This instrument is the Aged Care (Subsidy, Fees and Payments) Amendment (Multi-Purpose Services Subsidy Increase No. 2) Determination 2024.

(1) Each provision of this instrument specified in column 1 of the table commences, or is taken to have commenced, in accordance with column 2 of the table. Any other statement in column 2 has effect according to its terms.

Commencement information
Column 1	Column 2	Column 3
Provisions	Commencement	Date/Details
1. The whole of this instrument	1 July 2024.	1 July 2024

Note: This table relates only to the provisions of this instrument as originally made. It will not be amended to deal with any later amendments of this instrument.

(2) Any information in column 3 of the table is not part of this instrument. Information may be inserted in this column, or information in it may be edited, in any published version of this instrument.

3 Authority

This instrument is made under the Aged Care Act 1997.

4 Schedules

Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.

Schedule 1—Amendments

Aged Care (Subsidy, Fees and Payments) Determination 2014

1 Section 87 (definition of ARIA value additional amount)

Omit “allocated in respect of”, substitute “for”.

2 Section 87 (table in the definition of ARIA value additional amount)

Repeal the table, substitute:

ARIA value additional amount
Item	ARIA value	Amount ($)
1	0 to 3.51 inclusive	0.00
2	3.52 to 4.66 inclusive	6.16
3	4.67 to 5.80 inclusive	7.38
4	5.81 to 7.44 inclusive	10.32
5	7.45 to 9.08 inclusive	12.38
6	9.09 to 10.54 inclusive	17.34
7	10.55 to 12 inclusive	20.83

3 Section 87

Insert:

effective home care place, for a multi‑purpose service on a day, means a home care place for the service that is an effective place for the service on the day.

effective place: a place allocated to an approved provider in respect of a multi‑purpose service is an effective place for the service on a day if:

(a) on the day, the place is not provisionally allocated; and

(b) the day does not occur in a period (if any) in respect of which the approved provider and the Secretary have agreed, in writing, that the approved provider is unable to provide flexible care in respect of the place.

effective residential care place, for a multi‑purpose service on a day, means a residential care place for the service that is an effective place for the service on the day.

4 Section 87 (definition of high care place)

Repeal the definition.

5 Section 87 (definition of home care place)

Repeal the definition, substitute:

home care place, for a multi‑purpose service, means a place allocated in respect of the service for the provision of care equivalent to home care.

6 Section 87 (definition of low care place)

Repeal the definition.

7 Section 87 (definition of MMM classification additional amount)

Omit “allocated in respect of”, substitute “for”.

8 Section 87 (table in the definition of MMM classification additional amount)

Repeal the table, substitute:

MMM classification additional amount
Item	Modified Monash Model classification	Amount ($)
1	MMM 1	0.00
2	MMM 2	0.00
3	MMM 3	0.00
4	MMM 4	1.19
5	MMM 5	2.62
6	MMM 6	17.34
7	MMM 7	20.83

9 Section 87

Insert:

residential care place, for a multi‑purpose service, means a place allocated in respect of the service for the provision of residential care.

10 Sections 91, 91A and 91B

Repeal the sections, substitute:

91 Amount of flexible care subsidy

The amount of flexible care subsidy payable for a day in respect of flexible care that is provided through a multi‑purpose service is the amount worked out in accordance with the following formula:

where:

ACWSA is the amount worked out by multiplying:

(a) the amount that applies under section 96A for the day for a place for the service; and

(b) the number of effective places for the service on the day.

DCMSA is the amount worked out by multiplying:

(a) the direct care minutes supplement amount that applies under section 93 for the day for a residential care place for the service; and

(b) the number of effective residential care places for the service on the day.

DVEA is the amount worked out by multiplying:

(a) $1.36; and

(b) the number of effective home care places for the service on the day.

HMA is the amount worked out by multiplying:

(a) $47.12; and

(b) the number of effective home care places for the service on the day.

HMAA is the amount worked out by multiplying:

(a) the amount that applies under section 96 for the day for a home care place for the service; and

(b) the number of effective home care places for the service on the day.

OMSA is the amount worked out by multiplying:

(a) $2.81; and

(b) the number of effective places for the service on the day.

RCA is the amount worked out by multiplying:

(a) the amount that applies under section 92 for the day for a residential care place for the service; and

(b) the number of effective residential care places for the service on the day.

RSEA is the respite supplement equivalent amount for the service for the day under section 94.

VEA is the amount worked out by multiplying:

(a) $0.08; and

(b) the number of effective residential care places for the service on the day.

Note 1: DVEA is short for dementia and cognition supplement and veterans’ supplement equivalent amount.

Note 2: HMA is short for home care allowance.

Note 3: OMSA is short for outbreak management support supplement amount.

Note 4: VEA is short for veterans’ supplement equivalent amount.

11 Subparagraph 91C(1)(b)(ii)

Omit “high care places and low care places allocated in respect of the service”, substitute “effective residential care places for the service on the day”.

12 Sections 92 and 93

Repeal the sections, substitute:

92 Applicable amount for residential care place

The amount for a day for a residential care place for a multi‑purpose service is the amount worked out in accordance with the following formula:

where:

B is $148.43.

C is the concessional resident equivalent amount specified in section 101 that relates to the region in which the service is located.

V is the viability supplement equivalent amount for the service for the day.

93 Direct care minutes supplement amount

(1) The direct care minutes supplement amount for a day for a residential care place for a multi‑purpose service is:

(a) if the street address of the service is in a State or Territory covered by subsection (2), and has a Modified Monash Model classification of MMM 5, MMM 6 or MMM 7—the amount (if any) that corresponds to the Modified Monash Model classification for the street address, as set out in the following table; or

(b) if paragraph (a) does not apply—nil.

Direct care minutes supplement amount
Item	Modified Monash Model classification	Amount ($)
1	MMM 5	16.00
2	MMM 6	17.37
3	MMM 7	17.89

(2) This subsection covers a State or Territory that is participating in a trial that aims to ensure that set amounts of direct care are provided through multi‑purpose services to care recipients.

(3) The Secretary must, by notice published on the Department’s website, specify each State or Territory covered by subsection (2).

13 Section 94

Omit “total number of high care places and low care places allocated in respect of the service”, substitute “number of effective residential care places for the service on the day”.

14 Section 94 (table)

Repeal the table, substitute:

Respite supplement equivalent amount
Item	Number of effective residential care places	Amount ($)
1	Less than 11	57.80
2	More than 10 but less than 21	92.48
3	More than 20 but less than 31	104.01
4	More than 30 but less than 41	115.55
5	More than 40	127.15

15 Section 95

Repeal the section.

16 Section 96

Omit “allocated in respect of” (wherever occurring), substitute “for”.

17 Section 96A (table)

Repeal the table, substitute:

Aged care wage supplement amount
Item	Person place allocated to	Amount ($)
1	Churches of Christ Care in Queensland	19.48
2	Huon Eldercare Limited	23.42
3	Norfolk Island Health and Residential Aged Care Services	11.54
4	Any other person	0.00

18 Section 96B

Repeal the section.

19 Section 97 (table)

Repeal the table, substitute:

Viability supplement equivalent amounts—Category A services
Item	Degree of isolation of the service	Number of places allocated in respect of the service	Amount ($)
1	Isolated Remote Area	less than 16	62.09
2	Isolated Remote Area	more than 15 but less than 30	38.18
3	Isolated Remote Area	more than 29	3.87
4	Remote Centre	less than 16	29.65
5	Remote Centre	more than 15 but less than 30	21.06
6	Remote Centre	more than 29	3.87
7	Rural Outside Large Centre	less than 16	12.49
8	Rural Outside Large Centre	more than 15 but less than 30	3.87
9	Rural Outside Large Centre	more than 29	3.87
10	An area not covered by items 1 to 9	not applicable	3.87

20 Section 98 (table)

Repeal the table, substitute:

Viability supplement equivalent amounts—Category B services
Item	Score	Amount ($)
1	40	3.87
2	50	4.32
3	60	12.49
4	70	21.06
5	80	29.65
6	90	38.18
7	100	62.09

21 Section 99 (table)

Repeal the table, substitute:

Viability supplement equivalent amounts—Category C services
Item	Score	Amount ($)
1	50	9.32
2	55	13.97
3	60	20.90
4	65	25.54
5	70	37.26
6	75	46.42
7	80	57.99
8	85	69.71
9	90	81.27
10	95	90.55
11	100	102.17

22 Section 99A (table)

Repeal the table, substitute:

Viability supplement equivalent amounts—Category D services
Item	Score	Amount ($)
1	50	9.32
2	55	13.97
3	60	20.90
4	65	25.54
5	70	37.26
6	75	46.42
7	80	57.99
8	85	69.71
9	90	81.27
10	95	90.55
11	100	102.17

23 Section 101 (table)

Repeal the table, substitute:

Concessional resident equivalent amounts
Item	Region in which multi‑purpose service is located	Amount ($)
	New South Wales
1	Central Coast	13.42
2	Central West	11.52
3	Far North Coast	12.23
4	Hunter	13.55
5	Illawarra	12.52
6	Inner West	13.99
7	Mid North Coast	12.82
8	Nepean	12.48
9	New England	8.26
10	Northern Sydney	8.06
11	Orana Far West	15.07
12	Riverina Murray	13.41
13	South East Sydney	13.04
14	Southern Highlands	14.12
15	South West Sydney	15.78
16	Western Sydney	12.60
	Victoria
17	Barwon South Western	8.22
18	Eastern Metro	7.43
19	Gippsland	7.80
20	Grampians	13.76
21	Hume	7.98
22	Loddon‑Mallee	12.70
23	Northern Metro	12.60
24	Southern Metro	8.20
25	Western Metro	8.14
	Queensland
26	Brisbane North	12.27
27	Brisbane South	13.13
28	Cabool	13.19
29	Central West	11.52
30	Darling Downs	14.16
31	Far North	12.29
32	Fitzroy	7.20
33	Logan River Valley	14.35
34	Mackay	12.30
35	Northern	11.96
36	North West	18.00
37	South Coast	13.55
38	South West	12.30
39	Sunshine Coast	8.30
40	West Moreton	13.78
41	Wide Bay	12.57
	South Australia
42	Eyre Peninsula	16.33
43	Hills, Mallee and Southern	14.30
44	Metropolitan East	13.19
45	Metropolitan North	13.38
46	Metropolitan South	13.48
47	Metropolitan West	14.75
48	Mid North	13.43
49	Riverland	14.91
50	South East	13.24
51	Whyalla, Flinders and Far North	13.61
52	Yorke Lower North and Barossa	14.00
	Western Australia
53	Goldfields	7.20
54	Great Southern	8.17
55	Kimberley	17.61
56	Metropolitan East	13.19
57	Metropolitan North	13.38
58	Metropolitan South East	13.48
59	Metropolitan South West	14.75
60	Mid West	16.06
61	Pilbara	17.30
62	South West	12.30
63	Wheatbelt	12.64
	Tasmania
64	Northern	11.96
65	North Western	13.00
66	Southern	13.59
	Northern Territory
67	Alice Springs	19.75
68	Barkly	22.63
69	Darwin	17.00
70	East Arnhem	22.63
71	Katherine	12.29
	Australian Capital Territory
72	Australian Capital Territory	13.90