64Aged care needs reassessments

64  Aged care needs reassessments

 (1) The System Governor must decide whether a reassessment of an individual’s need for funded aged care services is required if:

 (a) an eligibility determination for an aged care needs assessment is in effect for the individual; and

 (b) the individual makes an application for the reassessment in an approved form; and

 (c) either:

 (i) the System Governor is satisfied that a significant change in circumstances prescribed by the rules applies in relation to the individual; or

 (ii) other circumstances prescribed by the rules apply in relation to the individual.

 (2) If the System Governor decides under subsection (1) that a reassessment of an individual’s need for funded aged care services is required, the System Governor must:

 (a) if subparagraph (1)(c)(i) applies—arrange for a new assessment of the individual’s need for funded aged care services to be undertaken by an approved needs assessor in accordance with section 61; or

 (b) if subparagraph (1)(c)(ii) applies—make the reassessment on the basis of information of a kind prescribed by the rules being provided in relation to the individual.

Note: Where the System Governor decides a reassessment of an individual’s need for funded aged care services is required, the System Governor must make new decisions under subsections 65(1) and (2) (which deal with approving access to funded aged care services).

 (3) If the System Governor decides under subsection (1) that a reassessment of an individual’s need for funded aged care services is not required, the System Governor must, within 14 days after the decision is made, give notice to the individual of the decision.

 (4) A notice under subsection (3) must include:

 (b) how the individual may apply for reconsideration of the decision.

Division 3—Approval of access to funded aged care services