Home Care Packages Program 1 Key points Home Care Packages More - - PowerPoint PPT Presentation

Home Care Packages Program

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Key points – Home Care Packages

• More packages
• Four levels
• Existing clients transitioned to new program
• No Agreements required
• Single list of care and services

Home Care Packages Program

• Commence from 1 August 2013
• Program replaces the existing Community Packaged

Care Programs – CACPs, EACH and EACHD packages

• New guidelines apply to all Home Care Packages, not

just the new ones

• CDC

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Four levels of home care packages

• Four levels of packages:

– Home Care Level 1 – a new package to support people with basic care needs – Home Care Level 2 – a package to support people with low level care needs, similar to the former CACPs – Home Care Level 3 – a new package to support people with intermediate care needs – Home Care Level 4 – a package to support people with high care needs, similar to the former EACH package

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Transitional arrangements

• From 1 August 2013:

– CACP packages will become Home Care Level 2 – EACH packages will become Home Care Level 4 – EACH-D packages will become Home Care Level 4 (plus additional supplements will apply to existing EACHD consumers)

• Existing CACP, EACH and EACHD consumers (as at

31 July 2013) will continue to receive home care services, at an equivalent level of funding, from 1 August 2013.

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ACAT assessment

• To be eligible for a package, a person needs to be

assessed by an ACAT

• “broadbanded” approval

– Home Care Level 1 or 2 – Home Care Level 3 or 4

• The home care provider:

– decides whether they can offer a package to a consumer – determines which package level is appropriate within the broadband

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Consumer Directed Care (CDC)

• From 1 August 2013:

– all new packages must be delivered on a CDC basis

• From 1 July 2015:

– all packages, including packages in existence before 1 August 2013, must be delivered on a CDC basis

• Providers with existing packages can convert to CDC

earlier than July 2015 if they wish

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CDC – Decision making and care planning

• Under CDC, the consumer:

– has ownership of decision-making – is encouraged to identify goals – can decide the level of involvement they want in managing their package – must be allowed to exercise choice in the way that services are offered and delivered

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CDC – Individualised budget and statements

• Under CDC, the consumer must be provided with:

– an individualised budget – a monthly statement of income and expenditure

• A consumer may also choose to top-up their package by

purchasing additional services through their home care provider

• Unspent funds carry forward from month to month and

year to year for as long as the consumer continues to receive services under the package

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Excluded items

• Using package funds as a general source of income for the consumer
• Purchase of food, except as part of enteral feeding
• Payment for permanent accommodation, e.g. rent or mortgage payments
• Payment of home care fees
• Payment of fees or charges for other types of care funded or jointly

funded by the Australian Government

• Home modifications or capital items that are not related to care needs
• Travel and accommodation for holidays
• Cost of entertainment activities, e.g. club memberships and tickets to

sporting events

• Payment for services and items covered by the MBS or the PBS
• Gambling or illegal activities

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Consumer care fees

• From 1 August 2013:

– no changes to previous arrangements – consumer can be asked to pay a care fee

• From 1 July 2014:

– new income testing arrangements will apply – subsidy payable by the Government will be reduced according to the income tested fee payable – will not affect existing home care consumers – further information will be available over the coming months

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Leave provisions

• Leave arrangements will be the same across all

package levels

• More consistent rules across the different types of

leave

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Evaluation

• The Home Care Packages Program, including the CDC

arrangements, will be evaluated during the first two years – to consider the impact on:

– consumers, carers and family members – provider operations – assessment processes – interface with other programs – the effectiveness of the new arrangements in providing a continuum of care, as well as choice and flexibility

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Further information

• www.livinglongerlivingbetter.gov.au

– Home Care Packages Program Guidelines – Fact sheets for consumers, including existing CACP, EACH and EACHD consumers – Overview of changes – Questions and answers

• www.myagedcare.gov.au or 1800 200 422

Any questions?