Aged Care Act 2024

For the purposes of obtaining payment, a registered provider must give to the System Governor a claim, in an approved form, for any subsidy that is payable, for the relevant period for the subsidy, to the registered provider under section 250 for a funded aged care service delivered to an individual through a service delivery branch of the registered provider during the relevant period.

The relevant period is:

for person‑centred subsidy for an ongoing funded aged care service delivered to an individual through the service group home support—a quarter; and

for provider‑based subsidy for an ongoing funded aged care service delivered to an individual through the service group home support—a financial year; and

for subsidy for a short‑term funded aged care service delivered to an individual through the service group home support—the maximum period of effect for the individual’s classification level for the classification type for the service group; and

for subsidy for ongoing funded aged care services delivered to an individual through the service group assistive technology—the period prescribed by the rules; and

for subsidy for short‑term funded aged care services delivered to an individual through the service group assistive technology or home modifications—the maximum period of effect for the individual’s classification level for the classification type for the service group.

The claim must be given to the System Governor before the end of:

whichever of the following periods ends first:

the period of 60 days after the end of the relevant period;

the period of 60 days after an event prescribed by the rules occurs; or

if the System Governor determines a longer period for the claim than would otherwise apply under paragraph (a)—that longer period.

Because the claim must be given before the end of the period applicable under this subsection, it can be given at any time before the end of that period, including during the relevant period.

The System Governor must approve the claim for any subsidy that is payable to the registered provider, and give the registered provider a payment summary relating to the claim, as soon as reasonably practicable after the claim is given to the System Governor under subsection (1), unless the System Governor gives a written notice under section 252 to the registered provider in relation to the claim (which deals with registered providers who are not eligible).

To avoid doubt, for the purposes of this section:

multiple claims can be made for a single relevant period; and

claims for multiple days in the same relevant period can be included in a single claim; and

a further claim may be made for an unpaid amount referred to in subsection 250(3).