Available ongoing home support quarterly account balance
193 Available ongoing home support quarterly account balance
Quarterly ongoing home support accounts
A notional ongoing home support account is established for an individual for the quarter (the first quarter) in which an entry day for the individual occurs for the classification type ongoing for the service group home support, and each subsequent quarter, unless circumstances prescribed by the rules apply.
Initial credit for account for first quarter
The following is credited to the account for the first quarter at the start of the individual’s entry day:
the base individual amount for the individual for the classification type for the service group for the individual for that day multiplied by the remaining days in the quarter (including that day);
the sum of any primary person‑centred supplements for the classification type for the service group that apply to the individual on that day multiplied by the remaining days in the quarter (including that day).
Initial credit for accounts for subsequent quarters
For an account for a quarter other than the first quarter, the following is credited to the account at the start of the first day of that quarter:
the base individual amount for the individual for the classification type for the service group for that day multiplied by the days in the quarter;
the sum of any primary person‑centred supplements for the classification type for the service group that apply to the individual on the day multiplied by the days in the quarter.
Rollover credits
For an account for a quarter other than the first quarter, the amount prescribed by the rules is credited to the account at the earlier of the following:
if the registered provider gives the System Governor notice that the provider has made the provider’s final claim for subsidy for the previous quarter—the day that claim is approved under subsection 251(4);
the day that is 61 days after the last day of the previous quarter.
Credit due to change in classification or full place coming into effect
If:
either:
a decision by the System Governor comes into effect for the individual for the classification type ongoing for the service group home support on a day in a quarter that is after the entry day for the individual; or
a full place comes into effect for the individual for that classification type and service group on a day in a quarter that is after that entry day; and
the base individual amount (the new base individual amount) for the individual for the classification type for the service group is higher as a result of that decision or that place coming into effect;
the account for that quarter is credited with the amount that is the difference between the new base individual amount and the base individual amount for the individual for the classification type ongoing for the service group home support that applied before the decision or place came into effect multiplied by the remaining days in the quarter (including that day).
Credit due to primary person‑centred supplement applying
If a primary person‑centred supplement for the classification type ongoing for the service group home support starts to apply to the individual on a day in a quarter that is after the entry day for the individual, the amount of that person‑centred supplement for the day multiplied by the remaining days in the quarter (including that day) is credited to the account for the quarter.
Debits
If a claim is made under section 251 for person‑centred subsidy for the delivery of an ongoing funded aged care service to the individual on a day, the account is debited in accordance with section 251B immediately after the claim is approved under subsection 251(4).
To avoid doubt, the time at which the account is debited may be a time after the end of the quarter to which the claim relates.
Rules may prescribe circumstances for no credits
Despite subsection (3), (4), (5) or (6), the rules may prescribe circumstances in which a credit which would otherwise be required under that subsection is not to be made.
Ceasing of accounts
A notional ongoing home support account for a quarter ceases in the circumstances prescribed by the rules.
This Act’s bill:Explanatory memorandumSecond reading speech
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