The approval and non-approval template letters are produced the assessment and delegation process is finalised. Delegates are also required to provide a printed copy of the client’s support plan to the client with the notification letter. Delegates should be aware that the templates include information about the client’s review rights. See Part E Complaints Section 20 and right of review Section 21 that Cease to Have Effect Approvals that Expire A subsidy cannot be paid to an approved provider for providing care to a person, unless the person is approved the Act as a care recipient and has a valid approval. If an approval has expired, the person is no longer approved for care and, if receiving care, is no longer able to receive that care. Approved providers must that the care recipient has a current approval for the care type and level they will be providing when a care recipient: from one service to another changes their care type needs a higher-level of care has a time-limit on their approval has a break in care. ACATs should be aware that a provider cannot receive subsidy for a day where a resident does not have valid approval for the care type received. The ACAT needs to take reasonable steps to ensure clients and providers are aware of any limitations on the approval. ACATs should refer to the Reassessment Table at Appendix 3 as a guide to check to whether an approval is valid or the person requires a reassessment. ACATs and providers are advised to access DHS payments systems to check if an approval has expired. If an ACAT member needs access to the DHS payment system, they should ask their state or territory manager for more information on the process. For difficult cases, ACATs should seek further advice from the Department through their state or territory manager. Administrative errors made by assessment organisations around approvals may result in Act of Grace claims which are managed by the Department of Finance. Approvals that Lapse Approvals for certain types of care can lapse under certain conditions such as if care is not provided within the entry period. This applies to TCP and STRC. For more information on lapsing conditions see Part D 18.1 Transition Care and 18.2 STRC. Approvals for the following types of care do not lapse unless they are time-limited:
The approval and non-approval template letters are produced the assessment and delegation process is finalised. Delegates are also required to provide a printed copy of the client’s support plan to the client with the notification letter. Delegates should be aware that the templates include information about the client’s review rights. See Part E Complaints Section 20 and right of review Section 21 that Cease to Have Effect Approvals that Expire A subsidy cannot be paid to an approved provider for providing care to a person, unless the person is approved the Act as a care recipient and has a valid approval. If an approval has expired, the person is no longer approved for care and, if receiving care, is no longer able to receive that care. Approved providers must that the care recipient has a current approval for the care type and level they will be providing when a care recipient: from one service to another changes their care type needs a higher-level of care has a time-limit on their approval has a break in care. ACATs should be aware that a provider cannot receive subsidy for a day where a resident does not have valid approval for the care type received. The ACAT needs to take reasonable steps to ensure clients and providers are aware of any limitations on the approval. ACATs should refer to the Reassessment Table at Appendix 3 as a guide to check to whether an approval is valid or the person requires a reassessment. ACATs and providers are advised to access DHS payments systems to check if an approval has expired. If an ACAT member needs access to the DHS payment system, they should ask their state or territory manager for more information on the process. For difficult cases, ACATs should seek further advice from the Department through their state or territory manager. Administrative errors made by assessment organisations around approvals may result in Act of Grace claims which are managed by the Department of Finance. Approvals that Lapse Approvals for certain types of care can lapse under certain conditions such as if care is not provided within the entry period. This applies to TCP and STRC. For more information on lapsing conditions see Part D 18.1 Transition Care and 18.2 STRC. Approvals for the following types of care do not lapse unless they are time-limited:
my-aged-care-assessment-manual-june-2018-v1-1.docx