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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

Outstanding information

Partner, children, contact and address details

Income and assets details

Finalise the RCA/HOM activity

RCA status and eligibility for verbal assessment


Table 1

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Step

Action

1

Preliminary check and dates for pre - entry assessment

Complete the Aged care means assessment - preliminary checks including:

  • action required when care recipient is RCA/CUR

Determine the relevant dates for a Support at Home pre-entry means assessment.

  • Date of event (DOV), and
  • Date of receipt (DOR) will be the same and be either:
    • Contact date of the verbal means assessment,
    • receipt date of the Aged Care - Calculation of your cost of care (means assessment) form, or
    • Submission date of the Online aged care calculation of your cost of care (OACCCC)
  • Date of effect (DOE) where applicable for care recipients who receive an income support payment and have advised of changes to income and assets
  • When the DOR is more than 120 days in the past, RCA status will show as cancelled because of expiry (RCA/CAN-EXP). Complete a new RCA/HOM with the same details, using the current date as the DOR. This starts the 120 days valid assessment period from the correct date
  • Go to Step 2

2

Check the source of the RCA/HOM activity

A 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?

3

Verbal assessments

Verbal 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:

  • use their income, assets, relationship status and homeownership status to get a Support at Home means assessment
    • advise that the maximum Support at Home contribution rates will be payable where permission is not given
  • discuss when the care recipient’s Customer First record was last updated

Can the Support at Home means assessment be completed verbally?

  • Yes, see Table 3
  • No:
    • an Aged Care Calculation of your cost of care form is needed. Request required documents. See Verifying income and assets and Requesting information (CLK)
    • cancel RCA/HOM activity
    • the care recipient has the option to call back to do a verbal means assessment or, when Support at Home commences, the assessment will complete automatically
    • create a DOC to record advice provided
    • procedure ends here

Outstanding information


Table 2

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Step

Action

1

Check for an authorised person or organisation

If 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:

  • Person Permitted to Enquire (PPE), or
  • Person Permitted to Update (PPU)

2

Check if additional information or documents are required

Confirm 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?

3

Collect outstanding information verbally

Genuine 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?

  • Yes, and
    • only verbal confirmation is required, see Table 3
    • supporting documentation is required, go to Step 4
  • No, and the:
    • outbound call was unsuccessful, go to Step 4
    • supporting documentation is required, go to Step 4
    • care recipient wants a written request for information, go to Step 4
    • care recipient does not want to disclose their means, see Table 5

4

Issue a Request for Information (RFI) letter
  • issue an aged care RFI letter, see Aged care letters - creating manual letters
  • use Fast Note - select Auto text, use Aged Care > Assessment > Progress of Aged Care Assessment with documents that have been requested
  • review the CAO Assessment Doc to make sure the most recent information is applied to the previous CAO assessment
  • complete a Complex Assessment Officer (CAO) referral (if needed)
  • place claim on hold allowing 21 days plus an allowance for the letter to be received for the care recipient to respond to the request
  • procedure ends here

5

RFI has been issued

Is it 21 days plus allow extra time for surface mail delivery since the RFI was issued to the care recipient?

  • Yes, finalise the means assessment RCA/HOM activity , see Table 5
  • No:
    • use Fast Note - select Auto text, use Aged Care > Assessment > Progress of Aged Care Assessment with any action taken
    • hold the means assessment RCA/HOM activity for remainder of the 21 days plus an allowance to receive the notice

Partner, children, contact and address details


Table 3

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Step

Action

1

Partner and dependent children

If 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:

  • number of Dependants Date of Event: DOV of means assessment
  • total Number of Dependants: key number of dependent children

See the References page for a link to the Aged Care Act 1997 definition of a dependent child.

2

Update care recipient name, address and contact details

If the care recipient provides a new home address, telephone details or alternate names:

  • select the RCA/HOM activity from the Activity List (AL) screen
  • go to the Contact Detail Task Selector (CDTS) screen
    • select Customer Details to update alternate names on Customer Person Detail (CPD) screen. See Changing the Legal name of customers or their children
    • select Address to update the care recipient’s home address on the Address Details (AD) screen
    • Accommodation to review and confirm accommodation details on Accommodation (ACS) screen. For assistance in determining whether the care recipient is a homeowner or non-homeowner, see Home Ownership field on the Accommodation Details (AC) screen. ACS coding is required for all care recipients (excluding where finalising as means not disclosed)
  • update the contact number on the Telephone Details (TD) screen
  • update the email address on the Email Address (EMA) screen
  • check Office Code (OC) screen and change RCA back to home office

3

Update care recipient postal address

Update a postal address in Customer First when requested by:

  • a care recipient
  • a court appointed guardian or administrator
  • a power of attorney (POA), or
  • an existing Centrelink correspondence nominee, when the postal address is not the same as their own postal address

A postal address is not updated in Customer First when requested by:

  • an existing Centrelink correspondence nominee, when the postal address is the same as their own postal address

For additional information on updating addresses (including postal) see:


Income and assets details


Table 4

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Step

Action

1

Income and assets information

An 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:

  • the DOV should include the date of the change as stated in supporting documents, and
  • if further changes occurred, the date of receipt

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?

2

Select screens for updating income and assets

Care 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:

  • select the screens to update from Residential Care Task Selector (RCTS) screen, or
  • manually go to them individually

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:

3

Find out if there is employment income

Does the care recipient (or their partner) get any income from employment?

4

Code employment income - ISP care recipients

Employment income reporting requirements for a care recipient (or partner) in receipt of an ISP:

  • Statement reporter
    • have employment income
    • must advise of income, hours worked and any other changes on their reporting day
  • Notification reporter
    • no employment income or stable employment income and exception is met
    • must advise starting work or any changes within 14 days
  • See Reporting overview

If this is the first time that the care recipient (or partner) is declaring income, see Recording and correcting employment income details.

Go to Step 6.

5

Code employment income - self funded retirees

Care recipients not in receipt of an ISP:

  • are not able to update their income each fortnight as a non-continuous frequency such as Income for One period (IOP)
  • have their income assessed in the same way as a continuous income exception notification reporter
  • income is coded as 1WE (weekly) or 2WE (fortnightly). Variable income is averaged over a suitable period

See Determining the Date of Event for employment income for help coding income.

6

DVA income

If 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:

7

Update real estate and business (REBS) screen

Update the REBS screen if the care recipient indicates:

  • they own their own home, and it is on greater than 2 hectares/5 acres of land
  • rental income is being received from real estate other than the principal home
  • rental income is being received on a separate dwelling/self-contained area on the same title as their principal home
  • an interest in:
    • real estate other than the principal home
    • a business partnership, a farm or from operating as a sole trade
    • a private trust or private company

Do any of these apply to the care recipient?

8

Curtilage coding on REBS

Does the care recipient's principal home include land greater than 2 hectares/5 acres?

9

Extended land use test

Does the principal home and surrounding land meet the criteria for an extended land use exemption?

  • Yes:
    • On the REBS screen, key current market value of the whole property and house, and curtilage value of the home and first 2 hectares. See Table 2 in Assessing and coding real estate details
    • Key the 'RCA Former Prncpl Home' indicator as 'Y' to stop the value of the home and property being assessed twice in the means assessment of assets
    • Go to Step 11

No:

10

Interest in real estate or receiving income from real estate

Does the care recipient have an interest in any real estate including their former principal home?

11

Income from boarders and lodgers

Support 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

12

Interest in real estate or receiving rent including for the principal home

If 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

13

Business income

When 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?

14

Interest in a private trust or company

Does the care recipient have an interest in a private trust or private company?

15

CAO referral required for private trust or private company

If 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?

16

CAO assessment referral
  • use the CAO Referral guided procedure to complete in the RCA system
  • Include the following in your referral for CAO information:
    • Post 2014 scheme - means assessment based on income only
    • Post 2025 scheme - means assessment based on income and assets
  • place the claim on hold for 28 days pending return from the CAO
  • the CAO will document their assessment on the care recipient record
    • the assessment may include coding instructions for the actioning Service Officer
  • when the CAO assessment is completed, see Table 5

Finalise the RCA/HOM activity


Table 5

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Step

Action

1

Cancel or withdraw claim

A 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?

2

Check RCA circumstance (RCIRC) screen

Check the RCIRC screen fields are populated as below:

  • DSS Require Income Details displays Yes
  • Date of Effect displays the date of receipt (DOR) of the assessment
    • Update the DOE if required

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.

3

Update the RCA means test details (RMND) screen

Aged 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:

  • key the date assessment was completed in the Reform Enquiry Means Test DOE field
  • key ‘Y’ in the Reform Enquiry Means Test Ind field
  • key ‘HOM’ in the Reform Enquiry Care Type field

Existing Reform Enquiry Means Test data prevents the above coding. In these cases:

  • key ‘D’ to delete any previous and existing data
  • press [Enter]
  • key ‘Y‘ to confirm deletion and
  • before pressing [Enter] key ‘RMND’ in the Nxt field
  • press [Enter]
  • update the blank Reform Enquiry Means Test DOE entry
  • the RMND screen may display 2 pages of data (DOR and date assessment completed), once completed

Is this assessment being finalised as means not disclosed (MND)?

4

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:

  • ‘As you have elected not to disclose your means we are unable to issue you a letter until you start receiving care. You may need to negotiate the cost of your care directly with the service provider.’

Check the RCIRC screen fields DSS Require Income Details and Date of Effect (DOE) are populated as below:

  • DSS Require Income Details field, key Yes
  • Date of Effect field: key date of receipt (DOR) of the assessment
    • DOE - update if needed

Go to the RCA Means Test Details (RMND) screen within the RCA/HOM activity:

  • upper section of RMND, key:
    • Means Not Disclosed Date of Event field: DOR of the Aged Care calculation of your cost of care in the
    • Means Not Disclosed Indicator field: 'Y'
    • Elected MND: Y

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.

  • lower section of RMND, key:
    • Reform Enquiry Means Test DOE field: pre-populated, cannot update
    • Reform Enquiry Means Test Ind field: 'Y'
    • Reform Enquiry Care Type field: 'HOM'

Existing Reform Enquiry Means Test data prevents the above coding. To display a blank Reform Enquiry Means Test entry to update:

  • key ‘D’ to delete data (current and historical)
  • press [Enter]
  • key ‘Y’ to confirm deletion
  • before pressing [Enter], key ‘RMND’ in the Nxt field
  • press [Enter]
  • complete details using correct date
  • use Fast Note - select Auto Text, use Aged Care > Assessment > SAH Assessment - FIN to document MND action taken

Go to Step 7.

5

Cancel or withdraw a pre-entry means assessment

To cancel or withdraw a pre-entry means assessment:

  • select the started Aged Care assessment RCA/HOM activity from the Activity List (AL) screen
  • select (C) Cancel an activity
  • select Continue
  • on the Activity Cancel screen select Yes - Cancel the activity
  • select Continue. The RCA/HOM activity is now cancelled from the AL screen
  • record the action taken, use Fast Note - select Auto Text > Aged Care > Assessment > Aged Care MA Withdrawn/Cancelled
  • complete the work item if applicable, and cancel any associated scans/DOCs
  • Issue a letter to care recipient and nominee using the AC - Request Further Information - Final notification - CR-NM template
    • Do not issue a letter for withdrawn claims
    • Upload the aged care final notification to Process Direct
    • Save documents to the Customer Information folder located on the Service Officer's team shared drive.
    • Do not save customer Information to desktops or personal H drives

Procedure ends here.

6

Attach Auto-text Fast Note to RCA/HOM activity

When the RCA/HOM activity coding is complete, exit and attach a Fast Note to record the assessment outcome.

  • locate and open the Fast Note - select Auto Text, use Aged Care > Assessment > SAH Assessment - FIN to document the assessment outcome
  • complete the following fields:
    • Who contacted: CUS - Customer or CSO - Customer Service Officer
    • Service Reason: RCA
    • Date of receipt: code today’s date
    • Channel: select from drop down
    • Source: select from drop down
  • link the Fast Note to the open RCA/HOM activity
  • complete the applicable Fast Note including all relevant details. For example:
    • when a verbal assessment was completed with changes coded, read the verbal declaration and document that this was agreed to
    • document if an update was made that differs from the details lodged (for example a care recipient failed to provide bank account balances on the Aged Care - Calculation of your cost of care form but later provides a verbal balance)

7

Assessment result (AR)

When the Fast Note is complete:

  • select (S) RCA/HOM activity from Activity List (AL) screen and go to the AR screen
  • check the assessment results on AR
    • the first ATH line and RCA Benefit line have a ‘Period End’ date equal to the date of event (DOV) of the assessment
    • any arrears or overpayments calculated are correct (based on DOV and date of receipt (DOR))

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.

8

Follow up action

Determine if action is needed: