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Aged Care Essentials - Edition 1, 2011

The 1st edition for 2011 of the Aged Care Essentials is designed for approved providers and the staff of Australian Government-subsidised residential aged care services.

You may download this document in PDF format:

PDF printable version of Aged Care Essentials - Edition 1, 2011 (PDF 416 KB)

If you would like to go on the mailing list to receive the newsletter via email (PDF format) email agedcare_essentials@health.gov.au

Previous Newsletters are available on the Department of Health and Ageing website.

Improving Information, Intake and Assessment for the Aged Care System

As part of aged care reforms, the Australian Government has commenced a comprehensive consultation process with service providers, local governments, peak bodies, and the workforce, Including Aged Care Assessment Teams, to seek their thoughts and ideas about the proposed changes to the aged care system.

Sessions have been held in all capital cities (except Perth) and in Alice Springs. Participants have embraced the opportunity to share their views, assist in system change, highlight the strengths of the current system and raise issues for consideration.

The feedback from the sessions has been extremely positive and this information will be used to help refine the national model for the new ‘front end’ or ‘one stop shop’ concept for aged care services.

A discussion paper on Improving Information, Intake and Assessment is available at www.yourhealth.gov.au. The discussion paper outlines the context for the development of this new 'front end' for aged care and is intended to start conversations and generate views throughout the consultation process.

A phased implementation of the new 'front end' for aged care is expected to commence from July 2011 with the aim to simplify access to aged care services. The Australian Government is working towards a sensible transition process to ensure that there will be no disruption to service delivery. We are also working closely with state and territory governments and key stakeholders to ensure the best possible model is developed.

How to participate in this consultation phase?

Opportunities still exist if you want to participate in this consultation process.

In early 2011 further consultation sessions will continue in regional areas across the country and a range of focus groups will also be held.

Information will be advertised on the department’s website www.yourhealth.gov.au plus the department’s email/fax distribution service will be utilised.

For further information and/or details on how to participate:

• call the Aged Care Consultation Information Line on 1800 057 616
• contact agedcareconsultations@health.gov.au or
• go to www.yourhealth.gov.au

Electronic Financial Accountability Report (eFAR)

The Financial Accountability Report (FAR) is used by the Department of Health and Ageing to provide a measure of assurance and evidence that public funds under the National Respite for Carers Program, Commonwealth Carelink Program and the Dementia Education and Training Program have been spent on their intended purpose. Broadly, these programs aim to provide respite to carers in the community as they work to support Australians with greater care needs.

The introduction of the electronic FAR (eFAR) for the 2009-10 financial year allows providers to submit their FAR online and enjoy the business efficiencies associated with the electronic submission of government forms.

Electronic submission of the FAR means that the department can assess the incoming information more promptly and efficiently than in the past. It allows the department to more quickly identify under-spends in public money and re-allocate that money to regions and providers in greater need.

Enabling electronic submission of the FAR also represents a step towards supporting the government’s broader Health Reform agenda. As the department prepares for a greater role in the Home and Community Care program a number of measures, including the implementation of a webforms capability, are being introduced to ensure the effective ongoing management of aged care and community programs.

The introduction of the eFAR has been successful for the department and the sector. As of 18 November 2010, over 80 per cent of the 2009-10 FARs have been submitted electronically. This represents a significant improvement on previous years and equates to better financial management across government and the sector.

Aged Care eNews – stay in formed

Medicare Australia’s online newsletter Aged Care eNews keeps you up-to-date with information about the Aged Care program, payments and developments in online claiming.

eNews alerts provide you with instant notifications about Medicare Australia’s online claiming system performance.

To subscribe go to www.medicareaustralia.gov.au/aged

Medicare Australia’s Queensland Aged Care Payment and Enquiry Function has Moved

On 1 January 2011, the Queensland Aged Care processing and enquiries function relocated from Brisbane to Parramatta, New South Wales. This change only affects aged care services and Aged Care Assessment Teams located in Queensland.

Under the new arrangements
you will:

• still call 1800 195 206*, but your call will automatically be diverted to the Parramatta team (operating hours remain unchanged from 8.30 a.m. to 5.00 p.m. Monday to Friday)
• need to send all faxes to the new fax number 02 9895 3031
• continue to send all mail to Aged Care,
  GPO Box 9923,
  BRISBANE QLD 4001.

This is a transitional arrangement until 30 June 2011. Medicare Australia will provide the new mailing address to you before this date.

Medicare Australia will continue to deliver the high level of service that the Brisbane office has provided over the years. There will still be a local business development officer presence in Queensland to provide support with online claiming.

If you have any questions about the changes, call Medicare Australia on 1800 195 206*.

*Call charges apply from mobile or pay phones only.

Assistance for Remote and Aboriginal and Torres Strait Islander Aged Care Services

Aged Care – Service Development Assistance Panel (SDAP)

The SDAP is a service available to Australian Government funded aged care organisations providing care to Aboriginal and Torres Strait Islander people¹, and/ or organisations operating in remote areas². This service lets you choose from a panel of experts who will work with you to improve key areas of your business, from meeting your reporting and regulatory requirements through to delivering better care.

There are five key functional areas of business where you can get hands on help. These are:

1. Care delivery – improving care for clients of your aged care facility
2. Governance and management – guidance for staff and managers about how they work
3. Financial management – using your money more effectively and better reporting
4. Quality delivery – setting and meeting the required industry standards
5. Locum relief – getting temporary staff to fill-in when key people are unexpectedlyaway (this is only available to the 29 Flexible Aged Care services and 33 Residential Aged Care facilities with Aboriginal and Torres Strait Islander clients³).

Eligible aged care providers who can access the SDAP

The SDAP covers:

• the 29 services funded under the National Aboriginal and Torres Strait Islander Flexible Aged Care Program
• the 33 aged care services which provide residential care for Aboriginal and Torres Strait Islander peoples under the Aged Care Act 1997, which deliver culturally appropriate aged care, close to home and country, mainly in rural, remote and very remote areas
• aged care services anywhere in Australia that have more than 20 per cent Aboriginal and Torres
• Strait Islander clients and aged care services in remote and very remote areas which provide residential aged care, Community Aged Care (CACP), Extended Aged Care at Home (EACH), EACH Dementia (EACHD), flexibly funded care or respite care (these services are not eligible for locum support)

What are the benefits of using the SDAP?

There are many benefits in accessing the SDAP. You can:

• access expert guidance and advice across a range of five key functional areas
• select from a Panel of government-appointed professionals assessed as being culturally aware and sensitive
• receive aid, assistance and solutions while dealing with the difficulties and needs of providing services in remote and very remote areas
• improve the standard of your service without incurring a cost
• enhance the overall quality of your aged care service.

Note that limits to assistance apply and some applications may not be supported.

Further information on the SDAP

There are a number of ways to find out more about the SDAP. You can:

• view the department’s website for information, benefits, eligibility etc at www.health.gov.au
• e-mail any queries or concerns directly to the department on SDAP@health.gov.au
• contact the SDAP Information Line on 1800 850 744 or fax the department on 02 6289 3184.

1. Based on the Department’s National Approved Provider System (NAPS).
2. The remoteness of a community/service is classified using the Australian Bureau of Statistics Australian Standard Geographical Classification.
3. List of eligible services is available on the department’s website.

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Dementia Behaviour Management Advisory Services

It is estimated that around 250 000 people in Australia currently have dementia. As Australia’s population ages, more people are likely to be affected by dementia.

The Australian Government recognises the importance of having a health and aged care system that responds to emerging challenges such as the expected increase in the number of people with dementia. The Government is committed to the continuation of the Dementia Initiative which focuses on dementia research, early intervention and improved care initiatives, and training for aged and community care workers.

Under the Dementia Initiative, a Dementia Behaviour Management Advisory Service (DBMAS) has been established in each state and territory. The aim of the DBMAS program is to improve quality of life and care for people with dementia and their carers, up skill and assist aged care staff to improve care for people with behaviours related to dementia, and ensure care services for people with dementia are responsive to their individual needs and circumstances.

The role of the DBMAS program is to build staff capacity in aged care services so that they gain increased knowledge and confidence in understanding the needs of people with dementia and in managing care recipients presenting with Behavioural and Psychological Symptoms of Dementia (BPSD).

The clients of DBMAS are primarily care workers, carers and services providing care for people with dementia. They include staff, clinicians and volunteers of Australian Government funded aged care services, and family carers. People with dementia receiving care or seeking care through Australian Government funded aged care services are also clients of DBMAS.

Each DBMAS is required to deliver the service state wide. The service is also required to ensure that
DBMAS is accessible to special needs groups such as clients living in rural and remote Australia, clients from culturally and linguistically diverse backgrounds and clients of Aboriginal and Torres Strait Islander origin.

The DBMAS core functions include:

• rovision of information and advice
• ndertaking assessments and short-term case management including mentoring and modeling behaviour management techniques
• elivery of tailored information and education workshops.

The DBMAS program also includes a 24 hours a day telephone support on 1800 699 799. More than 17 800 calls have been taken on the 1800 number from 2007 until 2010.

DBMAS services are staffed by multidisciplinary teams that may include but are not limited to psychologists, registered nurses, allied health professionals and health care professionals with specific dementia experience. The DBMAS is required to maintain linkages and collaborate with local aged and mental health care services and other relevant stakeholders. The teams often facilitate access to aged care specialists such as a geriatrician, psychogeriatrician and/or psychiatrist.

Behavioural and Psychological Symptoms of Dementia (BPSD)

BPSD are defined by the International Psychogeriatric Association (IPA) as symptoms of disturbed perception, thought content, mood, and behaviour frequently occurring in people with dementia. BPSD include aggression, agitation, wandering, social and sexual disinhibition, verbal outbursts, delusions, hallucinations and anxiety. Such behaviour is usually only considered ‘challenging’ and therefore a ‘problem’ when it affects other people, causes harm to, or indicates distress of the people with dementia themselves.

BPSD are recognised as potential complications throughout the course of any form of dementia because they are unpredictable, often stressful and sometimes dangerous. The burden of care in community and aged care facilities is increased by BPSD.

National Evaluation

On 23 September 2010, the Minister for Mental Health and Ageing, the Hon Mark Butler MP announced the release of the National Evaluation of the Dementia Initiative. The evaluation found that the Dementia Initiative has made a substantial contribution to supporting people living with dementia and their carers. The evaluation of DBMAS noted that residential aged care staff reported an increase in their confidence and in their ability to provide effective care for people with dementia exhibiting challenging behaviours following contact with DBMAS. They believed this had led to an improvement in the quality of life of some of the people exhibiting BPSD in their care. The evaluation recommended the continuation of the DBMAS.

Funding of approximately $33 million has been committed for the continuation of the DBMAS program until 30 June 2013.

Case Study

One of the aims of DBMAS is to deal with the ‘crisis’ caused by the BPSD and to help care staff and family members to resume a 'normal' pattern of caring. One such example is in the case of Theresa, a 69 year old woman with a diagnosis of Alzheimer’s Disease and insulin dependent diabetes, living in a high care dementia specific facility.

Theresa came to the attention of DBMAS when care staff raised concern about her constant calling out in a loud voice most of her waking hours which upset other residents in the facility. In an effort to alleviate the situation Theresa would spend most of the day alone in her bedroom. This resulted in a new set of problems when she began turning on the taps of the hand basin flooding the floor and smearing the walls with bath products.

A DBMAS clinician attended the facility and met with her family and staff to discuss the frequency and duration of Theresa’s behaviour. The clinician recommended a behaviour monitoring chart, and reviewed Theresa’s blood glucose levels. The DBMAS clinician’s holistic assessment identified a correlation between blood sugar levels and disruptive behaviours. The DBMAS clinician commended
a medical officer review, and an assessment of her social, cultural and personal preferences.

The DBMAS clinician recommended a number of strategies. Based on Theresa’s love of music and art a daily activity plan was implemented. The family was asked to bring in recordings of her favourite music to combat the isolation and boredom encountered when Theresa was alone in her room. Theresa was supported to participate in daily activities and in the evening staff would play her favourite music on a CD player in her room.

Within three weeks her blood glucose levels had stabilised and she was willingly participating in daily activities with other residents in the facility. The frequency of the ‘calling out’ episodes was reduced and the flooding of the floor ceased. In addition, the staff of the facility were confident that they had strategies in place to address any further episodes of problem behaviour.

To contact DBMAS call 1800 699 799 at any time 24 hours a day.

Aged Care Education and Training Incentive Program

Aged care workers provide an invaluable service in the care of older Australians. An appropriately skilled and motivated workforce is crucial to providing the high quality aged care that older Australians deserve.

In the 2010-11 Budget, the Australian Government provided $59.9 million over four years for a national incentive program called the Aged Care Education and Training Incentive Program (ACETI). Under the Program, payments are provided to eligible aged care workers who undertake further studies to enhance their career as a personal care worker, an enrolled nurse or a registered nurse.

The Program builds on current workplace training programs that support people working in the aged care sector by providing financial assistance to existing aged care workers undertaking further studies to upgrade qualifications and build their career in aged care.

To be eligible for an incentive payment, aged care workers must meet the following criteria:

• be an Australian citizen or permanent resident
• be employed in an eligible aged care service
• be employed on a full time, part time or casual basis providing direct care in and by an eligible aged care service at the commencement of training (in order to receive the commencement payment), and at the completion of training and during training (in order to receive the completion training)
• have a commitment to working in the aged care sector
• commence an eligible training course between 1 July 2010 and 30 June 2014.

An eligible aged care service is a Commonwealth funded residential aged care service, a service providing Commonwealth funded community care or flexible care service including CACP, EACH or EACHD, or Aboriginal and Torres Strait Islander flexible care services.

Eligible aged care workers can receive two incentive payments: a commencement payment; and a completion payment. Payments range from $500-$3 000 and are dependent on the level of study.

The Department of Health and Ageing has the overall program and policy responsibility for the ACETI program, which is administered by Medicare Australia on its behalf.

Guidelines and application forms are available from Medicare Australia. Visit www.medicareaustralia.gov.au/provider/aged-care or call the Medicare Australia Aged Care Enquiries Line on 1800 195 206.
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Residential Care Manual – Call for Feedback

Feedback from approved providers and staff of aged care services is being sought in relation to the Residential Care Manual (RCM). The feedback will assist the Department of Health and Ageing with the 2011 update to the RCM to ensure it meets the information needs of aged care providers.

Earlier in 2009, the department distributed a revised RCM to provide an easy-to-understand, plain English guide to the legislation to help approved providers comply with their responsibilities under the Aged Care Act 1997 and the Aged Care Principles.

The main purpose of the 2011 update is to develop and include additional materials such as case studies, FAQs and examples to support current chapters of the RCM. The update will also incorporate any legislative changes arising from the National Health and Hospital Reforms. This update will ensure the RCM remains a reliable reference resource to approved providers and the aged care sector.

An e-mail inbox ResiCareManual@health.gov.au has been established to facilitate and allow the sector to direct any feedback for consideration. The department is particularly interested in understanding where providers would like the inclusion of FAQs and case studies, whether there are any structural issues, information gaps and other opportunities for improvement.

The 2011 update is expected to be released by December 2011.

To access the current RCM online please visit: www.health.gov.au/internet/main/publishing.nsf/Content/ageing-manuals-rcm-rcmindx1.htm

To provide feedback on the RCM please e-mail: ResiCareManual@health.gov.au

Prudential and Approved Provider Regulation Contact Details

The Department of Health and Ageing provides several issue-specific e-mail addresses for approved providers to direct queries relating to their corporate, key personnel and prudential requirements. These arrangements have been established to give approved providers quick and easy access to information about their obligations. Approved Providers are encouraged to use the following e-mail addresses:

ApprovedProviderProgram@health.gov.au Use this e-mail address for information about applying to become an approved provider, the application form, supporting guidelines, or to provide feedback on the revised documents.

Prudential@health.gov.au Use this e-mail address for information about the Annual Prudential Compliance Statement (APCS), meeting prudential standards, accommodation bond refunds and the Accommodation Bond Guarantee Scheme.

Key.Personnel@health.gov.au Use this e-mail address for information about changes to key personnel, current contact details and company information.

For general enquiries, e-mails can be sent to acc@health.gov.au. Alternatively, calls can be made to the Aged Care Information Line on 1800 500 853.

The Aged Care Complaints Scheme*

Australia has one of the world’s best aged care systems and providers, their staff and volunteers do an exceptional job caring for older Australians. Unfortunately, sometimes things can go wrong, therefore it is vital we have a complaints system in place that looks into, resolves and learns from any concerns raised about the care being delivered to aged care recipients.

About the Scheme

The Aged Care Complaints Scheme (the Scheme) is operated by the Australian Government Department of Health and Ageing. Our vision is to improve and protect the safety and wellbeing of aged care recipients. We manage complaints about Australian Government subsidized residential and community aged care services. Together with the aged care sector, we work on identifying and implementing improvements to the delivery of aged care in Australia.

Anyone can raise a concern and it can be done on a confidential or anonymous basis if needed. Complaints can be lodged by calling us on 1800 550 552 or by submitting an online complaint at www.health.gov.au/internet/main/publishing.nsf/Content/ageing-complaints-form.htm

Where a person is not satisfied with our decision or the way a complaint was managed, they can contact the Aged Care Commissioner to seek a free, independent review of their case.

Improving the Scheme

We are implementing a wide reaching reform program that will improve complaints handling and build capacity within the aged care sector to implement effective complaints management processes. Our goal is a best practice system that learns from mistakes, and uses complaints to improve the delivery of care to older Australians.

The reforms will deliver:

• improvements in how the Scheme handles complaints
• increased options to resolve complaints, for example early resolution and conciliation
• improved timeliness and thoroughness of investigations
• better communication with aged care consumers and the industry
• additional resources to reduce case loads for Scheme staff.

This important program of work forms part of the Australian Government’s broader National Health and Hospitals reform agenda to deliver better healthcare and better hospitals. More information is available at www.yourhealth.gov.au.

The reforms will be delivered between 2010–11 and 2013–14, with many improvements to be rolled out from 1 July 2011.

We will provide regular updates to the aged care sector about the progress of the reforms through our websites, industry publications and information sessions. There will be opportunities for the industry to work with us to deliver improvements to the Scheme.

For more information on the reform program or the Scheme, please contact the Communication and Stakeholder Management section on 02 6289 1760.

*Also referred to as the 'Complaints Investigation Scheme' or the 'CIS'.

Improving Aged Care for Forgotten Australians - Development of a National Education Package for Service Providers

Forgotten Australians include care-leavers, former child migrants and people from the Stolen Generations. A care-leaver is a person who was in institutional care or other form of out-of-home care, including foster care, as a child or youth (or both) at some time during the twentieth century. The experiences of Forgotten Australians while in institutional or out-of-home care may affect their ongoing well being and have an impact on those who need to access aged care services or enter an aged care facility later in life.

Care-leavers have been identified as a special needs group under the Aged Care Act 1997 through an amendment to the Allocation Principles 1997. This amendment took effect from 1 December 2009 to ensure that the needs of Forgotten Australians are considered in the planning and allocation of aged care places.

The Department of Health and Ageing is developing a national education package in consultation with key stakeholders. The package will focus on improving aged care for Forgotten Australians by providing specific educational materials to support aged care service providers to better identify and meet the needs of Forgotten Australians.

The first stage of the development of the package is now complete. This involved consultations with Forgotten Australians and service providers around Australia to determine:

• the scope of the project
• the education needs of service providers
• the content of the educational package
• a framework for implementation.

A consultant was engaged by the Department of Health and Ageing in May 2010 to conduct the first stage of the project. An Executive Summary of the report and the key findings are available on the Department of Health and Ageing’s website at www.health.gov.au/internet/main/publishing.nsf/Content/ageing-rescare-forgotten-aust.htm

The key findings will form the basis for the next stage of the project. This stage will focus on determining the education materials for inclusion in the package, preparing the content, concept testing and printing.

The package will be a valuable resource for people providing aged care services. It will inform workers of the history and experiences of Forgotten Australians and highlight some of the sensitivities associated with providing appropriate aged care services. Both community care and residential aged care organisations will be able to use the resources in the package to educate their staff to ensure they are able to provide responsive services to Forgotten Australians.

It is anticipated the education package will be ready for distribution mid 2011.
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Aged Care Online Claiming for Community Care – Article

Have you considered claiming community care subsidies online?

Currently only 55 per cent of Community Care services are registered for Online Claiming and just 24.5 per cent are transmitting claims to Medicare Australia (Medicare) (percentages as of 31 October 2010). This is in contrast to the 96.7 per cent of Residential Care services which are registered and the 89 per cent of which are currently transmitting claims to Medicare.

There are benefits in moving to online claiming. It is a significantly faster process than the paper-based forms and outcomes are generally available by the following business day after lodgement. Online claiming is also an effective way to ensure the accuracy and timeliness of payments and data receipt.

There are other benefits to registering. Approved Service Providers are not only able to lodge data electronically, but they will also be able to access care recipient and claim data from Medicare and make use of the many web-based forms that are available through the Medicare website, including the electronic Aged Care Client Record (eACCR).

Community Care service providers can register for Medicare Online Claiming through the Medicare website, by following the Links within the ‘For Health Professionals’ tab on the homepage (the link is included below).

Further information about Aged Care Online Claiming please visit the Medicare Australia website: medicareaustralia.gov.au/provider/aged-care/online-claiming/index.jsp

2008 Community Care Census

The Department of Health and Ageing conducted the 2008 Community Care Census between February and May 2008, which consisted of a census of three packaged care programs: Community Aged Care Packages (CACP); Extended Aged Care at Home (EACH) and Extended Aged Care at Home Dementia (EACHD); and a survey of the National Respite for Carers Program (NRCP) respite care services.

The 2008 Census was conducted with the aim of improving knowledge about:

• the needs of older people who are dealing with the effects of ageing and wish to continue living in the community for as long as possible; and
• the way service providers operate under these programs to meet the needs of service recipients.

The information collected through the 2008 Census is comprehensive and provides updated and new information on the needs of care recipients and their carers, and the type of services they receive. More information was also sought on the payment of fees, residential respite, subcontracting of services and aspects of case management and care coordination.

The 2008 Census collected data from 1 242 outlets providing packaged care and/or respite services. Data was collected on 40 284 packaged care recipients, and 8 673 NRCP carers and care recipients.

The 2008 Community Care Census can be found at the following link: www.health.gov.au/internet/main/publishing.nsf/Content/ageing-communitycare-census-2008.htm

Community Care Common Standards

The Community Care Common Standards have been developed jointly by the Australian Government and state and territory governments as part of broader community care reforms to develop common arrangements that help to simplify and streamline the way community care is delivered.

An initial set of draft common standards was piloted nationally in 2009 then revised in light of the pilot outcomes. As a result, the common standards were refined into the three overarching Standards and eighteen associated Expected Outcomes that form the Community Care Common Standards Framework. The Framework has been endorsed by the Australian Government Minister for Ageing and by the Minister with responsibility for community aged care in every state and territory.

The Community Care Common Standards are planned to apply from 1 March 2011.

Presentations are being held across Australia, from late October 2010 to February 2011, to provide information to service providers, peak bodies, quality reviewers and other government representatives about the common standards and streamlined reporting processes.

Further detailed information about the Community Care Common Standards and how they will be used in quality reviews of community care aged care service providers can be found in the Community Care Common Standards Guide (the Guide). The Guide is available electronically at the websites identified below. Hard copies of the Guide may be obtained from National Mailing and Marketing on 02 6269 1060 or by e-mail: health@nationalmailing.com.au

For further information about the presentations please see the Community Care Common Standards website: www.comcarestandards.com.au

For further information on the Quality Reporting Program, please see the Department of Health and
Ageing Quality Reporting webpage: www.health.gov.au/internet/main/publishing.nsf/Content/ageing-commcare-qualrep-about.htm

Dates for Quarterly Reviews of Income Tested Fees

The quarterly reviews of income tested fees will be conducted on the following dates:

• 19 March 2011. The review is effective from 20 March 2011
• 28 May 2011. The review is effective from 1 July 2011
• 17 September 2011. The review is effective from 20 September 2011
• 17 December 2011. The review is effective from 1 January 2012.

Residents and aged care providers should receive fee advice letters as follows:

• from 20 March 2011 review, fee advice should be received early April 2011
• from 1 July 2011 review, fee advice should be received late June 2011
• from 20 September 2011 review, fee advice should be received early October 2011
• from 1 January 2012 review, fee advice should be received January 2012.

Subscribe to Receive Aged Care Essentials Electronically

Aged Care Essentials is distributed as electronic copy only.

If you would like to receive Aged Care Essentials through email, please email: agedcare_essentials@health.gov.au

Current and back issues of Aged Care Essentials can be found on the Department of Health and Ageing website at:
www.health.gov.au/internet/main/publishing.nsf/Content/ageing-rescare-payessdx.htm

Aged Care Subsidies, Supplements, Fees and Charges

Aged care subsidies and supplements can be found on the Department of Health and Ageing website at:
www.health.gov.au/internet/main/publishing.nsf/Content/ageing-subs-supp-current.htm

The schedule of resident fees and charges can be found on the Department of Health and Ageing website at: www.health.gov.au/feesandcharges

Previous schedules of fees and charges can be found on the Department of Health and Ageing website at: www.health.gov.au/internet/main/publishing.nsf/Content/ageing-archive-feesinfo-0910
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