Future care at home reform

Page last updated: 23 February 2018

The care at home system currently supports around one million older Australians each year through the Commonwealth Home Support Programme (Home and Community Care Program in Western Australia) and the Home Care Packages Program. 

With the reforms introduced in recent years, the care at home system is moving towards a:

  • more consumer-driven
  • market-based
  • nationally consistent system

Important reforms in home care were introduced in February 2017. The changes give consumers more choice in selecting a home care provider. There is now also a nationally consistent process for assigning home care packages to consumers.

Commonwealth Home Support Programme funding extension

To allow the changes to bed-down and prepare the way for future reform, funding arrangements for the Commonwealth Home Support Programme (CHSP) will be extended until 30 June 2020.

This will include an extension of agreements with:

  • Service providers and
  • Regional Assessment Services (RAS). 

There will also be new funding conditions to support independence and wellness and provide more choice for consumers.


A public discussion paper on future care at home reform was available on the Consultation Hub from 13 July to 21 August 2017.  Over 300 submissions were received from a range of stakeholders, including consumers, providers and peak bodies. A summary report of the key issues and feedback from the consultation is available. Individual submissions can also be viewed.

Next steps

The Department is working closely with an advisory group established by the National Aged Care Alliance to consider the feedback from the sector.

The Government will consider options for future reform in light of stakeholders’ views, and in the context of the recommendations in the Aged Care Legislated Review (Tune Review).  

Subscribe to the department’s mailing list to stay up to date with the latest aged care news and announcements.

For enquiries about the care at home reforms please email agedcarereformenquiries@health.gov.au.