What will a Home Care Package pay for?Cara
3. What can a Government Subsidised Home Care Package pay for?
There are Government Guidelines as to what in home aged care support, services and care your Government Subsidised Home Care Package can and cannot pay for.
This list applies to all 4 levels of Home Care Packages.
|A. Care services
||Care can include:
|Personal care services
||Personal care assistance, including individual attention, individual supervision, and physical assistance with:
- bathing, showering including providing shower chairs if necessary, personal hygiene and grooming, dressing and undressing, and using dressing aids
- transfer (including in and out of bed)
|Activities of daily living
||Personal assistance, including individual attention, individual supervision and physical assistance with:
- communication including assistance to address difficulties arising from impaired hearing, sight or speech, or lack of common language, assistance with the fitting of sensory communication aids, checking hearing aid batteries, cleaning spectacles and assistance in using the telephone
|Nutrition, hydration, meal preparation and diet
- assistance with preparing meals
- assistance with special diet for health, religious, cultural or other reasons
- assistance with using eating utensils and eating aids and assistance with actual feeding as necessary
- providing enteral feeding formula and equipment
|Management of skin integrity
- providing bandages, dressings and skin emollients
- assessment for and, if required, providing disposable pads and absorbent aids, commode chairs, bedpans and urinals, catheter and urinary drainage appliances and enemas
- assistance in using continence aids and appliances and managing continence
|Mobility and dexterity
- providing crutches, quadruped walkers, walking frames, walking sticks and wheelchairs
- providing mechanical devices for lifting, bed rails, slide sheets, sheetskins, tri-pillows, and pressure relieving mattresses
- assistance in using the above aids
|B. Support services
||Support services can include:
- support for consumers with cognitive impairment, including individual therapy, activities and access to specific programmes designed to prevent or manage a particular condition or behaviour, enhance quality of life and provide ongoing support
- transport and personal assistance to help the consumer shop, visit health practitioners or attend social activities
- advising the consumer on areas of concern in their home that pose safety risks and ways to mitigate the risks
- arranging social activities and providing or coordinating transport to social functions, entertainment activities and other out-of-home services.
- personal laundry services, including laundering of the consumer’s clothing and bedding that can be machine-washed and ironing
- arranging for dry-cleaning of the consumer’s clothing and bedding that cannot be machine washed
- gardening to keep access to your home safe
- rehabilitative support, or helping to access rehabilitative support, to meet professionally determined therapeutic need
- emotional support including ongoing support in adjusting to a lifestyle involving increased dependency and assistance for the consumer and carer if appropriate
- providing 24-hour on-call access to emergency assistance including access to an emergency call system if the consumer is assessed as requiring it
- home maintenance, reasonably required to maintain the home and garden in a condition of functional safety and provide an adequate level of security
- modifications to the home, such as easy access taps, shower hose or bath rails
- assisting the consumer, and the homeowner if the home owner is not the consumer, to access technical advice on major home modifications
- assistance to access support services to maintain personal affairs
|Leisure, interests and activities
- encouragement to take part in social and community activities that promote and protect the consumer’s lifestyle, interest and well-being
|C. Clinical services
- nursing, allied health and therapy services such as speech therapy, podiatry, occupational or physiotherapy services
- other clinical services such as hearing and vision services
|Access to other health and related services
- referral to health practitioners or other service providers
Excluded items that your Government Subsidised Home Care Package cannot pay for
The following services or items are outside the scope of the Home Care Packages Programme and must not be paid for by a Government Subsidised Home Care Package (by any of the four levels of the home care).
- use of the package funds as a source of general income for the consumer
- purchase of food, except as part of enteral feeding requirements*
- payment for permanent accommodation, including assistance with home purchase, mortgage payments or rent
- payment of home care fees (Basic Daily Fee or Income Tested Care Fee)
- payment of fees or charges for other types of care funded or jointly funded by the Australian Government (in other words, no double dipping)
- home modifications or capital items that are not related to the consumer’s care needs
- travel and accommodation for holidays
- cost of entertainment activities, such as club memberships and tickets to sporting events
- payment for services and items covered by the Medicare Benefits Schedule or the Pharmaceutical Benefits Scheme
- Please note your In Home Care Package cannot pay for any services, care or equipment when the senior is in hospital or respite in a Nursing Home, the reason being the government is already paying for those services, i.e. no double dipping.
Clarification About Meals
*Meals – The government subsidy for a Home Care Package can be used to pay for the preparation and delivery of meals. This could be through the consumer’s home care provider, a HACC service provider (for example, under a sub-contracting arrangement with the home care provider) or by a private service provider. However, the consumer is expected to cover, or to make a contribution towards, the cost of the food. The amount of the contribution or fee may be negotiated between the home care provider, the meals service provider and the consumer.
Your Home Care Package can pay for a caregiver to shop for ingredients and to prepare your meals, however the consumer must pay for the food from their own money.
Important Note About Clinical Care
If you need clinical care such as services provided by Registered Nurses or Allied Health staff the Government Guidelines are very clear that clinical care must be prioritised over less essential services such as gardening.