Aged care means assessment - Support at Home pre-entry 065-18082330
This document outlines the process for completing a Support at Home means assessment before a care recipient commences receiving care.
Customer First
This page contains the process for completing a Support at Home means assessment for care recipients who have not entered Support at Home.
On this page:
RCA status and eligibility for verbal assessment
Partner, children, contact and address details
RCA status and eligibility for verbal assessment
Table 1
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Preliminary check and dates for pre - entry assessmentComplete the Aged care means assessment - preliminary checks including:
Determine the relevant dates for a Support at Home pre-entry means assessment.
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Check the source of the RCA/HOM activityA care recipient not in receipt of a means tested income support payment will need to lodge an Aged Care Calculation of your cost of care including when they do not wish to disclose their means. If no activity on the Activity List (AL) screen, index an RCA/HOM activity. See Indexing, re-indexing and cancelling claim activities. What is the source of the RCA/HOM activity?
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Verbal assessmentsVerbal means assessments are only able to be completed for care recipients who receive a means tested income support payment (ISP). If a verbal assessment is requested by an authorised third party, see Accepting information from and disclosing information to a Power of Attorney to confirm authorisation. When undertaking a verbal means assessment, ask the care recipient or third party if they want to:
Can the Support at Home means assessment be completed verbally?
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Outstanding information
Table 2
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Check for an authorised person or organisationIf the Authorising a person or organisation to enquire or act on your behalf section on the Aged Care Calculation of your cost of care has been completed, and all signatures/documentation are provided, see Adding or rejecting a nominee request to code a nominee. This nominee will be added to all aged care systems through the means assessment. See Person Permitted to Enquire (PPE) or Update (PPU) authority if a third party has been nominated as a:
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Check if additional information or documents are requiredConfirm the Aged Care Calculation of your cost of care form has been completed correctly and signed by the care recipient or authorised third party. See Aged care means assessment.
Is more information needed to finalise the RCA/HOM activity?
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Collect outstanding information verballyGenuine attempts to contact by phone must be made to discuss the request if this has not already occurred. Send a pre-call notification SMS if the customer or nominee is subscribed to electronic messaging. See Calling a customer or returning a customer's call. Note: although there is no obligation to provide information verbally, advise the benefits and potential consequences of failing to provide requested information within the required timeframe. Can the outstanding details be collected verbally?
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Issue a Request for Information (RFI) letter
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RFI has been issuedIs it 21 days plus allow extra time for surface mail delivery since the RFI was issued to the care recipient?
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Partner, children, contact and address details
Table 3
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Partner and dependent childrenIf there is a partner to be added, a Partner details (MOD P) form is required. See Update relationship status and link customer and partner records. Dependent children mean that a care recipient assessed under Post2014 scheme only will not have to pay means tested contributions under Support at Home. Income details must still be maintained on the record. See Aged Care fees and charges - care subsidy reduction to zero. For Post 2025 scheme care recipients, dependent children do not exempt a care recipients from contributing to the cost of their care. Dependent child/ren will affect the income threshold used in calculation of contributions and are still coded. If a care recipient has a dependent child in their care, on the RCA dependants (RDEP) screen record:
See the References page for a link to the Aged Care Act 1997 definition of a dependent child. | |
Update care recipient name, address and contact detailsIf the care recipient provides a new home address, telephone details or alternate names:
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Update care recipient postal addressUpdate a postal address in Customer First when requested by:
A postal address is not updated in Customer First when requested by:
For additional information on updating addresses (including postal) see: |
Income and assets details
Table 4
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Income and assets informationAn Aged Care Calculation of your cost of care requests income information as at the date of event (DOV) of the aged care means assessment. Supporting documents may include a history of income. For multiple updates to income support payment (ISP) changes:
If the partner has recently died, do not contact the care recipient or nominee. See Bereavement reviews for more information on reviews following the death of a member of a couple. Has the care recipient advised of any changes to their income and assets details?
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Select screens for updating income and assetsCare recipients receiving an ISP can advise income and asset changes that occurred before the means assessment date of event (DOV). Code these changes as part of the means assessment. See Verifying income and assets for details or documents required. See Verifying income and assets to determine if further verification and documents are required. In Customer First:
Note: if data already exists on a screen, a Y will appear on the RCTS screen. Check the data for accuracy. The coding of income and assets for aged care purposes aligns with the Social Security Act 1991. See the below links for more information:
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Find out if there is employment incomeDoes the care recipient (or their partner) get any income from employment?
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Code employment income - ISP care recipientsEmployment income reporting requirements for a care recipient (or partner) in receipt of an ISP:
If this is the first time that the care recipient (or partner) is declaring income, see Recording and correcting employment income details. | |
Code employment income - self funded retireesCare recipients not in receipt of an ISP:
See Determining the Date of Event for employment income for help coding income. | |
DVA incomeIf no DVA income has been declared for aged care means assessment purposes, go to Step 7 If the care recipient has declared a DVA payment is received check the Department of Veterans' Affairs Summary (DVAS) screen for DVA coding. Is the DVA payment/benefit coded correctly on DVAS screen:
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Update real estate and business (REBS) screenUpdate the REBS screen if the care recipient indicates:
Do any of these apply to the care recipient?
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Curtilage coding on REBSDoes the care recipient's principal home include land greater than 2 hectares/5 acres?
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Extended land use testDoes the principal home and surrounding land meet the criteria for an extended land use exemption?
No:
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Interest in real estate or receiving income from real estateDoes the care recipient have an interest in any real estate including their former principal home?
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Income from boarders and lodgersSupport at Home care recipients remain in their homes whilst care is provided. For help with coding and information on how to assess income received by a care recipient from boarders and/or lodgers living in the care recipient’s principal home, see Income from boarders and lodgers | |
Interest in real estate or receiving rent including for the principal homeIf the care recipient has an interest in any real estate or rental income is being received on a separate dwelling/self-contained area on the same title as their principal home
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Business incomeWhen a care recipient (or partner) has an interest in a business, the means assessment includes any income and assets of the business. If income and assets of a business have changed, see Changes to income and assets from a business structure. Does the care recipient (or partner) have any interest in a sole trader business or a partnership?
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Interest in a private trust or companyDoes the care recipient have an interest in a private trust or private company?
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CAO referral required for private trust or private companyIf the care recipient (or partner) has an interest in a private trust or private company check if a CAO assessment has been completed within the last 12 months, a new referral may not be required. Check the Document List (DL) for a Completed CAO Assessment DOC and review the CAO Assessment DOC to make sure the information is applied to previous CAO assessment. Has the most recent CAO referral been completed within the last 12 months?
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CAO assessment referral
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Finalise the RCA/HOM activity
Table 5
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Cancel or withdraw claimA pre-entry means assessment is cancelled if an aged care RFI was issued and the care recipient has not provided documentation within 21 days (plus allow extra time for mail delivery). A pre-entry means assessment is withdrawn if care recipient withdraws their means assessment request. Is this claim being cancelled or withdrawn?
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Check RCA circumstance (RCIRC) screenCheck the RCIRC screen fields are populated as below:
Note: RCIRC will populate Post2014 scheme (home care) when a date of effect is prior to 1 November 2025. Once a pre entry means assessment is completed, the aged care system will send the Support at Home scheme to Process Direct with a date of effect of 1 November 2025. | |
Update the RCA means test details (RMND) screenAged care pre-entry assessments are valid for a maximum of 120 days from the date the assessment is completed. When the activity is completed, the DOE defaults to the date of receipt of the activity. If assessment is being completed at a later date, a new entry needs to be added. To add the start date, go to the RMND screen:
Existing Reform Enquiry Means Test data prevents the above coding. In these cases:
Is this assessment being finalised as means not disclosed (MND)?
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Finalise the RCA/HOM as means not disclosed (MND)Care recipients pay the full amount for the cost of their care if they do not disclose their income. A letter will not automatically issue until care starts. If a request for a pre-entry letter is received, advise the care recipient:
Check the RCIRC screen fields DSS Require Income Details and Date of Effect (DOE) are populated as below:
Go to the RCA Means Test Details (RMND) screen within the RCA/HOM activity:
Note: if a care recipient has elected to not disclose their means, this decision cannot be reviewed. Any subsequent means assessment will only apply from the lodgement date and will not be backdated.
Existing Reform Enquiry Means Test data prevents the above coding. To display a blank Reform Enquiry Means Test entry to update:
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Cancel or withdraw a pre-entry means assessmentTo cancel or withdraw a pre-entry means assessment:
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Attach Auto-text Fast Note to RCA/HOM activityWhen the RCA/HOM activity coding is complete, exit and attach a Fast Note to record the assessment outcome.
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Assessment result (AR)When the Fast Note is complete:
For care recipients currently in care who require a manual pre-entry letter (HC1), see Aged care letters - creating manual letters. Note: when date of receipt is more than 120 days in past, the RCA status will show as cancelled due to expiry (RCA/CAN-EXP). Complete a new RCA/HOM using same information but using the current date as the date of receipt. This will start the 120 days valid assessment period from the correct date. | |
Follow up actionDetermine if action is needed:
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> Request Documents, see
button > Regenerate, and select an appropriate reason and select Save