Exiting people from your home care service

A person exits your service if they no longer want or need home care, pass away or change providers. You must work out and pay their unspent home care amount. If you charge an exit amount to help cover the cost of administration, you must follow the rules on how much you can deduct.

When people exit your home care service

A person exits your home care service when they:

  • move to a location where you do not provide services
  • do not want to continue receiving home care
  • change to a new provider
  • no longer need care
  • have passed away

You also may exit a person from your service if:

  • you cannot care for them in their home with the resources you have available
  • an Aged Care Assessment Team finds that their needs would be better met with other services, such as residential aged care

A person is not exiting if they are transferring to another home care service that you provide.

What you must do

If your care recipient is exiting your home care service, you need to:

Find out what else you need to do if your care recipient is changing home care providers.

Exit amounts

An exit amount helps to cover the cost of administration when people end their package with you. You do not have to charge an exit amount.

If you choose to charge an exit amount, you must:

  • publish the maximum amount you charge so people can see it when they search for services on My Aged Care
  • report your maximum exit amount in the My Aged Care service provider portal
  • keep copies of all your exit amount reports
  • discuss and negotiate the exit amount with a person before they start receiving care
  • if they agree to an amount, include it in their home care agreement

If you choose not to charge one, you must still publish an exit amount of $0 on My Aged Care.

How exit amounts are paid

You deduct the exit amount from the funds left over in the person’s package (the unspent home care amount).

The amount you can deduct

A person’s exit amount must not be more than any of:

Example 1 — Anton

Anton started a Home Care Package with you last year. At the time, your published exit amount on My Aged Care was $500. Anton negotiated with you to include a smaller exit amount of $250 in his Home Care Agreement.

Anton is now leaving home care to go into an aged care home. You calculate the unspent home care amount as $150.

The maximum exit amount you can deduct is $150 because it cannot be more than any of:

  • your published maximum amount of $500
  • the exit amount of $250 in his agreement
  • the unspent home care amount of $150

Example 2 — Sue

Sue started a Home Care Package with you 2 years ago. She is now changing providers.

  • Your published maximum amount on My Aged Care at the time was $500.
  • The negotiated exit amount in her Home Care Agreement is $250.
  • Her unspent home care amount is $0.

The maximum exit amount you can deduct is $0.

Example 3 — Mohammed

Mohammed started a Home Care Package with you 3 years ago. He is now leaving because he doesn’t need home care any more.

  • Your published maximum amount on My Aged Care at the time was $500.
  • The negotiated exit amount in his Home Care Agreement is $250.
  • His unspent home care amount is $500.

The maximum exit amount you can deduct is $250.

Legislation

For full details, see Division 3A — Responsibilities of approved providers of home care — unspent home care amounts and exit amounts in the User Rights Principles 2014.

Last updated: 
22 January 2020
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