Home Care Supplements – Client changing providers

Page last updated: 07 August 2017
Factsheet

You can apply on behalf of your client for additional supplement funding to ensure your client receives the care they need. Your client may need to meet the eligibility criteria for a particular supplement, which can include an assessment process or the provision of supporting evidence. Your client’s supplement payment/s must be included in their individual budget. All supplements are linked to the client and will appear on your service’s payment statement if approved.

Providers must retain evidence of a client’s eligibility for supplement funding for audit purposes as per section 88-1 of the Aged Care Act 1997.

Note: This fact sheet should be read in conjunction with the ‘Claiming for Home Care Services’ fact sheet.

Primary Supplements

Home Care Supplements

How to apply?

What happens if client changes providers?

Dementia and cognition supplement*: provides additional funding in recognition of the extra costs of caring for people with cognitive impairment associated with dementia and other conditions.

Assessment using prescribed tools and form to DHS.

Supplement automatically transfers to new provider. The new provider must obtain a copy of the record of assessment undertaken by the client.

Veterans’ supplement*: provides additional funding for veterans with a mental health condition accepted by the Department of Veterans’ Affairs (DVA) as related to their service.

Seek DVA approval.

Supplement automatically transfers to new provider.

Oxygen supplement: provides additional funding for a client with the specified medical need for the continual administration of oxygen.

Medical evidence required and form to DHS

Supplement does not automatically transfer. The new provider needs to submit a new form to DHS, including medical evidence.

Enteral feeding supplement: provides additional funding for clients with a specified medical need for enteral feeding.

Medical evidence required and form to DHS

Supplement does not automatically transfer. The new provider needs to submit a new form to DHS, including medical evidence.

* If a veteran is eligible for both the Veterans’ Supplement and the Dementia and Cognition Supplement in home care, the approved provider will only receive the Veterans’ Supplement.

Other Supplements

 

Home Care Supplements

How to apply?

What happens if client changes providers?

Viability supplement: provides additional funding for clients in rural and remote areas in recognition of higher costs of delivering care and services.

Provide location details to DHS through entry event and location event screen in Aged Care Online Claiming

Supplement automatically transfers to the new provider if a client remains at the same location. A client who relocates will need to be reassessed for viability supplement based on their new location.

Hardship supplement: provides additional funding to clients with genuine financial hardship who do not have the ability to pay their costs of aged care due to circumstances beyond their control.

Client (or their representative) applies and submits form to DHS

Supplement automatically transfers to new provider, if a valid approval exists. As this supplement is time-limited, the new provider should confirm if the client is receiving a hardship supplement and the validity period.

Top-up supplement: provides additional funding for consumer who previously held an Extended Aged Care at Home – Dementia (EACHD) package, prior to 1 August 2013. This supplement is automatically paid on behalf of eligible clients as part of their home care subsidy.

Applies to pre-1 August 2013 EACHD care recipients only and is automatically applied by DHS

Supplement will automatically transfer to the new provider. The top-up supplement will cease if a client agrees to opt into post 1 July 2014 income testing arrangements; or is out of care for more than 28 days (excluding leave).

 

Key points to remember

  • You can apply on behalf of your client for additional supplement funding to ensure your client receives the care they need.
  • Client’s supplement payments must be included in their individual budget and will appear on your payment statement if approved.
  • Providers must retain evidence of a client’s eligibility for supplement funding.

Further information

Related Documents