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Aged and Community Care

Transition Care Claim Form

Claim for Commonwealth Subsidy (Flexible Care) for Care Recipients receiving Transition Care

You may download this form in PDF format:

Transition Care Claim Form (PDF 62 KB)

Claim for Commonwealth Subsidy (Flexible Care) for Care Recipients receiving Transition Care In accordance with subsection 50-1(1) of the Aged Care Act 1997 and the Payment Agreement between the Commonwealth and the Approved Provider.

Explanatory Notes

• Column 1 – Do not complete. The Care Recipient ID will be automatically assigned by the Payment System.
• Columns 2, 3, 4 & 5 – Care Recipient Surname, Care Recipient First Name, Sex and Date of Birth in BLOCK CAPITAL LETTERS for any new Care Recipients.
• Column 6 – The Date on which the Care Recipient was admitted to hospital for the episode that immediately preceded Transition Care.
• Column 7 – The Care Recipient's Commencement Date. This is the first date on which the Care Recipient started receiving Transition Care and the date from which a subsidy is payable.
• Columns 8 & 9 - Functional Capacity Score of the Care Recipient on entry to and on exit from the transition care service using the Modified Barthel Index (MBI) (0 – 100 point system). Please note: After the first monthly claim form has been submitted, columns 1 through to 8 will be pre-populated for existing Care Recipients on future claim forms.
• Column 10 - For care recipients who have departed the service during the claim period, insert the Date of Departure and the Code for the Care Recipient's Discharge Destination. In a community setting the departure date is the first day the Care Recipient did not receive care. The Discharge Destination codes are shown at the bottom of the claim form.
• Column 11 - The number of days the Care Recipient received Transition Care in a community or residential setting (or both) during the claim period. To avoid double counting, count only nights spent in the residential setting , but days spent in the community setting.

Only persons who are authorised to sign on behalf of the Approved Provider can provide a signature on the claim form. It is the responsibility of the Approved Provider to inform Medicare Australia of changes to authorised signatories, including the removal of authorised signatories.

This monthly claim form should be submitted to Medicare Australia no later than two weeks after the end of the claim month, eg the claim form for July would need to be received by mid-August.
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