resi care journey diagram - ageing and aged care · i m i n g g e t s t a r t e d ... (phone call...

1
5. C o m e n ce c a r e 4. M a n a g e s e r v i ce r e f e r r a l s 8 . C l i e n t a n d o r g a n i s a ti o n a l m a n a g e m e n t 1 . B e co m in g a n a p pr o v e d pr o v i d e r of a g e d c a r e 2 . B ein g a l l o c a t e d r e s i d e n t i a l a g e d c a r e p l a c e s 9 . R e v ie w in g a n d r e p or t in g R e v i e w i n g a n d r e p o r t i ng O n g o i n g A d m i ni s t r a t i o n C l a i m i n g G e t t i n g S t a r t e d P r o v i d i n g a S e r v i c e 3. A c c s s i n g a n d s e t t i n g u p t h e M y A g e d C a r e P r o v i d e r P o r t a l 7 . A c t o i n g a n A C F I n o t i f n i c at i o n 6 . E s t a b l is hi n g c l a i m i n g i 1.1 Complete relevant application form/s - new applicant - existing approved provider 9.1 Submit an annual Aged Care Financial 1.2 Receive decision letter from the Report (ACFR) (including the Annual Department of Health (Health) Prudential Compliance Statement) and 1.3 Complete the My Aged Care Organisation General Purpose Financial Report (GPFR) Administration Form 1.4 Receive confrmation that your services have been set up in the National Approved Provider System (receive NAPS ID) 1.5 Seek accreditation from the Australian 9.2 Participate in re-accreditation audits Aged Care Quality Agency 8.1 Update details: - maintain service information - notify Health of changes including 1.6 Register for claiming of organisational structure, ABN or address 2.1 Apply for new places in an Aged Care subsidies through the Department of Human Allocation Round (ACAR) 8.2 Process a client changing providers Services (DHS) 2.2 Receive a transfer of existing places 8.3 Transfer aged care places from/to another provider 2.3 Operationalise provisionally allocated places: 8.4 Apply for capital grant funding from the - submit progress reports Rural, Regional and Other Special Needs - apply for extensions Building Fund - apply for places to take efect 8.5 Combine services Residential Care 3.1 Request authenticated access 7.1 Receive notifcation from Health of an upcoming ACFI review (phone call and provider portal 3.2 Set up and confgure the provider notifcation) portal at the: My Aged Care 7.2 Submit additional ACFI supporting documentation - organisation level Provider Journey (if requested) - outlet level 7.3 Receive notifcation of review decision through - service item level provider portal 3.3 Create and edit staf details 3.4 Set up preferences for managing 7.4 Request an ACFI reconsideration (where appropriate) tasks and notifcations 4.1 Team Leader receives, views and 6.1 Register a new care recipient (within 28 days actions referral: of care commencement) with DHS by: - submitting an Aged Care Entry Record - accept (ACER) through online claiming - accept to wait list - scanning/emailing completed form - reject - revoke after acceptance 6.2 Appraise a client’s need for care - 4.2 Manage wait lists Aged Care Funding Instrument (within 6.3 Submit a monthly claim for payment 28 days of care commencement) 5.1 Ofer client a Resident Agreement 6.4 Apply for additional supplement funding (if applicable) Residential Care Version 1.0 February 2018 e (Auskey/VANguard) 4.3 Process a new resident’s application 4.4 Add client service information 5.2 Enter into an Accommodation 4.5 Provide client with advice on aged Agreement with the client (within care home fees 28 days of care commencement) 5.3 Admit client and set up their care plan 5.4 Request a review of a client’s Support Plan m Note that although this wheel is reviewed regularly, the information provided is not exhaustive and all approved residential care providers should refer to the Aged Care Act 1997 for guidance on their responsibilities.

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5 Com ence c are

4 Manag e servic e re

ferr

als

8 C

lient

and

org

anis

ational

man

agem

ent

1 Becoming an approved

provider of aged care

2 Being allocated residential

aged care places

9 Reviewing and reporting

Reviewing and reporting

Ong

oing

Adm

inis

tratio

n

Claiming

Getting Started

Providing a Service

3 Acc

ssingand

settingup

the M

y Aged Care

ProviderPortal

7 Acto ing

anACFI notif

n ic ation

6 Es tablishing c laiming

i

11 Complete relevant application forms - new applicant - existing approved provider

91 Submit an annual Aged Care Financial 12 Receive decision letter from the Report (ACFR) (including the Annual Department of Health (Health) Prudential Compliance Statement) and 13 Complete the My Aged Care Organisation General Purpose Financial Report (GPFR) Administration Form

14 Receive confirmation that your services have been set up in the National Approved Provider System (receive NAPS ID)

15 Seek accreditation from the Australian 92 Participate in re-accreditation audits Aged Care Quality Agency

81 Update details - maintain service information - notify Health of changes including 16 Register for claiming of

organisational structure ABN or address 21 Apply for new places in an Aged Caresubsidies through the Department of Human Allocation Round (ACAR)

82 Process a client changing providers Services (DHS) 22 Receive a transfer of existing places

83 Transfer aged care places fromto another provider 23 Operationalise provisionally allocated

places84 Apply for capital grant funding from the

- submit progress reportsRural Regional and Other Special Needs - apply for extensionsBuilding Fund

- apply for places to take effect 85 Combine services

Residential Care 31 Request authenticated access 71 Receive notification from Health of an upcoming

ACFI review (phone call and provider portal 32 Set up and configure the providernotification) portal at theMy Aged Care72 Submit additional ACFI supporting documentation - organisation levelProvider Journey(if requested) - outlet level

73 Receive notification of review decision through - service item level provider portal 33 Create and edit staff details

34 Set up preferences for managing74 Request an ACFI reconsideration (where appropriate) tasks and notifications

41 Team Leader receives views and61 Register a new care recipient (within 28 days actions referralof care commencement) with DHS by

- submitting an Aged Care Entry Record - accept (ACER) through online claiming - accept to wait list

- scanningemailing completed form - reject - revoke after acceptance62 Appraise a clientrsquos need for care -42 Manage wait lists Aged Care Funding Instrument (within

63 Submit a monthly claim for payment

28 days of care commencement)51 Offer client a Resident Agreement

64 Apply for additional supplement funding (if applicable)

Residential Care Version 10 February 2018

e

(AuskeyVANguard)

43 Process a new residentrsquos application

44 Add client service information52 Enter into an Accommodation 45 Provide client with advice on agedAgreement with the client (within

care home fees28 days of care commencement)

53 Admit client and set up their care plan

54 Request a review of a clientrsquos Support Plan

m

Note that although this wheel is reviewed regularly the information provided is not exhaustive and all approved residential care providers should refer to the Aged Care Act 1997 for guidance on their responsibilities