What is a Consumer Directed Care in Home Care PackageNicole
1. What is a Consumer Directed Care (CDC) in Home Care Package?
A Home Care Package is Government funding to pay for in home care services for elderly Australians to enable you to stay in your home for longer and delay moving into a nursing home prematurely, or at all. A Consumer Directed Care (CDC) Government Subsidised Home Care Package is one where you, the consumer, has the power to make decisions about the aged care and support you need. You also have the power to transfer your Home Care Package to any Approved Provider.
We all know the Government subsidises aged care in nursing homes but unfortunately a staggering number of older Australians and their families don’t know that the Government also provides 4 levels of Government funding (see below for amounts), or Home Care Packages (HCP), to help senior Australians pay for their aged care and nursing support in their own home – this is called the Home Care Package Program.
How Many Hours of Support and Care per Week does Daughterly Care Community Services Provide with your Home Care Package?
|Home Care Package Level
||Hours^ Care Per Week
No Basic Daily Care Fee
|Hours^ Care Per Week
With Basic Daily Care Fee (BDCF)
|Hours^ of Care Per Week
With BDCF and Cognitive Supplement
^These hours are an estimate based on Government Funding, Government set fees such Basic Daily Care Fee, Monday to Friday Caregiver services during the day. Night or weekend care, Registered Nurse or Allied Health services, mileage, equipment hire and nursing resources paid by your Home Care Package will reduce your budget reducing the hours of care we can provide, paid for by your Government Funded Home Care Package. Before your sign a Home Care Package Agreement with Daughterly Care Community Services we give you a budget and estimated dollar amount that can be spent on care and services including the hours of care your package can afford.
There are 4 levels of Government subsidised Consumer Directed Care (CDC) Home Care Packages. (Valid from 1 July 2018 to 30 June 2019)
|Consumer Directed Care Package
||Home Care Package Per annum p/person
||10% Supplement* Per annum p/person
||Total Govt. Subsidy Per annum p/person
*A 10% pa supplement is payable for the following conditions:
1. Cognition supplement or
2. Veterans’ mental health supplement
3. Oxygen supplement
4. Enteral Feeding supplement.
There are also Viability and Hardship supplements.
Am I eligible for a Government subsidised Home Care Package?
Eligibility for a Government subsidised Home Care Package (HCP) is determined by your in home care needs which are assessed by your local Aged Care Assessment Team (commonly known as ACAT).
ACAT operate out of your local public hospital. They visit your loved one in their home to assess:
- decide which of the 4 levels of Home Care Package they should receive;
- what priority they will have on the waiting list for their Home Care Package called the National Queue, managed by My Aged Care.
You don’t need to read the full Government Guidelines for in Home Care Package issued by the Australian Government, Department of Social Services under 3.1 under eligibility criteria. Here is an excerpt:
‘for a person to be eligible for a Home Care Package, the person must:
- be assessed as having needs that can only be met by a co-ordinated Home Care Package of home care and nursing services;
- be assessed as requiring a low level of home care (for home care levels 1 or 2) or a high level of home care (for home care levels 3 or 4);
- have expressed a preference to live at home (includes a resident in independent living and assisted living (hostel) in a retirement village);
- be able to remain living at home with the support of a Home Care Package;
- for a person who is not an aged person – have no other care facilities or care services more appropriate to meet the person’s needs.’
How could your quality of life be improved by the Government paying up to $55,315.75 per person, per annum for your in home aged care?
Are self-funded elders eligible for a Government funded Home Care Package?
Yes, they are.
Home Care Packages are a universal health care benefit available to all elders whose care needs require the need for co-ordinated assistance. The evidence is that when in home care is professional and of a good quality then in home care:
✓ prevents hospitalisations by getting health issues sorted earlier by your caregiver observing changes and taking you to the doctors proactively;
✓ delays nursing home placement (often for years);
✓ it can help many elders avoid the nursing home altogether;
✓ retains family and social connections;
✓ assists Elders to maximise their health, wellness and independence for as long as possible; and
✓ enable more joyful living (which prevents depression).
There is specific financial information for self-funded elders on our page “what are the costs of a Home Care Package”.
Who gets priority access to a Government subsidised Consumer Directed Care (CDC) Home Care Package?
From the 27th of February 2017, the ACAT (Aged Care Assessment Team) decides the priority allocation of Home Care Packages (HCPs). Elders on the National Queue do not necessarily access a Home Care Package purely on a “first come, first served” basis, though notice is taken as to the date of your ACAT Assessment.
Under the Aged Care Act 1997, elders who identify with, or belong to, one or more of the following 9 groups receive priority allocation of a Government funded Home Care Package because the evidence demonstrates they have special needs:
- Aboriginal and Torres Strait Islander communities;
- non-English speaking (culturally and linguistically diverse [CALD]) backgrounds;
- live in rural or remote areas;
- who are financially or socially disadvantaged;
- who are veterans, including the spouse, widow or widower of a veteran;
- homeless, or at risk of becoming homeless;
- parents separated from their children by forced adoption or removal;
There are other factors that affect your priority status such as age, existence of support, care already in place and ability to cope.
On the 27th of February 2017, the Government funding for each elder’s Home Care Package became truly ‘Consumer Directed Care (CDC)’ because Elders and their family or Enduring Guardians now have the power to transfer their Government funding away from their Current Approved Provider who:
- doesn’t answer the phone;
- doesn’t provide good service;
- doesn’t provide fair value or enough hours of in home care and support to transfer to a New Breed of Approved Provider who does… like Daughterly Care Community Services.