SAH Contributions & Claims
Calculate contributions. Submit claims. Track every dollar.
The Support at Home program introduces a fundamentally new funding model — a basic daily fee plus per-service contributions based on service category and means testing tier, with lifetime caps. Statura Care’s SAH Contributions & Claims module automates the complex contribution calculations, validates claims before ACPP submission, manages your price list, and provides a complete financial ledger for every client.
The Challenge
SAH contributions vary by service category (Clinical, Independence, Everyday Living) and means testing tier (four tiers from full pensioners to self-funded). Calculating the correct contribution per service, tracking against lifetime caps, generating ACPP claims, and reconciling payments is complex. Manual calculation is error-prone and risks over- or under-charging clients.
Key Capabilities
What the SAH Contributions & Claims module does.
Automatic Contribution Calculation
When a service is delivered, the system automatically calculates the client’s contribution based on their means testing tier and the service category. Clinical care has zero contributions; Everyday Living has the highest. Lifetime caps are tracked and enforced.
ACPP Claims Submission
Bundle completed services into claim periods, run pre-validation checks (duplicates, date range errors, missing fields, budget exceedance), and generate CSV files for Aged Care Provider Portal submission.
Smart Claims Pre-Validation
Before submission, the system checks for common rejection triggers: duplicate services, services outside package dates, suspended packages, missing worker details, budget exceeded, and services during recorded absences.
Price List Management
Maintain your organisation’s price list by service type and category with unit prices, effective dates, and active/inactive status. Unique constraint prevents overlapping prices for the same service.
Client Financial Ledger
Complete per-client financial view: every service delivered, contribution charged, subsidy claimed, lifetime cap proximity, and budget position. Everything a care manager needs in one place.
Claims & Contribution Reporting
Claims register with submission status and payment tracking. Per-client contribution summaries. Budget variance analysis showing allocated vs actual spending by quarter.
Regulatory Requirements
What the law requires.
The Aged Care Act 2024 (SAH Part 3A) sets specific obligations that this module helps you meet systematically.
Means-Tested Contributions
Client contributions must be calculated correctly based on their means testing tier and the service category, with lifetime caps enforced.
Lifetime Cap Compliance
Total client contributions must not exceed the lifetime cap ($135,319 for new entrants, $84,572 for grandfathered clients, as at 1 July 2025, subject to annual indexation).
Accurate Claims
ACPP claims must accurately reflect services delivered, correctly split between subsidy and client contribution.
Price Transparency
Providers must publish and maintain a current price list for all services offered under the SAH program.
Works With
Better together.
When modules work together, intelligence compounds. SAH Contributions & Claims integrates with these modules for a complete compliance picture.
Support at Home
Service delivery data flows from Support at Home into contribution calculations and ACPP claims.
Billing & Finance
Claim payments and client contributions reconcile with the billing and finance module.
Funding & Claims
SAH funding analytics complement residential AN-ACC funding for multi-service providers.
FAQ
Frequently asked questions
How are client contributions calculated under Support at Home?
Contributions vary by service category (Clinical, Independence, Everyday Living) and the client's means testing tier (four tiers from full pensioners to self-funded retirees). Clinical care has zero contributions, while Everyday Living has the highest. The module calculates the correct contribution automatically when each service is recorded.
What is the lifetime contribution cap?
Total client contributions must not exceed the lifetime cap. For new SAH entrants, the cap is $135,319; for grandfathered clients transitioning from HCP, it is $84,572 (as at 1 July 2025, subject to annual indexation). The module tracks each client's cumulative contributions against their applicable cap.
How does claims pre-validation work?
Before submission to the Aged Care Provider Portal, the system checks for common rejection triggers: duplicate services, services outside package dates, suspended packages, missing worker details, budget exceedance, and services recorded during absences. This catches errors before they reach the Department.
See SAH Contributions & Claims in action.
Request a personalised demo of the SAH Contributions & Claims module tailored to your organisation.
Free trial includes Essentials tier (11 modules). No credit card required.
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