Key messages
- The Department of Health fees principles provide a consistent framework within which Home and Community Care Program for Younger People (HACC PYP) providers are to operate.
- The Department of Health fees schedule and income ranges provide a basis for calculating fees for HACC PYP.
- The fees schedule includes the client contribution to costs and the income ranges for low, medium and high fee levels.
Fees policy principles
The following principles provide a consistent framework within which providers are to operate when delivering HACC PYP.
- Inability to pay cannot be used as a basis for refusing a service to people who are assessed as requiring a service.
- Where fees are to be charged, it should be done in accordance with a scale of fees appropriate to the consumer’s level of income, amount of service used, and any changes in circumstances and ability to pay.
- All agencies should charge the full cost of the service where consumers are receiving, or have received, compensation payments intended to cover the cost of care.
- Consumers with similar levels of income (after considering levels of expenditure) and service usage patterns should be charged equivalent fees for equivalent services.
- Fees charged should not exceed the actual cost of service provision. Generally, the fee charged should be all-inclusive and covers all materials used in delivery of the service. Where there is a significant additional cost for material utilised in the provision of a service, a separate fee can be charged.
- Fee collection should be administered efficiently and attempts should be made to minimise the cost of administration.
- The revenue from fees is to be used to enhance and/or expand services.
- Procedures for the determination of fees, including assessment criteria, should be clearly documented and publicly available. The onus is on the service provider to ensure all consumers are aware that this information is available.
- Procedures for determination and collection of fees should take into account the situation of special needs groups.
- Assessment of a person’s capacity to pay fees should be as simple and unobtrusive as possible, with due regard for individual’s privacy. Any information obtained should be treated as confidential.
- Consumers and their advocates have the right of appeal against a given fee determination.
- For the purposes of this policy, solicited donations for services are equivalent to fees and are subject to all provisions of this policy. The implementation of this policy cannot be avoided by using the terms payments or donations instead of fees.
Fees schedule
The Department of Health fees schedule and income ranges provide a basis for calculating fees for HACC PYP.
The schedule of fees breaks fees down by activity, population type, and the fees payable for low, medium and high income Victorians.
Even if a consumer has declared that they are in a particular income level, mitigating circumstances may affect the consumer's ability to pay a fee. In these cases, consumers have the right to have the fee reduced or waived. No one can be denied a service because they are not able to pay fees.
Program fee
Fees should be applied pro rata when part hour services are provided.
| Activity | Low fee (max) | Medium fee (max) | High fee (max) |
|---|---|---|---|
| Allied Health Services (Dietetics, Occupational Therapy, Podiatry, Physiotherapy, Speech Therapy, Counselling) | $11.45 per hour | $15.60 per hour | Full cost recovery |
| Nursing (clinical) | $4.40 per visit | $38.85 per hour | Full cost recovery |
| Community care | $7.10 per hour | $17.65 per hour | Full cost recovery |
| Property Maintenance | $14.15 per hour (plus cost of materials) | $21.10 per hour (plus cost of materials) | Full cost recovery including cost of materials |
| Planned Activity Group | $8.85 per day (plus cost of meal if bought from another source) | As for low fee range | Full cost recovery plus cost of meal if bought from another source |
| Linkages | No fee will be charged for case management. Fee will be based on the relevant HACC-PYP activity provided as part of the package. Also refer to the HACC PYP Interim Guidelines. | As for low fee range | As for low fee range |
Income ranges
| Low | Medium | High | ||
|---|---|---|---|---|
| Individual | $39,089 | > $39,089 | $86,208 | > $86,208 |
| Couple | $59,802 | > $59,802 | $115,245 | $115,245 |
| Family (1 Child) | $66,009 | > $66,009 | $118,546 | > $118,546 |
| (plus $6,206 per additional child) | ||||
The HACC PYP income ranges are based on the Centrelink Income test for pensioners. Income ranges are being reviewed as part of a HACC PYP and Community Health fees policy review.
Reviewed 10 September 2024