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FEATURED HOME CARE PROVIDERS
RSL HomeCare

RSL HomeCare
QLD

Home Instead Senior Care

Home Instead Senior Care
SA

Calvary Community Care

Calvary Community Care
ACT

 

Home Care Guide - Home Care Packages

Home Care Packages have replaced the earlier Community Aged Care Packages (CACP) and Extended Aged Care at Home (EACH) and Extended Aged Care at Home Dementia (EACH D) Packages. They offer a more comprehensive package of services than HACC and can be tailored and coordinated to meet your specific requirements.

Home Care Packages are available at 4 levels:

  1. Level 1 is for people with basic care needs
  2. Level 2 is for people with low-level care needs (this is equivalent to the previous CACP)
  3. Level 3 is for people with intermediate care needs
  4. Level 4 is for people with high-level care needs (this is equivalent to the previous EACH and EACH D Packages).

The services that can be provided in a Home Care Package include:

  • personal services, such as help with showering or bathing, dressing and mobility
  • support services, such as help with washing and ironing, house cleaning, gardening, basic home maintenance, home modifications related to your care needs, and transport to help you do shopping, visit your doctor or attend social activities
  • clinical care, such as nursing and other health support including physiotherapy and hearing, vision and nutrition services.
Supplements are also available with any of the above levels for particular needs including:
  • people with dementia
  • veterans with service-related mental health conditions accepted by the Department of Veterans’ Affairs
  • people with an ongoing medical need for oxygen
  • people who need enteral feeding on an ongoing basis.

Consumer Directed Care

Some Home Care Packages are delivered on what is known as a Consumer Directed Care (CDC) basis. This gives the recipient more choice and control over the types of care and services they receive, how care is delivered and who delivers it. Under CDC, the recipient determines the level of involvement he or she would like to have in managing their package. They are provided with a personalized budget so that they can see how much funding is available for services and how the money is being spent.

From 1 July 2015, all Home Care Packages will be provided on a Consumer Directed Care (CDC) basis.

Eligibility

Unlike HACC, in order to receive a Home Care Package you first need to be assessed by an Aged Care Assessment Team (ACAT), which is called an Aged Care Assessment Service (ACAS) in Victoria.

The ACAT or ACAS will provide you with written confirmation of the subsidised services you have been approved to receive and they should be able to put you in touch with organisations in your local area that can deliver them. Even if the ACAT or ACAS finds that you are not eligible for a Home Care Package, they may be able to recommend other options, such as particular services under the HACC Program.

Cost

If you receive a Home Care Package on or after 1 July 2014, your service provider may ask you to pay:

  1. a basic fee of up to 17.5% of the single basic Age Pension
  2. an income-tested care fee if your income is over the relevant threshold:

    • $25,264.20 for an individual
    • $24,796.20 for the individual income of a member of a couple who is now separated due to illness
    • $39,202.80 for the combined income of a couple living together.

From 20 March 2015 to 19 September 2015 the maximum basic fee that the service provider may charge is $136.78 per person per fortnight. This rate will increase on 20 March and 20 September each year in line with changes to the single basic Age Pension. The basic fee applies to each member of a couple who receives a Home Care Package.

The amount of any income-tested care fee will be worked out by the Department of Human Services based on an assessment of your financial information. If you are a member of a couple, half of your combined income is considered in determining your income-tested care fee, regardless of which partner earns the income. The assessment does not include the value of your home or any other assets, although your financial assets will be deemed to earn a certain rate of income regardless of the rate they actually earn.

Annual Cap

The maximum in income-tested care fees you can be asked to pay each year (as at December 2014) is: $5,069.84 per year for part pensioners $10,139.68 per year for self-funded retirees. The above caps are indexed and do not affect payment of the basic fee. Once the cap is reached, you cannot be asked to pay any more income-tested care fees until the next anniversary of the date you first began receiving aged care.

Lifetime Cap

The maximum in income-tested care fees you can be asked to pay in your lifetime (as at December 2014) is $60,838.12. This cap is indexed and does not affect payment of the basic fee. Any means-tested care fees you pay for residential aged care will also be counted towards the lifetime cap.

Home Care Fee Calculator

To estimate the likely fees that you will have to pay, the Department of Social Services has created a Home Care Fee Estimator for people who receive a Home Care Package after 1 July 2014.

More Information?

Please see the following pages of this Home Care Guide for further information:

  1. Overview

  2. Home and Community Care (HACC)

  3. Home Care Packages

  4. Advocacy and Complaint Resolution
 
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