Maintaining services through the transition period

Page last updated: 15 June 2017

Until the National Disability Insurance Scheme (NDIS) has rolled out nationally, some younger people will be dual participants for aged care and NDIS purposes.  As a result, aged care providers will continue to support these younger people under the Aged Care Act 1997 (the Act) until full roll out. This will require providers to maintain current aged care business practices for them.  All aged care regulatory and legislative requirements continue to apply to these care recipients.

Maintaining a younger person’s ACAT approval

When the ACAT assessment team grants approval, they may limit the approval for a specified period. After that period expires, the person is no longer approved for care, and if receiving care, they are no longer eligible to receive funded care.

When a care recipient moves from one service to another, or changes their care type, it is important for approved providers to check that the care recipient has a current approval for the care type and level they will be providing. This ensures that all subsidies can be paid. Aged care services can use the Department of Human Services (DHS) Medicare Aged Care Online Gateway to check if a potential care recipient’s approval is valid.

Where a person does not have a current approval for a care type they require under the Act or it is due to expire, the person or provider (on their behalf) can contact the My Aged Care contact centre on 1800 200 422 to arrange referral to the ACAT for a new assessment.

ACATs use My Aged Care to manage referrals, undertake comprehensive assessment, support planning, delegate approval, referral to service(s) and transmission of approvals to DHS.

ACFI changes

ACFI reappraisals may be required during the transition period. Changes to ACFI may result in a change of funding levels for the care recipient.

Aged care fees and payments

The amount of a care recipient’s aged care fees can change over time for a number of reasons. This includes:

  • a change in the person’s income or assets
  • a change in the person’s care needs
  • indexation (regular increases to fees) may affect a person’s income or assets
  • quarterly review (quarters start on 1 January, 20 March, 1 July and 20 September each year).

The Department of Human Services will send a letter to the person, their nominee and service provider if there is a change to their aged care fees. Ongoing consultation between the aged care provider and the NDIS will be required to ensure the funding levels remain appropriate to meet the person’s care needs.

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