You need to complete this form if you have changed arrangements with your associated provider (see Section 3: Changes to associated providers in Part D: Service delivery). 

Your response to this question helps us to understand changes to your business structure. 

Note: If your registration includes provider registration categories 4, 5 and/or 6, any changes to your arrangements with your associated providers in relation to those categories must be notified to us via a Change in circumstances notification (for more information see here).

You must provide detail about how the funded aged care services delivered by the associated provider on your behalf have changed. This may include the associated provider:

• providing additional service types on your behalf 

• no longer providing a service type of your behalf

• changing their scope of service delivery (e.g., no longer delivering services in a particular location or scheduling changes)

• delivering services for an extended period due to an amendment to the original arrangements.

You must also provide detail about how you will ensure that your responsibility to deliver funded aged care services within your intended service types is not negatively affected.