How do you apply for Government Subsidised In Home Care?
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How do you apply for Government Subsidised In Home Care?Nicole2019-03-27T09:17:09+00:00
7. How do you apply for a Government Subsidised Home Care Package?
How you apply for a Government Subsidised Home Care Package is much easier if you follow this guide. As the application process changes over time, we update this guide. The big picture overview is that the Aged Care Assessment Team decides if you have care needs that make you eligible for a Government Subsidised in Home Care Package which can be worth up to $55,315.75 pa pp. Eligibility for a Government Subsidised Home Care Package is based on your care needs. Your income and assets do NOT preclude you, though if you are a part-pensioner or self-funded you pay an Income-Tested Care Fee towards your Home Care Package as explained in point 1 on this page.
We invite you to book a cost and obligation free meeting to help you apply for a Home Care Package at our Mosman or Narrabeen shops.
Tip: If you think you are already on a waiting list at an Approved Provider or you are on the new National Queue held by My Aged Care, please ring My Aged Care on 1800 200 422 and double check because many older Australians have ‘dropped off’ the National Queue. Ask for confirmation that you are still on the National Queue and ask “how many days until my Home Care Package will be assigned?”
Important tip for existing clients of Daughterly Care:
BEFORE you ring My Aged Care or apply online for a Government SubsidisedHome Care Package, please ring your Co-ordinator or High Care Case Manager at Daughterly Care and we will verbally give you valuable advice based on our deep understanding of the system. Your assessment starts during your phone to My Aged Care.
9 Steps to apply for a Government Subsidised Home Care Package
Step 1: Contact My Aged Care
Contact My Aged Care on 1800 200 422 to arrange an ACAT Assessment or apply online at www.myagedcare.gov.au and choose the ACAT tab and follow the request prompts.
Tip: Without you knowing it, you are being assessed over the telephone as to whether you have very basic care needs or higher care needs. Your answers determine whether you will be assessed by the RAS team or the ACAT team, see below.
Existingclients of Daughterly Care, see box immediately above and call us BEFORE you call My Aged Care.
Regional Assessment Service (RAS)
(lower care road)
Aged Care Assessment Team (ACAT)
(higher care road)
Tip for existing Daughterly Care clients:
BEFORE your ACAT Assessment takes place, please RING and speak to your Daughterly Care Co-Ordinator or High Care Case Manager about the ACAT Assessment process. This is a really valuable discussion. Have a pad and pen ready.
For clients who are extremely “resistent to having care, but need it” or who have cognitive deficits it is essential that a family member / Enduring Guardian or Daughterly Care attend the assessment to advocate for our client.
Step 3: After your ACAT Assessment you will receive an ACAT APPROVAL LETTER with your Assessment Result, which says you are “approved as eligible” and it looks like this:
Step 4: Are you ACTUALLY on the My Aged Care National Queue for a Home Care Package?
In theory, you are automatically placed on the National Queue after your ACAT Assessment.
After you receive your approval letter ring My Aged Care on 1800 200 422 and ask them what is the approximate number of days I will have to WAIT for my Home Care Package to be ASSIGNED?
Ask them: “is that the wait for a lower interim Home Care Package or to be assigned my actual approved Home Care Package level?”
Knowing your approximate waiting time will help your financial planning.
We strongly encourage you to ring My Aged Care on 1800 200 422 and confirm that you are still on the National Queue every 5 months because My Aged Care have told us they drop people off the National Queue if they haven’t heard from them for 6 months. Yikes!
Your place on the queue depends on:
your current assessed care needs;
Home Care Package level 1, 2, 3 or 4 you have been approved for;
your priority status allocated by ACAT (i.e. moderate or high) based on a wide range of reasons including 9 groups who have special needs;
the date of your ACAT Assessment (that’s why you shouldn’t wait until after you needed the care to apply);
the care you already have in place when your assessment takes place;
how well your family carer is coping
Tip: If you decline, it is really important you inform My Aged Care as they may be able to lift you up the queue.
Tip: Did your referral codes become invalid on 27 February 2017? Did you drop off the National Queue on the 27 February 2017?
My Aged Care (MAC) has stated that Referral Codes given before 27 February 2017 are no longer valid. Recipients who ring up to confirm their place on the waiting list and discover they have been “dropped off” and their existing referral code is invalid, are placed back on the National Queue and given a new valid referral code.
Referral Codes that begin with “1-” then several numbers after, are no longer valid.
The new and valid Referral Codes start with “1- –” then numbers after it.
Tip: If you were assessed by ACAT in 2016 or earlier – are you even on the National Queue?
Some seniors aren’t because they were not transferred.
Step 5: Ask the Department of Human Services (or DVA) for your “Fee Advice Letter for Home Care” to be sent to you.
Now that you are Approved for a Government Subsidised Home Care Package, it is time to organise your “Fee Advice letter for Home Care”.
This letter from the Department of Human Services (or DVA) tells you and your Approved Provider what fees you need to pay towards your Home Care Package. This letter is essential, especially if you are a part-pensioner or not sure if you are self-funded. Also the Government made changes on 1 January 2017 which made some pensioners and part-pensioners self-funded retirees. As a result, Approved Providers need this letter to charge the correct fees.
Here is an example of a Fee Advice letter for Home Care.
Tip: If you are close to the thresholds for the Income or Asset test, perhaps you could get financial planning advice on whether there are any strategies to make you a part-pensioner or pensioner again. Daughterly Care recommends you speak to Chartered Accountant, Henniette Harmse:
There is no ‘kick back’ or financial advantage for Daughterly Care Community Services from this firm.
Our CEO, Kate Lambert B.Ec F. Fin, has trained Tony Fenwicke and Henniette Harmse from Wealth Definition, about how Home Care Packages work. Kate likes the fact that Tony and Henniette are conservative Chartered Accountants who understand tax, specialise in financial planning and understand aged care issues. Tony and Henniette don’t charge a fee to meet you the first time. They will only suggest a service if there is a benefit to you and they explain their fees before proceeding. Tell them you found out about Wealth Definition from Kate Lambert at Daughterly Care and they will take extra special care of you.
Step 6: Now that you are ‘Approved’ and on the waiting list, choose your Approved Provider to administer your Government Subsidised Home Care Package (hopefully Daughterly Care Community Services).
This is the time to ask Daughterly Care Community Services what we can provide for you.
Some Approved Providers are charging large exit fees to try and stop you leaving if you are unhappy with their services. Conversely, some Approved Providers are charging $2,000 set up fees which is deducted from your Government funding. Daughterly Care charges no set up fees and, no exit fees if you move to another Approved Provider, no contingency fees.
Tip: When it comes to choosing your Approved Provider it is really important to compare service and value. The easiest way to compare value is to ask for a Proposed Budget as that enables you to compare “like with like”. We have published the estimated number of hours of care, we provide when we administer your Home Care Package. However now is the time to meet and give you a proposed budget.
Advise My Aged Care that your chosen Approved Provider is Daughterly Care Community Services – you can do this even if your package hasn’t been assigned yet. The benefit of doing this is that My Aged Care will let us know, along with you, when your Government Funding comes through.
Step 7: New step from 28 February 2018: My Aged Care sends a “Home Care Consumer Readiness Letter” approximately 90 days before you are due to be “assigned” your Home Care Package.
The purpose of this “readiness letter” is to let you know your Home Care Package will be “assigned” in approximately 90 days so now is the time:
a) Opt out of the National Queue if you are not yet ready to start your Home Care Package (you can opt back into the National Queue in your same place later i.e. the Health Department says you are not disadvantaged by opting out and this means your Home Care Package Funding can be given to someone else who needs support now.
b) Remove you from the National Queue if you no longer need a Home Care Package(you have been placed into a Nursing Home or died);
c) If you want your Home Care Package then the Health Department wants you to “get ready” so that you can accept your Home Care Package as soon as it is assigned. The letter will tell you to:
i) select your Home Care Approved Provider, hopefully Daughterly Care Community Services (our step 6 above);
ii) organise your Home Care Fee Letter (our step 5 above).
If you have decided that you want a new breed of Approved Provider like Daughterly Care Community Services please tell us as soon as you receive this letter so we can prepare for your services.
Step 8: My Aged Care advises you by letter that your Home Care Package funding has been “assigned” to you. The assignment letter looks like this:
Note: If you had informed My Aged Care that your Approved Provider will be Daughterly Care Community Services then they will write to us, as well as you, when your Home Care Package Funding becomes available so that we can start your services more quickly.
We need a copy of this letter to access your file on the My Aged Care Government Portal.
Step 9: Sign a Home Care Agreement with your New Approved Provider (hopefully Daughterly Care Community Services)
Your Approved Provider will document your goals and care needs and write a Service Care Plan that is unique to you.
Tip: Only sign a Home Care Agreement after you have reviewed their Proposed Budget and know what they will charge, and how much care and support you will actually receive.
My Aged Care pays your Government Funding to your chosen Approved Provider.