ACAT & ACAS
Stands for Aged Care Assessment Team. In Victoria it's also known as ACAS or Aged Care Assessment Services. In both cases these teams are made up of health professionals like nurses and social workers who assess the needs of older people and what help and services they may eligible for. Generally, this kind of assessment is for those who have complex care needs and who may require things like nursing, personal care and the help with taking medication. Be sure to ask for a copy of your assessment.
Stands for Regional Assessment Service. You have one of these assessments when applying for home support in the Commonwealth Home Support Scheme (CHSP). My Aged Care organises this, like an ACAT assessment. It's a less formal assessment than ACAT. Be sure to ask for a copy of your assessment
An Approved Provider can be an organisation or an individual that delivers care services and receives payments or subsidies from the Federal Government to do so. It comes under Part 2.1 of the Aged Care Act 1997. An Approved Provider could own and operate care homes, deliver services to you or your loved one where you live now or could provide services at a community centre.
Assets Test and Means Tests
For many people wishing to get Government assistance to help pay for care services, an assets and means test will need to be completed. It's conducted by the Department of Human Services and assesses all income and other assets to work out what how much you need to contribute to the cost of care services.
When calculating how much money the Government will give you to enter a care home, the family home is included in the assets test if no one, like a spouse or close relative, is going to live in the house.
Unless you are a full pensioner, the assets and means test will help determine the minimum amount of money you will need to contribute to enter a residential home that is partly subsidized y the Government
For Veterans, the Department of Veterans Affairs carries out the assets tests. See Veterans for more information.
For those wishing to access a Home Care Package – if you are not a full pensioner, an assets test will be mandatory. It will determine how much you may need to contribute for care at home
Accommodation bonds and Accommodation charges
Accommodation bonds and charges was the jargon used when you or loved one needed to pay an amount of money up front to enter a care home. It is no longer called this but it is essentially the same thing.
A bond is now called the Refundable Accommodation Deposit.
however you can opt to also pay a dap
If you or your loved one are moving into a care home most homes will request that you pay an accommodation bond. That bond is paid to the company (always an Approved Provider) who runs the home. Generally, a bond is paid if:
A low level of care services is required in the home.
If the home offers superior facilities and services.
If you have assets over a certain level – although the family home is excluded.
If you or your loved one is moving into a care home and may need high level care, some homes will have an additional fee known as an accommodation charge. It is daily fee that is a fixed amount (set by the home itself not by the Government) and is charged from the day you move in until you leave the home for a period greater than 28 days. Care homes are not allowed to ask you to pay these fees more than a month in advance.
Some Government funded care homes may ask you or loved one to pay all of your accommodation costs up front.
You may be asked to pay all of your accommodation costs if you're moving into an Australian Government-subsidised aged care home. You will need to negotiate and pay the accommodation price agreed with the aged care home. An accommodation payment is when you are asked to pay all of your accommodation costs if you're moving into an Australian Government-subsidised aged care home. The Department of Human Services will work out if you are required to pay all of your accommodation payment and how much, based on an assessment of your income and assets. For further information on how to pay your accommodation payment, see Refundable Accommodation Deposit (RAD) and Daily Accommodation Payment (DAP).
Australian Government-subsidised aged care homes must meet certain criteria before they can receive government funding. These are defined under the Aged Care ACT 1997 (hyperlink]. Accreditation is looked after by Australia Aged Care Quality Agency (www.aacqua.gov.au). Every care home in the country receives an accreditation certificate and these can be searched on the AACQUA site. These certificates are given out after a care home has met a defined series of criteria. However, you currently cannot check the credentials of Home Care Providers in the same way.
Advance care plans
This is usually a written document that makes clear the wishes of a person when – sometime in the future - they may not be able to communicate or make known what they want in regard to the care they receive. Plans and directive can also appoint someone else to make decisions of their behalf. In many cases this can also be covered by an Enduring Power of Attorney document.
The Federal Government provides a service, for those people getting subsidised care, that will give you advice and help you to exercise your rights by representing you.
Allied health services
Most care plans for older people, whether you receive services in your home, community or live at a care home will include allied health services. These are NOT nursing or pharmaceutical services. These include:
Occupation therapy (especially after a stroke)
Dietary advice from a dietician
Basic Daily Fee
The Aged Care Complaints Commissioner is an independent office that looks into and tries to resolve complaint. Anyone can contact the office of the Commissioner about any concern of complaint about aged care services. https://www.agedcarecomplaints.gov.au To lodge a complaint call 1800 550 552
Commonwealth Home Support Program (CHSP)
The Commonwealth Home Support Program is for people who may just want a little bit of help around the home or being run to the shops but don't require complex care.
A number of older programs did the same thing have now absorbed in CHSP:
Home and Community Care program
National Respite for Carers program,
Day Therapy Centres program
Assistance with Care and Housing for the Aged Program.
This is a program that provides help to enable people to stay comfortably in their own home. This is generally an entry-level program with services including transportation, shopping, cleaning services.
Care fees and charges
You may be asked to pay a range of fees to deliver your care at home or to deliver extra services in your residential care home. These can be called Package Management fees, or Case Management fees and the like. Be sure to get the detail of what the fees and charges.
A Care plan is an individually tailored list of services that is prepared in consultation with you, your service provider and any other health professionals such as your GP. Especially if you're receiving a home care package make sure you have a copy of your care plan
If you are a carer providing daily care and attention for an adult with a disability, a severe medical condition or who is frail aged at home, then you may be eligible for a carer allowance. This is a fortnightly payment administered by the Department of Human Services, which may be paid in addition to other payments.
If you are a carer who is unable to participate in paid employment because of the demands of your caring role, then you may be eligible for income support in the form of a carer payment. The payment is distributed by the Department of Human Services.
Charter of Care Recipients' Rights and Responsibilities
If you are receiving care in an aged care home, you have rights and responsibilities that are included under the Aged Care Act 1997. This is called the Charter of Care Recipients' Rights and Responsibilities.
Charter of Care Recipients' Rights and Responsibilities for Home Care
If you are receiving a Home Care Package, you have rights and responsibilities that are included under the Aged Care Act 1997. This is called the Charter of Care Recipients' Rights and Responsibilities for Home Care.
When you register with My Aged Care they create a client record. You should be able to access your record online any time. It stores your personal details and records of assessments and support plans or care plans, and information about service(s) received.
Commonwealth Respite and Carelink Centre
If you need to access information on carer support and respite services, then contact a Commonwealth Respite and Carelink Centre. These centres provide a point of contact for the general public, carers, service providers, general practitioners and other health professionals. Phone 1800 052 222 during business hours, or for emergency respite support outside standard business hours call 1800 059 059.
Community Visitors Scheme (CVS)
Community Visitors Scheme (CVS) provides visits from volunteers to recipients of Home Care Packages. In each state and territory, CVS organisations have coordinators who match you with a suitable regular visitor based on your interests, hobbies and background, to visit you in your own home, or in the community when you are accessing community services or facilities.
Concierge Desk (The Care List)
Our Concierge Desk offers a range of services that can assist people to live at home well. The Desk can also arrange outings and other services that are separate to your ACAT assessed care needs. There are no extra charges to use the Concierge Desk.
Agreement by a party for something to happen, something to be done, or information to be held and shared.
Consumer Directed Care
From 1 July 2015 all Home Care Packages are delivered on a Consumer Directed Care (CDC) basis. CDC allows you and your carer to have more control over the design and delivery of the services you receive. In February 2017, changes were made to the CDC system to introduce more providers into aged care and to tighten up some regulatory issues such as Providers annually retaining unspent government care funds.
Continence Aids Payment Scheme
If you have permanent and severe incontinence, you may be eligible for assistance from the Continence Aids Payment Scheme (CAPS). The CAPS is an Australian Government payment that assists eligible people to meet some of the cost of their continence products. It is a direct payment which means you have flexibility and choice about where and when you purchase your continence products.
independent aged care advocacy and information to help protect your rights, guidance with relationships, help to manage situations and behaviours, information and training.
Daily Accommodation Contribution (DAC)
The DAC is the equivalent daily contribution for accommodation costs in an Australian Government-subsidised aged care home. You make this payment on a regular basis, up to a month in advance, similar to paying rent. This payment is
not refundable. For further information, see Accommodation contribution and Daily Accommodation Contribution (DAC).
Daily Accommodation Payment (DAP)
The DAP is the equivalent daily payment for accommodation costs in an Australian Government-subsidised aged care home. You make this payment on a regular basis, up to a month in advance, similar to paying rent. This payment is not refundable. For further information, see Accommodation payment and Refundable Accommodation Deposit (RAD).
Enduring power of attorney
An enduring power of attorney allows you to delegate the management of their affairs, in part of in total to another person. In most cases it's a member of your family but it can also be a close friend. An enduring power of attorney can be very detailed in terms of what needs to be done in the case of a medical situation but it can also involve instructions about a your financial affairs and the like. This document is not a replacement or should be used in lieu of a last will and testament. But you can sign an enduring power of attorney while you're able to understand the nature and effect of the document.
Various pieces of equipment like walkers and rails installed in your home can help you maintain your independence if you find it difficult to carry out some of your day-to-day living activities. It may include items that can assist with mobility – such as grab rails, aids such as walkers and wheelchairs. Also available are communication aids – such as tele-type equipment, hearing assistance. Personal care equipment – such as bath seats, raised toilet seating, health care – such as oxygen, nebulisers.
Ex-prisoners of war (POW)
The Department of Veterans Affairs (DVA) provides support for ex-POWs and for eligible family members. DVA can also provide assistance by paying some residential aged care costs and Home Care Package fees. Ex-POWs are exempt from paying income tested fees in residential aged care.
Extra or additional optional services
If you are moving into an aged care home, you may be asked to pay additional fees if you choose higher standards of accommodation or additional services. These vary from home to home. Your aged care provider can provide you with details of these services and the fees that apply.
Financial hardship provisions
If you are living in an aged care home and you have genuine difficulty in paying your aged care payments and relevant ongoing expenses then you may be eligible for financial hardship provisions provided under the Aged Care Act 1997.
Financial hardship assistance may be available to you if, through matters beyond your control, you do not have the income or assets available to pay your care costs. Every case is considered on an individual basis and based on each resident's financial circumstances.
There are also Financial Hardship provisions attached to people who are receiving a Home Care Package. You should contact your provider as soon as possible if you are having difficulties meeting your payment obligations.
Flexible Aged Care Program
If you are an older Aboriginal or Torres Strait Islander person then you may benefit from the National Aboriginal and Torres Strait Islander Flexible Aged Care Program (flexible program). This program provides quality, flexible, culturally appropriate aged care close to your home and community.
There are flexible aged care places provided through a number of different programs which can provide you with an alternative to more traditional community and residential care. These include Multipurpose Services, the Transition Care Program and the Aged Care Innovative Pool.
If you receive the maximum Australian Government means tested pension, then you are known as a full pensioner.
Government-subsidised aged care facility
A government-subsidised aged care facility is a term previously used to describe an Australian Government-subsidised aged care home. These facilities receive funding from the Australian Government and are bound by the requirements of the Aged Care Act 1997.
A guardian is a legally appointed substitute decision maker. They may make lifestyle decisions, such as where a person should live, as well as give their consent to medical, dental and health care services generally. They can be defined through a power of attorney document.
In some circumstances, where it is not appropriate to appoint a private guardian, the board or tribunal has the option of appointing the Public Guardian who is usually a statutory official.
Home Care Packages
Government subsidised Home Care Packages are designed to help you stay at home longer and are delivered by Home Care package providers. There are hundreds of government-approved providers as well as private providers. Government providers must adhere to rigorous compliance benchmarks.
There are four levels of home care packages designed to give the care needed:
Level 1 supports people with basic-care needs
Level 2 supports people with low-level care needs
Level 3 supports people with intermediate-care needs
Level 4 supports people with high-level care needs
A new Dementia Supplement and a new Veteran's Supplement is also available for eligible consumers in all home care packages and in residential care.
A hospice is a facility specifically for the palliative care of people with a progressive life limiting illness. It offers total care for the person including physical, emotional and spiritual support, and also cares for the person's family. Hospices are staffed by specifically trained doctors, nurses, social workers, physiotherapists and volunteers.
Income-tested care fee for Home Care Packages
Except if you are a full pensioner, you may need to contribute toward the cost of your care and will need to undergo an assets test. The Department of Human Services will work out if you are required to pay this fee, and how much, based on an assessment of your income.
Means-tested care fee
You may be asked to contribute towards the cost of your care if you're moving into an Australian Government-subsidised aged care home. The Department of Human Services will work out if you are required to pay this fee and how much, based on an assessment of your income and assets.
My Aged Care (MAC)
This is the Government's aged care website. Its where you need to register if you want an ACAT assessment, if you want to register for a Home Care Package or any kind of Home Support. There is also a searchable data base of home care and residential home care providers.
For Providers who are receiving Government subsidies to provide you care they will also register here
My Aged Care website (myagedcare.gov.au) and My Aged Care contact centre (1800 200 422). The contact centre can be phoned on 1800 200 422 between 8.00am and 8.00pm on weekdays and between 10.00am and 2.00pm on Saturdays. The My Aged Care phone line is closed on Sundays and national public holidays.
National Relay Service
If you are deaf or have a hearing or speech impairment you can contact the My Aged Care Contact Centre using the National Relay Service, an Australia-wide phone service.
National Respite for Carers Program
If you're caring for an older Australian, and in some instances, younger people with a disability, then you may benefit from the National Respite for Carers Program. This program provides respite, information and other support to allow you to take a break from your caring role.
National Prioritisation List
Is also called the National Prioritisation queue. People are assigned a home care package once you're on the list. Your place in the queue is determined by your need and the date you were approved for care. If the package level you requested isn't available you can indicate if you're ready to use another level while you wait for your level to become available.
The term nursing home is not used much these days. Most nursing homes are called Aged care homes or Residential Aged Care facilities. They provide accommodation services such as meals, laundry and room cleaning, and personal and nursing care.
Palliative care is generally given when end of life is near. There are palliative care specialists who help people achieve the best possible quality of life the person receiving care.
If you receive an Australian Government means tested pension that is less than the maximum amount, then you are known as a part-pensioner. In most cases if you are a part-pensioner and wish to access Government funded care you will need to complete as assets and means test.
If you have enough funds to pay for your own care without Government subsidies The Care List can help you organise some private care if you wish.
Refundable Accommodation Contribution (RAC)
The RAC is a lump-sum contribution for accommodation costs in an Australian Government-subsidised aged care home. This lump sum will be refunded when you leave the aged care home. For further information, see Accommodation contribution and Daily Accommodation Contribution (DAC).
Refundable Accommodation Deposit (RAD)
The RAD is a lump-sum payment for accommodation costs in an Australian Government-subsidised aged care home. This lump sum will be refunded when you leave the aged care home. For further information, see Accommodation payment and Daily Accommodation Payment (DAP).
If you're recovering from illness or injury you may benefit from rehabilitation. This helps you to regain as much of your previous ability as possible so that you can become or remain as independent as you can be.
Repatriation Health Card
If you are a veteran there are three types of Repatriation Health Cards available:
Gold Repatriation Health Card
White Repatriation Health Card
Orange Repatriation Pharmaceutical Benefits Card.
If you're living in an aged care home, you have the right to choose whether you wish to enter into a written agreement with your aged care home. A Resident Agreement is a legal agreement that covers the terms of your residency, as well as the rights and responsibilities of both you and your aged care home.
Residential aged care
If you receive personal and/or nursing care in a residential facility, as well as accommodation, you are in residential aged care. This type of care also includes:
appropriate staffing to meet your nursing and personal care needs
meals and cleaning services
furnishings, furniture and equipment.
Respite care (also known as short-term care) is a form of support for carers or care recipients. It gives the carer the opportunity to attend to everyday activities
and have a break from their caring role and the care recipient a break from their usual care arrangements. Respite care may be given informally by friends, family or neighbours, or by formal respite services.
Residential respite can be used on a planned or emergency basis by people who have been approved by an ACAT to receive residential respite care.
See also: Commonwealth Respite and Carelink Centre.
Retention amounts are sums of money that the aged care home may deduct each month from your accommodation bond for a period of five years.
Rights and responsibilities
If you receive aged care then you have rights and responsibilities. There are different rights and responsibilities depending on whether you are receiving care at home or in an aged care home.
Self-funded retiree / non-pensioner
If you fund your own retirement and don't receive any Australian Government means-tested pensions, then you are known as a self-funded retiree. You may sometimes be known as a non-pensioner.
A service provider is an organisation funded to provide aged care services to older people.
If you are a permanent resident of an aged care home, you are entitled to 52 nights away from the home in a financial year without having to pay extra fees. This is known as social leave. If you take more than 52 nights you may be asked
to pay additional fees to compensate the aged care home for the loss of subsidies that the Australian Government pays to the home.
If the Australian Government partially or fully subsidises your accommodation costs because you are a resident with low assets living in an aged care home, then you are known as a supported resident. You may still be required to pay the costs of your care.
If you are an older person who is ready to be discharged from hospital, but you still need short-term care after your hospital stay to be as independent as you can be, then you may benefit from transition care (also known as 'after-hospital care'). This type of care is designed to ensure more people return home after a hospital stay rather than move into an aged care home prematurely.
Translating and Interpreting Service
The Translating and Interpreting Service (TIS) is available for both English and non-English speakers. For non-English speakers, TIS National can provide telephone and onsite interpreters. For English speakers, TIS National provides interpreting services to help communicate with non-English speaking people using Automated Telephone Interpreting Service and onsite interpreting.
Veteran and war widow/widower pensioners
If you are a veteran or war widow/widower and you are eligible for and receive a pension from the Department of Veterans' Affairs, then you are known as a veteran and war widow/widower pensioner.
Veterans' Home Care
If you are a veteran, war widow or widower who has low care needs to remain in your own home for longer, you may benefit from Veterans' Home Care (VHC). This is a Department of Veterans' Affairs program that provides services including domestic assistance, personal care as well as gardening and home maintenance. VHC is not an entitlement-based program like most other veterans' programs but a fixed budget program.
If you are a veteran with an accepted mental health condition, then you may benefit from the Veterans' Supplement. This supplement was introduced from 1 July 2013 and will apply to all eligible veterans receiving a Home Care Package or living in an aged care home. It is designed to help providers deliver more appropriate care to veterans with an accepted mental health condition.
War widow/widower pensions
War widow/widower pensions are pensions paid by the Department of Veterans' Affairs to widowed partners and dependents of veterans who have died as a result of war service or eligible defence service.
Flexible care addresses the needs of care recipients, in either a residential or community care setting, in ways other than the care provided through mainstream residential and community care. Five types of flexible care are now provided for under the Act – Extended Aged Care at Home (EACH) and Extended Aged Care at Home Dementia (EACHD) packages, Transition Care, Multi-Purpose Service (MPS) places, and Innovative Care. Arrangements for the various types of flexible care are set out in the Flexible Care Subsidy Principles 1997.
High-care resident in residential aged care
A permanent resident who is assessed as requiring a high level of care based on their Aged Care Funding Instrument (ACFI) appraisal. See also Aged Care Funding Instrument.
A situation where the care recipient temporarily ceases to receive services from the service outlet to take a social leave, enter hospital or temporarily receive alternative care.
Low-care resident in residential aged care
A permanent resident who is assessed as requiring a low level of care based on their Aged Care Funding Instrument (ACFI) appraisal. See also Aged Care Funding Instrument.
Places available in RACS, CACP, EACH and EACHD Programs but excluding places in Multi-purpose Services and the National Aboriginal and Torres Strait Islander Flexible Aged Care Program which also offer residential and community aged care.
Residential aged care facilities and community aged care outlets offering mainstream places.
The middle number in a series after all values have been arranged or sorted from highest to lowest or lowest to highest. There are equal numbers of values above the median as below. For example, the median for the group 75, 76, 80, 81, 81, 81, and 82 is 81. Where there is an even number of values in a group, the median is the midpoint between the two central values. For example, the median of 1, 2, 4 and 8 is 3.
Multi-Purpose Services (MPS)
Special services operating in rural and remote communities, these provide a mix of Australian Government-funded and state-funded services, including aged care services best suited to the needs of each community.
A person who enters residential aged care as their ongoing place of residence.
The remoteness classification used in the 2011–12 fact sheets is based on the Australian Standard Geographical Classification (ASGC) Remoteness Structure developed by the Australian Bureau of Statistics. The classification allocates one of five remoteness categories to areas depending on their distance from urban centres, where the population size of the urban centre is considered to govern the range and types of services available. Areas are classified as Major cities, Inner regional, Outer regional, Remote or Very remote.
Residential aged care
Personal and/or nursing care that is provided to a person in a residential aged care service in which the person is also provided with accommodation that includes meals, cleaning services, furniture and equipment. The residential aged care service must meet certain building standards and appropriate staffing in supplying the provision of that care and accommodation.
A short-term admission to residential aged care for respite care purposes.
Care given as an alternative care arrangement with the primary purpose of giving the carer or a care recipient a short-term break from their usual care arrangement.
A resident who is admitted to residential aged care for respite care.
Indicates the destination of a resident at separation, including death.