Younger people in aged care

Page last updated: 13 December 2016

Young people accessing aged care services may be eligible for supports through the National Disability Insurance Scheme (NDIS), as it rolls out across Australia through to 2019.

Younger people who are already in aged care can continue to receive aged care and may become eligible for additional supports through the NDIS.

A younger person may make an NDIS access request up to six months prior to the NDIS rolling out in their region.  Please refer to residential care and home care packages sections for more information on the changes.

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

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.

The NDIS helps people with disability to:

  • Access mainstream services and supports
    These are the services and supports available for all Australians in the following areas:

    • health
    • education
    • public housing
    • justice
    • aged care
  • Access community services and supports
    These are activities and services available to everyone in a community, such as:

    • sports clubs
    • community groups
    • libraries
    • charities
  • Maintain informal support arrangements
    This is help people get from their family and friends. It is support people don’t pay for and is generally part of most people’s lives.

  • Receive reasonable and necessary funded supports
    The NDIS can pay for supports that are reasonable and necessary. This means they are related to a person’s disability and are required for them to live an ordinary life and achieve their goals.

NDIS roll out schedule

Roll out of the NDIS in all states and territories, (except Western Australia), has started. The current roll out schedule is available on the NDIS website

Changes for aged care providers

The roll out of the NDIS in a region may result in changes for residential aged care and home care package providers.

Aged care providers delivering services will continue to deliver care and services under the framework of the Aged Care Act 1997 (the Act). Providers will continue to claim aged care subsidies and supplements for their residents and consumers through the existing Aged Care Online Services system (ACOS), administered by the Department of Human Services.

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.

Residential aged care

As the NDIS rolls out, and younger people become eligible for additional support through the NDIS, some administrative changes may be necessary.

Under the NDIS arrangements, if the younger person in a residential aged care home requires additional support above the residential care subsidy and supplements for that person, this funding will be provided through the NDIS. You may need to register as an NDIS provider to deliver any additional supports through the NDIS.

For younger people currently living in a residential aged care home their current accommodation will be maintained. 

This means that:

  • the younger person will continue to pay their aged care fees and any applicable accommodation payment or contribution.
  • aged care providers will continue to claim the residential subsidy and supplements through ACOS
  • NDIS providers will deliver additional supports through the NDIS.

More information on how to become an NDIS provider is available on the NDIS website through the provider toolkit.

Once the younger person enters into a new NDIS care plan/agreement, the quality and safety provisions will be:

  • the Aged Care Act 1997 for all care and services that it is the aged care providers’ responsibility to deliver; and/or
  • the relevant state and territory quality and safety provisions for any additional supports through the NDIS;

until the NDIS framework is fully implemented in 2018.

Home care packages

For younger people currently receiving a home care package who meet the eligibility requirements for the NDIS, they may be able to move to the NDIS as soon as it is available in their region.

If the younger person is eligible for the NDIS, it is available in their region and they want to take up NDIS services, they may be able to leave their home care package and move to the NDIS straight away. This means that:

  • If the home care provider is not an NDIS provider, they will need to discharge the younger person from their current home care agreement. They will not be able to claim home care subsidy and supplements past the younger person’s discharge date. The timing will be dependent on what you have agreed with the person in their home care agreement.
  • If the home care provider is (or becomes) an NDIS provider, they will need to discharge the younger person from their home care agreement. NDIS providers will need to enter the younger person into a new NDIS care plan/agreement. Aged care providers will not be able to claim home care subsidy and supplements past the younger person’s discharge date. Instead NDIS providers will deliver care and services directly through the NDIS.

Once the younger person enters into a new NDIS care plan/agreement, they will be covered by state and territory quality and safety provisions until the NDIS framework is fully implemented in 2018.

More information on how to become an NDIS provider is available on the NDIS website through the provider toolkit.

Changes for younger people in aged care

Residential aged care

As the NDIS rolls out in each region, younger people living in a residential aged care home, or their representative, will receive a phone call from an NDIS representative to determine their eligibility.

Once the younger person is eligible for the NDIS, they:

  • will discuss their goals with an NDIS representative
  • will develop a plan outlining what supports will be funded under the NDIS
  • may include a goal to explore living in the community.

If needed, they are able to remain with their current residential aged care provider.

For younger people who remain living in their current residential aged care home, they will continue to receive their care and services through them and they will continue to pay their existing aged care fees and payments. This also means that if the younger person has paid an accommodation bond or refundable accommodation deposit (RAD), it will not be refunded to them while they remain living in the residential aged care home.

If eligible, these younger people may also be able to access additional services through the NDIS.

Ideally their aged care provider will also be registered as an NDIS provider and will be able to deliver these services to them. However, if their aged care provider is not also an NDIS provider, they should assist them with coordinating this additional service.

Home care packages

As the NDIS rolls out in each region, younger people who are currently receiving a home care package, or their representative, will receive a phone call from an NDIS representative to determine eligibility.

Once the younger person has been determined to be eligible for the NDIS, they will discuss their goals with an NDIS representative and develop a plan outlining what supports will be funded under the NDIS. This means that:

  • They can leave their current home care provider to take up services with an NDIS provider. This will require the younger person to be discharged from their current home care agreement and for them to enter into a new care plan/agreement with an NDIS provider.

OR

  • If their current home care provider is also an NDIS provider, they may want to remain with them. This will also require the younger person to be discharged from their current home care agreement as they will now receive all of the care and services they need through the NDIS.

Changes to delivery of home care services

There will be some significant changes to the delivery of home care services from 27 February 2017. A home care package will be assigned to a consumer and funding for the home care package will also follow the consumer. This will provide more choice for the consumer in selecting their provider, as well as flexibility to change their provider if they wish to do so.

The home care package will be portable for the consumer if they move to another location. You may wish to find out more about the home care reforms including information about unspent funds when a person leaves their home care package (before and after 27 February 2017).

What if a younger person needs assistance before the NDIS is available in their region?

Younger people with disabilities in regions where the NDIS has not yet rolled out are able to access services from their local state or territory government. Until the NDIS is available in a region, the younger person will continue to receive services from their local state and territory government.

Once the NDIS is available in their region they will be assessed, and depending on their circumstances, they may be able to transition to the NDIS.

Next Steps

As the NDIS is rolled out in a region:

  • an NDIS representative will call the younger person, or their representative, to determine their eligibility. If the NDIS has been unable to contact the person via phone, a letter and a paper Access Request Form will be sent to the person.
  • 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 the NDIS will fund for participants and those supports which are the responsibility of other parties.

Throughout the transition process the Department of Health will keep the sector up to date on the roll out schedule through the Announcements website.

Residential aged care providers

Residential aged care providers may need to become an NDIS provider in order to access the additional support through the NDIS for eligible clients in their residential aged care home. More information on how to do this is available on the NDIS website through the provider toolkit.

Home care package providers

Home care providers may also become NDIS providers in order to deliver NDIS services to eligible clients. More information on how to do this is available on the NDIS website through the provider toolkit.

Younger people in residential aged care

To help the Agency contact the younger person, 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. They can do this by contacting the Department of Human Services on 1800 227 475.

Younger people receiving a home care package

To help the Agency contact the younger person, 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. They can do this by contacting the Department of Human Services on 1800 227 475.

Further 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.
  • For people with hearing or speech loss:
    • TTY: 1800 555 677
    • Speak and Listen: 1800 555 727
  • For people who need help with English  TIS: 131 450

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

Download the factsheet:

Supports the NDIS will fund for younger participants in residential aged care

Department of Health

Visit the My Aged Care website

Download the factsheets:

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