Aged care - initial contact 065-01010070
FAQs from customers
Table 1: this table provides details to help with common enquiries about aged care.
In the following table ‘I’ refers to the customer.
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Item |
Questions and Answers |
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1 |
I need to go into Aged Care. What do I do? My Aged Care is the starting point to access government funded aged care services. Assist the caller:
The website provides information on topics such as:
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2 |
I have been approved for Support at Home services/residential care - do I need to complete a calculation of your cost of care? For care recipients who are in receipt of a means tested income support payment (ISP), their means assessment for Support at Home will complete automatically. If a care recipient receives a means tested ISP and is a non-homeowner, their residential care means assessment will also complete automatically. Customers can use the fee estimator tool on the My Aged Care website to get an indication of what they can be asked to pay. However, to receive a pre-commencement letter Services Australia (or Department of Veterans’ Affairs (DVA) where applicable) will need to complete a pre-entry means assessment. See Aged care means assessment - preliminary checks to start this process. It is not compulsory for a care recipient to complete a calculation of your cost of care for either Support at Home or residential care. If the care recipient does not complete a means assessment or chooses not to disclose their income and/or assets information, they will be liable to pay the maximum fee/contributions depending on their cost of care. Either of these will result in a means assessment being completed as Means Not Disclosed. A care recipient may have high income and/or assets which may make them liable to pay the maximum fees/contributions. The outcome results will be the same as choosing not to disclose their means. Refer to My Aged Care - Fee estimator for help to estimate aged care fees. See Aged care means assessment for more details. |
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3 |
Which Calculation of the cost of your care form will I need? When a care recipient enters in home or residential care, the Aged Care Payment System will check if Services Australia or the DVA hold the required information to complete a means assessment. If Services Australia or where applicable, the DVA does not hold sufficient information to complete an assessment, a letter will be sent to the care recipient from Aged Care Management Payment System (ACMPS) or Aged Care Staff Portal (ACSP) advising that:
Other aged care forms
If both members of a couple require an assessment they will each need to complete an application. |
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4 |
Where to find aged care forms Aged care forms can be accessed and printed from the Services Australia website. The Resources page has a link to the forms. The care recipient should be encouraged to access the forms themselves where possible. The Aged Care Calculation of your cost of care forms are available as either an online form or paper forms. Explain the benefits to care recipients of accessing the online aged care calculation of your cost of care form. For example, the benefits are:
If a care recipient advises they are unable to access the required form online, the form may be issued via the Customer First Mail Forms guided procedure. See below for links to:
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5 |
Is my home included as an asset? For home care The principal home was exempt. For Support at Home
For residential care The principal home is included as an asset unless it is occupied by a protected person at the relevant date.
The exemption of the principal home for aged care means assessment purposes will cease if the protected person who had been occupying the home at the relevant date subsequently moves out, or if applicable, their income support payment eligibility is lost. If the principal home is included as an asset, its value for the purposes of calculating the means tested fee where the property value is:
See Department of Health, Disability and Ageing's Schedule of Fees and Charges for Residential and Home Care for the current 'first asset threshold' rate. If required, the care recipient may be booked in with an Aged care Specialist Officer (ACSO) if there is one located in their area, transferred to Financial Information Service (FIS) phone line or referred to the My Aged Care website or phone service for:
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6 |
What are the individual contribution rates for Support at Home and how are they calculated? My Aged Care provides assistance with estimating individual contribution rates for aged care services. The caller can be booked with an Aged Care Specialist Officer (ACSO) if there is one located in their area, or referred to the My Aged Care website or phone service for assistance with estimating the cost of their care.
Care recipients commencing a Support at Home service on or after 1 November 2025 may be asked to pay:
Care recipients who commenced a home care service on or after 1 July 2014 may have been asked to pay:
Basic Daily Fee (BDF) Prior to 1 November 2025, there were 4 levels of BDF, aligned to the 4 home care package levels (level 1, 2, 3 and 4). Refer to the historical Department of Health, Disability and Ageing Care's Schedule of Fees and Charges for the BDF rates. Income-tested care fee (ITCF) Prior to 1 November 2025 Services Australia (or DVA if applicable) was responsible for the assessment of income to determine liability for an ITCF. A care recipient may have been required to pay an ITCF if they had income over the relevant income free area. If the care recipient was:
Annual and lifetime caps apply to the ITCF Any means-tested care fee (MTCF) paid during an admission to residential care also contributes to lifetime caps. See the Department of Health, Disability and Ageing's Schedule of Fees and Charges for current cap rates.
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7 |
What are the fees for permanent residential care (post 1 July 2014 and post 1 November 2025 assessment rules) and how are they calculated? My Aged Care provides assistance with estimating fees for aged care services. The caller can be booked in with an Aged Care Specialist Officer (ACSO) if there is one located in their area, referred to the My Aged Care website or warm transferred to the My Aged Care phone service for help with estimating fees:
Care recipients commencing a permanent residential care service on or after 1 July 2014, or who are grandparented under post 1 July 2014 rules for a post 1 November 2025 entry, may be asked to pay a combination of fees depending upon their circumstances. Fee types include:
Services Australia (or DVA if applicable), are responsible for the assessment of assets and income to determine liability for:
Care recipients commencing a permanent residential care service on or after 1 November 2025, and who are not grandparented, may be asked to pay a combination of fees depending upon their circumstances. Fee types include:
Services Australia (or DVA if applicable), are responsible for the assessment of assets and income to determine liability for:
There is more information below about the post 1 November 2025 residential care fees. Basic daily fee This fee applies to all care recipients and is equal to 85% of the single basic age pension. The BDF covers daily living costs such as meals, laundry, cleaning, and utilities such as power and phones. Refer to the Department of Health, Disability and Ageing's Schedule of Fees and Charges for the current residential care BDF. Means-tested care fee (MTCF) The MTCF is a contribution towards the cost of care. It is determined by an assessment of combined income and assets and by the level of care that is required. Accommodation payment An accommodation payment covers accommodation costs. It may be payable if the means-tested amount (as determined by the means assessment) on the date of entry to care is equal to or more than the maximum accommodation supplement (as determined in the Department of Health, Disability and Ageing's Schedule of Fees and Charges). In this case:
Care recipients have 28 days from the date (or proposed date) of entry to care to choose how the accommodation payment will be paid. It can be paid either as a:
Accommodation contribution An accommodation contribution is a contribution towards accommodation costs. It may be payable if the means tested amount (as determined by the means assessment) on the date of entry to care is less than the maximum accommodation supplement amount (as determined in the Department of Health, Disability and Ageing's Schedule of Fees and Charges). In this case:
Care recipients have 28 days from the date (or proposed date) of entry to care to choose how the accommodation contribution will be paid. It can be paid either as a:
Extra service fees (will cease 31 October 2026 and no new entries from 1 November 2025) This fee is paid if the care recipient has elected to receive additional extra services as part of their agreement with the service provider. These facilities are required to publish their service fees on the My Aged Care website. Extra service facilities provide a higher standard of accommodation, not extra nursing care. They cover services such as:
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8 |
What are the fees for permanent residential care (post 1 November 2025 assessment rules) and how are they calculated? My Aged Care provides assistance with estimating fees for aged care services. The caller can be booked in with an Aged Care Specialist Officer (ACSO) if there is one located in their area, referred to the My Aged Care website or warm transferred to the My Aged Care phone service for help with estimating fees:
Care recipients commencing a permanent residential care service on or after 1 November 2025 may be asked to pay a combination of fees depending upon their circumstances. Fee types include:
Services Australia (or DVA if applicable), are responsible for the assessment of assets and income to determine liability for:
Basic daily fee This fee applies to all care recipients and is equal to 85% of the single basic age pension. Means-tested Hotelling Contribution The means tested hotelling contribution (HC) is a contribution towards the overall cost of aged care. It is determined by an assessment of combined income and assets and the means tested amount. Care recipients who are not low means will have a HC calculated based on a comparison of the Means Tested Amount and the maximum accommodation supplement. The MTA value of the maximum accommodation supplement is the HC up to the cap which is equal to the hotelling supplement rate. For example:
For example:
Means-tested Non-clinical Care Contribution The non-clinical care contribution (NCCC) is a contribution towards the overall cost of aged care and was previously referred to as the ‘cost of care’. It is determined by an assessment of combined income and assets. Care recipients who are not low means will have a NCCC calculated based on a comparison of the Means Tested Amount and the maximum accommodation supplement. The NCCC is the total MTA minus the maximum accommodation supplement and minus the HC. is the HC up to the cap which is equal to the hotelling supplement rate.
For example:
Accommodation payment An accommodation payment covers accommodation costs. It may be payable if the means-tested amount (as determined by the means assessment) on the date of entry to care is equal to or more than the maximum accommodation supplement (as determined in the Department of Health, Disability and Ageing Schedule of Fees and Charges). In this case:
Care recipients have 28 days from the date (or proposed date) of entry to care to choose how the accommodation payment will be paid. It can be paid either as a:
Accommodation contribution An accommodation contribution is a contribution towards accommodation costs. It may be payable if the means tested amount (as determined by the means assessment) on the date of entry to care is less than the maximum accommodation supplement amount (as determined in the Department of Health, Disability and Ageing’s Schedule of Fees and Charges). In this case:
Care recipients have 28 days from the date (or proposed date) of entry to care to choose how the accommodation contribution will be paid. It can be paid either as a:
Additional service fees This fee is paid if the care recipient has elected to receive any additional services as part of their agreement with the service provider. These facilities are required to publish their additional service fees on the My Aged Care website. Services choosing to provide additional services facilities provide a higher standard of accommodation, not extra nursing care. They cover services such as:
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9 |
Residential Care - Lifetime and Time Limited caps for Non-Clinical Care Contribution from 1 November 2025 New means testing arrangement will apply to all new care recipients entering permanent residential care from 1 November 2025. Care recipients, based on their means, may be asked to contribute towards their hotelling supplement and non-clinical care costs which replaces the Means Tested Care Fee (MTCF). Care recipients must be paying a non-clinical care contribution for it to accrue towards both their lifetime and time limited cap. There are no capping arrangements for the Hotelling Contribution Lifetime Cap From 1 November 2025 care recipients will pay a non-clinical care contribution (NCCC), to their residential aged care services. The NCCC has both a daily and lifetime cap amount. The daily cap is an amount that is calculated as the daily equivalent of the post 1 July 2014 annual caps on the residential care means tested care fee. The lifetime cap is set by the Department of Health, Disability and Ageing, and effective 1 November 2025 is $130,000. See the Resources page for a link to the Department, Disability and Ageing Schedules. Time Limited Cap The NCCC will also have a time limited cap applied. If a care recipient reaches the time limited cap their NCCC will be set to zero for the remainder of their time in residential care. This does not apply for Support at Home. Effective on 1 November 2025 the time limited cap is 1460 days (which is 4 years). |
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10 |
Residential care - what will my fees be if I opt in to the post 1 November 2025 assessment rules? Care recipients can opt into the post 1 November 2025 assessment rules if:
If the care recipient requests only an estimate of fees if they opt in offer to book the customer an appointment with an Aged Care Specialist Officer (ACSO), or refer them to the My Aged Care website or phone service for assistance with estimating fees when opting in. The website contains Fee Estimators for both home care and residential care. Residential Care recipients will be able to request an estimate of fees under both the post 1 July 2014 assessment rules and the post 1 November 2025 if they meet the residential care grandparenting criteria. Where the care recipient requests written advice of fees if they opt in The care recipient will need to undergo an aged care means assessment (unless they elect not to disclose their financial details, in which case they will be deemed Means Not Disclosed and will pay the maximum fees applicable to their care type and level of care). The care recipient may qualify for a verbal application or they may need to complete a calculation of your cost of care. See Aged care means assessment for details about when a calculation of your cost of care is required. How to opt in In order to opt in, the care recipient must complete a Continuing Care Recipient opting into the New Aged Care Arrangements from 1 July 2014 form (AC022) or Continuing residential aged care recipient opting into the new arrangements – from 1 November 2025 form (AC022).
Note: completing a calculation of your cost of care is not considered to be a formal request to opt in. |
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11 |
When will I receive a letter advising what my aged care fees will be? Once a means assessment has been completed, a letter will be generated in Aged Care Staff Portal in real time and be able to be viewed in ACSP. A care recipient or nominee can expect to receive the letter within 14 days from sent date. Letters will be issued automatically once all data has been transmitted to aged care systems:
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12 |
What happens if someone requests an urgent pre entry letter (RC60) or initial fee letter (RC62). Has the means assessment been completed?
Once means assessment is completed the letter should be generated in real time and be viewable in ACSP. |
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13 |
I want to ask about a letter I have received?
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14 |
When will my fees and charges be updated when I have advised of a change in my circumstances? From 1 November 2025 a care recipient’s initial means test assessment, or any subsequent means test assessments (re-assessments) will apply any fee changes in near real time. Previously changes were applied through a monthly review of care recipients’ means tests, or through an ad-hoc review. Where a near real time fee reassessment results in a fee change for a past period, the amount will be adjusted in the next claim period. From 1 November 2025, care recipients have 28 days to advise of changes in their circumstances, and to submit their updated income and asset details. Where Services Australia receives notification of a change to a care recipient’s circumstances within 28 days of the date the change occurred and the change results in an increase to a care recipient’s Daily Means Tested Amount (DMTA) (current DMTA vs newly calculated DMTA), then the date the new set fee will be applied from is the date of processing. Where Services Australia receives notification of a change to a care recipient’s circumstances more than 28 days after the date the change occurred and the change results in an increase to a care recipient’s DMTA (current DMTA vs newly calculated DMTA), then the date the new set fee will be applied from is the date of processing minus 28 days. Regardless of the date of notification, where a change to a care recipient’s circumstances results in a decrease to a care recipient’s DMTA (current DMTA vs newly calculated DMTA), then the date the new set fee will be applied from is the date the change in circumstance occurred. For more details on the current review process refer to Aged Care Fees and Charges – Fee Threshold Variance Review. |
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I am a nominee (or an authorised representative) and I want to discuss aged care Arrangements can be made that allow a third party to enquire or act on behalf of a care recipient when dealing with Services Australia. This is referred to as a nominee arrangement. The type of form used to create a nominee arrangement will determine:
There are 2 form types which will allow the appointment of a nominee:
Aged Care Calculation of your cost of care (means assessment) forms Aged Care Calculation of your cost of care forms contain an 'Authorising a person or organisation to enquire or act on your behalf form (SS313) section which allows for the appointment of a nominee. |
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I have sold my home and paid a Refundable Accommodation Deposit (RAD) See Aged care fees and charges - accommodation payments. If the care recipient is residing in residential care and they have recently sold their home, in the majority of cases this will result in an increase to their fees. This is because, after the home is sold the value assessed is no longer capped at the First Asset Threshold. The whole value of the proceeds is assessed according to what has been done with the proceeds. The result is that the care recipient’s assessable assets increase, even though they may not have increased in ‘real terms’. This may not be anticipated by the care recipient and/or their nominee. |
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I have moved from one service to another - do I have to complete a new means assessment? Home care (pre 1 November 2025) and Support at Home If the break in care is less than 28 days, a new means assessment form will not be required. The RCA/HOM activity can be completed with details currently recorded. If the care recipient or authorised third party are on the phone, confirm current means assessment details that are recorded. Residential Care When a new entry into care is notified, an RCA/NCL activity will be created. It will complete automatically if the care recipient is in receipt of an income support payment and is a non-homeowner. If the care recipient has moved within 120 days of a means assessment being completed, the RCA/NCL can be completed with details currently recorded. If the care recipient or authorised third party are on the phone, confirm current income and asset details that are recorded. |
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I am an aged care provider and I need assistance Aged care providers may contact either the Aged Care Means Testing Line or the Aged Care Provider Enquiry line directly. Calls may also be transferred (announced) from the Aged Care Provider Enquiry Line to the Aged Care Means Testing Line when the original caller is on the line and the query relates to means testing (for example, the fee letter they have received appears to be incorrect).
Aged care providers are considered to have 'implied consent' however, Services Australia is prevented from releasing any personal information about the care recipient to the provider. These contacts are usually single issue or one-off types of contact by third parties on behalf of a customer. It is essential the care recipient's privacy is maintained. See Implied consent regarding third parties for more details if required. Where an aged care provider enquiry is not related to a means assessment, transfer the call (announced) to the Aged Care Provider Enquiry line. The following information must be obtained from the aged care provider and documented in the care recipient record:
When an aged care provider contacts as they have not received a fee advice:
Considerations when providing information to an aged care provider about fees:
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I am an aged care provider and I am contacting about RAD/RAC retentions for my care recipients Aged care providers may contact either the Aged Care Means Testing Line or the Aged Care Provider Enquiry line directly to determine if the RAD/RAC retention and DAP indexation applies to the care recipient’s entry to their residential aged care service. Aged care providers are considered to have 'implied consent' however, Services Australia is prevented from releasing any personal information about the care recipient to the provider. These contacts are usually single issue or one-off types of contact by third parties on behalf of a customer. It is essential the care recipient's privacy is maintained. See Implied consent regarding third parties for more details if required. The following information must be obtained from the aged care provider and documented in the care recipient record in ACSP:
When an aged care provider contacts to confirm the start date of a previous permanent residential aged care entry (admission):
The aged care provider will need to confirm the start date of a previous permanent residential aged care entry. The only information that can be released to the provider is:
The provider will use this information to determine if the RAD/RAC retention and DAP Indexation will apply to the care recipient’s lump sum accommodation payments by using the questions provided by the Department of Health, Disability and Ageing on their website. See the External websites for a link. |
Contact details
Department of Health, Disability and Ageing
Office Locator - Aged Care Processing Team (Search office code RCA)
Aged care
Aged Care means assessments
Aged care providers
External websites
Forms
Aged Care - Claim for financial hardship assistance form (SA462)
Aged Care Carer or close relative assessment form (SA483)
Aged Care Request for a nominee for Department of Veterans' Affairs customers form (AC019)
Authorising a person or organisation to enquire or act on your behalf form (SS313)
Continuing Care Recipient opting into the New Aged Care Arrangements from 1 July 2014 form (AC022)
Support at home calculation of your cost of care (SA456)
Residential Aged Care Calculation of your cost of care form (SA457)
Residential Aged Care Property details for Centrelink and DVA customers form (SA485)
Aged care screen descriptions
Table 2: this table contains a list of screens and descriptions used in age care.
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Item |
Description |
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RCAA |
Residential Care Assets Assessments |
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RCAD |
RCAA Assessment Determination |
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RCIRC |
RCA Circumstance |
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RCTS |
RCA Task Selector |
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RDEP |
RCA Dependants |
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RIAS |
RCA Income Assessment Summary |
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RIS |
RCA Institution Summary |
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RMND |
RCA Means Test Details |