Frequently Asked Questions – Changes to ACFI 12.4: Complex Health Care Pain Management Questions

Page last updated: 13 February 2017

These Frequently Asked Questions (FAQS) provide clarification about the requirements of the  Aged Care Funding Instrument (ACFI) Complex Health Care pain management items.

FAQ 1 – One on One Staff Time

Question

For the provision of complex pain management treatment under ACFI items 12.4a and b, can the treatment involving one on one staff time be delivered to a group of care recipients concurrently?

Answer

The expectation is that claims for these items are for ‘one on one’ individual care provided by the appropriately qualified health professionals as listed on pages 38 and 39 of the ACFI User Guide.  Treatment is not expected to be delivered to a group of care recipients at the same time. Evidence requirements would need to support that one on one individual care was provided to a resident for a claim to be made.

FAQ 2 – Care Recipient Assessment and Treatment Time

Question

For the provision of complex pain management under ACFI items 12.4a and b, does the 20 or 80 minutes staff time include the time taken for assessment of the care recipient pre and post treatment?

Answer

As per page 39 of the ACFI User Guide, under Complex Pain Management: ‘The service provided would equate to one on one staff time delivering treatment’. Therefore, a claim for these items is for treatment time and would not include the time taken for assessment of the care recipient pre and post treatment.

FAQ 3 – Treatment Modalities

Question

For claims under ACFI items 12.4a and b, can treatment modalities other than therapeutic massage and/or pain management involving technical equipment be included as ‘one on one’ staff time ie. stretching, mobilisation, strengthening exercises?

Answer

As per the item requirements listed in pages 39 and 40 of the ACFI User Guide, these complex health care procedures are for treatment involving therapeutic massage and/or pain management involving technical equipment specifically designed for pain management.  Time spent on other treatment modalities cannot be claimed for these items.

More information on Basic Subsidy Amount (Aged Care Funding Instrument)