Home Care Reform

The way in which Home Care is delivered is changing. The Federal Government announced the Home Care Programme – Increasing Consumer Choice initiative at the 2015-16 Budget, which continues to build on the aged care reforms, including the introduction of Consumer Directed Care.

The aim of this reform is to “empower older Australians to receive services from a provider of their choice, increasing competition and leading to improved quality and innovation in service delivery, while reducing regulation for providers.” [p19 Portfolio Budgets Statements 2015-16 – Budget Related Paper no. 1.15A: Social Services Portfolio]LASA has released a number of resources to help our Members prepare for the Home Care changes, which commenced on 27 February 2017.

 

LASA Home Care Webinars

Please click on the ‘play’ arrow below to listen to our Home Care Webinar. Please click here to view a slideshow of this webinar:

Future Home Care Reforms Webinar

The 20-minute Future Home Care Reforms Webinar provides members with a consolidated update on key points within the LASA submission to government in response to the public consultation for the Department of Health’s July 2017 discussion paper: Future Reform – an integrated care at home program to support older Australians. The LASA submission was developed based on feedback received through our member consultations following release of the discussion paper. Thank you to our members who contributed to inform the development of the LASA submission.

View the LASA submission here.

LASA Home Care Information Series

Please click on the links below to read our Home Care Reforms Information Series – a regular newsletter for our Members.

Please click on the links below to read our Home Care Reforms Information Series – a regular newsletter for our Members.

Home Care Reforms Info Series Issue 1 – My Aged Care National Prioritisation Process

Home Care Reforms Info Series Issue 2 – Home Package Levels

Home Care Reforms Info Series Issue 3– Unspent Home Care Amounts & Exit Amounts

Home Care Reforms Info Series Issue 4 – Top Tips: Regulation Focus

Home Care Reforms Info Series Issue 5 – Frequently Asked Questions

Home Care Reforms Info Series Issue 6 – Summary of the Home Care Changes

Home Care Reforms Info Series Issue 7 – Updated Summary of the Home Care Changes

Home Care Reforms Info Series Issue 8 – Updated Information

Home Care Reforms Info Series – Issue 9 – Update

Home Care Reforms Info Series Issue 10 – Package upgrades

Home Care Reforms Info Series  Issue 11 – Multiple NAPS ID Services

Home Care Reforms Info Series Issue 12 – LASA’s MAC Provider Survey and Liaison with the DoH

Home Care Reforms Info Series Issue 13 – LASA’s MAC Provider Survey Final Report

Home Care Reforms Info Series Issue 14– Consumer Choice and Home Care Package Budget Expenditure

Home Care Reforms Info Series Issue 15 – Home Care Package Activations

Home Care Reforms Info Series Issue 16 – NACA Discussion Paper / ACFA Annual Report

 

Overview of Home Care Changes

To enact these changes, Parliament passed the Aged Care Legislation Amendment (Increasing Consumer Choice) Act 2016 in March 2016, which has subsequently resulted in amendments to existing Principles and Determinations as well as the introduction of new Legislative Instruments to provide the detail to support the Act. The four new Legislative Instruments are:

The first part of these changes will see the introduction of three major changes to the way home care is currently delivered:

  • the Home Care Package funding will follow the consumer.
  • one national prioritisation system for people waiting for a Home Care Package (a national queue) supported by a National Package Inventory, which will identify all used and unused packages.
  • improvements to the process for organisations to become an Approved Provider.

It is important to note that a number of things will not change:

  • Home care subsidy and supplements will continue to be paid to the Approved Provider, not directly to the consumer.
  • the number of Home Care Packages nationally available will still be capped.
  • there will be no changes to the current fee and income testing arrangements.

 

Department of Health Resources

The Department of Health has released several resources to help people understand the key changes, including factsheets and webinars. This information is available via the Department’s website. Webinars available on demand via the Department’s website include:

The Department has also released 10 factsheets for Providers and two factsheets for Consumers:

Provider Factsheets Topics Covered
Introduction to Home Care Changes
  • What is changing?
  • Overview of key changes
  • What is not changing?
  • When do the changes to home care start?
  • What can I do to prepare?
Consumer Directed Care
  • What is Consumer Directed Care?
  • The Home Care Package Programme
  • Home Care Package Provider CDC requirements
  • Ongoing management of home care package services
  • Consumer rights
Supporting Client Discussions
  • What is changing?
  • What do the changes mean for clients?
Discussing the Assessment and Approval Process with Clients
  • Assessment for home care
  • Receiving the outcome of your assessment
  • Research home care providers and work out costs
  • Being assigned a home care package
  • Entering into a Home Care Agreement.
National Prioritisation Process
  • How will consumers be prioritised?
  • How will home care packages be assigned to consumers
  • Creating the National Package Inventory
  • The National Package Inventory from 27 February 2017
Changing Home Care Providers
  • What happens when a client changes providers?
  • Obligations for the existing service provider
  • Obligations for the new service provider
  • What is the client’s role?
Unspent Home Care Amounts
  • What is the unspent home care amount?
  • What changes are occurring; and
  • What do I need to do?
Overview of Exit Amounts
  • What is an exit amount?
  • What changes are occurring?
  • Requirements for providers
  • Deducting an exit amount
Exit Amount – Transition Provisions
  • What is an exit amount?
  • What changes are occurring?
  • Transitional arrangements
Home Care Package service finder
  • What is changing?
  • How will clients find a service provider?
  • What can I do to prepare?
  • What information will be captured?

Consumer Factsheets Topics Covered

Consumer Directed Care
  • What is Consumer Directed Care?
  • Provider Obligations
  • What am I entitled to?
  • Support
Changes to Home Care
  • Increasing Choice in Home Care
  • I’m currently receiving a home care package. What do the changes mean for me?
  • I have been assessed as eligible to receive a home care package, but haven’t started receiving care yet. What do the changes mean for me?

Other resources available on the Department’s website include:

Upcoming Events

Thu 26

LASA Bush Nursing Centers and Hospitals in Victoria Forum

October 26 @ 6:00 pm - October 27 @ 3:30 pm
Nov 02

Doorway to Dementia – Melbourne (VIC)

November 2 @ 9:30 am - 12:30 pm
Nov 08

Home Care Masterclasses (SA)

November 8 @ 1:00 pm - November 9 @ 4:00 pm

Upcoming Training

Nov 20

Pain Management in Aged Care Masterclass (NSW)

November 20 @ 9:30 am - 5:30 pm
Nov 21

Cultural Diversity in Aged Care – Melbourne (VIC)

November 21 @ 9:30 am - 3:30 pm