Aged Care Rules 2025

Chapter 1—Introduction

Part 1—Preliminary

1‑5 Name

3‑5 Authority

4‑5 Simplified outline of this instrument

Part 2—Definitions

Division 1—Definitions—general

5‑5 Definitions

6‑5 References to actions taken or statements given

6‑15 Nominating restrictive practices nominees

6‑20 Meaning of restrictive practices substitute decision‑maker

Division 2—Matters prescribed for definitions in section 7 of the Act

7‑1 Accommodation bond

7‑2 Accommodation bond balance

7‑3 Accommodation charge

7‑8 Approved needs assessors

7‑11 Cost

7‑12 Direct care

7‑13 Entry contribution

7‑14 Entry contribution balance

7‑17 Entry day

7‑19 Homeowner

7‑20 Lifetime cap

7‑21 Price charged

7‑22 Serious injury or illness

7‑23 Service delivery branch

Part 3—Aged care service list

8‑5 Aged care service list

8‑10 Subsidy basis

8‑12 Service types

Division 2—Home support service types

8‑15 Allied health and therapy

8‑20 Assistance with transition care

8‑25 Care management

8‑30 Community cottage respite

8‑35 Domestic assistance

8‑40 Hoarding and squalor assistance

8‑45 Home maintenance and repairs

8‑50 Home or community general respite

8‑55 Meals

8‑60 Nursing care

8‑65 Nutrition

8‑70 Personal care

8‑75 Restorative care management

8‑80 Social support and community engagement

8‑85 Therapeutic services for independent living

8‑90 Transport

Division 3—Other specified matters for home support service types

8‑95 All service types must be delivered in a home or community setting

8‑100 Other specified matters—service types that can only be delivered under specialist aged care programs

8‑105 Other specified matters—other service types

Division 4—Assistive technology service types

8‑110 Equipment and products

Division 5—Other specified matters for assistive technology service types

8‑115 All service types must be delivered in a home or community setting

8‑120 Other specified matters for assistive technology service types

Division 6—Home modifications service types

8‑125 Home adjustments

Division 7—Other specified matters for home modifications service types

8‑130 All service types must be delivered in a home or community setting

8‑135 Other specified matters for home modifications service types

Division 8—Residential care service types

8‑140 Residential accommodation

8‑145 Residential everyday living

8‑150 Residential non‑clinical care

8‑155 Residential clinical care

Division 9—Other specified matters for residential care service types

8‑160 Service types must be delivered in a residential care home

8‑165 Other specified matters for residential care service types

Part 4—Other key concepts

11‑5 Provider registration categories

11A‑5 Delivery of funded aged care services

Part 5—Aged Care Code of Conduct

14‑1 Purpose of this Part

14‑5 Requirements

14‑10 Application of requirements

Part 6—Aged Care Quality Standards

Division 1—Purpose and application

15‑1 Purpose of this Division

15‑5 Application of standards

Division 2—The standards

15‑10 Standard 1—The individual

15‑15 Standard 2—The organisation

15‑20 Standard 3—The care and services

15‑25 Standard 4—The environment

15‑30 Standard 5—Clinical care

15‑35 Standard 6—Food and nutrition

15‑40 Standard 7—The residential community

Part 7—Reportable incidents and restrictive practices

Division 1—Reportable incidents

16‑5 Defining and clarifying expressions relating to reportable incidents

16‑10 Acts, omissions and events that are not reportable incidents—general

16‑15 Acts, omissions and events that are not reportable incidents—use of restrictive practices in a home or community setting

Division 2—Restrictive practices

17‑5 Practices and interventions that are restrictive practices in relation to individuals

Part 8—Supporters

Division 1—Actions and duties of supporters

28‑5 Role of guardians etc—prescribed classes of persons

Division 2—Registration of supporters

37‑5 Registration of supporters—matters the System Governor must take into consideration

Chapter 2—Entry to the Commonwealth aged care system

55‑5 Simplified outline of this Chapter

Part 2—Eligibility for entry

Division 1—Applying for access to funded aged care services

56‑5 Classes of persons who may apply on behalf of individuals

57‑5 Period for deciding whether to make eligibility determinations

58‑5 Information to be provided for eligibility determinations

Division 2—Aged care needs assessments and reassessments

Subdivision A—Aged care needs assessments

62‑5 Assessment tool

Subdivision B—Aged care needs reassessments

64‑5 Significant changes in circumstances

64‑10 Other circumstances

64‑15 Information for reassessments in other circumstances

Division 3—Approval of access to funded aged care services

Subdivision A—General

65‑5 Approval of services in service types for individuals

65‑10 Eligibility requirements—service group home support

65‑15 Eligibility requirements—service groups assistive technology and home modifications

65‑20 Eligibility requirements—service group residential care

65‑30 Period for making decisions

Subdivision B—Period of effect of approval

71‑5 Alternative entry—when access approval takes effect—circumstances and period for making application

Part 3—Classification

Division 1—Classification assessments

75‑5 Circumstances in which classification assessment not required

76‑10 Assessment tools and other requirements for classification assessments required under subsection 75(1) or (2) of the Act and carried out by approved needs assessors

76‑15 Circumstances and information for classification assessments required under paragraph 75(1)(a) or subsection 75(2) of the Act and carried out by the System Governor

76‑20 Circumstances and information for classification assessments required under paragraph 75(1)(b) of the Act (on application for classification reassessment) and carried out by the System Governor

76‑25 Classification assessments for classification type ongoing for service group residential care—skills, qualifications and other requirements for approved needs assessors

Division 2—Classification decisions

Subdivision A—Period for making classification decisions

78‑5 Period for making classification decisions

Subdivision B—Period of effect of classification levels

80‑5 Purpose of this Subdivision

80‑10 Service group home support—classification type ongoing

80‑15 Service group home support—classification type short‑term

80‑20 Service group assistive technology—classification type ongoing

80‑25 Service group assistive technology—classification type short‑term

80‑30 Service group home modifications—classification type short‑term

80‑35 Service group residential care—classification type ongoing

80‑40 Service group residential care—classification type short‑term

80‑45 Service group home support, assistive technology or residential care—classification type hospital transition

Subdivision BA—Circumstances in which classification levels resume being in effect for a period

80‑47 Purpose of this Subdivision

80‑49 Circumstances in which classification levels resume being in effect for a period—service groups home support, assistive technology and home modifications

Subdivision C—Maximum period of effect of classification levels

80‑50 Purpose of this Subdivision

80‑55 Service group home support—classification type short‑term—classification level SAH restorative care pathway

80‑57 Service group home support—classification type short‑term—classification level SAH end‑of‑life pathway

80‑60 Service group residential care—classification type short‑term

80‑65 Service group home support, assistive technology or residential care—classification type hospital transition

Division 3—Classification levels and procedures

Subdivision A—Introduction

81‑5 Purpose of this Division

81‑7 Meaning of home support compounding factors

81‑8 Meaning of residential care compounding factors

81‑9 Scientific population study for residential care compounding factors

Subdivision B—Classification levels and criteria

81‑10 Service group home support—classification type ongoing

81‑15 Service group home support—classification type short‑term

81‑17 Service group home support—classification type hospital transition

81‑20 Service group assistive technology—classification type ongoing

81‑25 Service group assistive technology—classification type short‑term

81‑27 Service group assistive technology—classification type hospital transition

81‑30 Service group home modifications—classification type short‑term

81‑35 Service group residential care—classification type ongoing

81‑40 Service group residential care—classification type short‑term

81‑42 Procedure for deciding initial classification levels for individuals for the classification types ongoing and short‑term for the service group residential care

81‑45 Service group residential care—classification type hospital transition

Part 4—Prioritisation

Division 1—Prioritisation assessments

84‑5 When prioritisation assessments not required for classification type ongoing for service group home support

Division 2—Priority category decisions

86‑5 All service groups—period in which priority category decisions must be made

86‑10 Service group residential care—priority category 1—areas

Division 3—Priority categories for classification types for service groups

Subdivision A—Service group home support

87‑5 Priority categories and eligibility criteria for classification type ongoing

Subdivision B—Service groups assistive technology and home modifications

87‑7 Priority categories and eligibility criteria

Division 4—Circumstances for urgency ratings—service group residential care

87‑10 Classification type ongoing

Part 5—Place allocation

Division 1—Allocation of places to individuals

Subdivision A—Allocation of places to individuals

92‑5 When allocation of places to individuals does not apply for classification type ongoing for service group home support

92A‑5 When a place is in effect—period for start day—service groups home support, assistive technology and home modifications

92A‑10 When a place ceases to have effect—service groups home support, assistive technology and home modifications

Subdivision B—Method for allocation

93‑5 Purpose of this Subdivision

93‑10 Classification type ongoing for the service group home support—method for deciding order of allocation

93‑12 Classification type ongoing for the service group home support—method for assigning places to priority categories

93‑13 Classification type ongoing for the service group home support—method for working out wait time factor

93‑14 Classification type ongoing for the service group home support—method for System Governor determination of target classification type wait time

93‑15 Classification types ongoing and short‑term for the service group assistive technology—method for deciding order of allocation

93‑20 Classification type short‑term for the service group home modifications—method for deciding order of allocation

Division 2—Allocation of a place to registered providers for certain specialist aged care programs

95‑5 Allocation of a place—System Governor may invite application for allocation of TCP place

95‑10 Allocation of a place—application for allocation of a TCP place

95‑15 Allocation of a place—matters of which System Governor must be satisfied before allocating TCP place

97‑5 When a place is in effect—basic rules

97‑10 When a place is in effect—temporary cessation

97‑15 When a place is in effect—permanent cessation

97‑25 When a place is in effect—reallocation of TCP place

98‑5 Transfer of places

99‑5 Conditions that apply to an allocated place

101‑5 System Governor decision on whether to vary a condition—matters to which System Governor must have regard

Chapter 3—Provider registration

104‑1 Simplified outline of this Chapter

Part 2—Provider registration and residential care home approval process

Division 1—Applications for registration and registration decisions

Subdivision A—Application fees, information for applications and decision making periods

104‑5 Application for registration—application fee

104‑15 Application for registration—other information

105‑5 Application for registration—period for making decision

107‑5 Application for renewal of registration—application fee

108‑5 Application for renewal of registration—period for making decision

Subdivision B—Provider registration category specific requirements

109‑5 Provider registration categories for which audit findings or prescribed circumstances are required

109‑10 Circumstances in which audit findings are not required—health service standards assessments

109‑15 Circumstances if audit finds nonconformance

109‑25 Other requirements—delivery of funded aged care services in certain circumstances

Division 2—Audit requirements

110‑5 Purpose of this Division

Subdivision B—How audits must be conducted—general

110‑13 Audit must be conducted

Subdivision C—How audits must be conducted—assessments of approved residential care homes

110‑26 Assessments—approved residential care homes

110‑28 Preliminary assessment report of home assessment

110‑30 Final assessment report of home assessment

Subdivision D—How audits must be conducted—attendance at a service delivery location for home or community setting

110‑32 Attendance at a service delivery location—home or community setting

Subdivision E—How audits must be conducted—final audit report

110‑38 Final audit reports

Subdivision F—Type and scope of audits and other matters

110‑40 Type and scope of audits for provider registration categories

Subdivision G—Fees payable for an audit

110‑45 Audit fee—audit in connection with registration

110‑47 Audit fee—audit in connection with registration renewal

110‑49 Audit fee—audit in connection with variation of registration

110‑5 Audit fee—refunds

Subdivision H—Audit timeframes

110‑53 Audit timeframes for provider registration categories

Division 3—Applications for approval of residential care homes

111‑5 Application fee

111‑10 Information for residential care homes

112‑5 Period for making decision

113‑5 Approval of residential care homes

Division 4—Notice of decisions and other provisions

114‑5 Other matters for notices of decisions to register or renew

117‑5 Deemed registration—classes of entity

117‑10 Deemed registration—other matters for determinations of deemed registration

Part 3—Variations, suspensions and revocations of registration

Division 1—Variations, suspensions and revocations

124‑5 Application fee—variation to add provider registration categories

124‑10 Application fee—variation to remove provider registration categories

133‑5 Classes of persons who must not be appointed as eligible advisers

133‑10 Matters to be taken into account in specifying period within which eligible adviser must be appointed

Division 2—Variations, suspensions and revocations of approvals of residential care homes

136‑5 Variation of approval on Commissioner’s own initiative—bed availability

137‑10 Variation of approval on application by registered provider—bed availability

Division 3—Provider Register

141‑10 Other matters that must be included in the Provider Register—registered providers

141‑15 Other matters that may be included in the Provider Register—former registered providers

141‑20 Other matters that must be included in the Provider Register—responsible persons and aged care workers against whom banning orders are in force

141‑22 Other matters that may be included in the Provider Register—responsible persons and aged care workers against whom banning orders were in force

141‑25 Corrections of the Provider Register

141‑30 Publication of the Provider Register

Chapter 4—Conditions on provider registration

142‑1 Simplified outline of this Chapter

Part 3—Rights and principles

144‑1 Kinds of providers to which the conditions apply

Part 4—Delivery of funded aged care services

Division 1—Aged Care Quality Standards

146‑5 Kinds of providers to which the condition applies

Division 2—Continuous improvement

147‑5 Kinds of providers that must demonstrate capability and commitment

147‑10 Kinds of providers that must have a continuous improvement plan

Division 3—Delivery of funded aged care services

148‑5 Kinds of providers to which the condition applies

Subdivision B—Requirements for delivering funded aged care services

148‑10 Purpose of this Subdivision

148‑15 All registered providers—preventing damage to an individual’s property

148‑20 Providers delivering services under provider registration category home and community services or personal and care support in the home and community—requirements for meals, snacks and drinks

148‑25 Providers delivering services under provider registration category home and community services, assistive technology and home modifications or advisory and support services—requirements for service delivery equipment

148‑30 Providers delivering services under provider registration category home and community services, assistive technology and home modifications or advisory and support services—requirements for personal protective equipment, infection prevention and control

148‑33 Providers delivering services under provider registration category residential care—services that must be delivered

148‑35 Providers delivering services under the TCP—services that must be delivered

148‑40 Providers delivering short‑term funded aged care services through the service group home support—services that must be delivered

148‑45 Providers delivering certain funded aged care services through the service group home support—requirements for the service home support care management

Subdivision C—Requirements for service agreements

148‑60 Purpose of this Subdivision

148‑65 Requirements for service agreements—general

148‑70 Requirements for service agreements—contents

Subdivision D—Requirements for care and services plans

148‑75 Purpose of this Subdivision

148‑80 Requirements for care and services plans—general

148‑81 Requirements for care and services plans—restorative care partner to be responsible for care and services plans in certain circumstances

148‑85 Requirements for care and services plans—contents for all individuals (other than individuals accessing services through the service group residential care)

Division 4—Starting and ceasing the provision of funded aged care services and continuity of those services

149‑5 Requirements relating to starting and ceasing the provision of funded aged care services and continuity of those services

Subdivision B—Start notifications

149‑10 Requirements for start notifications—general

149‑15 Requirements for start notifications—provision to System Governor and Commissioner

Subdivision C—Cessation notifications

149‑20 Requirements for cessation notifications—general

149‑25 Requirements for cessation notifications—provision to System Governor and Commissioner

Subdivision D—Ceasing delivery of funded aged care services (other than services delivered in an approved residential care home)

149‑30 Application of this Subdivision

149‑35 Requirements for ceasing delivery of funded aged care services ‑ general

149‑40 Requirements for ceasing delivery of funded aged care services—notice to individual about cessation of services

149‑45 Requirements for ceasing delivery of funded aged care services—notice to individual about unspent portions

149‑46 Requirements for ceasing delivery of funded aged care services—notice to new registered provider about account balances

Subdivision E—Security of tenure for individuals accessing funded aged care services in an approved residential care home

149‑50 Application of this Subdivision

149‑55 Security of tenure—general

149‑60 Security of tenure—circumstances where registered provider may ask an individual to leave an approved residential care home

149‑65 Security of tenure—notice requirements

149‑70 Security of tenure—movement of individuals

Subdivision F—Continuity of funded aged care services

149‑75 Continuity of care plan

149‑80 Transfer of records between registered providers

Part 5—Conditions relating to financial matters

150A‑1 Requirements for refundable deposit register

150A‑3 Kinds of providers to which the condition applies

150A‑5 Refundable deposit register to include information about refundable deposit paid and refundable deposit balances held

150A‑15 Refundable deposit register to include information about refundable deposit balances refunded

150A‑20 Refundable deposit register to include information about accommodation bond balances held by the registered provider

150A‑25 Refundable deposit register to include information about accommodation bond balances refunded

150A‑30 Refundable deposit register to include information about entry contributions paid and entry contribution balances held

150A‑35 Refundable deposit register to include information about entry contributions balances refunded

Part 6—Aged care workers

Division 1—Workforce and aged care worker requirements

152‑5 Kinds of provider to which the condition applies

Subdivision B—Worker screening requirements

152‑10 Purpose of this Subdivision

152‑15 Responsible persons of registered providers delivering services other than under CHSP or NATSIFACP

152‑16 Responsible persons of registered providers delivering services only under CHSP, NATSIFACP, or CHSP and NATSIFACP

152‑17 Responsible persons of other registered providers

152‑20 Aged care workers delivering services other than under CHSP or NATSIFACP

152‑21 Aged care workers delivering services only under CHSP, NATSIFACP, or CHSP and NATSIFACP

152‑22 Other aged care workers

152‑25 Police certificates

Subdivision C—Qualifications and training requirements

152‑35 Qualifications and training requirements

Division 2—Vaccination

153‑5 Kinds of provider to which the condition applies

153‑10 Requirements for providing access to vaccinations to individuals

Part 7—Information and access

Division 1—Personal information and record keeping

154‑1 Purpose of this Division

Subdivision B—Information provided to an individual

154‑2 Requirement to keep and retain information provided to an individual

154‑3 Requirement to correct personal information

Subdivision C—Vaccination

154‑5 Application of this Subdivision to certain registered providers

154‑10 Records about service staff—influenza vaccinations

154‑15 Records about service staff—COVID‑19 vaccinations

154‑20 Records about individuals receiving residential care—influenza vaccinations

154‑25 Records about individuals receiving residential care—COVID‑19 vaccinations

Subdivision D—Quality indicators

154‑105 Application of Subdivision to certain registered providers

154‑110 Requirements for records on quality indicators

Subdivision E—Incidents

154‑150 Records about details of incidents

Subdivision F—Complaints and feedback

154‑200 Application of Subdivision to feedback received

154‑205 Requirements for records of complaints and feedback

Subdivision G—Prudential and financial

154‑300 Requirement to keep and retain financial and prudential reports

Subdivision H—CHSP

154‑400 Application of Subdivision

154‑405 Requirements for records

Subdivision J—NATSIFACP

154‑500 Application of Subdivision

154‑505 Requirements for records

Subdivision K—Multi‑Purpose Service Program

154‑605 Application of Subdivision to certain registered providers

154‑610 Requirements for records

Subdivision L—Transition Care Program

154‑650 Application of Subdivision to certain registered providers

154‑665 Requirements for records

Subdivision M—Governing bodies

154‑700 Records about independent non‑executive members of a governing body

154‑705 Records about members of a governing body with clinical care provision experience

Subdivision N—Advisory bodies

154‑800 Records about the quality care advisory body

154‑805 Records about the consumer advisory body

Subdivision P—Worker screening

154‑900 Records of responsible persons

154‑905 Records of aged care workers

154‑910 How long records required by sections 154‑900 and 154‑905 to be kept

154‑915 Copies of records relating to allegations of misconduct

Subdivision Q—Delivery and continuity of funded aged care services

154‑1000 Requirement to keep and retain records relating to continuity of funded aged care services

Subdivision R—Status of service delivery branches

154‑1100 Requirement to keep and retain records about service delivery branches

Subdivision S—Claims for subsidy

154‑1200 Application of this Subdivision

154‑1205 Requirement to keep and retain records which enable claims for payment of subsidy to be verified

Subdivision T—Compliance

154‑1300 Requirement to keep and retain records relating to compliance

Division 2—Provision of information to individuals

155‑1 Purpose of this Division

155‑5 Kind of information to be provided and explained

155‑15 Information to be provided and explained—Statement of Rights

155‑20 Information to be provided—information to assist individuals to choose funded aged care services that best meet their needs

155‑25 Information to be provided—clear and understandable invoices

155‑30 Information to be provided—information about a registered provider’s management and use of refundable deposits

155‑35 Information to be provided—to prospective individuals

155‑36 Information to be provided—statement of audited accounts

155‑40 Information to be provided—monthly statement

155‑45 Information to be given—final monthly statement

155‑50 Information to be provided—individualised budget

155‑55 Information to be provided—general information for individuals accessing any funded aged care services

155‑60 Information to be provided—general information for individuals accessing funded aged care services in a home or community setting

155‑65 Information to be provided—general information for individuals accessing funded aged care services in an approved residential care home

155‑70 Information to be provided—information about the financial position of a registered provider registered in a provider registration category other than residential care

155‑80 Information to be provided—pricing information (by way of publication)

155‑85 Requirements for allowing and facilitating access to information held about an individual

Division 3—Access by supporters etc.

156‑5 Access to individuals

156‑10 Access to settings

Part 8—Governance

Division 1—Membership of governing bodies

157‑5 Kinds of provider to which the independent non‑executive members requirement applies

157‑10 Kinds of provider to which the clinical care provision experience requirement applies

157‑15 Kinds of providers to which other governing body requirements apply

157‑20 Application for determination that certain conditions do not apply—other matters that the Commissioner may take into account

Division 2—Advisory body requirements

158‑5 Kinds of provider to which the quality care advisory body condition applies

158‑10 Requirements for membership of quality care advisory body

158‑15 Requirements for reports of quality care advisory body

158‑20 Kinds of provider to which the consumer advisory bodies condition applies

Part 9—Restrictive practices—approved residential care homes

162‑5 Kinds of provider to which the condition applies

162‑10 Requirements relating to the use of restrictive practices

Division 2—Requirements relating to the use of restrictive practices

162‑15 Requirements for the use of any restrictive practice

162‑20 Additional requirements for the use of restrictive practices other than chemical restraint

162‑25 Additional requirements for the use of restrictive practices that are chemical restraint

162‑30 Requirements while restrictive practice being used

162‑35 Requirements following emergency use of restrictive practice

162‑40 Requirements relating to nominations of restrictive practices nominees

Division 3—Requirements relating to behaviour support

162‑45 Requirement for behaviour support plans

162‑50 Requirements for behaviour support plans—alternative strategies for addressing behaviours of concern

162‑55 Requirements for behaviour support plans—if use of restrictive practice assessed as necessary

162‑60 Requirements for behaviour support plans—if restrictive practice used

162‑65 Requirements for behaviour support plans—if need for ongoing use of restrictive practice indicated

162‑70 Requirement to review and revise behaviour support plans

162‑75 Requirement to consult on behaviour support plans

Division 4—Immunity from civil or criminal liability in relation to the use of a restrictive practice in certain circumstances

163‑5 Giving of informed consent by certain persons or bodies

Part 10—Management of incidents and complaints

Division 1—Incident management

164‑1 Kinds of provider to which the condition applies

164‑5 Requirements relating to incident management

164‑10 Incidents to which this Division applies

Subdivision B—Implementing and maintaining an incident management system

164‑15 Requirements for system—objects

164‑20 Requirements for system—general

164‑25 Requirements for system—recording details of incidents

164‑30 Requirements for system—data collection and analysis

164‑35 Requirements for registered providers

Subdivision C—Managing and preventing incidents

164‑40 Requirements for managing incidents

164‑45 Requirements for improving management of incidents and taking reasonable steps to prevent incidents

Division 2—Complaints, feedback and whistleblowers

165‑5 Purpose of this Part

Subdivision B—Implementing and maintaining a complaints and feedback management system

165‑10 Objects of this Subdivision

165‑15 Requirements for system—general

165‑20 Requirements for registered providers

Subdivision C—Managing complaints and feedback

165‑25 Requirements for complaints management and resolution

165‑30 Requirements for feedback management and resolution

165‑35 Other requirements relating to complaints and feedback

Subdivision D—Implementing and maintaining a whistleblower system and maintaining a whistleblower policy

165‑40 Objects of this Subdivision

165‑45 Requirements for system—general

165‑50 Requirements for registered providers—general

165‑55 Requirements for registered providers—whistleblower policy

Subdivision E—Managing disclosures that qualify for protection under section 547 of the Act

165‑60 Requirements for managing disclosures

Chapter 5—Registered provider, responsible person and aged care worker obligations

165A‑1 Simplified outline of this Chapter

Part 2—Obligations relating to reporting, notifications and information

165A‑2 No limitation on other requests

Division 2—Reportable incidents

165A‑5 Purpose of this Subdivision

165A‑10 Application of Subdivision to registered providers

165A‑15 Registered provider must notify reportable incidents in accordance with this Subdivision

165A‑20 Registered provider must ensure that aged care workers notify reportable incidents

165A‑25 Priority 1 notice must be given within 24 hours

165A‑30 Priority 2 notice must be given within 30 days

165A‑35 Reporting not required in certain circumstances

165A‑40 Significant new information must be notified

165A‑45 Final report about reportable incident must be given if required

Division 3—Provider obligation—reporting to particular persons

Subdivision A—Vaccinations

166‑5 Application of Subdivision to certain registered providers

166‑10 Reports about service staff—influenza vaccinations

166‑15 Reports about service staff—COVID‑19 vaccinations

166‑25 Reports about individuals receiving residential care—COVID‑19 vaccinations

Subdivision B—Quality indicators

166‑105 Application of Subdivision to certain registered providers

166‑110 Requirement to provide a quality indicators report

166‑112 Requirements for the collection of information for quality indicators reports—measurements and assessments

166‑115 Timeframes for reporting under this Subdivision

166‑120 Quality indicator—pressure injuries

166‑125 Quality indicator—restrictive practices

166‑130 Quality indicator—unplanned weight loss

166‑135 Quality indicator—falls and major injury

166‑140 Quality indicator—medication management

166‑145 Quality indicator—activities of daily living

166‑150 Quality indicator—incontinence care

166‑155 Quality indicator—hospitalisation

166‑160 Quality indicator—workforce

166‑165 Quality indicator—Consumer Experience Assessment

166‑170 Quality indicator—Quality of Life Assessment

166‑175 Quality indicator—allied health

166‑180 Quality indicator—lifestyle officers

166‑185 Quality indicator—enrolled nursing

Subdivision C—Complaints and feedback management report

166‑205 Application of Subdivision

166‑210 Requirements for reporting information relating to complaints and feedback management

Subdivision D—Complaints and feedback information on request

166‑215 Application of Subdivision to all registered providers

166‑220 Requirements for reporting information on request relating to complaints and feedback management

Subdivision E—Prudential and financial

166‑310 Aged care financial report—general

166‑315 Aged care financial report—provision of a financial support statement

166‑320 Aged care financial report—what is a financial support statement

166‑325 Aged care financial report—permitted uses reconciliation

166‑335 Aged care financial report—care minutes performance statement

166‑340 Quarterly financial report

166‑345 Aged care financial report—general purpose financial report

166‑350 Aged care financial report—general purpose financial report audit requirements

166‑355 Financial and prudential reports—reporting period

166‑360 Aged care financial report—annual prudential compliance statement—general

166‑365 Annual prudential compliance statement—information about refundable deposits, accommodation bonds and entry contributions that must be included

166‑375 Annual prudential compliance statement—information about other fees that must be included

166‑380 Annual prudential compliance statement—Financial and Prudential Standards

166‑385 Annual prudential compliance statement—audit requirements

Subdivision F—CHSP

166‑600 Application of Subdivision

166‑605 Annual financial declaration statement

166‑610 Monthly performance report

166‑615 Annual wellness and reablement report

166‑620 Compliance report

166‑625 Service delivery report

166‑627 Exemption process for certain reports

166‑628 Child safety compliance statement

Subdivision G—NATSIFACP

166‑630 Application of Subdivision

166‑635 Annual financial declaration statement

166‑640 Audited income and expenditure report

166‑645 Service activity report

166‑646 Child safety compliance statement

Subdivision H—Multi‑Purpose Service Program

166‑720 Application of Subdivision to certain registered providers

166‑725 Annual activity report

166‑730 Annual statement of financial compliance and income and expenditure

166‑735 Service demographics report

Subdivision J—Transition Care Program

166‑740 Application of Subdivision to certain registered providers

166‑745 Annual accountability report

Subdivision K—Governing bodies

166‑800 Application of this Subdivision

166‑805 Governing bodies must prepare and provide statements

166‑810 Requirements for certain registered providers to give information relating to reporting periods

166‑815 Service provided during part only of reporting period

Subdivision L—Registered nurses

166‑850 Application of this Subdivision

166‑855 Reporting requirements relating to registered nurses

Subdivision M—Status of service delivery branches

166‑900 Application of this Subdivision

166‑905 Reporting requirements relating to service delivery branches

166‑910 Report for opening of a service delivery branch

166‑915 Report for change to a service delivery branch

166‑920 Report for merger of service delivery branches

166‑925 Report for closure of a service delivery branch

166‑930 Report if provider no longer intends to open, merge or close service delivery branch

Subdivision N—Pricing information

166‑1000 Application of this Subdivision

166‑1005 Pricing information

Part 3—Provider obligation—notifying of change in circumstances

Division 1—Obligation to notify

167‑5 Purpose of this Part

167‑10 Notifying the Commissioner—kinds of registered providers and changes

167‑15 Notifying the System Governor—circumstances

Division 2—Changes in circumstances

167‑20 Suitability of a registered provider

167‑25 Suitability of a responsible person of a registered provider

167‑30 Change of responsible persons of a registered provider

167‑35 Organisation arrangements of a registered provider

167‑40 Governance arrangements of a registered provider

167‑45 Change relating to the scale of operations of a provider

167‑50 Changes relating to intended service types

167‑55 Changes relating to arrangements with associated providers

167‑60 Changes relating to financial and prudential matters

167‑65 Changes relating to liquidity

167‑70 Changes relating to approved residential care homes

Part 4—Responsible person obligation—change in circumstances relating to suitability

169‑5 Kinds of registered provider to which the obligation applies

Part 5—Obligations relating to suitability of responsible persons

172‑5 Kinds of registered provider to which the obligation applies

172‑10 Requirements for records of suitability matters

Part 6—Obligations relating to aged care workers etc.

Division 1—Registered nurses

175‑5 Specialist aged care programs to which the registered nurse obligation does not apply—MPSP and TCP

175‑10 Purpose of this Division

Subdivision B—Process for granting exemptions

175‑15 Application for exemption

175‑20 System Governor may request further information or documents

175‑25 Decision whether to grant exemption

175‑30 Notice of decision

Subdivision C—Revocation of exemptions

175‑45 Revocation on request

175‑50 Revocation on other grounds

175‑55 Notice of decision

Division 2—Delivery of direct care

Subdivision A—Delivery of direct care—mainstream providers

176‑5 Kinds of provider to which the obligation applies, and requirements

176‑10 Application of this Subdivision

176‑15 Care minutes that must be delivered

176‑20 Average numbers of care minutes

Subdivision B—Delivery of direct care—NATSIFACP providers

176‑25 Kinds of provider to which the obligation applies, and requirements

176‑30 Application of this Subdivision

176‑35 Care minutes that must be delivered—NATSIFACP providers

Part 7—Other obligations—cooperation with other persons

177‑10 Giving data or records to the Pricing Authority

177‑15 Allowing access by the Pricing Authority to certain persons

177‑20 Allowing access by the Pricing Authority to residential care homes

Chapter 6—Obligations of operators of aged care digital platforms

187‑1 Simplified outline of this Chapter

Part 2—Obligations

188‑1 Duty of operators of aged care digital platforms

189‑1 Notifying Commissioner of operation of aged care digital platforms

189‑5 Managing complaints

189‑10 Managing reportable incidents

189‑15 Reporting requirements

189‑18 Reporting changes to the Commissioner

189‑20 Keeping and retaining records, etc.

189‑25 Disclosing information included in records, etc.

189‑30 Correcting records, etc.

Chapter 7—Funding of aged care services—Commonwealth contributions

190‑5 Simplified outline of this Chapter

Part 2—Subsidy for home support

Subdivision AA—Eligibility

191‑5 Ineligible funded aged care services

Subdivision A—Available ongoing home support account balance

193‑5 Quarterly rollover credit

193‑15 Circumstances for no credits

193‑20 Circumstances for ceasing of account

Subdivision B—Base individual amounts

194‑5 Classification type ongoing

194‑10 Classification type short‑term

Subdivision C—Available short‑term home support account balance

195‑1 Number of days for initial credit

195‑3 Circumstances, day and amount for other credit

195‑10 Circumstances for ceasing of account

Subdivision D—Primary person‑centred supplements

196‑5 Purpose of this Subdivision

196‑10 Primary person‑centred supplements

196‑12 Primary person‑centred supplements for classification type short‑term—circumstances for applicability (general)

196‑15 Oxygen supplement—circumstances for applicability and amount

196‑20 Enteral feeding supplement—circumstances for applicability and amount

196‑25 Veterans’ supplement—circumstances for applicability and amount

196‑30 Dementia and cognition supplement—circumstances for applicability and amount

196‑35 Top‑up supplement—circumstances for applicability and amount

Subdivision A—Eligibility

201‑5 Eligible funded aged care services

Subdivision B—Available service delivery branch account balance

203‑10 Amount to be credited in first and second quarters of active operation—number of days for calculation

203‑11 Time before which registered provider must give start notification

203‑12 Amount to be credited for provider‑based supplement starting to apply—number of days for calculation

203‑15 Rollover credits

203‑25 Circumstances for ceasing of account

Subdivision C—Base provider amount

204‑5 Classification type ongoing

Subdivision D—Provider‑based supplements

205‑5 Care management supplement

205‑10 Care management supplement—applicability

205‑15 Care management supplement—amount

Part 3—Subsidy for assistive technology

209‑5 Excluded classification levels

Division 2—Available assistive technology account balance

211‑5 Account period for classification type ongoing

211‑10 Account period for classification type short‑term

211‑15 Day and amount for credit to account for classification type ongoing

211‑20 Day and amount for credit to account for classification type short‑term for classification level AT High

211‑25 Day and amount for credit to account for classification type short‑term—credit due to change in classification coming into effect

212‑5 Classification type ongoing

212‑10 Classification type short‑term

213‑5 Rural and remote supplement

Part 4—Subsidy for home modifications

218‑5 Excluded classification levels

Division 2—Available home modifications account balance

220‑5 Account period for classification type short‑term

221‑5 Classification type short‑term

222‑5 Rural and remote supplement

Part 5—Fee reduction supplement for home support, assistive technology and home modifications

197‑1 Purpose of this Part

197‑5 Fee reduction supplement—circumstances for applicability, amount and reduction of contributions—home or community fee reduction supplement determinations (financial hardship)

197‑8 Applications for home or community fee reduction supplement determinations

197‑10 Home or community fee reduction supplement determinations

197‑15 Notice of home or community fee reduction supplement determinations

197‑20 Varying or revoking home or community fee reduction supplement determinations—general

197‑25 Varying or revoking home or community fee reduction supplement determinations—on notification of event or change in circumstances

197‑30 Varying or revoking home or community fee reduction supplement determinations—on System Governor’s initiative

197‑35 Notice of decision to vary or revoke home or community fee reduction supplement determination

Part 6—Unspent Commonwealth portions and home care accounts

226A‑5 Day for reduction of portion—provider elects to return available balance

226A‑10 Day for reduction of portion—individual transfers between provider service delivery branches

226A‑15 Day for reduction of portion—provider ceases to deliver services

226B‑5 Return of unspent Commonwealth portion—provider election—written notice of election

226B‑10 Period within which available balance must be returned—provider election

226C‑5 Period within which available balance must be returned—individual transfers between provider service delivery branches

226D‑5 Period within which available balance must be returned—provider ceases to deliver services

226E‑5 Day for credit of account—provider elects to return available balance

226E‑10 Day for credit of account—individual transfers between provider service delivery branches

226E‑15 Day for credit of account—provider ceases to deliver services

226E‑20 Home care account—circumstances in which account is reduced to zero

226E‑25 Home care account—circumstances in which account ceases

Part 7—Subsidy for residential care

Division 1A—Classes of individuals to which Division 4 of Part 2 of Chapter 4 of the Act does not apply

227A‑5 Classes of individuals

Subdivision A—Base rates

229‑5 Base rates—classification type ongoing

229‑10 Base rates—classification type short‑term

Subdivision B—Primary person‑centred supplements

230‑3 Purpose of this Subdivision

230‑4 Other primary person‑centred supplements

230‑5 Hotelling supplement—amount

230‑10 Accommodation supplement—circumstances for applicability and amount

230‑11 Oxygen supplement—circumstances for applicability and amount

230‑12 Enteral feeding supplement—circumstances for applicability and amount

Subdivision C—Accommodation supplement concepts

230‑13 Meaning of low means resident percentage for an approved residential care home for a payment period

230‑15 Meaning of building status amount for an individual for a day

230‑20 Meaning of newly built home

230‑25 Application for determination—approved residential care homes that have been, or are proposed to be, significantly refurbished

230‑30 Determination for approved residential care homes that have been significantly refurbished

230‑35 Determination for approved residential care homes that are proposed to be significantly refurbished

230‑40 Circumstances in which System Governor must not make determinations

230‑45 Notification of System Governor’s decision

230‑50 Day of effect of determination

Subdivision D—Secondary person‑centred supplements

231‑5 Purpose of this Subdivision

231‑10 Other secondary person‑centred supplements

231‑15 Fee reduction supplement—circumstances for applicability, amount and reduction of fees and contributions—residential care fee reduction supplement determinations (financial hardship)

231‑16 Applications for residential care fee reduction supplement determinations

231‑17 Residential care fee reduction supplement determinations

231‑18 Notice of residential care fee reduction supplement determinations

231‑19 Varying or revoking residential care fee reduction supplement determinations—general

231‑20 Varying or revoking residential care fee reduction supplement determinations—on notification of event or change in circumstances

231‑21 Varying or revoking residential care fee reduction supplement determinations—on System Governor’s initiative

231‑22 Notice of decision to vary or revoke residential care fee reduction supplement determination

231‑25 Fee reduction supplement—reduction of fees, payments and contributions

231‑30 Respite supplement—circumstances for applicability and amount

231‑35 Initial entry adjustment supplement—circumstances for applicability and amount

231‑50 Veterans’ supplement—circumstances for applicability and amount

Subdivision A—Base provider amount

238‑5 Base provider amount

Subdivision B—Provider‑based supplements

239‑1 Purpose of this Subdivision

239‑5 Provider‑based supplements

239‑10 Registered nurse supplement—applicability

239‑15 Meaning of qualifying residential care home

239‑20 Registered nurse supplement—amount

239‑30 Care minutes supplement—applicability

239‑35 Care minutes supplement—amount

Subdivision C—Reduction amounts for provider‑based subsidy for ongoing residential care

242‑5 Provider‑based reduction amount—standard base provider amount

Division 3—Subsidy for transitional cohorts

Subdivision A—Method for calculating amount of subsidy

242B‑5 Amount of residential care subsidy—pre‑2014 residential contribution class

242B‑6 Amount of residential care subsidy—post‑2014 residential contribution class

Subdivision B—Supplements

242B‑10 Transitional accommodation supplement—circumstances for applicability and amount

242B‑15 2012 basic daily fee supplement—circumstances for applicability and amount

242B‑20 Accommodation charge top‑up supplement—circumstances for applicability and amount

242B‑25 Concessional resident supplement—circumstances for applicability and amount

242B‑27 Transitional fee reduction supplement—circumstances for applicability and amount

242B‑40 Pensioner supplement—circumstances for applicability and amount

242B‑45 Ex‑hostel supplement—circumstances for applicability and amount

Subdivision C—Transitional compensation payment reduction

242B‑50 Transitional compensation payment reduction amount—circumstances for applicability

242B‑55 Amount of transitional compensation payment reduction

Division 4—Approved residential care homes with specialised status

Subdivision A—Specialised status determinations

243‑5 Kinds of specialised status

243‑10 Specialised Aboriginal or Torres Strait Islander status—criteria

243‑15 Specialised homeless status—criteria

243‑20 Specialised status—maximum period of effect

Subdivision B—Revoking specialised status determinations on initiative of System Governor—circumstances

243A‑5 Purpose of this Subdivision

243A‑10 Circumstances—transfer of approved residential care home to another registered provider

243A‑15 Circumstances—revocation of specialised status and determination of different specialised status

243A‑20 Circumstances—revocation of specialised Aboriginal or Torres Strait Islander status

243A‑25 Circumstances—revocation of specialised homeless status

Subdivision D—Revoking specialised status determinations on initiative of System Governor—notice requirements

243A‑40 Purpose of this Subdivision

243A‑45 Transfer of approved residential care home to another registered provider

243A‑50 Revocation of specialised status

Part 8—Reduction amounts—compensation payment reduction for home support, assistive technology, home modifications and residential care

246A‑5 Circumstances in which compensation information known

246A‑10 Amount for circumstances in which compensation information known

246A‑15 Circumstances in which compensation information not known

246A‑20 Requirements for determining compensation payment reductions for circumstances in which compensation information not known

Part 9—Subsidy for certain specialist aged care programs

Division 1—Agreements for delivery of funded aged care services under specialist aged care programs

247‑5 Circumstances that must apply for System Governor to enter into agreements—Multi‑Purpose Service Program

247‑15 Requirements for agreements for delivery of funded aged care services—Transition Care Program

Division 2—Amount of subsidy—Multi‑Purpose Service Program

249‑5 Purpose of Division

249‑10 Amount of subsidy

249‑25 Aged care wage supplement amount

249‑30 Direct care supplement amount

249‑35 Home or community additional amount

249‑40 Residential care place amount

249‑45 Respite supplement equivalent amount

249‑50 Viability supplement equivalent amount—Category A residential care homes

249‑55 Viability supplement equivalent amount—Category B residential care homes

249‑60 Viability supplement equivalent amount—Category C residential care homes

249‑65 Viability supplement equivalent amount—Category D residential care homes

Division 3—Amount of subsidy—Transition Care Program

249‑90 Amount of subsidy

Part 10—Subsidy claims and payment

Division 1—Home support, assistive technology and home modifications (other than under specialist aged care programs)

251‑5 Relevant period—assistive technology

251‑10 Period within which claim must be given to the System Governor—prescribed events

Division 1A—Residential care

256‑5 Timing of payments—working out amounts of advances

Division 2—Specialist aged care programs

260‑5 Purpose of this Division

260‑10 Multi‑Purpose Service Program—timing of payments

260‑15 Transition Care Program—claims

260‑20 Transition Care Program—payments

Division 3—Transfers and mergers of service delivery branches

263‑5 Purpose of this Division

263‑10 Application for approval to transfer service delivery branch

263‑15 Transfer of service delivery branch

263A‑5 Merger of service delivery branches

Part 11—Grants

Division 1—Power to enter into other arrangements

265‑5 Grant of financial assistance—other purposes

Division 2—Grantee Code of Conduct

268‑5 Purpose of this Division

268‑10 Grantee Code of Conduct

Chapter 8—Funding of aged care services—individual fees and contributions

272‑5 Simplified outline of this Chapter

Part 2—Individual fees and contributions

Division 1—Fees and contributions payable in a home or community setting

Subdivision A—Individual contributions

273‑5 Working out individual contribution for assistive technology or home modifications—prescribed day

273‑10 Working out individual contributions—circumstances and amounts

273‑15 Requirements for prices charged for directly sourced services

273‑20 When individual contribution is zero—other contributions or fees

Subdivision B—Unspent care recipient portions

273A‑5 Unspent care recipient portions

273A‑10 Agreement with individual

273A‑15 If agreement is to return portion

273A‑20 If agreement is to retain portion

Division 2—Fees and contributions payable in an approved residential care home

Subdivision A—Classes of individuals to which Division 2 of Part 3 of Chapter 4 of the Act does not apply

275A‑5 Division 2 of Part 3 of Chapter 4 of Act not to apply to transitional cohorts

Subdivision C—Hotelling contribution and non‑clinical care contribution

279‑5 Maximum non‑clinical care contribution

279‑10 When non‑clinical care contribution is zero—number of days

279‑15 When non‑clinical care contribution is zero—other contributions or fees

280‑5 Hotelling contribution and non‑clinical care contribution taken to be zero in some circumstances—classes of individuals

280‑10 Hotelling contribution and non‑clinical care contribution taken to be zero in some circumstances—matters to which System Governor must have regard

281‑5 Fees for pre‑entry period—ongoing residential care—maximum amount of pre‑entry fee chargeable

Subdivision D—Fees for reserving a bed—ongoing residential care

282‑5 Maximum amount of bed reservation fee chargeable

Subdivision E—Fees for delivery of funded aged care services—short‑term residential care

283‑15 Booking fee

Subdivision F—Fees for higher everyday living

284‑1 Purpose of this Subdivision

284‑2 Kinds of higher everyday living agreement

284‑5 Entry requirements—all higher everyday living agreements

284‑6 Additional entry requirements—standing higher everyday living agreements

284‑7 Additional entry requirements—ad hoc higher everyday living agreements

284‑10 Requirements that higher everyday living agreements must comply with—all higher everyday living agreements

284‑11 Additional requirements—standing higher everyday living agreements

284‑13 Additional requirements—ad hoc higher everyday living agreements

284‑15 Indexation of agreed amounts—all higher everyday living agreements

284‑20 Circumstances in which higher everyday living fee not to be charged to individuals—all higher everyday living agreements

284‑25 Circumstances in which higher everyday living agreements not to be entered into—all higher everyday living agreements

Subdivision G—Other matters

285‑5 Refund of amounts paid in advance if individual dies or stops accessing services

285‑10 Resident respite fees to be reduced by booking fee

Division 2A—Fees and contributions payable in an approved residential care home for transitional cohorts

Subdivision A—Prescribed amounts

285A‑3 Purposes of this Subdivision

285A‑5 Contributions for delivery of funded aged care services

285A‑10 Maximum daily amount of transitional resident contribution

285A‑11 Transitional basic daily fee

285A‑13 Income tested fee

285A‑14 Means tested care fee

285A‑15 Fees for transitional pre‑entry period

285A‑20 Fees for reserving a bed

285A‑25 Fees for higher everyday living

Subdivision B—Other matters

285A‑30 Refund of amounts paid in advance if individual dies or stops accessing services

Division 3—Fees and contributions for specialist aged care programs

286‑5 Fees and contributions for delivery of funded aged care services

286‑10 Amounts that may be charged—specialist aged care program fee (for programs other than CHSP)

286‑15 Amounts that may be charged—CHSP contribution (for CHSP only)

286‑17 Refund of amounts paid in advance if individual dies or stops accessing services

286‑20 Other requirements—financial hardship policy

286‑25 Other requirements—CHSP and NATSIFACP—consumer contribution policy

Chapter 9—Funding of aged care services—accommodation payments and accommodation contributions etc.

287‑5 Simplified outline of this Chapter

Part 2—Accommodation bonds, accommodation charges and entry contributions

Division 1—Application of this Part

287‑10 Application of this Part

Division 2—Accommodation bond agreements

287‑13 Entry into accommodation bond agreements

287‑15 Information to be given before registered provider enters into an accommodation bond agreement with an individual

287‑20 Time within which registered providers must enter into accommodation bond agreements

287‑25 Accommodation bond agreements

287‑30 Accommodation bond agreements may be incorporated into other agreements

287‑35 Accommodation bond agreements cannot affect requirements of this Division

Division 3—Accommodation bonds

Subdivision A—Charging of accommodation bonds

287‑40 Charging of accommodation bonds

Subdivision B—Accommodation bonds

287‑45 Maximum amount of accommodation bonds

Subdivision C—Payment of accommodation bonds

287‑65 Period for payment of accommodation bond

287‑70 Payment of accommodation bonds by periodic payment

287‑75 Minimum amount of periodic payments

287‑80 Payment if agreed accommodation bond not paid

Subdivision D—Retention, deduction and transfer of accommodation bond balances

287‑85 Registered provider may retain income derived

287‑86 Restriction on retention of income derived

287‑90 Amounts to be deducted from accommodation bond balance

287‑95 Accommodation bond retention amounts

287‑100 Restriction on deduction of accommodation bond retention amounts

287‑101 Accommodation bonds to be used only for permitted purposes

287‑102 Refund of accommodation bond balance

287‑103 Transfer of accommodation bond balance to another registered provider

287‑103A Payment of interest—refund of accommodation bond balances—circumstances and amount

Division 4—Accommodation charge agreements

287‑104 Entry into accommodation charge agreement

287‑105 Information to be given before registered provider enters into an accommodation charge agreement with an individual

287‑110 Time within which registered providers must enter into accommodation charge agreement

287‑115 Accommodation charge agreements

287‑120 Accommodation charge agreements may be incorporated into other agreements

287‑125 Accommodation charge agreements cannot affect requirements of this Division

Division 5—Accommodation charges

Subdivision A—Charging of accommodation charges

287‑130 Charging of accommodation charges

Subdivision B—Daily accrual amounts of accommodation charges

287‑135 Maximum daily accrual amount of accommodation charge

Subdivision C—Payment of accommodation charges

287‑150 Accommodation charge may be payable not more than one month in advance

287‑155 Registered provider may charge interest

Division 6—Entry contributions

287‑160 Payment of interest—refund of entry contribution balances

Division 7—Miscellaneous

287‑165 Pre‑2014 maximum permissible interest rate

Part 3—Accommodation payments and accommodation contributions

Division 1—Application to specialist aged care programs

288‑5 Provisions that do not apply in relation to certain specialist aged care programs

288‑10 Specialist aged care programs for which specified provisions do not apply

288‑20 Specialist aged care programs—accommodation agreements

288‑25 Specialist aged care programs—charging of accommodation payments and accommodation contributions

Division 2—Maximum accommodation payment amounts and publication of certain amounts by the System Governor

Subdivision A—Maximum accommodation payment amount

289‑5 Maximum accommodation payment amount

289‑10 Maximum accommodation payment amount—daily accommodation payment amount

Subdivision B—Application to Pricing Authority for approval of higher maximum accommodation payment amount

290‑15 Requirements for application

290‑20 Restriction on application period

290‑25 Decision of Pricing Authority on application

290‑30 Condition on approval relating to a room, or part of a room, subject to construction or refurbishment

290‑40 Indexation of higher maximum accommodation payment amount

Subdivision C—Notification and publication of accommodation payment amounts

291‑5 Notification

291‑10 Publication of notification

Division 3—Accommodation agreements

292‑5 Information to be given before provider enters into an accommodation agreement with an individual—daily accommodation payment amount

294‑5 Accommodation agreements—other matters to be included in accommodation agreement

294‑10 Accommodation agreements—daily accommodation payment amount

294‑15 Accommodation agreements—method for working out amounts payable as a combination of refundable accommodation deposit and daily accommodation payments

294‑20 Accommodation agreements—method for working out amounts payable by refundable accommodation contributions

294‑25 Accommodation agreements—method for working out amounts payable by combination of refundable accommodation contributions and daily accommodation contributions

Division 4—Charging of accommodation payments

296‑5 Charging of accommodation payments—requirements

Division 5—Charging of accommodation contributions

298‑5 Charging of accommodation contributions—prescribed circumstances

298‑10 Charging of accommodation contributions—requirements

Division 6—Charging of daily payments

301‑5 Charging interest

302‑10 Daily accommodation payments—indexation

302‑15 Daily payments—DAP index numbers

302‑17 Daily payments—circumstances in which daily accommodation payment is not to be indexed

302‑20 Daily payments—circumstances in which an amount of daily payment may be refunded

Division 7—Refundable deposits

304‑5 Refundable deposits—circumstances in which an amount of refundable deposit may be refunded

307‑5 Amounts to be deducted from refundable deposit balances—deductible amount

308‑10 Amounts that must be deducted from refundable deposit balances—retention amounts—timing of deductions

308‑11 Amounts that must be deducted from refundable deposit balances—retention amounts—circumstances in which a retention amount may be refunded

308‑12 Amounts that must be deducted from refundable deposit balances—retention amounts—classes of individuals for whom amounts must not be deducted

309‑5 Rules about deductions

310‑5 Refundable deposits to be used only for permitted purposes—capital expenditure

310‑15 Refundable deposits to be used only for permitted purposes—capital expenditure debt

310‑20 Refundable deposits to be used only for permitted purposes—other

310‑30 Refundable deposits to be used only for permitted purposes—financial product

311‑5 Refund of refundable balances—manner of refund

311‑15 Refund of refundable deposit balances—death of individual—circumstances and period

311‑20 Refund of refundable deposit balances—registered provider ceases services and has not transferred refundable deposit balance—circumstances and period

312‑5 Transfer of refundable deposit balance to another registered provider—requirements

312‑10 Circumstances in which refundable deposit balance must not be transferred to another registered provider

313‑5 Payment of interest—refund of refundable deposit balances—circumstances

313‑10 Payment of interest—refund of refundable deposit balances—amount

Chapter 10—Funding of aged care services—means testing

314‑5 Simplified outline of this Chapter

Part 2—Means testing

Division 1—Means testing in a home or community setting

Subdivision A—Determination of individual contribution rates for individuals for means testing categories

314‑10 Method for determining individual contribution rate

314‑15 Period for determining individual contribution rate

314‑20 Other matters to be included in notice of determination

314‑25 Day determination takes effect

Subdivision B—Working out means testing classes for individuals

314‑30 Full‑pensioner

314‑35 Part‑pensioner

314‑40 Seniors health card holder

314‑45 Self‑funded retiree

Subdivision C—Calculating amounts of percentages for the means testing categories independence and everyday living

314‑55 Calculation method

314‑60 Working out the income reduction amount

314‑65 Working out the assets reduction amount

314‑70 Working out the maximum reduction amount

314‑75 Working out the input contribution rate

314‑80 Working out the amount of the percentage for the means testing category independence

314‑85 Working out the amount of the percentage for the means testing category everyday living

Subdivision D—Means not disclosed status

314A‑5 Determination that individuals have means not disclosed status

314A‑10 Day determination takes effect

Subdivision E—Requirement to notify event or change in circumstances

315‑5 Circumstances in which notification of event or change in circumstances is required

315‑10 Period for notification of event or change in circumstances

315‑15 Manner for notification of event or change in circumstances

Subdivision F—Varying or revoking individual contribution rate determination

316‑5 Other matters to be included in notice of determination

317‑5 Period for deciding if individual contribution rate determination is no longer correct following certain social security decisions

318‑5 Period for deciding whether to vary individual contribution rate determination following event or change in circumstances

318‑10 Variation following event or change in circumstances to take effect on specified day in specified circumstances

318A‑5 Period for deciding whether to revoke incorrect individual contribution rate determination

Division 2—Means testing in approved residential care home

Subdivision A—Daily means tested amounts

319‑5 Income and asset thresholds

319‑10 Working out the daily means tested amount—classes of individuals

319‑15 Working out the daily means tested amount—individuals in pre‑2014 residential contribution class

319‑20 Working out the daily means tested amount—individuals in post‑2014 residential contribution class

Subdivision B—Means not disclosed status

320‑5 Determination that individuals have means not disclosed status

320‑10 Day determination takes effect

Subdivision C—Determining an individual’s total assessable income

322‑5 Period for determining an individual’s total assessable income

322‑10 Day determination takes effect

322‑15 Other matters to be included in notice of determination

Subdivision D—Working out an individual’s total assessable income—excluded amounts

323‑5 Purpose of this Subdivision

323‑10 Disability pensions and permanent impairment compensation payments

323‑15 Gifts

323‑20 Rent receipts

323‑25 GST compensation

323‑30 Energy payments

Subdivision E—Working out an individual’s total assessable income—application of social security law provisions

323‑35 Application of Social Security Act provisions

323‑40 Application of Veterans’ Entitlements Act provisions

Subdivision F—Varying or revoking an income determination

324‑5 Day variation of income determination takes effect

325‑5 Period for varying income determination—on notification of event or change in circumstances

326‑5 Period for varying or revoking income determination—on application

327‑5 Period for varying or revoking income determination—on System Governor’s initiative

328‑10 Other matters to be included in notices of decisions other than reviewable decisions

Subdivision G—The value of an individual’s assets

329‑5 Period for determining the value of an individual’s assets

329‑10 Day determination takes effect

329‑15 Other matters to be included in notice of determination

Subdivision H—Working out the value of an individual’s assets—excluded amounts

330‑5 Value of home

330‑10 Other amounts

Subdivision J—Varying or revoking an asset determination

331‑5 Day variation of asset determination takes effect

332‑5 Period for varying asset determination—on notification of event or change in circumstances

333‑5 Period for varying or revoking asset determination—on application

334‑5 Period for varying or revoking asset determination—on System Governor’s initiative

335‑10 Other matters to be included in notices of decisions other than reviewable decisions

Subdivision K—Notifying of event or change in circumstances

336‑5 Notifications by individuals—manner and period

337‑5 Notifications by registered providers—manner and period

Chapter 11—Governance of the aged care system

338‑1 Simplified outline of this Chapter

Part 2—System Governor

343A‑5 Identity cards for approved needs assessors—form requirements

343A‑10 Identity cards for approved needs assessors—requirements for carrying and producing identity cards

Part 3—Aged Care Quality and Safety Commission

Division 1—Other functions of the Commissioner

348‑5 Other functions of the Commissioner—reconsideration of certain decisions made personally by the Complaints Commissioner

Division 2—Safeguarding functions of the Commissioner

349‑5 Actions the Commissioner may take in dealing with reportable incidents

349‑10 Commissioner’s inquiries in relation to reportable incidents

349‑15 Taking of other action not prevented by this Division

Division 3—Establishment and functions of the Complaints Commissioner

358‑5 Complaints functions of the Complaints Commissioner—requirements for giving written reports to the Minister

Division 4—Complaints Commissioner—complaints and feedback

361‑5 Purpose of this Division

Subdivision B—How complaints may be made and withdrawn, and how feedback may be given

361‑10 How complaints may be made and feedback may be given

361‑15 How complaints may be withdrawn

Subdivision C—Processes for dealing with complaints and feedback

361‑20 Requirements for processes

361‑25 Acknowledging receipt of complaints and feedback

361‑30 Referral of complaints and feedback to other persons or bodies

361‑35 Communications with complainant, entity against which complaint made and other persons

361‑40 Complaint determinations and seeking feedback

361‑42 Dealing with complaints—general

361‑45 Dealing with complaints—resolution processes

361‑50 Dealing with complaints—reasons for taking no further action or ending resolution processes

Subdivision D—Reconsideration of decisions to take no further action or to end resolution processes

361‑55 Requesting reconsideration of decisions

361‑57 Withdrawing requests for reconsideration of decisions

361‑60 Reconsideration of decisions

361‑65 Period for completing resolution process following reconsideration decision

Division 5—Reporting and planning

372‑5 Annual report—other matters relating to complaints functions of the Complaints Commissioner

Chapter 12—Regulatory mechanisms

396‑5 Simplified outline of this Chapter

Part 2—Banning orders

507‑5 Information that must be included in the register of banning orders in relation to individuals

507‑10 Accessing and correcting information included in the register of banning orders in relation to individuals

507‑15 Accessing information included in the register of banning orders in relation to entities other than individuals

507‑20 Correcting information included in the register of banning orders in relation to entities other than individuals—corrections sought by entities

507‑25 Correcting information included in the register of banning orders in relation to entities other than individuals—corrections on the Commissioner’s initiative

507‑30 Publication of register of banning orders

Part 3—Recoverable amounts

523‑5 Circumstances for waiver—settlements between Commonwealth and debtors—method for working out present value of unpaid amount

Chapter 13—Information management

534‑5 Simplified outline of this Chapter

Part 2—Record‑keeping

543‑5 Retention of records by former registered provider

Part 3—Information sharing

Division 1—Publication by System Governor

Subdivision A—System Governor must publish information about funded aged care services generally

544‑5 Preliminary

544‑10 Pricing information

544‑15 Approved residential care home—income and expenditure

544‑20 Approved residential care home—other information

544‑25 Nursing and transition care

544‑30 Approved residential care home—direct care responsibilities

Subdivision B—Information that System Governor may publish about particular funded aged care services

545‑20 Additional matters that the System Governor may publish

Division 2—Publication by Commissioner

546‑5 Purpose of this Division

546‑10 Matters included in or related to final assessment reports for approved residential care homes

546‑15 Matters included in or related to final audit reports