Additional service fees in residential aged care

Closed 17 Dec 2019

Opened 21 Nov 2019


Additional service fees (ASF) are increasingly being utilised by residential aged care providers as a way to enhance their service offering and diversify revenue streams. By agreement with the resident, an aged care provider can charge an additional fee for care and services over and above those that they are required to supply under aged care legislation (Quality of Care Principles 2014 Schedule 1 – Care and services for residential care services).

Typical examples of services that can attract ASF include pay TV, hairdressing, alcohol, access to an onsite pool, gym or movie theatre. Multiple services are often provided as a package.

There is a lack of clarity and transparency for both providers and residents in relation to ASF.

ASF also exist within home care, however, these fees operate in a different context and are not being considered as part of this consultation.

Why your views matter

This consultation seeks feedback on a number of proposals designed to provide greater certainty, transparency, consumer choice and protection, through:

  • publishing of ASF by providers;
  • restrictions on low means residents agreeing to pay ASF;
  • time limits for ASF agreements; and
  • review requirements for ASF.

Further details on the proposed publishing requirements are contained in the attached consultation paper.

What happens next

The Department seeks submissions responses to the attached consultation paper by 17 December 2019. Feedback can be sent by email to or by post to:

The Director
Aged Care Fees
Department of Health
GPO Box 9848
Canberra ACT 2601


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