Younger people in residential aged care

Page last updated: 01 November 2017
This information sheet is for people under the age of 65 who are currently in residential care who may be eligible for the National Disability Insurance Scheme (NDIS).

Younger people may be living in a residential aged care home if they have been unable to access alternative housing and care due to their high-level care needs.

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 set up to put the NDIS in place (visit the NDIS website at ndis.gov.au for more detail).

The Agency will help educate service providers and the local community about how they can assist people with disability.

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

The NDIS aims to support people to live in the community or other settings that are suitable for their age (see the NDIS website for more detail).

If you are under 65 years old living in residential aged care you may be eligible to receive assistance from 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 keep up 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,
  • specialised equipment  for someone who has an 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 me to move into the community?

If you are living in residential aged care, you may want to explore the goal of living in the community.

The NDIS may pay for modifications to make your home accessible. It may also assist you to live independently with supports such as personal care to help with showering or dressing, or help preparing meals and cleaning.

Residential aged care fees and payments

While you remain in aged care, you may still be asked to pay fees to contribute to accommodation costs, living expenses and care services that are not funded under the NDIS (visit the My Aged Care website at http://www.myagedcare.gov.au/ for more detail about aged care fees and payments).

Basic daily fee (all)

Everyone can be asked to pay this fee. The NDIS will not assist you with this fee. 

Means-tested care fee (post-1 July 2014)

The result of your combined income and assets assessment, when you first entered care, determined if you needed to pay this fee. The NDIS will assist you with this fee. 

Income tested fee (pre-1 July 2014) 

The result of your income test assessment, when you first entered care, determined if you needed to pay this fee. The NDIS will assist you with this fee. 

Extra and additional service fees (all)

These fees may apply if you choose a higher standard of accommodation, meals or other care or services. The NDIS will not assist you with this fee. 

Accommodation payments (post-1 July 2014)

The result of your combined income and assets assessment, when you first entered care, determined if you received assistance with your accommodation costs or if you needed to pay for your accommodation. 

Lump sum:

  • refundable Accommodation Deposit (RAD) or Refundable Accommodation Contribution (RAC), the NDIS will not assist you with this payment.

Daily payment:

  • daily Accommodation Contribution (DAC), the NDIS will assist you with this payment. 
  • daily Accommodation Payment (DAP), the NDIS will assist you with part of this payment - up to the value of the maximum accommodation supplement the residential aged care home is eligible for. Residential aged care providers may need to assist the NDIS with working this amount out.

Note: the amount above the maximum accommodation supplement the residential aged care service is eligible for is still payable by you and will not be covered in our NDIS plan.

Combination:

  • if you pay for your accommodation as a combination of a lump sum and a daily payment, the NDIS will not assist you with your lump sum payment but they will assist you with your daily payment (as above).

Accommodation bond or charge (pre-1 July 2014) 

The result of your asset test assessment and your level of care, when they you entered care, determined if you needed to pay for your accommodation.

Accommodation Bond:

  • the NDIS will not assist the younger person with this payment.

Accommodation Charge:

  • the NDIS will assist the younger person with this payment.

The NDIS representative will discuss how they will pay these aged care fees with you when they develop your plan.

What to do next?

As you are already in residential care, an NDIS representative will call you or your representative (if you have one) to talk about your eligibility.

For more information about how to prepare for your eligibility meeting, please see the Younger people in residential aged care: NDIS eligibly meeting factsheet.

What happens once my eligibility has been determined?

You and your family will discuss your goals with an NDIS representative as part of the planning conversation.

Your plan will include the supports funded under the NDIS and those supports that are the responsibility of other parties.

I’ve paid an accommodation bond or RAD, will this be refunded?

No. If you need to stay in residential aged care, your accommodation bond or RAD will not be refunded and you can continue to be asked to pay any applicable daily accommodation payment/charge or contribution.

When will the NDIS be available in my region?

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

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

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.
  • 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.

Department of Health

For further questions about what happens if you remain in aged care, email agedcarefeesandpayments@health.gov.au.