Payment statements for Residential Care subsidy

View and print monthy payment statements that show the Australian Government subsidy paid for care recipients receiving residential care 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:

  • detailed information about your respite and permanent care recipients
  • a payment summary of total subsidies, adjustments and supplements

Statement features

Provider information

The provider information is listed on the first page of the payment statement and includes the:

  • service number/ID
  • service name
  • approved provider number/ID
  • approved provider name
  • claim month and year

If you need to update your details you can do this on the Department of Health website.  

Care recipient details

Payment details for each of your care recipients are listed in the body of the payment statement and include:

  • care recipient name and ID
  • entry and departure dates
  • details of the level of care and the payment type received
  • leave days
    • 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

Contact us if you think there’s a subsidy missing or the level of care is incorrect.

Leave days

Leave days are the number of days a care recipient leaves your service for respite, hospital, social or 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:

  • 28 cumulative days of social leave
  • 28 cumulative days of leave for residential respite care

To work out the total amount due we apply 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.

Supported resident ratios

The ratio of supported residents is displayed in 2 columns:

  • Service column for all permanent care recipients
  • New column for permanent clients who entered care on or after 20 March 2008

In the Service column, the first number in brackets is the number of care recipients that are concessional, supported and have low means. The second number is a total of all permanent care recipients.

The New column is the number of care recipients that are supported and have low means divided by the number of admissions after 20 March 2008.

In both the Service and New columns, the first number in brackets should never be greater than the second number.

Payment summary

Subsidies and supplements

We’ve listed all supplements that apply in the payment summary. The total subsidy and supplements amount is a summary of the basic subsidy calculated.

The subtotal applies any adjustments, refunds and reductions to the total subsidy and supplements amount. We’ve subtracted any advances or outstanding balances from previous months from the subtotal to get the overall due or held over amount.

A held over amount occurs if the net effect of the calculations results in a negative amount. This amount becomes an outstanding balance that we’ll recover from you in the next claim cycle.

Adjustments

An adjustment is a payment or recovery amount applied to a service. We make adjustments if there’s a reported event or change of circumstance that happened in a previous claim period. Adjustments can include:

  • leave events
  • changes in the level of care (before 27 February 2017)
  • changes in means test information
  • changes to eligibility for supplements, for example Dementia and Cognition Supplement, Veterans’ Supplement, Oxygen Supplement, Enteral Feeding Supplement or Viability Supplement

An 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.

Advance

An advance is based on the claim (subsidy and supplements only) 2 months before the current month, multiplied by days in the current month, divided by days in the month.

For example, an August advance is the June claim (subsidy and supplements) multiplied by 31/30.

The Subsidy/Supplement Subtotal minus the advance equals the total amount paid to the provider. We’ll make the payment into the nominated account within 2 to 5 business days of the claim being approved.

How to view online payment statements

You can view or download current and historical payment statements as they were at the time the corresponding claim was approved.

  1. Log on to Aged Care Online Claiming using your User ID and Password. You must agree to the terms and conditions by selecting I agree to access the main menu.
  2. From the main menu, select Claim Search. To view a payment statement you can:
    • enter the Service ID in the field displayed
    • select the Latest link under View Payment to display the current payment statement for the service
    • select Historical link under View Payment to view a historical payment statement. You’ll need to select the month you want to view
    • select the Latest or Historical link under Download Payment to select a month and export a payment statement in .xml or .csv format

Page last updated: 27 August 2017