Publications
Aged Care Essentials - Edition 2, 2010
The 2nd edition for 2010 of Aged Care Essentials is designed for approved providers and the staff of Australian Government-subsidised residential aged care services. It carries news and announcements about residential aged care services, as well as information about current rates for subsidies, supplements and charges.
You may download this document in PDF format:
PDF printable version of Aged Care Essentials Edition 2, 2010 (PDF 1178 KB)
If you would like a hard copy sent to you in the post; or if you would like to go on the mailing list to receive the newsletter via email (PDF format) email agedcare_essentials@health.gov.au
ACAT approval not required for waiting lists
Aged Care Assessment Teams (ACATs) are widely recognised as the gate-keepers for Australian Government subsidised aged care services, including residential care and residential respite care. Under the Aged Care Act 1997, an ACAT assessment and approval is necessary before a person can take up a subsidized place in a residential aged care service.Service providers maintain their own waiting lists for their facilities. Some service providers have adopted a position that a person must have a current ACAT assessment before their name can be placed on their waiting list. However, if the person is not intending to enter residential care in the immediate future, it is not necessary to have an ACAT approval for the sole purpose of placing a person’s name on a waiting list for a service.
Demand for ACAT services is expected to increase as the Australian population ages. In order to meet these demands, a number of national projects have been developed to assist ACATs improve their timeliness, consistency and quality of assessments.
The Aged Care Assessment Program Guidelines stipulate a priority rating system and timeframes in which each person should be seen. These priorities are allocated according to a person’s need, and range from requiring an immediate response to the lowest priority which indicates a person currently has sufficient support available, but that they require an assessment in anticipation of their future care requirements.
Recent legislative changes have been implemented by the Government to decrease the workload of ACATs and to improve the timeliness of the assessment process. These legislative changes have been designed to reduce unnecessary assessments and reassessments so ACATs can focus on conducting assessments for people in most need of their services.
However, a service provider or an older person can still request a reassessment at any time.
ACATs now only reassess a client if there is a significant change in their care needs or the person’s approval for low level residential care, a Community Aged Care Package (CACP) or Transition Care has lapsed. This will ensure a person’s approval reflects their current care needs.
To ensure the correct subsidy is claimed, it is the service provider’s continued responsibility to determine if a person’s ACAT approval is current and accurately reflects their care needs at the time of entry.
This is particularly relevant if the person is booked to receive low level residential respite care. An ACAT reassessment will be required if the person has a current approval for low level residential respite care but their care needs have changed and they now require high level residential respite care.
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DVA to Pay Community Care Fees for VC Recipients, POWs
From 21 August 2009, the Department of Veterans’ Affairs (DVA) will pay the care recipient fees for Victoria Cross recipients and former prisoners of war in receipt of a Community Aged Care Package (CACP), Extended Aged Care at Home (EACH) or Extended Aged Care at Home Dementia (EACHD) package.DVA already pays the daily care fees and income tested fees for Victoria Cross recipients and former prisoners of war in Australian Government subsidised residential aged care. This new initiative extends these arrangements to CACPs, EACH and EACHD packages.
Victoria Cross recipients and former prisoners of war in receipt of a CACP, EACH or EACHD package should inform their community care approved provider of their status.
The approved provider should then phone DVA to confirm that the veteran is a Victoria Cross recipient or a former prisoner of war. Once this is confirmed, DVA will then pay the care recipient fee. Providers should not charge Victoria Cross recipients or former prisoners of war any fees directly.
DVA will also reimburse Victoria Cross recipients and former prisoners for any CACP, EACH or EACHD fees already paid to approved providers from 21 August 2009.
The fee charging policy for CACP, EACH and EACHD remains the same - ie, the maximum care recipient contribution that a person on the full pension can be asked to pay is 17.5 per cent of the basic rate of the single pension. Care recipients receiving income above the maximum basic rate of the single pension may be asked to contribute up to 50 per cent (minus tax and the Medicare levy) of this additional income towards the cost of their care.
All community care approved providers recently received advice about this change via mailstream. A copy of this mailstream is available on the Department’s website at www.health.gov.au
For more information, contact the Department of Veterans’ Affairs, Ph 1300 550 457.
Two Year Rule Applies from 20 March 2010
From 20 March 2010, a two year limit on providers’ variations to claims for payments applies. Providers were previously not limited to how far in arrears they could vary a claim for payment.However, amendments to the Aged Care Act 1997, under which the two year rule has been introduced, include a provision for the Secretary of the Department or delegate to approve a period longer than two years under certain circumstances.
This includes circumstances where there has been a Commonwealth administrative error or where it has been determined that a care recipient’s circumstances are different from those on the basis of which subsidy was claimed.
For more information on the two year rule, contact the Aged Care Information Line, Ph 1800 500 853.
Basic Daily Fee in Resident Agreement Applies for Duration of Admission
While the Department sets the maximum rate of basic daily fee that residents may be charged, providers may choose to charge residents less than the maximum advised. Residents should be advised of the rate they will be charged prior to admission and this rate should be confirmed in the resident agreement.Some residents who were previously asked to pay the pensioner rate of basic daily fee are now being asked to pay the non-standard rate, and in some cases are being charged the higher rate (non-pensioner rate) retrospectively. This includes residents who were admitted to care prior to March 2008, and who were non-pensioners or agreed to pay an accommodation bond that was in excess of the pensioner supplement limit.
If a resident was advised that they would be charged the pensioner rate of basic daily fee and this was set out in the resident agreement, then the fee cannot be increased without the resident’s agreement. The rates of fees agreed in the resident agreement apply for the duration of that admission.
For more information contact the Department’s income testing team, Ph (02) 6289 5075. Top of page
Dates for Quarterly Reviews of Income Tested Fees
The quarterly reviews of income tested fees will be conducted on the following dates:- 27 March 2010—review effective from 20 March 2010
- 29 May 2010—review effective from 1 July 2010.
Aged Care Subsidies, Supplements, Fees and Charges - from 1 July 2009
Community Aged Care Subsidies and Supplements - from 1 July 2009 to 30 June 2010
Community aged care subsidies per day
Community Aged Care Packages (CACP) - $35.41Extended Aged Care at Home (EACH) - $118.37
Extended Aged Care at Home (EACH) – Dementia - $130.54
Community aged care supplements
For EACH and EACH-D, the oxygen and enteral supplements are the same as for residential care.See table on residential aged care supplements (care-related) on page 6.
Community Aged Care Viability Supplement - for CACP, EACH and EACH-D
ARIA Score | Amount of Supplement |
| ARIA Score 0 to 3.51 inclusive | $0.00 |
| ARIA Score 3.52 to 4.66 inclusive | $2.77 |
| ARIA Score 4.67 to 5.80 inclusive | $3.34 |
| ARIA Score 5.81 to 7.44 inclusive | $4.67 |
| ARIA Score 7.45 to 9.08 inclusive | $5.61 |
| ARIA Score 9.09 to 10.54 inclusive | $7.85 |
| ARIA Score 10.55 to 12.00 inclusive | $9.41 |
Residential Aged Care Subsidies - from 1 July 2009 to 30 June 2010
Daily ACFI Subsidy Rates
Level | Activities of daily living (ADL) | Behaviour Supplement (BEH) | Complex Health Care Supplement (CHC) |
Nil | $0.00 | $0.00 | $0.00 |
Low | $29.78 | $6.81 | $13.40 |
Medium | $64.86 | $14.11 | $38.17 |
High | $89.85 | $29.72 | $55.12 |
Residential Aged Care Supplements (Care-Related) - Daily Rates from 1 July 2009 to 30 June 2010
Supplement | Amount |
| Oxygen supplement | $9.51 |
| Enteral feeding supplement—bolus | $15.06 |
| Enteral feeding supplement—non-bolus | $16.91 |
| Adjusted subsidy reduction | $11.17 |
| Conditional adjustment payment | 8.75% of basic subsidy |
Residential Aged Care Viability Supplement - Daily Rates from 1 January 2010 to 30 June 2010
2005 Scheme Services*
Score | Amount |
| Eligibility score of 100 | $30.25 |
| Eligibility score of 95 | $26.81 |
| Eligibility score of 90 | $24.05 |
| Eligibility score of 85 | $20.62 |
| Eligibility score of 80 | $17.18 |
| Eligibility score of 75 | $13.74 |
| Eligibility score of 70 | $11.02 |
| Eligibility score of 65 | $7.55 |
| Eligibility score of 60 | $6.18 |
| Eligibility score of 55 | $4.12 |
| Eligibility score of 50 | $2.75 |
| Eligibility score of 45# | $0.00 |
| Eligibility score of 40# | $0.00 |
| Eligibility score of 40 | $0.00 |
* 2005 scheme services has the meaning given in subsection 21.34 of the Residential Care Subsidy Principles 1997
For rates for the 2001 and 1997 viability supplement schemes, see current subsidies and supplements on the Department’s website at,
www.health.gov.au/internet/main/publishing.nsf/Content/ageing-mailfax-2009-1806a.htm
Residential Aged Care Supplements (Accommodation - Related) - From 20 March 2010 - 19 September 2010
Supplement | Amount per day | |
Concessional supplement | ||
| Assisted residents | $7.74 | |
| More than 40% concessional residents | $18.82 | |
| 40% or fewer concessional residents | $12.31 | |
| Pensioner supplement | $7.05 | |
Residential care subsidy - accommodation supplement (maximum) | ||
| Service meets building requirements mentioned in s 21.11B Residential Care Subsidy Principles 1997 on day care provided | $26.88 | |
| Service does not meet requirements on day care provided | $25.87 | |
Residential care subsidy - transitional accommodation supplement | ||
| The supplement is the amount mentioned below for the day when the care recipient entered residential care less the amount of accommodation supplement payable for the care recipient. s 44–16 (3), Aged Care Act 1997 | ||
| Item 1 After 19 March 2008 and before 20 September 2010 | $7.05 | |
| Item 2 After 19 September 2010 and before 20 March 2011 | $4.70 | |
| Item 3 After 19 March 2011 and before 20 September 2011 | $2.35 | |
Transitional supplement | ||
| Aged care services where residents meet the requirements of s 21.25c, | $18.82 | |
Respite Supplement | Certified | Non-certified |
| Respite care—high level is equal to or greater than 70% of the specified proportion of respite care for the approved provider | $77.19 | $70.03 |
| Respite care—high level is less than 70% of the specified proportion of respite care for the approved provider | $45.37 | $38.21 |
| Respite care—low level | $32.36 | $25.23 |
Schedule Of Resident Fees And Charges: From 20 March 2010
Fee/Charge/Thresholds | Rates |
Maximum Basic Daily Fee 1 | |
| - Standard resident contribution2 – includes respite resident | up to $38.65 |
| - Protected resident contribution2 | up to $35.29 |
| - Phased resident contribution2 | up to $35.89 |
| - Non-standard resident contribution2 | up to $43.95 |
| Residents who were in a hostel on 30 September 1997 and who are NOT currently at a home that was a nursing home before 1 October 1997 will receive a reduction of 80 cents per day to their basic daily fee. | |
Maximum Daily Income Tested Fee | up to $62.11 | |
| Income tested fees are calculated at 5/12th of total assessable income over the income tested fee thresholds per fortnight. | Income Tested Fee Thresholds | |
 | Single | Each member of a couple |
Standard | $812.50 | $794.50 |
Non-Standard | $812.50 | $794.50 |
Protected | $730.50 | $712.50 |
Phased | $742.23 | $724.23 |
Pensioner allowable limit for Accommodation bondsResidents who initially entered care prior to 20 March 2008 and agree to roll over a bond of more than 9 times the annual single age pension | $150,500 | |
Minimum Assets AmountA resident must be left with this amount when calculating the maximum accommodation bond. | $37,500 |
Asset Cut-off Level* | |
| - for fully supported3 resident status | $37,500 |
| - for partially supported3 resident status | $93,410.40 |
http://www.health.gov.au/internet/main/publishing.nsf/Content/ageing-archive-feesinfo-0109.htm
Fees for Community Packaged Care at 20 March 2010
The maximum fee for community packaged care programs for people on the basic rate of pension is 17.5 per cent of the basic rate of single pension. From 20 March 2010, in line with the new pension rate the maximum contribution for CACP, EACH and EACHD recipients on the basic rate of pension is $8.05 per day. For those care recipients whose income exceeds the basic rate of pension, the maximum fee is 17.5 per cent of the person’s income to the level of the basic pension, plus up to 50 per cent of income (minus tax and the Medicare levy) above the basic pension. Top of pageMaximum Permissible Interest Rate | |
| - for accommodation bond agreements (for all new residents from 1 April 2010 - 30 June 2010) | 8.16% |
(for all new residents from 20 March 2010) | 6% |
Maximum Accommodation Charge5 | |
Maximum Accommodation Charge for new entrants to residential aged care 20 March 2010 - 19 September 20104 | |
| - for fully supported residents | N/A |
| :non-supported residents, if their assets at entry are at least $93,410.40 - who are not in receipt of a means-tested Australian pension - who are in receipt of a means-tested Australian pension :supported residents, if their assets at entry are equal to or less than $93,410.40 | |
Maximum Accommodation Charge for pre 20 March 2008 residents who enter your home during the period 20 March 2010 - 19 September 20107 | |
| - for concessional residents and charge exempt residents | N/A |
Residents who first entered residential aged care between 1/7/2004 – 19/3/2008.- assisted residents, if their assets at entry are at least $58,050 - assisted residents, if their assets at entry are less than $58,050 - other residents, if their assets at entry are at least $73,398 - other residents, if their assets at entry are less than $73,398 | |
Residents who first entered residential aged care before 1/7/20048- assisted residents, if their assets at entry are at least $53,177 - assisted residents, if their assets at entry are less than $53,177 - other residents, if assets at entry are at least $68,033 - other residents, if assets at entry are less than $68,033 | |
Pensioner Supplement | $7.05 |
Deeming Thresholds and rates from 20 March 2010Threshold (single) Threshold (couple – combined) Lower rate Higher rate | $42,000 $70,000 3% 4.5% |
1. Residents in designated remote areas may be asked to pay an additional $1.06 per day (See section 4 page 135 of the Residential Care Manual).
2. See Information Sheet 12 – Basic daily fees for Residential Aged Care.
3. Contact the Department on 1800 500 853.
4. Rate remains unchanged for resident's stay in the one home, regardless of annual indexation of the maximum rate for new entrants.
5. From 20 March 2008, accommodation charges are capped, even if a resident moves from one home to another, provided that there is not a break in care of more than 28 days (excluding leave).
6. The Department of Health and Ageing sends letters to advise amount (does not include flexible care residents).
7. And who haven't left permanent residential aged care for more than 28 days before entering care after 20 March 2008.
8. Accommodation charge limited to a maximum period of five years and is fixed at date of entry even if they have a break in care of more than 28 days.
For information please contact the Department on 1800 500 853. Top of page
Minister’s Awards for Excellence
The Minister’s Awards for Excellence in Aged Care recognise best practice and innovation in residential and community aged care.
The 2009 Minister’s Awards for Excellence once again showed the depth of talent, creativity and innovation in aged care.The calibre of entries received made the task of the expert panel difficult in selecting those who best demonstrated efforts to raise standards to new highs.
I have been visiting many of the award recipients to see first-hand how their innovative approaches are working in practice and to see how new approaches and systems can be adopted that will allow everyone to continue to drive up care standards.
This edition of Aged Care Essentials contains additional information on the practices and procedures of the 2009 award recipients that will allow everyone to get a better understanding of the successful strategies that other providers have put in place.
We have world class aged care services in Australia. The innovation and dedication to care demonstrated by providers and their staff as they seek to introduce new ways to provide even better care is commended.
Congratulations to the award recipients and everyone who entered. Thank you for your ongoing commitment to quality aged care services.
Organisational Winners
Innovation in Staff Recruitment and Retention in Residential Aged Care
HammondCare Southwood Hammondville, NSW
An orientation program for staff at the new Southwood facility has resulted in a 95 per cent staff retention rate since October 2007. Retaining experienced and highly skilled staff has resulted in better care for residents.
The core orientation program for new Southwood staff includes a two-week formal orientation program, workplace trainer support targeting education gaps and scrutinising workplace practice with an evaluation tool.
HammondCare Southwood now employs a full-time workplace trainer. The facility also evaluates its service through a continuous quality and improvement cycle and addresses issues with learning and development theme days focusing on topics such as care planning and behaviour management.
Innovation in Staff Recruitment and Retention in Community Aged Care
United Protestant Association (UPA) of NSW Community Aged Care Tweed Shire, NSW
The recruitment strategy has been strengthened by a retention system which has also been built into financial operations. The retention system includes staff access to emergency child care, free holistic massage therapy during paid work hours and a staff wellness program.
Excellence in Training and Staff Development in Community Aged Care
Royal District Nursing Service (RDNS), Victoria
Home and Community Care Provider, St Kilda, Victoria
The training program was designed to ensure that Division 1 (DIV 1) RNs understood the scope of practice of DIV 2 RNs, and their responsibilities in supervising DIV 2 RNs. An orientation program to support the employment of DIV 2 RNs was implemented and new policies on the role of DIV 2 RNs and the role of DIV 1 RNs in supervising DIV 2 RNs in a community setting were implemented.
The initiative had a phased roll-out and was supported by a comprehensive communication strategy.
As a result, the facility has a larger pool of skilled staff, client care has been improved with more timely medication administration and there is a better match of staff skills and client needs.
Excellence in Training and Staff Development in Residential Aged Care
Goodwin Aged Care Services Farrer, AC T
- An orientation program;
- A training incentive payment of $1,000 for each staff member who completes designated training;
- A qualifications allowance in pay rates which recognises staff who have completed formal training;
- A management program to support managers and the executive team;
- A leadership program for team leaders, co-ordinators and other supervisors;
- Access to apprenticeships and traineeships;
- Internal training scholarships and sponsorships;
- Training and learning options including mandatory training, monthly in-service sessions, formal courses, mentoring, self paced learning through e-learning, Goodwin’s DVD library and the Aged Care Channel; and
- Training award presentation ceremonies to recognise staff achievements.
IT Innovation in Residential Aged Care
Samarinda Aged Care Services Samarinda Lodge, Ashburton, Victoria
The new communication system helped boost productivity and allowed for a more timely response to residents and better emergency management.
Under the system:
- Computers and laptops are linked across a wireless network and used by nurses, doctors and allied health professionals to record and access residents’ clinical information;
- A vocera badge is worn by all staff to communicate with each other;
- A nurse call bell is worn by residents. The vocera badge also allows nurses to call back to the resident’s room, while keeping their hands free and continuing their present task;
- The telephone in the resident’s room is programmed to automatically answer internally generated calls; and
- Residents’ telephones are wireless and portable.
IT Innovation in Community Aged Care
Royal District Nursing Service (RDNS) South Australia Inc
Home and Community Care Provider, Wayville, South Australia
In collaboration with Microsoft, RDNS developed a mobile solution which:- Allows staff to manage client appointments, demographic and clinical information and order medical supplies;
- Facilitates communication between clients, carers, family members and other health care professionals;
- Manages employee appointments; and
- Manages client and employee reminders to capture missing client data for example and update driver’s licence information.
Individual Winners
Leadership and Achievement (Service) in Community Aged Care
Noreen Boehm
Boggabri Home and Community Care (HACC ) Multi Service Outlet, NSW
Over the past 12 years, Mrs Boehm has demonstrated an extraordinary commitment and capacity to inspire and motivate her staff, volunteers, clients and peers.She has developed a range of innovative programs including:
- Introducing a smoke alarm battery replacement program for the elderly in the New England and North West Area;
- Fundraising for a wheelchair accessible vehicle, so that high and low care clients can attend community activities;
- A centre-based day care so that clients can enjoy different leisure activities; and
- A take away day to provide Meals on Wheels clients with a change from the regular menu.
Leadership and Achievement (Service) in Residential Aged Care
Zoe Caspar
Jean Turner Nursing Home, Rosebud, Victoria
Ms Caspar has demonstrated a commitment to promoting best practice in oral health for the elderly. She played a key role in developing an Oral Health Risk Scales and Assessment Tool (OHRSAT) to assess resident’s oral health and determine appropriate care strategies to maintain oral health.Ms Caspar was responsible for educating staff and developing a team to gather initial research data and then trialing and implementing OHRSAT. As a result, oral health is now well integrated into the routine care practices of staff at Rosebud Residential Aged Care Services.
She has promoted the use of OHRSAT at Peninsula Health, and within the broader aged care sector, including presenting at better practice seminars.
Achievement in Service Provision in a Regional, Rural or Remote Area in Community Care
Edna Snape
Anmatjere Flexible Aged Care Service, Ti Tree, NT
Ms Snape has made a remarkable contribution to the delivery of aged and community care services in remote regions.She has been instrumental in:
- Obtaining accredited training for her staff, providing assistance to staff with low literacy levels, and attracting and retaining male and female indigenous workers;
- Implementing improvements in nutrition, hygiene and access to medical services for clients;
- Assisting clients with translation, helping them deal with government departments and providing transport services for clients and their carers (to enable them to attend the clinic, visit Centrelink or buy groceries); and
- Offering carer respite.
Achievement in Service Provision in a Regional, Rural or Remote Area in Residential Aged Care
Kim Meale
Sunhaven Hostel, Ashford, NSW
Mrs Meale played a key role in raising funds and establishing services to support seriously ill people in the community, including:- Providing a special needs package which community members can borrow to care for seriously ill people at home; and
- Gaining Department of Health and Ageing funding to modify Sunhaven Hostel to accommodate a palliative care unit and then managing the construction and fit-out of the unit.
Leadership and Achievement (Organisational) in Community Aged Care
Prudence Sky
Former Chief Executive Officer, Community Care (Northern Beaches) Inc, NSW
As former Chief Executive Officer of Community Care (Northern Beaches), Mrs Sky’s leadership, business and strategic planning and mentoring of staff over 15 years helped the organisation grow.Mrs Sky was instrumental in a range of projects, including:
- The first pilot and subsequent development of the community packages project in collaboration with NSW Health and NSW Community Options;
- Developing and implementing the transitional care project in NSW;
- Implementing the first HACC respite and dementia monitoring services in NSW;
- Developing a community advisory service; and
- Developing NSW’s case management guidelines for the episodic case management model.
Leadership and Achievement (Organisational) Residential Aged Care
Carolyn Kwok
Deputy Chief Executive Officer, RSL LifeCare, Narrabeen, NSW
Mrs Kwok played a pivotal role in developing links between the aged care and the higher education sectors including:- The establishment of a Chair of Ageing on site funded by RSL LifeCare and affiliated with the Australian Catholic University;
- Providing diverse and professional clinical learning opportunities for undergraduates, to promote the professional advancement of nurses and others; and
- Implementing quality monitoring and auditing systems at RSL LifeCare.
Key Personnel Information Updated
The Aged Care Act 1997 (the Act) requires approved providers to notify the Department within 28 days of any changes to their key personnel. This information is a key regulatory requirement for approved providers and is relied upon by the Department as part of its broader monitoring responsibilities.In June 2009, the Department started a national project to update all key personnel information held on the Department’s database.
The key personnel profile project was undertaken to verify that both the Department and approved providers held accurate and up-to-date key personnel details and if not, to give approved providers an opportunity to update the data.
To reduce the administrative load on approved providers, the Department sent each provider a CD containing contact, address and key personnel information. Approved providers were asked to either verify the information or submit updated information within 28 days. No action was taken for previous failures to notify changes in key personnel, provided the information the Department received the information within 28 days.
The Department sent out requests to over 1,500 approved providers and 99.3 per cent of providers had responded by the end of 2009. The project has generated a large number of changes, including more than 7,900 changes to key personnel information and more than 14,000 updates to contact, address, email and website information.
Updating Key Personnel Information
Under section 9-1 of the Act, approved providers are required to notify the Department of any changes to key personnel, using the appropriate Notification of Changes to Key Personnel form, available on the Department’s website (see below).Providers should check this site each time they are advising the Department of a change, as the forms are updated from time to time. Any forms dated before March 2009, including copies of the key personnel profile, are no longer approved forms and will not be accepted.
For Notification of Changes to Key Personnel forms go to http://www.health.gov.au/internet/main/publishing.nsf/Content/ageing-approvedp-index.htm#appforms
To contact the Department regarding key personnel issues, email key.personnel@health.gov.au
New Email for Medicare Australia’s Aged Care Business Development Officers
Medicare Australia has a new email address for aged care business development officers (BDOs).BDOs will:
- give onsite service presentations and training
- provide assistance with online claiming registration
- help with start up queries
- provide PKI certificates
- provide administration and general support.
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