Overview of proposed changes to home care from February 2017 Current Arrangements Proposed arrangements from February 2017 Providers apply for home care No ACAR for home care the Planning and allocation of places through the ACAR 2015 ACAR) home care places Planning and allocation is at A home care package is assigned (section 3.2.1) the regional level to an eligible consumer from a Home care places are national of packages ‘pool’ allocated to a provider managed by My Aged Care Capped number of home care The total number of packages will places, determined by the continue to be capped aged care planning ratio Assessment of ACATs undertake a ACATs will continue to determine eligibility comprehensive assessment to eligibility using a comprehensive (section 3.2.3) determine a person’s eligibility assessment ACAT approval is Approval will be given at specific in two package level (i.e. level 1, 2, 3 or 4) ‘broadbanded’ categories: level 1/2 or level no broadbanding – 3/4 Prioritisation of No consistent approach There will be a consistent national across Australia to prioritise system for assigning packages to consumers (section 3.2.5) consumers for access to a eligible consumers (prioritisation) home care package My Aged Care will manage a Providers maintain their own waiting list and the prioritisation waiting lists process My Aged Care will support consumers who have been assigned a package with referrals – to approved providers, either directly or with a referral code Consumer All home care packages are to All home care packages are to be directed care be delivered on a CDC delivered on a CDC basis, but with (section 3.6.2) an increased emphasis on the consumer being able to exercise choice within the package. This may involve more subcontracting or brokerage of services where the approved provider is unable to provide specific services or care arrangements requested by the consumer Portability of a Package is not portable for Package is portable, enabling the the consumer (as the home consumer to take their package with home care package care place is allocated to a them to another provider in any (section 3.2.6) provider in respect of a location across Australia
Overview of proposed changes to home care from February 2017 Current Arrangements Proposed arrangements from February 2017 Planning and allocation of home care places (section 3.2.1) Providers apply for home care places through the ACAR Planning and allocation is at the regional level Home care places are allocated to a provider Capped number of home care places, determined by the aged care planning ratio No ACAR for home care the 2015 ACAR) A home care package is assigned to an eligible consumer from a national ‘pool’ of packages managed by My Aged Care The total number of packages will continue to be capped Assessment of eligibility (section 3.2.3) ACATs undertake a comprehensive assessment to determine a person’s eligibility ACAT approval is ‘broadbanded’ in two categories: level 1/2 or level 3/4 ACATs will continue to determine eligibility using a comprehensive assessment Approval will be given at specific package level (i.e. level 1, 2, 3 or 4) – no broadbanding Prioritisation of consumers (section 3.2.5) No consistent approach across Australia to prioritise consumers for access to a home care package Providers maintain their own waiting lists There will be a consistent national system for assigning packages to eligible consumers (prioritisation) My Aged Care will manage a waiting list and the prioritisation process My Aged Care will support consumers who have been assigned a package – with referrals to approved providers, either directly or with a referral code Consumer directed care (section 3.6.2) All home care packages are to be delivered on a CDC All home care packages are to be delivered on a CDC basis, but with an increased emphasis on the consumer being able to exercise choice within the package. This may involve more subcontracting or brokerage of services where the approved provider is unable to provide specific services or care arrangements requested by the consumer Portability of a home care package (section 3.2.6) Package is not portable for the consumer (as the home care place is allocated to a provider in respect of a Package is portable, enabling the consumer to take their package with them to another provider in any location across Australia
Overview-of-proposed-changes-to-home-care-from-February-2017.docx