The 24/7 RN Supplement Monthly Summary

Services Australia pays a monthly 24/7 registered nurse supplement to eligible residential services. Maica reads that supplement position back from Services Australia and stores it against the Location, so a service can see what it has been assessed and paid for the registered nurse supplement each month. This article explains the two records that hold the supplement data, how they are synced, and how the supplement summary differs from the other registered nurse figures in the solution.

It is written for administrators and facility managers responsible for revenue assurance and registered nurse reporting.

This article covers the supplement Maica reads back from Services Australia. For the provider's own coverage calculation used for GPMS reporting, see 24/7 RN Coverage Check Configuration.

How it differs from the other RN figures

There are three separate registered nurse concepts in the residential solution. Keeping them apart avoids confusion.

Concept	Question it answers	Where it lives
24/7 RN coverage check	Did we have an RN on duty every hour, for our GPMS submission?	RN Coverage Check record on the Location
RN eligibility on the claim	Did Services Australia assess the service as eligible in the monthly claim?	The RN eligibility flag on the Claim Batch, from the claims response
24/7 RN supplement summary	What supplement has Services Australia assessed and paid, month by month?	RN Supplement Summary and Breakdown records on the Location

The coverage check is your own calculation; the supplement summary is Services Australia's assessed and paid position. Both surface on the Location record, so the facility manager can compare what was achieved against what was paid.

The two records

The supplement is held in a two-tier structure, both parented to the Location.

RN Supplement Summary

One Registered Nurse Supplement Summary record (Registered_Nurse_Supplement_Summary__c) exists per entitlement month for a Location. It holds the headline supplement position for that month.

Field	API name	Description
Location	Location__c	The service this supplement summary belongs to
Entitlement Month	Entitlement_Month__c	The month the supplement entitlement relates to, stored as the first day of that month
Total Amount	Total_Amount__c	The total supplement amount for the entitlement month
Last Sync	Last_Sync__c	When this summary was last refreshed from Services Australia
External ID	External_ID__c	Composite upsert key in the format {locationId}_{YYYY-MM}, marked External ID and Unique to prevent duplicates on sync

RN Supplement Breakdown

Each summary has one or more Registered Nurse Supplement Breakdown records (Registered_Nurse_Supplement_Breakdown__c) as master-detail children. Where the summary is indexed by entitlement month, each breakdown carries the detail for a claim month, so the structure captures adjustments made across claim months against a single entitlement month.

Field	API name	Description
RN Supplement Summary	RN_Supplement_Summary__c	The parent summary this breakdown belongs to (master-detail)
Claim Month	Claim_Month__c	The claim month this breakdown detail relates to
Eligibility	Eligibility__c	The eligibility status returned by Services Australia for this claim month, such as Eligible or Not Eligible
MMM Classification	MMM_Classification__c	The Modified Monash Model classification that applies
Occupied Bed Days	Occupied_Bed_Days__c	The occupied bed days Services Australia recorded for the month
Amount	Amount__c	The supplement amount for this claim month

The entitlement-month summary with claim-month breakdowns is what lets the record show a supplement adjustment history: a later claim month can adjust an earlier entitlement month, and each adjustment is a breakdown row under the same summary.

How the summary is synced

The supplement summary is retrieved as part of the monthly Claims Sync action, not as a standalone step you run separately. When Claims Sync runs, it retrieves the supplement summary for the service alongside the claim and payment data.

• The read is keyed on the Service NAPS ID from the Location linked to the Claim Batch.

• It applies only to residential aged care Claim Batches, whose Funding Type is Permanent or Respite. The sync does not run the supplement read for other funding types.

• The Location must have a Service NAPS ID set, or the step reports that it is missing.

Each returned summary is written using its composite External ID, and its breakdown children are written beneath it, so re-running the sync updates the existing records rather than creating duplicates.

For the full Claims Sync sequence and where the supplement read sits within it, see Claims, Payment and Reconciliation Integration.

Where to find it

The supplement records surface on the Location record:

1. Open the facility's Location record.

2. Find the RN Supplement Summaries related list.

3. Open a summary to see its entitlement month, total amount, and last sync, and its RN Supplement Breakdowns for the claim-month detail.

Both the summary and the breakdown have their own record pages, so you can open a summary and drill into any breakdown from its related list.