Providers with younger people in residential aged care

Page last updated: 13 December 2016
This information sheet is for residential aged care providers delivering care to younger people that may be eligible for the National Disability Insurance Scheme (NDIS).

About the NDIS

The NDIS is a new way of providing support for people with disability, their families and carers in Australia. The NDIS will provide all Australians under the age of 65 with a permanent and significant disability with the reasonable and necessary supports they need to live an ordinary life. This may include personal care and support, access to the community, therapy services and essential equipment.

The National Disability Insurance Agency (the Agency) has been established to implement the NDIS which has been launched in a number of sites (see the NDIS website at ndis.gov.au for more detail).

The Agency will build relationships with mainstream service providers and the local community. This will improve their understanding about how they can assist people with disability.

When will the NDIS be available in my region?

Roll out of the NDIS in all States and Territories (except Western Australia) started from 1 July 2016.

The current rollout schedule is available on the NDIS website at www.ndis.gov.au/about-us/our-sites

The Department of Health will keep the sector up to date on the roll out schedule through the Announcements webpage at www.agedcare.health.gov.au/.

How will the NDIS support people being cared for in the aged care sector?

The roll out of the NDIS in a region may result in changes for you. Once the NDIS has determined the younger person’s eligibility, participants and their families will discuss their goals with an NDIS representative as part of their planning conversation.

The NDIS aims to support participants to live in community settings or other age‑appropriate settings where possible (see the NDIS website for more detail).

People under 65 years of age living in residential aged care may be eligible to receive support under the NDIS, including:

  • a planning conversation to explore goals
  • assistance with care-related costs charged by an aged care provider (excluding daily living expenses)
  • supports to access social, civic and community activities and sustain informal support networks with family, friends and carers
  • therapy including allied health supports (e.g. occupational therapy, speech pathology and physiotherapy) which have been shown to improve independence, social and economic participation in the community
  • specialised equipment supports related to a person’s on-going functional impairment which are not part of the residential aged care package or which may be provided in the treatment of a medical condition.

How can the NDIS assist people to move into the community?

Some younger people living in residential aged care may want to explore the goal of living in the community.

The NDIS may fund modifications to make a participant’s home accessible. It may also help participants to live independently with supports such as personal care to help with showering or dressing, or assistance preparing meals and cleaning.

Residential aged care fees and payments

Until the national roll out of the NDIS has been finalised, you can continue to ask younger people already in your service to pay their aged care fees (including the basic daily fee, any applicable means-tested or income tested fee and daily accommodation payment or contribution).

The fee arrangements remain unchanged and are determined based on the younger person’s date of entry into aged care.

What will the NDIS fund?

The NDIS will provide some additional supports for participants who are younger people in residential aged care. In the roll out period, funding for the care and services you have a responsibility to deliver under the Aged Care Act 1997 will continue to be claimed through the ACOS.

The NDIS may be able to provide additional assistance to participants. For example, a Local Area Coordinator or Support Coordinator can help the participant to make contact with providers in community care settings and discuss their needs where appropriate.

What to do next?

I already have a younger person/s in my residential aged care home

When younger people are already in residential care, an NDIS representative will contact the resident or their representative (if they have one) to determine their eligibility. If the NDIS is unable to contact the person via phone a letter and paper Access Request form will be sent to the person.

To help the Agency with getting in contact with the resident/s, please ensure that their contact details (including phone numbers), and their representative’s (if they have one) contact details (including phone numbers), are up to date. This can be done by asking the person or their representative to contact the Department of Human Services (DHS) on 1800 227 475.

To prepare the younger person in your residential aged care home, please provide them with a copy of the factsheet ‘younger people in residential aged care’ available on the Department of Health website.

What happens once their eligibility has been determined?

Participants and their families will discuss their goals with an NDIS representative as part of their planning conversation.

The participant’s plan will include the supports funded under the NDIS and those supports that are the responsibility of other parties.

Will I have to refund their accommodation bond or RAD payment?

No, if the resident stays in your service, their accommodation bond or RAD will not be refunded and you can continue to charge any applicable daily accommodation payment/charge or contribution.

Do I have to become an NDIS provider?

You may need to become a registered NDIS provider if you wish to deliver the additional support through the NDIS for eligible clients in your aged care home. More information on how to do this is available on the NDIS website at www.ndis.gov.au/providers/provider-toolkit.

By registering as an NDIS provider, you will be able to deliver any additional supports for the younger people in your residential aged care home.

Do I continue to claim through aged care online claiming?

Yes, you will continue to claim your aged care subsidies and supplements for younger people in your residential aged care home. However, if you commence delivering NDIS supports above the younger person’s aged care subsidy and supplements, these services are delivered through the NDIS.

Where can I go for more information?

NDIS

  • Visit the NDIS website
  • Contact the NDIS by using their contact form.
  • Call 1800 800 110* Monday to Friday, 9am to 5pm EST.

* 1800 calls are free from fixed lines; calls from mobiles may be charged.

Department of Health

For further questions about your responsibilities while a person remains in aged care, email agedcarefeesandpayments@health.gov.au.