How does AN-ACC work?

AN-ACC is set to be the new Care Funding tool from 1 October 2022 (depending on a whole range of factors that could delay this, such as the impacts of COVID-19). Keep an eye on our FAQ article where we post all new information as we receive it. 

So, what is it?

AN-ACC is a Casemix Classification tool. All Residents will be allocated a classification of 1 to 13, which will determine the funding. AN-ACC is a 2 tier payment system, comprising of: 

  1. A fixed payment per day for costs of care shared by Residents.
  2. A variable payment per day, for the cost of individual care needs for each Resident based on their: 
  • AN-ACC Casemix class (will be determined by the Shadow Assessment Period; and 
  • An initial ‘one-off adjustment’ payment for each new Resident, to cover any costs with settling in a new Resident entering Residential Aged Care. Indications from Department information are that this is likely to be 5 x NWAU (National Weighted Activity Unit) but this is yet to be confirmed.

 

In the 2022-2023 Budget Announcement, the Australian Government released the AN-ACC Funding model starting price as $216.80. The assumption has been made that the starting price refers to the value of the NWAU.

Source: https://www.health.gov.au/health-topics/aged-care/aged-care-reforms-and-reviews/residential-aged-care-funding-reform/assessment-process-and-classification

The AN-ACC Assessment is based on:

  • Resident interviews 
  • Observation (including of care activities) 
  • Clinical documentation 

So very similar to the way ACFI validation currently occurs – see:

This means it will be critical to focus on the areas of: 

  • Assessment and documentation 
  • Team training and education 
  • Resident care understanding and acceptance 
External Assessors

AN-ACC Assessors will visit your Facility and assess your Residents using this assessment tool

Rather than them completing a comprehensive clinical assessment, they will use your clinical documentation, Resident and carer observation and interview to compile the assessments. This means that you have a significant opportunity to influence your funding and make sure you’re receiving your entitlements – this is not the AN-ACC Assessor’s responsibility.    

They will submit the assessment results into the assessor portal. The Department’s system will use its algorithms to allocate a classification. The Department has indicated they DO NOT intend to release these algorithms and the AN-ACC Assessors are not privy to this information.  

Once a classification as been assigned, the following formula determines your funding:  

 Funding will be based on this formula:

McNamee J, Snoek M, Kobel C, Loggie C, Rankin R and Eagar K (2019) A funding model for the residential aged care sector. The Resource Utilisation and Classification Study: Report 5. Australian Health Services Research Institute, University of Wollongong, pg 14
Base Care Tariffs & NWAU payment calculations table
Source: What are AN-ACC Base Care Tariffs https://www.health.gov.au/sites/default/files/documents/2022/04/what-are-an-acc-base-care-tariffs.pdf
Variable Funding under AN-ACC
Source: How do I calculate my AN-ACC care funding? https://www.health.gov.au/sites/default/files/documents/2022/04/how-do-i-calculate-my-an-acc-care-funding.pdf

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