1 Name
This instrument is the Veterans’ Entitlements Treatment Principles Amendment (Sustainability Payments) Determination 2024.
2 Commencement
This instrument commences on the day after the day it is registered.
3 Authority
This instrument is made under subsection 90(5) of the Veterans’ Entitlements Act 1986.
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Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.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
Treatment Principles (No. R52/2013)
1 Paragraph 1.4.1, definition of “approved provider” (first occurring)
after
“approved provider”
insert
, in relation to the Veterans’ Home Care Program (Part 7.3A),
2 After subpart 7.3
insert
7.3AA Sustainability payments—community nursing
7.3AA.1 This subpart deals with a quarterly payment made to a community nursing provider (a sustainability payment):
(a) for the costs incurred by the provider in delivering care coordination and management necessary for the provision of a community nursing service in a quarter taking place between 1 April 2024 and 31 March 2026 (the service period); and
(b) that is to be paid:
(i) as soon as is reasonably practicable after the end of the quarter, within the service period, for the costs incurred in the quarter; and
(ii) between 1 July 2024 and 30 June 2026.
7.3AA.2 The Commission will, on its own initiative, pay a sustainability payment to a community nursing provider, for a quarter within the service period, if:
(a) the provider delivered a community nursing service to an entitled person in accordance with this Part at any time during the quarter; and
(b) the service was delivered under an agreement with the Commission that was in force at the time the eligibility for the payment is determined.
7.3AA.3 A sustainability payment for a quarter within the service period that is payable to a community nursing provider under paragraph 7.3AA.2 is worked out using the following steps:
(a) work out the number of entitled people who received a community nursing service:
(i) from the provider in each calendar month during the quarter; and
(ii) for which the Commission has accepted financial responsibility;
(b) multiply the number worked out under paragraph (a) by the amount determined, in writing, by the Commission for this paragraph.
7.3AA.4 To remove any doubt, for the purposes of paragraph 7.3AA.3(a), an entitled person is counted once for a calendar month even if the person received a community nursing service from a particular provider on more than one occasions in the calendar month.
3 After subpart 7.3A
insert
7.3B Sustainability payments—Veterans’ Home Care Program
7.3B.1 This subpart deals with a quarterly payment made to an approved provider for the Veterans’ Home Care Program (a sustainability payment):
(a) for the costs incurred by the provider in delivering care coordination and management necessary for the provision of a service under the program in a quarter taking place between 1 April 2024 and 31 March 2026 (the service period); and
(b) that is to be paid:
(i) as soon as is reasonably practicable after the end of the quarter, within the service period, for the costs incurred in the quarter; and
(ii) between 1 July 2024 and 30 June 2026.
7.3B.2 The Commission will, on its own initiative, pay a sustainability payment to an approved provider, for a quarter within the service period, if:
(a) the provider delivered a service under the program to an entitled person in accordance with this Part at any time during the quarter; and
(b) the service was delivered under an agreement with the Commission that was in force at the time the eligibility for the payment is determined.
7.3B.3 A sustainability payment for a quarter within the service period that is payable to an approved provider under paragraph 7.3B.2 is worked out using the following steps:
(a) work out the number of entitled people who received a service under the program:
(i) from the provider in each calendar month during the quarter; and
(ii) for which the Commission has accepted financial responsibility;
(b) multiply the number worked out under paragraph (a) by the amount determined, in writing, by the Commission for this paragraph.
7.3B.4 To remove any doubt, for the purposes of paragraph 7.3B.3(a), an entitled person is counted once for a calendar month even if the person received a service under the program from a particular provider on more than one occasions in the calendar month.
