Dementia and Cognition Supplement in Home Care and the Dementia and Severe Behaviours Supplement in Residential Care

Under the aged care reforms, new supplements for care recipients will be introduced into Home Care and residential aged care on 1 August 2013. These include:

  • the Dementia and Cognition Supplement in Home Care; and
  • the Dementia and Severe Behaviours Supplement in Residential Care.

The supplements provide additional financial assistance to Approved Providers in recognition of the additional costs associated with caring for people with cognitive impairment in Home Care and residents with severe behavioural and psychological symptoms of dementia and other conditions in residential aged care.

Supplements for veterans with a mental health condition accepted by the Department of Veterans’ Affairs as associated with their service are also being introduced into Home Care and Residential Aged Care. These are described in a separate fact sheet.

The Dementia and Cognition Supplement in Home Care

Home care recipients who are assessed as having a cognitive impairment may attract the Dementia and Cognition Supplement. The supplement is paid at the rate of 10 % of the basic subsidy payable for each of the four levels of Home Care Package and is indexed annually.

Approved Providers will be able to claim the supplement in respect of an eligible care recipient receiving any level of Home Care Package.

Approved Providers are responsible for assessing a care recipient's eligibility for the supplement. Each assessment must be carried out by a registered nurse, clinical nurse specialist, nurse practitioner or medical practitioner using one of three prescribed assessment tools below. For the KICA, the assessor can be any health practitioner trained in its use.

The three tools are:

  • the Psychogeriatric Assessment Scale (PAS) - Cognitive Impairment Scale, scoring 10 or more;
  • the Rowland Universal Dementia Assessment Scale (RUDAS) for people with first languages and cultures other than English, scoring 22 or less; and
  • the Kimberley Indigenous Cognitive Assessment (KICA) for Aboriginal and Torres Strait Islander people living in remote locations, scoring 33 or less.

Care recipients in receipt of an Extended Aged Care at Home Dementia (EACHD) package will automatically transition to the new Home Care Level 4 package plus the Dementia and Cognition Supplement or the Veterans' Supplement.

Guidance on the use of the tools and scoring thresholds for eligibility are detailed in the Eligibility Guidelines which can be accessed on the Living Longer Living Better website.

How to apply

Approved Providers need to apply for the Dementia and Cognition Supplement in Home Care using the Department of Human Services (DHS) application form. From 1 August 2013, this can be found at: http://www.medicareaustralia.gov.au/provider/aged-care/forms.jsp

The Dementia and Severe Behaviours Supplement in Residential Care

Residents who are assessed as having severe behavioural and psychological symptoms may attract the Dementia and Severe Behaviours Supplement in Residential Care. Approved Providers will be able to claim the supplement in respect of an eligible care recipient, in addition to the basic ACFI subsidy from 1 August 2013.

To attract the Dementia and Severe Behaviours Supplement, the care recipient must firstly have a diagnosis of a relevant medical condition in the 0500 Aged Care Assessment Program (ACAP) list. Secondly, the care recipient must have undergone an assessment of their behaviours using the nursing home version of the Neuropsychiatric Inventory (NPI-NH) assessment tool, and attained the scores outlined in the Eligibility Guidelines, available on the Living Longer Living Better website.

The NPI-NH assessment must be conducted by a registered nurse, clinical nurse specialist, nurse practitioner or medical practitioner.

How to apply

Approved Providers need to apply for the Dementia and Severe Behaviours Supplement in Residential Care using the Department of Human Services (DHS) application form for the supplement. From 1 August 2013, this form can be found at: http://www.medicareaustralia.gov.au/provider/aged-care/forms.jsp

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