. Dated 20 December 2005 JULIE BISHOP Minister for Ageing
Contents Part 1 Preliminary 1 Name of Determination 2 2 Commencement 2 3 Revocation of previous determination 2 4 Application 2 5 Definitions 2 6 Category A services 3 7 Category B services 4 8 Category C services 6 Part 2 Amount of flexible care subsidy 9 Amount of flexible care subsidy 8 10 Applicable amount — high care places 8 11 Applicable amount — low care places 9 12 Respite supplement equivalent amount 9 Schedule 1 Basic subsidy equivalent amounts 10 Schedule 2 Concessional resident equivalent amounts 11 Schedule 3 Adjusted subsidy reduction multi-purpose services 14 Schedule 4 Viability supplement equivalent amounts 15
Part 1 Preliminary
1 Name of Determination (1) This Determination is the Aged Care (Amount of flexible care subsidy — multi-purpose services) Determination 2005 (No. 3). (2) This Determination may also be cited as ACA Ch. 3 No. 24/2005.
2 Commencement This Determination commences on 1 January 2006.
3 Revocation of previous determination The Aged Care (Amount of flexible care subsidy — multi-purpose services) Determination 2005 (No. 2) (also cited as ACA Ch. 3 No. 19/2005) is revoked.
4 Application This Determination applies to a flexible care service that is a multi-purpose service.
5 Definitions In this Determination: adjusted subsidy reduction multi-purpose service means a multi-purpose service mentioned in Schedule 3. Category A service means a multi-purpose service that: (a) meets the requirements of subsection 6 (1); and (b) does not meet the requirements of subsection 8 (3). Category B service means a multi-purpose service that: (a) meets the requirements of subsection 7 (1) or (3); and (b) does not meet the requirements of subsection 8 (4). Category C service means a multi-purpose service that meets the requirements of subsection 8 (1), (3) or (4). community care place means a place allocated in respect of a multi-purpose service for the provision of care equivalent to community care. high care place means a place allocated in respect of a multi-purpose service for the provision of care equivalent to a high level of residential care. low care place means a place allocated in respect of a multi-purpose service for the provision of care equivalent to a low level of residential care. multi-purpose service has the meaning given by section 15.3 of the Flexible Care Subsidy Principles 1997. region has the meaning given by Schedule 1 to the Aged Care Act 1997. RRMA Classification means the ‘Rural, Remote and Metropolitan Area Classification’, 1991 Census Edition, published by the Australian Government Publishing Service, November 1994. viability supplement equivalent amount, for a multi-purpose service for a day, means: (a) for a multi-purpose service that is a Category A service, a Category B service or a Category C service — the amount that is specified in Schedule 4 in respect of a care recipient to whom care is provided through the service on that day; and (b) for a multi-purpose service that is not a Category A service, a Category B service or a Category C service — $0.
6 Category A services (1) A multi-purpose service meets the requirements of this subsection if: (a) the service was in operation on 31 December 2004, and, on that date, the point score of the service would have been at least 60 points, under the scoring system set out in the following table; and (b) on 1 January 2005, either: (i) the point score of the service was less than 50 points, under the scoring system set out in the table in subsection 8 (1); or (ii) the point score of the service was at least 50 points, under that scoring system, and the viability supplement equivalent amount specified in Schedule 4 for a day in respect of the service as a Category A service was more than the viability supplement equivalent amount so specified in respect of the service as a Category C service.
Item
Criterion
Points
1
Location:
(a) remote zone
40
(b) other rural area
30
(c) small rural centre
20
(d) large rural centre
10
2
Beds:
(a) less than 30
20
(b) less than 16
30
3
Service not co-located with another service and unable to co-locate
20
4
Concessional or assisted residents:
(a) over 70%
20
(b) 50% to 70%
10
5
Caters largely for special groups, including Aboriginal and Torres Strait Islander groups
10
(2) For subsection (1): (a) a location of a particular kind is a statistical local area of that kind defined in the RRMA Classification; and (b) a service is taken to be unable to co-locate with another service if it is: (i) not on the same site as, or on an adjoining site to, another multi-purpose service or residential care service; or (ii) on the same site as, or an adjoining site to another multi-purpose service or residential care service, but the total of the residential places and non-acute beds on the same or adjacent sites is less than 45; or (iii) more than 25 kilometres from the nearest residential care service; or (iv) not more than 25 kilometres from the nearest residential care service, but the total number of places in both services is: (A) for a service in a remote zone — less than 30 beds; or (B) for a service not in a remote zone — less than 16 beds; and (c) points may be scored under only 1 paragraph in an item that has paragraphs.
7 Category B services (1) A multi-purpose service meets the requirements of this subsection if: (a) the service was in operation on 31 December 2004, and, on that date, the point score of the service would have been at least 40 points, under the scoring system set out in the following table; and (b) on 1 January 2005, either: (i) the point score of the service was less than 50 points, under the scoring system set out in the table in subsection 8 (1); or (ii) the point score of the service was at least 50 points, under that scoring system, and the viability supplement equivalent amount specified in Schedule 4 for a day in respect of the service as a Category B service was more than the viability supplement equivalent amount so specified in respect of the service as a Category C service.
Item
Criterion
Points
1
Location:
(a) very remote location
60
(b) remote location
50
(c) moderately accessible location
40
(d) accessible location
30
(e) highly accessible location
0
2
Places:
(a) less than 20
30
(b) more than 19 but less than 30
20
(c) more than 29 but less than 45
10
3
More than 50% of care recipients are people with special needs (other than people who are people with special needs only because they live in rural or remote areas or they are financially or socially disadvantaged)
10
(2) In this section: accessible location means a location that has an ARIA score of more than 1.84, but not more than 3.51. ARIA means the ‘Accessibility/Remoteness Index of Australia (ARIA)’, Occasional Papers Series No. 6, prepared by the Department of Health and Aged Care and the National Centre for Social Applications of Geographic Information Systems, University of Adelaide, and published in March 1999 by the Department of Health and Aged Care. ARIA score, in relation to a location, means the score given to that location under the document titled ‘Viability Funding — ARIA scores for locations as at 30 July 1999’, published by the Department of Health and Aged Care. highly accessible location means a location that has an ARIA score of not more than 1.84. moderately accessible location means a location that has an ARIA score of more than 3.51, but not more than 5.8. remote location means a location that has an ARIA score of more than 5.8, but not more than 9.08. very remote location means a location that has an ARIA score of more than 9.08, but not more than 12. (3) A multi-purpose service meets the requirements of this subsection if: (a) the service commenced operating on or after 1 January 2005 and before 1 July 2005; and (b) on the day that the service commenced operating: (i) the point score of the service was at least 40 points, under the scoring system set out in subsection (1); and (ii) either: (A) the point score of the service was less than 50 points, under the scoring system set out in the table in subsection 8 (1); or (B) the point score of the service was at least 50 points, under that scoring system, and the viability supplement equivalent amount specified in Schedule 4 for a day in respect of the service as a Category B service was more than the viability supplement equivalent amount so specified in respect of the service as a Category C service.
8 Category C services (1) A multi-purpose service meets the requirements of this subsection if, on or after 1 January 2005, the service: (a) is not a Category A service or a Category B service; and (b) scores at least 50 points, under the scoring system set out in the following table.
Item
Criterion
Points
1
Location:
(a) very remote location
65
(b) remote location
55
(c) moderately accessible location
40
(d) accessible location
30
(e) highly accessible location
0
2
Places:
(a) less than 20
30
(b) more than 19 but less than 25
25
(c) more than 24 but less than 30
20
(d) more than 29 but less than 35
15
(e) more than 34 but less than 40
10
(f) more than 39 but less than 45
5
3
More than 50% of care recipients are people with special needs (other than people who are people with special needs only because they live in rural or remote areas or they are financially or socially disadvantaged)
5
(2) In this section: accessible location has the meaning given by subsection 7 (2). ARIA has the meaning given by subsection 7 (2). ARIA score has the meaning given by subsection 7 (2). highly accessible location has the meaning given by subsection 7 (2). moderately accessible location has the meaning given by subsection 7 (2). remote location has the meaning given by subsection 7 (2). very remote location has the meaning given by subsection 7 (2). (3) A multi-purpose service meets the requirements of this subsection if the service meets the requirements of subsection 6 (1) (that is, for a Category A service) and, on at least 1 day on or after 1 January 2005: (a) the service scores at least 50 points, under the scoring system set out in the table in subsection (1); and (b) the viability supplement equivalent amount specified in Schedule 4 for a day in respect of the service as a Category C service is the same as or greater than the viability supplement equivalent amount so specified in respect of the service as a Category A service. (4) A multi-purpose service meets the requirements of this subsection if the service meets the requirements of subsection 7 (1) or (3) (that is, for a Category B service) and, on at least 1 day on or after 1 January 2005: (a) the service scores at least 50 points, under the scoring system set out in the table in subsection (1); and (b) the viability supplement equivalent amount specified in Schedule 4 for a day in respect of the service as a Category C service is the same as or greater than the viability supplement equivalent amount so specified in respect of the service as a Category B service.
Part 2 Amount of flexible care subsidy
9 Amount of flexible care subsidy The amount of flexible care subsidy that is payable in respect of a day in respect of a multi-purpose service is worked out in accordance with the following method. where: HCA is the amount worked out by multiplying: (a) the amount that applies under subsection 10 (1) or (2) (whichever is applicable) in respect of the day for a high care place allocated in respect of the service; and (b) the number of high care places allocated in respect of the service. LCA is the amount worked out by multiplying: (a) the amount that applies under section 11 in respect of the day for a low care place; and (b) the number of low care places allocated in respect of the service. CCA is the amount worked out by multiplying: (a) $30.69; and (b) the number of community care places allocated in respect of the service. RSEA is the respite supplement equivalent amount for the service in respect of the day under section 12.
10 Applicable amount — high care places (1) For a multi-purpose service that is not an adjusted subsidy reduction multi-purpose service, the amount that applies in respect of a day for a high care place allocated in respect of the service is worked out in accordance with the following method. (2) For an adjusted subsidy reduction multi-purpose service, the amount that applies in respect of a day for a high care place allocated in respect of the service is worked out in accordance with the following method. (3) In subsections (1) and (2): B is the basic subsidy equivalent amount specified in Schedule 1 for the location of the multi-purpose service in respect of which the place is allocated. C is the concessional resident equivalent amount specified in Schedule 2 for the region in which the service is located. V is the viability supplement equivalent amount for the service for the day. (4) In subsection (2): R is $10.09. F is the reduction factor mentioned in column 3 of Schedule 3 for the service. H is the number of high care places allocated in respect of the service for the day.
11 Applicable amount — low care places The amount that applies in respect of a day for a low care place is worked out in accordance with the following method. where: B is $25.06. C is the concessional resident equivalent amount specified in Schedule 2 for the region in which the multi-purpose service in respect of which the place is allocated is located. V is the viability supplement equivalent amount for the service for the day.
12 Respite supplement equivalent amount The respite supplement equivalent amount for a multi-purpose service in respect of a day is the amount mentioned in the following table for the total number of high care places and low care places allocated in respect of the service.
Item
Total number of high care places and low care places
Respite supplement equivalent amount ($)
1
Less than 11
40.90
2
More than 10 but less than 21
65.44
3
More than 20 but less than 31
73.62
4
More than 30 but less than 41
81.80
5
More than 40
89.98
Schedule 1 Basic subsidy equivalent amounts (section 10)
Item
Location of multi-purpose service
Basic subsidy equivalent amount ($)
1
New South Wales
95.40
2
Victoria
96.33
3
Queensland
95.40
4
South Australia
95.40
5
Western Australia
95.40
6
Tasmania
96.63
7
Australian Capital Territory
95.40
8
Northern Territory
95.40
Schedule 2 Concessional resident equivalent amounts (sections 10 and 11)
Item
Location of multi-purpose service
Concessional resident equivalent amount ($)
1
ACT
9.82
2
Alice Springs
13.99
3
Barkly
16.01
4
Barwon-South Western
5.83
5
Brisbane North
8.67
6
Brisbane South
9.29
7
Cabool
9.33
8
Central Coast
9.51
9
Central West
8.14
10
Darling Downs
10.04
11
Darwin
12.02
12
Eastern Metro
5.27
13
Eyre Peninsula
11.55
14
Far North
8.69
15
Far North Coast
8.65
16
Fitzroy
5.11
17
Gippsland
5.52
18
Goldfields
5.11
19
Grampians
9.72
20
Great Southern
5.79
21
Hills, Mallee & Southern
10.13
22
Hume
5.64
23
Hunter
9.59
24
Illawarra
8.84
25
Inner West
9.91
26
Katherine
8.69
27
Kimberley
12.47
28
Loddon-Mallee
8.99
29
Logan River Valley
10.16
30
Mackay
8.70
31
Metropolitan East
9.33
32
Metropolitan North
9.48
33
Metropolitan South
9.54
34
Metropolitan West
10.45
35
Mid North
9.52
36
Mid North Coast
9.07
37
Mid West
11.38
38
Midlands
9.09
39
Nepean
8.82
40
New England
5.84
41
North West
12.74
42
North Western
9.19
43
Northern
8.47
44
Northern Metro
8.93
45
Northern Sydney
5.69
46
Orana Far West
10.66
47
Pilbara
12.25
48
Riverina/Murray
9.50
49
Riverland
10.56
50
South Coast
9.59
51
South East
9.38
52
South East Sydney
9.23
53
South West
8.70
54
South West Sydney
11.16
55
Southern
9.62
56
Southern Highlands
10.01
57
Southern Metro
5.82
58
Sunshine Coast
5.88
59
West Moreton
9.73
60
Western Metro
5.77
61
Western Sydney
8.93
62
Whyalla, Flinders & Far North
9.64
63
Wide Bay
8.90
64
Yorke, Lower North & Barossa
9.93
Schedule 3 Adjusted subsidy reduction multi-purpose services (sections 5 and 10)
Item
Multi-purpose service
Reduction factor
1
Alpine Multipurpose Service
50
2
Apollo Bay Multipurpose Service
4
3
Augusta Multipurpose Service
12
4
Beverley Multipurpose Service
4
5
Corryong Multipurpose Service
20
6
Denmark Multipurpose Service
4
7
Eastern Wheatbelt Multipurpose Service
20
8
Grenfell Multipurpose Service
20
9
Kangaroo Island Multipurpose Service
5
10
Katanning Multipurpose Service
18
11
Lake Cargelligo Multipurpose Service
8
12
Leonora/Laverton Multipurpose Service
3
13
Mallee Track Multipurpose Service
30
14
Murchison Multipurpose Service
3
15
Nannup Multipurpose Service
7
16
Oberon Multipurpose Service
8
17
Orbost Multipurpose Service
15
18
Robinvale Multipurpose Service
14
19
Timboon Multipurpose Service
8
20
Trundle Multipurpose Service
4
21
York Multipurpose Service
7
Schedule 4 Viability supplement equivalent amounts (sections 5, 6, 7 and 8) 1 Viability supplement equivalent amount — Category A services (1) For a care recipient to whom flexible care is provided through a Category A service on a day, the viability supplement equivalent amount for the day is the amount mentioned in the item in the following table that applies to the service on the day.
Item
Degree of Isolation
Number of places
Amount ($)
1
Isolated Remote Area
less than 16
20.23
2
Isolated Remote Area
more than 15 but less than 30
12.45
3
Isolated Remote Area
more than 29
1.23
4
Remote Centre
less than 16
9.65
5
Remote Centre
more than 15 but less than 30
6.86
6
Remote Centre
more than 29
1.23
7
Rural Outside Large Centre
less than 16
4.06
8
Rural Outside Large Centre
more than 15 but less than 30
1.23
9
Rural Outside Large Centre
more than 29
1.23
10
An area not mentioned in items 1 to 9
not applicable
1.23
(2) In this section: Isolated Remote Area means a Statistical Local Area classified as ‘Other Remote’ in the RRMA Classification. number of places, for a multi-purpose service, means the number of places allocated in respect of the multi-purpose service. Remote Centre means a Statistical Local Area classified as ‘Remote Centre’ in the RRMA Classification. Rural Outside Large Centre means a Statistical Local Area classified as ‘Other Rural’ or ‘Small Rural Centre’ in the RRMA Classification. 2 Viability supplement equivalent amount — Category B services For a care recipient to whom flexible care is provided through a Category B service on a day, the viability supplement equivalent amount for the day is the amount mentioned in the item in the following table for the score attained by the service on the day under the scoring system set out in the table in subsection 7 (1).
Item
Score
Amount ($)
1
40
1.23
2
50
1.40
3
60
4.06
4
70
6.86
5
80
9.65
6
90
12.45
7
100
20.23
3 Viability supplement equivalent amount — Category C services For a care recipient to whom flexible care is provided through a Category C service on a day, the viability supplement equivalent amount for the day is the amount mentioned in the item in the following table for the score attained by the service on the day under the scoring system set out in the table in subsection 8 (1).
Item
Score
Amount ($)
1
50
1.96
2
55
2.93
3
60
4.40
4
65
5.38
5
70
7.83
6
75
9.78
7
80
12.23
8
85
14.67
9
90
17.12
10
95
19.08
11
100
21.52
