Consumer Directed Care, (CDC), Home Care Packages

As from February 2017 all home care packages are to be based on the concept of Consumer Directed Care, (CDC.)

Consumer Directed Care, (CDC), means that you are able to choose who provides your care. You can build a package of services that best supports you in living the life you want. You can also choose the level of control you want over the aged care services and support you receive within your budget. 

Home Care Packages are for people who need more care than the basic services provided under the Commonwealth Home Support Program, (CHSP.) 

You can decide how much involvement you wish to have in managing your package. This can range from being fully involved in all aspects including co‑ordination of care and services, to taking a less active role by nominating your care provider in the decision-making and management of their package

See Mr G's story on the right hand side of this page

Individualised budgets provide greater transparency to the consumer about what funding is available and how those funds are spent. We provide a monthly statement  to let you keep track of what funds have been expended and on what services.

Ongoing monitoring and a formal annual re-assessment by our expert staff will ensure that the package continues to be the most appropriate for the consumer.

For further information please see the links below:

The services that can be provided in a Home Care Package include, but are not limited to:

  • support services – such as help with washing and ironing, house cleaning, gardening, basic home maintenance, home modifications related to your care needs, and transport to help you with shopping, visit your doctor or attend social activities
  • personal care – such as help with showering or bathing, dressing and mobility
  • nursing, allied health and other clinical services – hearing services and vision services
  • care coordination and case management.

To be eligible for a home care package, you first need to register at My Aged Care at www.myagedcare.gov.au or call the national contact centre on 1800 200 422.

Home Care Packages - what they are worth and what you contribute

There are four levels of Home Care Packages and your level will determine how much funding you have available for your care.

  • Level 1 total package - $8,044.60 per year, or $22.40 per day available for your care services.
  • Level 2 total package - $14,632.85 per year, or $40.09 per day available for your care services.
  • Level 3 total package - $32,171.11 per year, or $88.14 per day available for your care services.
  • Level 4 total package - $48,906.35 per year, or $133.99 per day available for your care services.

Your contribution

It is government policy that most people are asked to make a contribution to their care package. This contribution can be up to 17.5% of the full aged pension. As at March 2017 this works out to be around $10.10 per day. At Community Care TASMANIA your Case Manager will negotiate the level of your contribution to your package to best suit your personal situation and circumstances.

In addition you may be subject to an income test which may result in an increased personal contribution to you package  

Importantly, your contribution does not change the total amount of your package. It just means the greater your capacity to pay, the less subsidy you will receive from the government.

Your total package = your contribution + the government subsidy.

There are limits on how much you will pay over a year, or over your lifetime:

The $24.59 contribution is capped at $5,188 a year, the $38.43 contribution is capped at $10,375 a year and you will never pay more than $61,268 over your lifetime.

These figures are updated twice a year, in March and September. 

When you choose an organisation such as Community Care TASMANIA to be your home care provider, some of you total package funds will go towards the service fee.

Our fees are very competitive and completely open and transparent. There are no hidden costs to you, no surprise add-ons. Meeting your needs is our priority. 

In providing the best quality care to you we have to achieve certain national standards in the areas of management, recruitment and training of staff, quality improvement, reporting to government and clients, coordinating and delivering services. These costs, along with your  individual case management, make up the service fee. 

Case Management covers such things as: 

  •  ·        Initial assessment;
  • ·         Identifying consumer goals;
  •            Development and updating of agreement, care plan and individualised budget; 
  • ·         Sending referrals;
  • ·         Obtaining contracted prices;
  • ·         Reports to government;
  • ·         Completing home and office files;
  • ·         Ongoing monitoring and informal reviews;
  • ·         Referrals to ACAT if a higher level package is needed. 

Community Care TASMANIA currently administers around 65 Home Care Packages to consumers across Tasmania. Our staff are always available to provide information about service options available that will help create a Home Care Agreement and plan that suits your needs. 

Organising a home Care Package

Step 1 – Phone Assessment

When you contact My Aged Care, you will undergo a quick phone screening so that your care needs can be assessed. Based on this initial assessment, you will either be referred to a Regional Assessment Service or to an Aged Care Assessment Team (ACAT), for a more comprehensive assessment.

If you are referred to a Regional Assessment Service, it generally means that you require a Home Support Program (CHSP) for basic level support. This could include services such as meals on wheels, community transport or other complementary services.

If you have more complex or ongoing care and support needs, you will be referred for a more comprehensive ACAT assessment.

Step 2 – Your ACAT Assessment

Your ACAT assessment is designed to determine whether you are eligible for a Home Care Package, respite care or permanent placement into an aged care home.

A member of your local ACAT, usually a nurse, social worker or other health care professional, will make a time to come to see you at home. They will talk to you about how you are managing day-to-day and may also ask your permission to talk to your doctor about your medical history.

During the assessment they will give you information on what services you might have available to you and what you might want to access. Many people also choose to have a family member, friend or carer present at the assessment to provide extra support.

Step 3 – Securing a Home Care Package

As explained above there are four levels of Home Care Packages – if it is determined that you are to receive home care you will be allocated a package, based on the level of care you require.

You will then receive a letter from My Aged Care which will indicate that you have been approved for a home care package. This is a first step only. You will then receive a further letter when your package is directly assigned to you.  

This letter will ask you to seek an approved home care provider such as Community Care TASMANIA to deliver the services you require. It will also set out a time frame for you to find a provider.

Please talk to us at any time.  We will appoint a case manager to work with you to determine what is required and to help you put the package into action. Our expert staff can organise a package that can be tailored to suit your individual needs.

For more information you can download any of our fact sheets or pamphlets

Emily’s 86 year old father has advanced dementia and has been assessed as having high care needs. He receives a Home Care Level 4 package.

Dad needs really individual and careful management and support.
The Community Care TASMANIA staff seem to have a good way with him.

Emily acknowledges that her father can be awkward at times. “But they are brilliant they always seem to get to the desired end even though sometimes they may have to wait for a while and try again!”

“They are great support for Mum and I as well. We are on a roller coaster trying our best to look after dad".

Once we decided we needed help Community Care TASMANIA were quick to organise quality help whenever we needed it.

Some examples of services provided to clients with home care packages.

In addition to domestic help and home maintenance, Community Care TASMANIA  has arranged the following services and purchase of equipment for clients with home care packages.

  • Hospital style bed
  • Circulation boosters
  • Ipad and ipad training
  • Vitalcall alarm and monitoring
  • Webster packaging of medications
  • Continence aids
  • Security door
  • Accommodation for a conference
  • Fuel vouchers to conference
  • Taxi fees
  • Podiatry costs
  • Physiotherapy costs
  • Massage
  • Rollators
  • Wheelchairs
  • Raised garden beds
  • Fishing trips
  • Golfing (staff support)