The Age Related Residential Care Services Agreement [PDF, 553 KB] details contracted care services. The maximum contribution fee covers these services. The contract is managed locally by District Health Board funding managers.
The maximum contribution is GST inclusive and rates [PDF, 32 KB] vary according to land value for different areas of New Zealand. New rates for maximum contribution are set on the first day of July each year.
Where the District Health Board (DHB) contract rate is greater than maximum contribution ie for hospital or dementia level care, the difference is covered by a top-up subsidy. All residents needs assessed as requiring dementia or hospital care receive top-up. There is no application process, it is organised by the needs assessor.
Care facilities cannot charge for services included in the DHB contract. This applies to residents receiving Residential Care Subsidy and privately paying residents. Extra can be charged for premium room fees, items or services outside of the contract by negotiation. Charges must be specified in the admission agreement.
Services covered by contracted care / maximum contribution:
- Accommodation, meals, cleaning and laundry.
- Nursing and other care.
- Doctor?s visits once a month, or every 3 months at the doctor?s discretion, plus emergency visits.
- All prescribed medication costs (Pharmac approved), plus packaging, eg blister packs.
- All dressings and supplies used in treatments.
- Continence products.
- Equipment and mobility aids for communal use.
- Activities that are part of the regular programme.
- Dietician advice, physiotherapy, speech therapy and podiatry if prescribed by a doctor.
- Temporary absences - in any one year subsidy continues to be paid if you are away for a short time: 2 x 2 weeks for a holiday, or 3 weeks if you are admitted to a public hospital.
- Transport for health reasons e.g. to and from local public hospital.
- Someone to accompany a resident to a health appointment if no family or friends are available.
Services outside the contract:
This is not a complete list. It includes items and services for which facilities often charge extra:
- Superior rooms e.g. larger rooms or one with ensuite.
- Items such as vitamin supplements, unless prescribed by the doctor.
- Services of dentists, opticians, audiologists.
- Private specialists, x-rays.
- Private medical appointments that you have made without the knowledge of the rest home / hospital.
- Personal items such as hairbrushes, razors, TV, radio, batteries, sweets, cigarettes, glasses, hearing aids.
- Personal clothing and dry-cleaning.
- Basic toiletries such as soap, shampoo, toothpaste, toothbrush, talcum powder.
- Wheelchair for exclusive use of one resident.
- Insurance of personal belongings.
- Entrance fees to shows, concerts etc.
- Private telephone, toll calls, internet or Sky TV.