Managing residential respite care

Residential respite care gives an older person or their carer a break from their usual care arrangements. It can be on a planned or emergency basis. Providers should monitor how many days of respite care a person is approved for and request an extension if needed.

The Australian Government funds a respite subsidy and supplement for providers to deliver respite care to eligible people.

How many respite days are allowed

Eligible people are entitled to 63 days of respite care in a financial year. This can be extended by up to another 21 days if an aged care assessor approves it.

Monitoring balances of respite days and extensions

You should check a respite recipient’s balance of respite days through the Services Australia Aged Care Payment System (ACPS). Due to claim submission delays, information on ACPS may not always be current. You should also check with the care recipient and/or their carer.

If the person in care requires additional days, you must submit an extension request through the My Aged Care Service and Support Portal. Find out where to get help using the portal.

You must submit the request on, or before, the number of entitled days end. Ensure you include:

  • all mandatory information
  • further comments about the reason for the extension
  • the respite paid day balance information sourced from the ACPS
  • if applicable, information on any known unclaimed days used.

Residential respite care fees

You can ask people in government-funded residential respite care to pay some fees. 

Learn about fees for residential respite care

Providing respite care before an approval

There are emergency provisions that allow people to enter residential respite care before receiving the appropriate approval. These provisions are in section 71 (2) of the Aged Care Act 2024. See section 71-5 of the Aged Care Rules 2025 for exceptions when residential respite care is provided by a National Aboriginal and Torres Strait Islander Flexible Aged Care (NATSIFAC) or Multi-Purpose Services Program (MPSP) provider. 

If a person enters residential respite care due to an emergency and does not have an approval in place, you may help them to:

  1. complete an Application for Care Form including the 'emergency cases only' section
  2. send the completed application for care form to the relevant aged care assessment organisation within 5 business days of the date the person began receiving care.

If a care recipient enters residential respite care due to an emergency and does not have an approval in place, you must:

  1. complete an Application for Care Form including the 'emergency cases only' section
  2. send the completed application for care form to the relevant aged care assessment organisation within 5 business days of the date the care recipient entered care.

If you cannot submit the Application for Care Form within 5 business days, you can email your local aged care assessment delegate to request an extension. You can only receive an extension in exceptional circumstances. The assessor will contact you to schedule the assessment.

The assessment and approvals do not need to be completed within the 5 business days of the person entering care.

Following the assessment, the aged care assessment delegate can decide to approve the person to become a respite recipient from the day care started if:

  • the application process meets requirements
  • the person is eligible for the care and urgently needed the care because of an emergency; and
  • it was not practicable to obtain approval beforehand.

To help the person participate in the assessment process, you should provide the assessor with information about the person’s:

  • care needs
  • type of care
  • situation and urgency when the care started.

For more information on the aged care assessment process, please contact your aged care assessment delegate. If you do not know your local aged care assessment delegate, contact the My Aged Care service provider and assessor helpline 1800 836 799.

Temporary absences from residential respite

The residential care leave provisions in the Aged Care Act 2024 do not apply to residential respite care. Respite recipients can, however, agree to a temporary absence from a respite episode with an aged care home, where there are valid reasons. 

In the event of a hospital admission, the respite service agreement should remain in effect until the aged care home determines the recipient and/or family or carer’s intentions with the respite episode.

If all parties agree that the respite recipient does not have an intention or ability to return, then the respite episode ends, their booking fee is refunded, and their respite service agreement is no longer in effect.

If the respite recipient (or their family or carer) wants to keep the respite episode open so they can return, then you should hold the place for the duration of the episode. In these situations:

  • respite subsidy continues to be paid, and the respite recipient continues to pay their basic daily fee
  • their booking fee is not refunded
  • you continue to hold a place for the person.

It is recommended that you communicate regularly with the family, carer or hospital to confirm how long the resident is expected to be in hospital.

You and respite recipients (or their family or carer) can agree on a short temporary absence for social or other reasons, but this can only be for one night at a time.

In these situations:

  • the respite subsidy continues to be paid, and the respite recipient continues to pay their basic daily fee
  • their booking fee is not refunded
  • you continue to hold the place for that night.

Managing a temporary absence

If a respite recipient is absent on a temporarily agreed absence, the respite balance will deplete. 

Temporary absences, including periods of hospitalisation, cannot be recorded as leave within aged care systems. However, there should be a written record of the absence and confirmation that there has been a discussion with the respite recipient and their family, carer or registered supporter about the provisions that apply. 

You must still meet the Aged Care Quality Standards, follow the Aged Care Code of Conduct and act in line with the Statement of Rights, even during a temporary absence.

This means that you should:

  • communicate openly with older people
  • plan and coordinate services effectively
  • respect people’s choices about their care
  • treat people with dignity and respect.

Contact

Residential respite care contact

Contact us for policy information about residential respite care.

Aged care subsidies and supplements contact

Email us if you have questions about aged care subsidies or supplements for registered providers.
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