273Contributions for delivery of funded aged care services in a home or community setting

273  Contributions for delivery of funded aged care services in a home or community setting

 (1) A registered provider that delivers a funded aged care service through the service group home support, assistive technology or home modifications to an individual on a day may charge the individual an individual contribution for that service.

 (2) The individual contribution for the delivery of the funded aged care service to the individual on the day is worked out as follows:

Step 1. Work out:

 (a) if the service group is home support—the individual’s individual contribution rate under section 314 for the day referred to in subsection (1) of this section; or

 (b) if the service group is assistive technology or home modifications—the lower of the individual’s individual contribution rate under section 314 for the day referred to in subsection (1) of this section and the day prescribed by the rules.

Step 2. If the subsidy basis for the service is efficient price or unit price—multiply the number of hours or units of the service delivered to the individual on the day by the lesser of the following:

 (a) the base efficient price or base unit price for the service on that day;

 (b) the price charged by the provider for an hour or unit of the service on that day.

Step 3. Multiply the Step 1 amount:

 (a) if the subsidy basis for the service is efficient price or unit price—by the Step 2 amount; or

 (b) if the subsidy basis for the service is cost and circumstances prescribed by the rules apply—by the amount prescribed by the rules for those circumstances; or

 (c) if the subsidy basis for the service is cost and paragraph (b) does not apply—by the cost.

Step 4. Reduce (but not below zero) the Step 3 amount by any fee reduction supplement applicable to the individual for the day.

 (3) The registered provider must not require payment of the contribution before the funded aged care service is delivered to the individual.

 (4) The registered provider must ensure the price charged by the provider to the individual for the delivery of the funded aged care service complies with any requirements prescribed by the rules.

 (5) Despite subsection (2), the individual contribution for the delivery of the funded aged care service to the individual on the day is zero if, on a previous day (the trigger day), the total of the following exceeds the lifetime cap on the trigger day:

 (a) the sum of any individual contributions charged to the individual under this section for the delivery of other funded aged care services;

 (b) the sum of any non‑clinical care contributions charged to the individual under section 279;