Eligibility for person‑centred subsidy
227 Eligibility for person‑centred subsidy
Subject to subsections (3) and (4), the System Governor must determine that a registered provider is eligible for person‑centred subsidy for a funded aged care service delivered by the registered provider to an individual through the service group residential care on a day if the requirements in subsections (2) and (2A) are met.
General requirements
The requirements are that on the day:
the registered provider’s registration is in effect and covers the funded aged care service; and
the individual has an access approval that is in effect that covers the funded aged care service; and
the individual has been allocated a place for the classification type for the service group under section 92 and the place is in effect; and
the individual has a classification level in effect for the classification type ongoing or short‑term for the service group; and
the funded aged care service is not being delivered to the individual under a specialist aged care program; and
the individual is not excluded (see subsection (5)).
The requirement is that:
unless paragraph (b) applies—the day is on or after the start day specified in a start notification given by the registered provider for delivering ongoing or short‑term funded aged care services to the individual for the service group at an approved residential care home of the provider; or
if the rules prescribe circumstances for the purposes of this paragraph—those circumstances apply.
Circumstances where registered provider not eligible
The System Governor must determine that a registered provider is not eligible for person‑centred subsidy for a day for the service group residential care for an individual if:
the registered provider ceased delivering funded aged care services through the service group to the individual in an approved residential care home on that day (and that day is a different day to the day the provider started delivering those services); and
no other registered provider subsequently started delivering funded aged care services through the service group to the individual in another approved residential care home on that day.
The System Governor must determine that a registered provider is not eligible for person‑centred subsidy for a day for the service group residential care for an individual if:
the provider started delivering funded aged care services though the service group to the individual in an approved residential care home on the day; and
the provider was not the first registered provider to start delivering funded aged care services through the service group to the individual in an approved residential care home on the day.
Excluded individuals
For the purposes of paragraph (2)(g), an individual is excluded in relation to funded aged care services delivered to the individual by a registered provider through the service group residential care in an approved residential care home on the day if:
the number of individuals to whom the registered provider delivered funded aged care services through that service group in that home during that day exceeds the total number of beds covered by the registered provider’s registration for that home (as reduced by any offline beds for that home); and
the individual is in the group of one or more individuals who comprise the excess based on working back from the most recent individual to enter the approved residential care home.
This Act’s bill:Explanatory memorandumSecond reading speech
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