ACFI Scores and Funding Categories

Information about scores and category cut points, which will determine low, medium and high classifications under the ACFI domains and definition of high and low care.

Page last updated: 02 July 2012

ACFI Scores and Funding Categories

These tables list the scores for the A, B, C and D ratings for each of the 12 ACFI questions, as well as the cut-points for the Low, Medium and High funding categories in each of the three funding domains.

Activities of Daily Living (ADL) Domain

Questions

Scores

ADLs

A
B
C
D
1 Nutrition
0
6.69
13.39
20.09

Category Cut Points:

2 Mobility
0
6.88
13.76
20.65
3 Personal Hygiene
0
6.88
13.76
20.65
High ≥ 88
4 Toileting
0
6.11
12.21
18.31
Med ≥ 62
5 Continence
0
5.79
11.53
17.31
Low ≥ 18

Behaviour Domain

Questions

Scores

Behaviour Supplement*

A
B
C
D
6 Cognitive Skills
0
6.98
13.91
20.88

Category Cut Points:

7 Wandering
0
5.91
11.82
17.72
8 Verbal Behaviour
0
7.04
14.10
21.14
High≥ 50
9 Physical Behaviour
0
7.70
15.40
23.11
Med ≥ 30
10 Depression
0
5.71
11.43
17.15
Low ≥ 13
Note: A rating of C or D on Q10 is conditional on there being a diagnosis or provisional diagnosis of depression. See User Guide.

Complex Health Care Domain

Question 11: Medication

Question 12: Complex Health Care

Complex Health Care Supplement

Rating

A
B
C
D

Category Cut Points

A
0
0
2
2
B
0
1
2
3
High
3
C
1
1
2
3
Med
2
D
1
2
3
3
Low
1
*Behaviour Supplement
To qualify for the highest level of the Behaviour Supplement, a dementia diagnosis, provisional dementia diagnosis, psychiatric diagnosis or behavioural diagnosis is required. In the case of diagnoses covering depression, psychotic and neurotic disorders (refer Mental and Behavioural Diagnoses codes 540, 550A, 550B, 560) the diagnosis, provisional diagnosis or re-confirmation of the diagnosis must have been completed within the past 12 months.

Definition of high and low residential care

The definition of a "high level of residential care" under the ACFI will be based on ACFI classifications. Residents will be considered to receive a high level of residential care where they are classified at any one of the following:
    • a score of High in the ADL Domain; or
    • a score of High in the CHC Domain; or
    • a score of High in the Behaviour Domain together with a score above Nil in at least one of the ADL or CHC domains; or
    • a score of Medium or High in at least two of the three domains.
Residents not appraised at these levels have a low care classification.

Where the ACAT approval is for low care, the rate of subsidy paid cannot exceed a specified amount, which will be determined by the Minister.
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