Part 14Miscellaneous

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Chapter 14—Miscellaneous

555‑5 Simplified outline of this Chapter

Part 2—Reconsideration and review of decisions

556‑5 Decisions by the Commissioner

557‑5 Decisions by the System Governor

558‑5 Decisions by the Pricing Authority

Part 3—Application fees and fees for services provided by the System Governor, Commissioner and Complaints Commissioner

597‑5 Fees—exemptions—fees that must accompany application or request made to System Governor, Commissioner or Complaints Commissioner

597‑10 Fees—refunds—fees that must accompany application or request made to System Governor, Commissioner or Complaints Commissioner

Endnotes

Endnote 5—Editorial changes

Chapter 1—Introduction

Part 1—Preliminary

1‑5 Name

This instrument is the Aged Care Rules 2025.

3‑5 Authority

This instrument is made under the Aged Care Act 2024.

4‑5 Simplified outline of this instrument

This instrument provides for matters for the purposes of the Act that relate to the delivery of funded aged care services to individuals under the Commonwealth aged care system.

Chapter 2 provides for matters relating to entry to the Commonwealth aged care system.

Chapter 3 provides for matters relating to provider registration.

Chapter 4 provides for matters relating to conditions on provider registration.

Chapter 5 provides for matters relating to registered provider, responsible person and aged care worker obligations.

Chapter 6 provides for matters relating to obligations of operators of aged care digital platforms.

Chapter 7 provides for matters relating to Commonwealth contributions for funding of aged care services.

Chapter 8 provides for matters relating to individual fees and contributions for funding of aged care services.

Chapter 9 provides for matters relating to accommodation payments and accommodation contributions for funding of aged care services.

Chapter 10 provides for matters relating to means testing for funding of aged care services.

Chapter 11 provides for matters relating to governance of the aged care system.

Chapter 12 provides for matters relating to regulatory mechanisms.

Chapter 13 provides for matters relating to information management.

Chapter 14 provides for the review and reconsideration of certain decisions made under this instrument.

Part 2—Definitions

Meaning of restrictive practices substitute decision‑maker
Item Column 1 For a restrictive practice in relation to the individual concerned, if … Column 2 the restrictive practices substitute decision‑maker for that restrictive practice in relation to the individual concerned is …
1 there is a restrictive practices nominee for the restrictive practice in relation to the individual concerned that restrictive practices nominee.
2 item 1 does not apply to the restrictive practice in relation to the individual concerned, but the individual concerned has a partner:(a) with whom the individual concerned has a close continuing relationship; and(b) who has agreed, in writing, to act as a restrictive practices substitute decision‑maker for the restrictive practice in relation to the individual concerned (and has not withdrawn that agreement); and(c) who has capacity to act as a restrictive practices substitute decision‑maker for the restrictive practice in relation to the individual concerned that partner.
3 items 1 and 2 do not apply to the restrictive practice in relation to the individual concerned, but the individual concerned has a relative or friend:(a) who, immediately before the individual concerned entered an approved residential care home, was an unpaid carer for the individual; and(b) who has a personal interest in the welfare of the individual concerned on an unpaid basis; and(c) with whom the individual concerned has a close continuing relationship; and(d) who has agreed, in writing, to act as a restrictive practices substitute decision‑maker for the restrictive practice in relation to the individual concerned (and has not withdrawn that agreement); and(e) who has capacity to act as a restrictive practices substitute decision‑maker for the restrictive practice in relation to the individual concerned (a) if there is one such relative or friend—that relative or friend; or(b) if there are 2 or more such relatives or friends—the eldest of those relatives or friends.
4 items 1, 2 and 3 do not apply to the restrictive practice in relation to the individual concerned, but the individual concerned has a relative or friend:(a) who has a personal interest in the welfare of the individual concerned on an unpaid basis; and(b) with whom the individual concerned has a close continuing relationship; and(c) who has agreed, in writing, to act as a restrictive practices substitute decision‑maker for the restrictive practice in relation to the individual concerned (and has not withdrawn that agreement); and(d) who has capacity to act as a restrictive practices substitute decision‑maker for the restrictive practice in relation to the individual concerned (a) if there is one such relative or friend—that relative or friend; or(b) if there are 2 or more such relatives or friends—the eldest of those relatives or friends.
5 items 1, 2, 3 and 4 do not apply to the restrictive practice in relation to the individual concerned, but there is a medical treatment authority for the individual concerned (a) if there is one such medical treatment authority—that medical treatment authority; or(b) if there are 2 or more such medical treatment authorities and the law of the State or Territory in which the individual concerned accesses funded aged care services provides for the order of precedence of the medical treatment authorities—the medical treatment authority that takes precedence under that law; or(c) if:(i) there are 2 or more medical treatment authorities; and(ii) the law of the State or Territory in which the individual concerned accesses funded aged care services does not provide for the order of precedence of the medical treatment authorities; and(iii) one of the medical treatment authorities is an individual; that individual; or(d) if:(i) there are 2 or more medical treatment authorities; and(ii) the law of the State or Territory in which the individual concerned accesses funded aged care services does not provide for the order of precedence of the medical treatment authorities; and(iii) one or more of the medical treatment authorities are individuals; the eldest of those individuals.

Services in the service type assistance with transition care
1 Transition care management Initial and ongoing assessment, planning and management, and coordination and monitoring, of the individual’s movement from hospital, through the TCP and back into the community or into a residential care home, including the following:(a) ensuring that:(i) the individual’s care and services plan is carried out; and(ii) progress against the care and services plan goals is monitored;(b) acting as a central point of contact;(c) liaising with and organising all care requirements provided by external service providers (including registered health practitioners and allied health professionals);(d) administration and operation of the TCP, including documentation relating to the individual;(e) arranging for another aged care assessment if needed prior to the completion of the individual’s transition care episode;(f) managing the individual’s transition into their post transition care arrangements, including a comprehensive written and verbal handoverNote: For requirements for care and services plans, see paragraph 148(e) of the Act and Subdivisions A and D of Division 3 of Part 4 of Chapter 4 of this instrument. For Aged Care Quality Standards for care and services plans, see subsections 15‑20(1) to (3) of this instrument.
2 Assistance to access medical practitioner Transport for the individual to visit a medical practitioner, or assistance in arranging a home visit by a medical practitioner
3 Transition care medication management The following:(a) implementation of a safe and efficient system to manage prescribing, procuring, dispensing, supplying, packaging, storing and administering of both prescription and over‑the‑counter medicines;(b) administration of, and monitoring the effects of, medication (including injections), including supervision and physical assistance with taking both prescription and over‑the‑counter medication under the delegation and clinical supervision of a registered nurse or other appropriate registered health practitioner
4 Transition care emergency or after hours assistance Having at least one suitably skilled employee of the registered provider or an appropriate agency continuously on call to give emergency assistance when needed
5 Transition care continence management The following:(a) assisting the individual to:(i) maintain continence or manage incontinence; and(ii) use aids and appliances designed to assist continence management;(b) the supply of aids and appliances designed to assist continence management to meet the individual’s needs, including the following:(i) commode chairs, over‑toilet chairs, bed‑pans, uridomes, and catheter and urinary drainage appliances;(ii) as many continence aids (such as disposable urinal covers, pants, pads, chair pads and enemas) as are needed to meet the individual’s needs
6 Waste disposal Safe disposal of transition care related organic and inorganic waste material

Services in the service type social support and community engagement
1 Group social support Support in a group setting to facilitate meeting the individual’s need for social contact or company or participation in community life (including diverse cultural activities), including service and activity identification and linkage
2 Individual social support Support on an individual basis to facilitate meeting the individual’s need for social contact or company or participation in community life (including diverse cultural activities), including the following:(a) service and activity identification and linkage;(b) assistance to participate in social interactions (in‑person or online);(c) assistance to visit services or participate in telephone and web‑based check‑in services;but not including the excluded costs specified in subsection (2)
3 Accompanied activities Accompanying the individual to facilitate:(a) meeting the individual’s need for social contact or company or participation in community life (including diverse cultural activities), but not including the excluded costs specified in subsection (2); or(b) the individual’s attendance at medical or other appointments, but not including the cost of the appointments
4 Cultural support Culturally focused support to facilitate meeting the individual’s need for social contact or company or participation in community life (including diverse cultural activities), including the following:(a) service and activity identification and linkage;(b) assistance to access translating and interpreting services and translation of information into the individual’s chosen language;(c) referral pathways to advocacy or community organisations;(d) assistance in attending cultural and community events;but not including the excluded costs specified in subsection (2)
5 Digital education and support Technology‑focused support to facilitate meeting the individual’s need for social contact or company or participation in community life (including diverse cultural activities), including provision of or assistance with access to training, or direct assistance in the use of technologies to improve digital literacy to aid independence and participation (such as paying bills online, accessing telehealth services and connecting with digital social programs), but not including the purchase of smart devices for the purpose of online engagement
6 Assistance to maintain personal affairs Support for maintaining the individual’s financial and legal affairs to facilitate meeting the individual’s need for social contact or company or participation in community life (including diverse cultural activities), but not including service fees (such as funeral plans or accountant’s fees)
7 Expenses to maintain personal affairs An internet or phone service (or both) for an individual who is homeless or is at risk of homelessness, and who needs support to maintain connection to funded aged care services

Services in the service type equipment and products
1 Managing body functions items (non‑loan) A service:(a) that consists of the sourcing, supply and provision to the individual, other than on loan, of included managing body functions items; and(b) to which at least one of the subparagraphs in paragraph 67(1)(b) of the Act applies
2 Managing body functions items (loan) A service:(a) that consists of the sourcing, supply and provision to the individual, on loan, of included managing body functions items; and(b) to which at least one of the subparagraphs in paragraph 67(1)(b) of the Act applies
3 Self‑care items (non‑loan) A service:(a) that consists of the sourcing, supply and provision to the individual, other than on loan, of included self‑care items; and(b) to which at least one of the subparagraphs in paragraph 67(1)(b) of the Act applies
4 Self‑care items (loan) A service:(a) that consists of the sourcing, supply and provision to the individual, on loan, of included self‑care items; and(b) to which at least one of the subparagraphs in paragraph 67(1)(b) of the Act applies
5 Mobility items (non‑loan) A service:(a) that consists of the sourcing, supply and provision to the individual, other than on loan, of included mobility items; and(b) to which at least one of the subparagraphs in paragraph 67(1)(b) of the Act applies
6 Mobility items (loan) A service:(a) that consists of the sourcing, supply and provision to the individual, on loan, of included mobility items; and(b) to which at least one of the subparagraphs in paragraph 67(1)(b) of the Act applies
7 Domestic life items (non‑loan) A service:(a) that consists of the sourcing, supply and provision to the individual, other than on loan, of either or both of the following:(i) included domestic life items;(ii) conditionally included domestic life items, if the conditions specified for the items in the AT‑HM List are satisfied; and(b) to which at least one of the subparagraphs in paragraph 67(1)(b) of the Act applies
8 Domestic life items (loan) A service:(a) that consists of the sourcing, supply and provision to the individual, on loan, of either or both of the following:(i) included domestic life items;(ii) conditionally included domestic life items, if the conditions specified for the items in the AT‑HM List are satisfied; and(b) to which at least one of the subparagraphs in paragraph 67(1)(b) of the Act applies
9 Communication and information management items (non‑loan) A service that:(a) consists of the sourcing, supply and provision to the individual, other than on loan, of either or both of the following:(i) included communication and information management items, other than items that the individual is able to access under the Hearing Services Program administered by the Department;(ii) conditionally included communication and information management items, if the conditions specified for the items in the AT‑HM List are satisfied and the individual is not able to access the items under the Hearing Services Program administered by the Department; and(b) to which at least one of the subparagraphs in paragraph 67(1)(b) of the Act applies
10 Communication and information management items (loan) A service that:(a) consists of the sourcing, supply and provision to the individual, on loan, of either or both of the following:(i) included communication and information management items, other than items that the individual is able to access under the Hearing Services Program administered by the Department;(ii) conditionally included communication and information management items, if the conditions specified for the items in the AT‑HM List are satisfied and the individual is not able to access the items under the Hearing Services Program administered by the Department; and(b) to which at least one of the subparagraphs in paragraph 67(1)(b) of the Act applies
11 Assistive technology prescription and clinical support Either:(a) the following, delivered by a registered health practitioner or an allied health professional:(i) identifying an issue or problem that restricts the individual’s physical, functional or cognitive ability;(ii) assessing the level of assistive technology needed for the individual to regain or maintain physical, functional or cognitive ability;(iii) identifying included AT‑HM items and conditionally included AT‑HM items (other than included home modifications items) that will assist the individual to regain or maintain physical, functional or cognitive ability; or(b) any of the following wraparound activities for the supply to an individual of an included AT‑HM item or a conditionally included AT‑HM item under a service listed and described in any of items 1 to 10 of this table:(i) setting up, fitting or providing training on the use of the item;(ii) providing support and troubleshooting to minimise abandonment of the item;(iii) maintenance and follow up for the item (including evaluating the effects on the individual’s functioning);(iv) if the supply of the item to the individual is covered by a service listed and described in any of item 2, 4, 6, 8 or 10 of this table—maintenance, repair and refurbishment of the item or, at the end of the item’s safe working life, disposal of the item;(v) administrative activities relating to the supply of the item

Services in the service type residential everyday living
1 Operational administration and emergency assistance The following:(a) administration relating to:(i) the delivery of the other services listed and described in this table; and(ii) service agreements;(b) emergency assistance, including the following:(i) at all times, having at least one suitable employee of the registered provider onsite and able to take action in an emergency;(ii) if an individual is in need of urgent medical attention—providing emergency assistance in accordance with the registered provider’s protocol for providing such assistance;(iii) activation of emergency plans in the case of fire, floods or other emergency;(iv) contingency planning for emergencies;(v) staff training for emergencies
2 Communication services Access for individuals to an external telecommunications mechanism in the residential care home (and in individuals’ rooms if requested), such as telephone, internet or wi‑fi services, but not including any usage charges or device costs
3 Utilities The following:(a) utility running costs for the residential care home (such as electricity, water and gas);(b) heating and cooling for bedrooms and common areas to a comfortable temperature;(c) testing and tagging of all electrical equipment provided by the registered provider;but not including electrical equipment brought into the residential care home by individuals
4 Cleaning services and waste disposal The following:(a) cleanliness and tidiness of the entire residential care home, including the individual’s personal area unless the individual chooses to and is able to maintain their personal area themselves;(b) safe disposal of organic and inorganic waste material
5 Communal furnishings Fit‑for‑purpose communal lounge and dining furniture, including the following:(a) televisions;(b) if the residential care home has a communal outdoor space—outdoor furniture
6 Bedroom and bathroom furnishings The following (other than bedroom and bathroom furnishings that are customised or that the individual chooses to provide):(a) a bed and a mattress that meet the individual’s care, safety and comfort needs, including, if required, a bed that is adjustable to cater for the individual’s needs and accommodates the individual’s height and weight;(b) equipment or technologies used to ensure the safety of the individual in bed and to avoid injury to the individual and to aged care workers;(c) pillows (including, if required, pressure cushions, tri pillows and wedge pillows);(d) a bedside table, bedside locker or bedside chest of drawers, wardrobe space, draw screens (for shared rooms), a visitor chair (if required) and an over bed table (if required);(e) a fixture or item of furniture where the individual can safely lock and store valuables, if this is not provided by the furniture items mentioned in paragraph (d);(f) a chair, with arms, that meets the individual’s care, safety and comfort needs, including, if required, a chair with particular features, such as an air, water or gel chair;(g) a shower chair (if required), containers for personal laundry, and waste collection containers or bins for bedrooms and bathrooms;(h) bed linen, blankets or doonas, air or ripple mattresses (if required), absorbent or waterproof covers, sheeting and bed pads (if required), bath towels, hand towels and face washers;(i) laundering of all products mentioned in paragraph (h)
7 Toiletry goods The supply of the following goods (or substitutes if needed to meet the individual’s medical needs, including specialist products for conditions such as dermatitis) but not including alternative items requested on the basis of the individual’s personal preferences:(a) facial cleanser (or alternatives such as facial wipes), shower gel or soap, shower caps, shampoo and conditioner;(b) toothpaste, toothbrushes and mouthwash;(c) hairbrush or comb, shaving cream and disposable razors;(d) tissues and toilet paper;(e) moisturiser and deodorant;(f) cleaning products for dentures, hearing aids, glasses and artificial limbs (and their storage containers)
8 Personal laundry The following:(a) laundering (other than by a special cleaning process such as dry cleaning or hand washing) items that can be machine washed, using laundry detergents that meet the individual’s medical needs, such as skin sensitivities;(b) if requested, ironing of machine washed clothes (other than underwear and socks);(c) a labelling system for the individual’s clothing, but not including alternate labelling systems requested on the basis of the individual’s personal preferences;(d) return of personal laundry to the individual’s clothing storage space
9 Meals and refreshments The following:(a) at least 3 meals served each day (including the option of dessert with either lunch or dinner) plus morning tea, afternoon tea and supper, of adequate variety, quality and quantity to meet the individual’s nutritional and hydration needs;(b) special diets where required to meet the individual’s medical, cultural or religious needs, including but not limited to enteral feeding, nutritional supplements, texture modified meals and thickened fluids, diets to address food allergies and intolerances, and vegetarian, vegan, kosher and halal diets (but not for meeting the individual’s social preferences on food source such as non‑genetically modified and organic);(c) reasonable flexibility in mealtimes, if requested, so the individual can exercise choice;(d) a variety of non‑alcoholic beverages available at all times (such as water, milk, fruit juice, tea and coffee);(e) eating and drinking utensils and eating aids if needed;(f) snack foods of adequate variety, including fruit and options suitable for texture modified diets, available at all times in the residential care home

Services in the service type residential non‑clinical care
1 Care and services administration Administration related to:(a) the delivery of the other services listed and described in the other items of this table; and(b) the delivery of the services in the service type residential clinical care
2 Personal care assistance Personal assistance, including individual attention, individual supervision and physical assistance, with the following:(a) bathing, showering, personal hygiene and grooming (other than hairdressing);(b) dressing, undressing and using dressing aids;(c) eating and drinking, and using utensils and eating aids (including actual feeding if necessary);(d) cleaning of personal items (and their storage containers) needed for daily living, including dentures, hearing aids, glasses, mobility aids and artificial limbs
3 Communication Assistance with daily communication, including the following:(a) assistance to address difficulties arising from impaired hearing, sight or speech, cognitive impairment, or lack of common language (for example, visual aids such as cue cards, paper‑based photo or alphabet spelling communication boards or books, photo based easy language written information, and menu and activity choice boards or learning of key phrases);(b) fitting sensory communication aids and checking hearing aid batteries
4 Emotional support The following:(a) if the individual is experiencing social isolation, loneliness or emotional distress—ongoing emotional support to, and supervision of, the individual (including pastoral support);(b) if the individual is new to the residential care home—assisting the individual to adjust to their new living environment;(c) provision of culturally safe supports that have been determined in consultation with the individual and their supporters (if required)
5 Mobility and movement needs The following (other than the provision of motorised wheelchairs, electric mobility scooters, customised aids, or mobility aids requested on the basis of the individual’s personal preferences):(a) assisting the individual with moving, walking and wheelchair use;(b) assisting the individual with using devices and appliances designed to aid mobility;(c) the fitting of artificial limbs and other personal mobility aids;(d) supply and maintenance of crutches, quadruped walkers, walking frames, wheeled walkers, standing walkers, walking sticks, wheelchairs and tilt‑in‑space chairs;(e) aids and equipment used by aged care workers to move the individual, including for individuals with bariatric needs;taking into account:(f) the individual’s care, safety and comfort needs; and(g) the individual’s ability to use aids, appliances, devices and equipment; and(h) the safety of other individuals and of aged care workers and visitors to the residential care home
6 Continence management The following:(a) assisting the individual to:(i) maintain continence or manage incontinence; and(ii) use aids and appliances designed to assist continence management;(b) the supply of aids and appliances designed to assist continence management to meet the individual’s needs, including the following:(i) commode chairs, over‑toilet chairs, bed‑pans, uridomes, and catheter and urinary drainage appliances;(ii) as many continence aids (such as disposable urinal covers, pants, pads, chair pads and enemas) as are needed to meet the individual’s needs
7 Recreational and social activities Tailored recreational programs and leisure activities (including communal recreational equipment and products) aimed at preventing loneliness and boredom, creating an enjoyable and interesting environment, and maintaining and improving the social interaction of the individual. These programs and activities must include the option of:(a) at least one recreational or social activity each day that is not screen‑based, television‑based or meal‑based; and(b) regular outings into the community (but not including the cost of entry tickets, transport or purchased food and beverages associated with the outings)

Services in the service type residential clinical care
1 Care and services plan oversight Ensuring that:(a) the individual’s care and services plan is carried out; and(b) progress against the care and services plan goals is monitoredNote: For requirements for care and services plans, see paragraph 148(e) of the Act and Subdivisions A and D of Division 3 of Part 4 of Chapter 4 of this instrument. For Aged Care Quality Standards for care and services plans, see subsections 15‑20(1) to (3) of this instrument.
2 Allied health, rehabilitation and therapeutic exercise therapy programs Allied health, rehabilitation and therapeutic exercise therapy programs that are:(a) designed by:(i) appropriate registered health practitioners; or(ii) appropriate allied health professionals; or(iii) appropriate registered health practitioners and appropriate allied health professionals; and(b) designed in consultation with the individual and their supporters (if required); and(c) delivered in individual or group settings; and(d) delivered by, or under the supervision, direction or appropriate delegation of:(i) registered health practitioners; or(ii) allied health professionals; or(iii) registered health practitioners and allied health professionals; and(e) aimed at maintaining and restoring the individual’s physical, functional and communication abilities to perform daily tasks for themselves, including through:(i) maintenance therapy that is designed to provide ongoing therapy services to prevent reasonably avoidable physical and functional decline and maintain and improve levels of independence in everyday living; and(ii) if required, more focused restorative care therapy on a time‑limited basis that is designed to allow the individual to reach a level of independence at which maintenance therapy will meet their needs;but not including the following:(f) intensive, long‑term rehabilitation services required following (for example) serious illness or injury, surgery or trauma;(g) allied health services and appointments made for or by the individual or their supporters that are in addition to those required to meet the individual’s care needs under programs covered by paragraphs (a) to (e)
3 Medication management The following:(a) implementation of a safe and efficient system to manage prescribing, procuring, dispensing, supplying, packaging, storing and administering of both prescription and over‑the‑counter medicines;(b) administration and monitoring of the effects of medication (via all routes (including injections)), including supervision and physical assistance with taking both prescription and over‑the‑counter medication, under the delegation and clinical supervision of a registered nurse or other appropriate registered health practitioner;(c) reviewing the appropriateness of medications as needed under the delegation and clinical supervision of a registered nurse, or other appropriate registered health practitioner;but not including the cost of prescription and over‑the‑counter medications
4 Nursing Services provided by or under the supervision of a registered nurse, including but not limited to the following:(a) initial comprehensive clinical assessment for input to the care and services plan for the individual, carried out:(i) in line with the individual’s needs, goals and preferences; and(ii) by a registered nurse; and(iii) if required, in consultation with other appropriate registered health practitioners, appropriate allied health professionals, or appropriate registered health practitioners and appropriate allied health professionals;(b) ongoing regular comprehensive clinical assessment of the individual, including identifying and responding appropriately to change or deterioration in function, behaviour, condition or risk, carried out:(i) in line with the individual’s needs, goals and preferences; and(ii) by a registered nurse, or an enrolled nurse under appropriate delegation by a registered nurse; and(iii) if required, in consultation with other appropriate registered health practitioners, appropriate allied health professionals, or appropriate registered health practitioners and appropriate allied health professionals;(c) all other nursing services, carried out:(i) by a registered nurse, or an enrolled nurse under appropriate delegation by a registered nurse; and(ii) if required, in consultation with other appropriate registered health practitioners, appropriate allied health professionals, or appropriate registered health practitioners and appropriate allied health professionalsNote 1: Examples of services include (but are not limited to) the following:(a) ongoing monitoring and evaluation of the individual, and identification where care may need to be escalated or altered due to the changing health or needs of the individual;(b) maintaining accurate, comprehensive, and up‑to‑date clinical documentation of the individual’s care;(c) assistance with, or provision of support for, personal hygiene, including oral health management and considerations for bariatric care needs;(d) chronic disease management, including blood glucose monitoring;(e) if the individual is living with cognitive decline—support and supervision of the individual;(f) if the individual is living with mental health decline—support and supervision of the individual;(g) establishment and supervision of a pain management plan, including the management and monitoring of chronic pain;(h) medication management (as listed and described in item 3 of this table);(i) insertion, maintenance, monitoring and removal of devices, including intravenous lines, naso‑gastric tubes, catheters and negative pressure devices;(j) if the individual has identified feeding and swallowing needs—support for the individual;(k) skin assessment and the prevention and management of pressure injury wounds;(l) establishment and supervision of a continence management plan;(m) stoma care;(n) wound management, including of complex and chronic wounds;(o) provision of bandages, dressings, swabs, saline, drips, catheters, tubes and other medical items required as a part of nursing services;(p) assistance with, and ongoing supervision of, breathing, including oxygen therapy, suctioning of airways and tracheostomy care;(q) required support and observations for peritoneal dialysis treatment;(r) assisting or supporting an individual to use appropriate healthcare technology in support of their care, including telehealth;(s) risk management relating to infection prevention and control;(t) advance care planning, palliative care and end‑of‑life care.Note 2: For requirements for care and services plans, see paragraph 148(e) of the Act and Subdivisions A and D of Division 3 of Part 4 of Chapter 4 of this instrument. For Aged Care Quality Standards for care and services plans, see subsections 15‑20(1) to (3) of this instrument.
5 Dementia and cognition management If the individual has dementia or other cognitive impairments:(a) development of an individual therapy and support program designed and carried out to:(i) prevent or manage a particular condition or behaviour; and(ii) enhance the individual’s quality of life; and(iii) enhance care for the individual; and(b) ongoing support (including specific encouragement) to motivate or enable the individual to take part in general activities of the residential care home (if appropriate)
6 General access to medical and allied health services The following:(a) making arrangements for registered health practitioners to visit the individual for any necessary registered health practitioner appointments (but not the cost of the appointments or any gap payments charged for the appointments);(b) making arrangements for the individual to attend any necessary registered health practitioner appointments (but not the cost of the appointments or any gap payments charged for the appointments, or transport or escort costs);(c) if required, making arrangements for allied health professionals to visit the individual, or for the individual to visit an allied health professional, for any services or appointments mentioned in paragraph (f) of item 2 of this table (but not the cost of the appointments or any gap payments charged for the appointments, or transport or escort costs);(d) if required, provision of audio‑visual equipment for use with telehealth appointments;(e) arranging for an ambulance in emergency situations

1 CHSP class Any of the following:(a) the individual:(i) has a functional independence score of 42‑48; and(ii) has a needs met score of 35 or 36;(b) the individual:(i) has a functional independence score of 42‑48; and(ii) has a needs met score of 0‑34;(c) the individual:(i) has a functional independence score of 35‑41; and(ii) has a needs met score of 31‑36;(d) the individual:(i) has a functional independence score of 35‑41; and(ii) has a needs met score of 0‑30; and(iii) does not have significant compounding factors
2 SAH class 1 Either:(a) the individual:(i) has a functional independence score of 35‑41; and(ii) has a needs met score of 0‑30; and(iii) has significant compounding factors; or(b) the individual:(i) has a functional independence score of 30‑34; and(ii) has a needs met score of 30‑36; and(iii) does not have significant compounding factors
3 SAH class 2 Either:(a) the individual:(i) has a functional independence score of 30‑34; and(ii) has a needs met score of 30‑36; and(iii) has significant compounding factors; or(b) the individual:(i) has a functional independence score of 30‑34; and(ii) has a needs met score of 0‑29; and(iii) does not have significant compounding factors
4 SAH class 3 Either:(a) the individual:(i) has a functional independence score of 30‑34; and(ii) has a needs met score of 0‑29; and(iii) has significant compounding factors; or(b) the individual:(i) has a functional independence score of 25‑29; and(ii) has a needs met score of 28‑36; and(iii) does not have significant compounding factors
5 SAH class 4 Either:(a) the individual:(i) has a functional independence score of 25‑29; and(ii) has a needs met score of 28‑36; and(iii) has significant compounding factors; or(b) the individual:(i) has a functional independence score of 25‑29; and(ii) has a needs met score of 0‑27; and(iii) does not have significant compounding factors
6 SAH class 5 Either:(a) the individual:(i) has a functional independence score of 25‑29; and(ii) has a needs met score of 0‑27; and(iii) has significant compounding factors; or(b) the individual:(i) has a functional independence score of 0‑24; and(ii) has a needs met score of 29‑36; and(iii) does not have significant compounding factors
7 SAH class 6 Either:(a) the individual:(i) has a functional independence score of 0‑24; and(ii) has a needs met score of 29‑36; and(iii) has significant compounding factors; or(b) the individual:(i) has a functional independence score of 0‑24; and(ii) has a needs met score of 23‑28; and(iii) does not have significant compounding factors
8 SAH class 7 Either:(a) the individual:(i) has a functional independence score of 0‑24; and(ii) has a needs met score of 23‑28; and(iii) has significant compounding factors; or(b) the individual:(i) has a functional independence score of 0‑24; and(ii) has a needs met score of 0‑22; and(iii) does not have significant compounding factors
9 SAH class 8 The individual:(a) has a functional independence score of 0‑24; and(b) has a needs met score of 0‑22; and(c) has significant compounding factors

Kinds of registered providers and changes
Item Column 1 Kind of registered providers Column 2 Kinds of changes
1 every kind of registered provider a change referred to in section 167‑20 relating to the provider’s suitability to be a registered provider
2 every kind of registered provider a change referred to in section 167‑25 relating to the suitability of a responsible person of the provider
3 every kind of registered provider a change referred to in section 167‑30 of responsible persons of the provider
4 every kind of registered provider a significant change referred to in section 167‑35 relating to the organisation arrangements of the provider
5 a registered provider to whom section 157 of the Act applies a change referred to in section 167‑40 relating to the governance arrangements of the provider
6 every kind of registered provider a change referred to in section 167‑45 relating to the scale of operations of the provider
7 a registered provider registered in the following provider registration categories:(a) home and community services;(b) assistive technology and home modifications;(c) advisory and support services;(d) personal and care support in the home or community;(e) nursing and transition care a change referred to in section 167‑50 relating to intended service types
8 a registered provider registered in the following provider registration categories:(a) personal and care support in the home or community;(b) nursing and transition care;(c) residential care a change referred to in section 167‑55 relating to associated providers
9 every kind of registered provider, except government entities a change referred to in section 167‑60 relating to financial and prudential matters, except a change prescribed in item 10 of this table
10 a registered provider that:(a) is registered in the provider registration category residential care; and(b) is not a government entity or a local government authority; and(c) is not delivering aged care services through the specialised aged care program NATSIFACP a change referred to in section 167‑65 relating to liquidity
11 a registered provider registered in the provider registration category residential care a change referred to in section 167‑70 relating to approved residential care homes

Item	Column 1 If the classification level of the individual is …	Column 2 the NWAU is …
1	Respite Class 0	0.574
2	Respite Class 1	0.405
3	Respite Class 2	0.574
4	Respite Class 3	0.714

Requirements and amount
Item Column 1 If the approved residential care home in which the registered provider delivered a funded aged care service to the individual on the day meets the following requirements … Column 2 the amount is …
1 The approved residential care home:(a) has specialised Aboriginal or Torres Strait Islander status; and(b) is located in the 2023 MM category known as MM 7 The amount worked out using the formula in subsection (2) if it were assumed that the NWAU were 1.80
2 The approved residential care home:(a) has specialised Aboriginal or Torres Strait Islander status; and(b) is located in the 2023 MM category known as MM 6 The amount worked out using the formula in subsection (2) if it were assumed that the NWAU were 0.78
3 All of the following apply:(a) the approved residential care home does not have specialised status;(b) the approved residential care home is located in the 2023 MM category known as MM 6 or the 2023 MM category known as MM 7;(c) the number of operational beds in respect of the approved residential care home is less than 30 The amount worked out using the formula in subsection (2) if it were assumed that the NWAU were 0.68
4 All of the following apply:(a) the approved residential care home does not have specialised status;(b) the approved residential care home is located in the 2023 MM category known as MM 6 or the 2023 MM category known as MM 7;(c) the number of operational beds in respect of the approved residential care home is 30 or more The sum of the following amounts:(a) the amount worked out using the formula in subsection (2) if it were assumed that the NWAU were 0.68 and that the number of operational beds were 29;(b) the amount worked out using the formula in subsection (2) if it were assumed that the NWAU were 0.52 and that the number of operational beds were reduced by 29
5 The approved residential care home:(a) does not have specialised status; and(b) is located in the 2023 MM category known as MM 4 or the 2023 MM category known as MM 5 The amount worked out by multiplying the national efficient price by the NWAU of 0.58
6 The approved residential care home has specialised homeless status The amount worked out by multiplying the national efficient price by the NWAU of 0.92
7 The approved residential care home:(a) does not have specialised status; and(b) is located in the 2023 MM category known as MM 2 or the 2023 MM category known as MM 3 The amount worked out by multiplying the national efficient price by the NWAU of 0.53
8 The approved residential care home:(a) does not have specialised status; and(b) is located in the 2023 MM category known as MM 1 The amount worked out by multiplying the national efficient price by the NWAU of:(a) for a day before 1 April 2026—0.50; or(b) for a day on or after 1 April 2026—0.387