Aged care provider registration
How an entity becomes a registered provider under the Aged Care Act 2024 (Cth), the suitability matters the Commissioner must be satisfied of, and why registration is granted by category.
Learning outcomes
- Explain why registration under the Aged Care Act 2024 (Cth) is granted by registration category and what follows from that.
- State the general requirements in s 109(1) the Commissioner must be satisfied of before registering or renewing an entity.
- Identify the cross-scheme matters relevant to suitability, including an NDIS banning order.
- Distinguish the entity's suitability from the suitability of each of its responsible persons.
Registration under the Aged Care Act 2024 (Cth) is not a single status. The Commissioner decides both whether to register an entity and in which registration categories, and much of what follows — which conditions bite, which standards apply — is keyed to the categories granted rather than to registration as such1. The prior question in a registration problem is therefore which category is sought, because the answer travels through the rest of the analysis.
The decision, and its shape
Section 105(1) requires the Commissioner to consider an application, and the requirements in s 109, and to decide whether to register the entity as a registered provider and in which registration categories. Where the Commissioner decides to register in the residential care category, the decision must also identify each approved residential care home to be covered by the registration.
Two features follow from the Act's own notes. The Commissioner may register an entity in some but not all of the categories the entity specified in its application, so a partial grant is a possible outcome rather than a refusal. And if the entity is registered, it becomes subject to the conditions on registered providers in Part 4 — the rights, Code of Conduct and Quality Standards conditions in ss 144 to 146.
Section 105(2) requires the decision to be made within a period prescribed by the rules, or worked out by a method prescribed by the rules.
Renewal is by invitation
Renewal does not begin with the provider. Section 106(1) allows the Commissioner to invite a registered provider to apply for renewal where the remaining registration period is less than 18 months. The invitation must ask the provider to indicate whether it intends to apply, and must specify a reasonable period within which the application may be made (s 106(2)); the Commissioner may extend that period on request (s 106(3)).
Section 107(1) then permits a provider to apply for renewal only if the Commissioner has issued such an invitation and the provider indicated within the specified period that it intended to apply. A provider that lets the invitation period pass has lost the renewal route, which is a practical trap worth naming.
What the Commissioner must be satisfied of
Section 109(1) states general requirements that apply to both registration and renewal. The Commissioner must not register or renew unless satisfied that:
- the entity has an ABN;
- the entity is suitable to deliver funded aged care services, having regard to a list of matters;
- if the entity is not a government entity, it has a record of sound financial management and has systems it uses or proposes to use to ensure sound financial management in delivering the services;
- each responsible person of the entity is suitable, having regard to the suitability matters; and
- the entity satisfies the s 109(2) requirements for at least one of the categories specified in its application.
The suitability matters in s 109(1)(b) reach across schemes and across time. They include the entity's compliance with any Commonwealth, State or Territory law where it operates, including any history of non-compliance; whether a banning order or an NDIS banning order against the entity is or has ever been in force; whether a previous registration as a registered provider, approved provider or registered NDIS provider was revoked otherwise than at the entity's request; whether a current aged care or NDIS registration is suspended; the entity's previous experience and performance in its intended service types or similar services; its legal and business structure, including whether it is an entity within the meaning of the Act; and any other matter prescribed by the rules.
The cross-reference to the NDIS is worth pausing on. Conduct in the disability system bears directly on suitability in the aged care system, so the two regulatory histories are not sealed off from one another even though the schemes are otherwise separate.
Two levels of suitability
Section 109(1)(b) and s 109(1)(d) do different work. The first asks whether the entity is suitable; the second asks whether each responsible person of the entity is suitable, by reference to the suitability matters. Both must be satisfied, and an answer that addresses only the corporate applicant has dealt with half the section. This mirrors the structure in the NDIS rules, where the applicant and its key personnel are assessed separately, though the provisions are differently drafted and differently numbered and neither set of section numbers may be carried to the other scheme.
Applying this in a problem question
- Identify the registration category or categories sought, and carry that through the analysis.
- Consider whether a partial grant — registration in some categories but not others — answers the problem better than refusal.
- Work through s 109(1) as a list of cumulative satisfactions, not as a general discretion.
- Under s 109(1)(b), check the NDIS history as well as the aged care history, including any NDIS banning order.
- Deal with the responsible persons separately under s 109(1)(d).
- For renewal, establish that an invitation issued under s 106 and that the provider indicated its intention in time, before considering the merits.
Self-check
- Have I identified the registration categories rather than treating registration as a single status?
- Have I checked the entity's NDIS regulatory history under s 109(1)(b)(ii)?
- Have I assessed the responsible persons separately from the entity?
- Have I confirmed the s 106 invitation before treating renewal as available?