Questions & Answers [Q & A] - Permanent Residential Aged Care

Question

Answer

[1]

What documents do I need to provide to the home?

  • ACCR - Aged Care Client Record, or MyAged Care Support Plan

    • this is an assessment conducted by Aged Care Assessment Teams

    • the ACCR/Plan confirms that the person is eligible for admission to residential aged care

  • Income & Asset Assessment

    • application for this assessment is made to Centrelink

    • information must be provided on the assets and income from all sources, including the aged care pension, of the older person

    • the Income & Asset Assessment is used by the Department of Health & Ageing and Medicare to determine the rate of several fees

    • completion of the application and provision to the residential aged care home, is voluntary

    • if an Income & Asset Assessment is not provided to the residential aged care home, higher fees will be payable

[2]

When do I need to provide the documentation?

  • The ACCR/Plan must be provided to us when making an enquiry / inspection of our home

  • this enables us to determine whether the person [a] is eligible for residential aged care, and [b] whether we can meet the assessed / identified care needs of the person

  • We request that the Income & Asset Assessment be provided before a bed/room is offered, or the family decides to proceed with the actual admission process

[3]

When do I need to provide the 'Application for Residency'?

  • If families are interested in potentially selecting our home for their relative, an 'Information Folder - Permanent Care' is provided, which contains a broad range of relevant documents, including the 'Application for Residency'

  • If families wish to proceed with a potential admission, the 'Application for Residency' should be completed and returned to us as soon as possible to assist in determining the likely fees/charges payable

[4]

What happens if I do not have / do not wish to apply for an Income & Asset Assessment?

  • If the Assessment has been applied for, but is not available at the time a family decides to proceed with admission, adequate financial information must be provided in the 'Application for Residency' [refer above] to allow us to determine the 'status' of the prospective resident in relation to fees

  • If a family decides not to apply for an Income & Asset Assessment, the highest fees are automatically chargeable

[5]

What is the purpose of an Income & Asset Assessment?

  • To determine whether:

    • a resident is eligible to be 'fully supported', that means her/his accommodation cost are paid by the Commonwealth [no assets and the only income being the aged pension]

    • a resident pays a Means Tested Care Fee [and the rate] and is liable to pay a Refundable Accommodation Deposit to a home

[6]

What is a 'Refundable Accommodation Deposit [RAD]'?

  • The cost of a room / bed advertised by a residential aged care home in their own publications/website, or the myagedcare website

[7]

What is the 'Means Tested Care Fee'?

  • The contribution to the cost of care to be made by the resident based on her/his assets and income

  • Residents without assets and only the pension as sole income, are unlikely to be liable to pay this fee

[8]

What is the 'Daily Accommodation Payment [DAP]'?

  • The DAP is calculated based on the agreed 'Accommodation Price' multiplied by the applicable interest rate [determined by the Department] and divided by 365 days

  • The DAP is considered a 'rental payment' for accommodation, and reimbursement for a RAD/partial RAD not having been paid to the home

  • The DAP does NOT reduce the unpaid balance of the RAD, and is non-refundable

[9]

How do I find out the level of fees my relative will likely have to pay?

Use the 'Fee Estimator' on the myagedcare website, or

request the service to use their fee estimator [if available] based on the financial information provided in the 'Application for Residency'

[10]

Will Arlington ACF admit a resident without an Income & Asset Assessment having been completed/being available?

  • Refer [4] above

  • We will admit a resident without the Income & Asset Assessment, subject to:

    • adequate financial information has been provided in the 'Application for Residency'

    • the family agrees and pays all fees [refer below] irrespective of whether a resident maybe eligible to be 'fully supported'

  • these fees are paid until [a] the Assessment is available, and [b] the Department has written to advise of the fees/rates payable

[11]

What are the fees if the Income & Asset Assessment has not been completed at the time of admission, and it is likely the prospective resident may qualify for being 'fully supported [the Commonwealth pays their accommodation cost]?

  • Based on the financial information provided in the 'Application for Residency', the following fees may apply [irrespective of whether a resident may later qualify as 'fully supported']:

    • Basic Daily Care Fee - payable by all residents irrespective of financial means - as @ 20/09/18 $50.66 p/day

    • Accommodation Supplement - this Supplement is paid by the Commonwealth to the home for 'fully supported' residents - as @ 20/09/18 $56.59 p/day

      • this fee will be charged until [a] the Income & Asset Assessment has been provided, and [b] the Department has determined in writing that the resident is either fully/partially supported

      • once the Department's advice has been received, the fees paid by the resident will be fully or partially refunded

    • Means Tested Care Fee - will only be charged if a rate has been determined by using the Fee Estimator, and adjusted once relevant written advice from the Department has been received

  • The above fees are chargeable from the date of admission and/or from the date a bed/room has been accepted [pre-entry leave]

[12]

What are the fees if it has been decided not to apply for/provide an Income & Asset Assessment?

  • The resident is deemed to be liable to pay the highest fees:

    • Basic Daily Care fee - as @ 20/09/18 $50.66 p/day

    • Means Tested Care Fee - highest rate as per Fee Estimator

    • Daily Accommodation Payment - subject to [a] type of room decided on, [b] Refundable Accommodation Deposit - paid in full/partial

  • The Daily Accommodation Payment [DAP] is non-refundable if the family has [a] decided to pay the full 'Refundable Accommodation Deposit' [RAD] and [b] requires some time to make that payment

  • If the family has decided on a combined RAD/DAP, ie payment of a partial RAD only, [a] the DAP will be calculated on the full RAD amount [until part payment has been paid], [b] the DAP is non-refundable, [c] once part payment of the RAD has been received, the DAP rate will be calculated on the unpaid balance of total RAD

  • Thereafter, the DAP is considered a 'rental' payment for accommodation - refer [8] above

[13]

If a bed/room is offered and I accept the offer - what happens then?

  • A maximum of seven [7] days pre-entry leave can be charged

  • Subject to [a] whether an Income & Asset Assessment has been provided, or [b] the fees can be determined based on the financial information provided in the 'Application for Residency', the daily fees are payable in advance to the last day of the month of admission

  • A 'Resident & Accommodation Agreement' must be signed

  • A Direct Debit Authority must be signed for payment of monthly fees by direct debit to a nominated bank account

  • we will provide an invoice for fees payable to the last day of the month of admission

  • this invoice is payable in advance and will be debited to your nominated bank account by the home on date of admission