Payment statements for Home Care subsidy
View and print payment statements that show the Australian Government subsidy paid for care recipients receiving a home care package in the specified month.
You can view and print your monthly payment statement on the Aged Care Online Claiming system. Or we can give you a printed payment statement with your new claim form, after a paper claim remittance and calculation.
Payment statements include all of the following:
- the month and year the payment statement was printed, shown at the top of each page
- the date the payment statement was last revised and reprinted, shown at the bottom of each page
- provider information on the front page
- detailed information about care recipients to allow payments to be reconciled, shown in the body of the statement
- a payment summary of total subsidies and supplements paid for home care packages, shown on the back page.
The provider information includes all of the following:
- provider ID
- provider name
- Australian Business Number (ABN)
- service ID
- service name
- postal address.
If you need to update your details go to the Department of Health website.
Care recipient information
This image of the top section of a payment statement shows both:
- the service ID, service name and date of statement on the top left hand side
- basic admission details that identify the care recipient and their date of entry and departure, if applicable, on the right hand side.
Payment details for each care recipient of the service are listed in the body of the payment statement.
An adjustment is a payment or recovery amount applied to a service. Adjustments are made because of a reported event or change of circumstance that occurred in a previous claim period. This can include:
- leave events
- changes in the level of care (before 27 February 2017)
- changes in means test information
- reporting the Commonwealth portion of unspent home care amounts (CW Unspent Amount)
- changes to eligibility for supplements e.g. Dementia and Cognition Supplement, Veterans’ Supplement, Oxygen Supplement, Enteral Feeding Supplement or Viability Supplement.
The adjustment can be a one-off payment or recovery, or applied over a number of claim months.
The Adjustment Claim Period shows the month and year the adjustment was made. It’s applied to the amount due for the care recipient to give a total credit amount. This can be positive or negative.
The payment statement can show an Original Entitlement for the same period as the Adjustment Entitlement. The Original Entitlement reverses the original amount paid, and the Adjustment Entitlement applies the correct amount to be paid. The difference is the adjusted amount. It appears in the payment summary as adjustments for previous claim periods.
The payment statement also includes all of the following:
- details of the level of care and the payment type received, such as basic subsidy or supplements
- the remaining entitlement available to the care recipient – allocations are reset on 1 July each year
- details of any unpaid and reduced payment for leave the care recipient has taken
- the care recipient’s total paid care days for the month and their remaining leave days.
The payment statement also includes the number of days a care recipient leaves your service for any of the following:
- transition care.
The leave codes used are:
- RESP: respite care
- HOSP: hospital care
- TC: transition care
- SOC: social care.
We pay a subsidy for leave taken. The amount for social leave and respite care is capped. Each financial year, care recipients are entitled to both of the following:
- 28 cumulative days of social leave
- 28 cumulative days of leave for residential respite care.
We work out the total amount due by applying the care recipient’s eligible daily rate against the number of paid care days. If the care recipient took reduced payment leave, we apply the reduced rate for the leave days. The reduced rate is 25% of the basic subsidy rate.
The payment summary at the end of the statement is a summary of all subsidies, supplements, adjustments and advances. These contribute to the total amount paid to you for the month.
This image of the payment summary shows both:
- the total subsidy and supplements amount, which is a summary of the basic subsidy calculated and includes all applicable supplements
- the subtotal, which applies any adjustments, CW Unspent Amounts, refunds and reductions to the total subsidy and supplements amount.
We subtract any previous advances or outstanding balances from the subtotal to get the overall due or heldover amount.
You get a heldover amount if the net effect of the calculations is a negative amount. This is an outstanding balance we recover from you in the next claim cycle. For example, if you received an advance payment of $10,000 for January 2016 but the calculated claim entitlement was actually $9,000, you’d have a heldover amount of $1,000.
The total amount to be remitted to you is the amount we pay you for the service in that month. The payment due is paid into your nominated account 2 to 5 business days after your claim is approved.
Page last updated: 16 September 2019
This information was printed 29 September 2020 from https://www.servicesaustralia.gov.au/organisations/health-professionals/subjects/payment-statements-home-care-subsidy. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/individuals/site-notices when using this material.