What care management activities are funded
As a Support at Home provider, you must deliver care management to all participants at least once per month. This helps you adapt care and services to each participant’s needs, including as they change.
Funded care management activities include:
- care planning
- service planning and management
- monitoring, reviewing, or evaluation
- support and education.
You cannot claim the following as care management:
- scheduling or rostering staff
- staff training, travel or education
- program governance, compliance or record-keeping
- human resources activities.
This is not an exhaustive list – refer to Chapter 8 of the Support at Home program manual for more information.
Care management funding for ongoing services
Participants who receive ongoing services have 10% of their quarterly budget deducted for care management.
This funding is allocated to your care management account at the start of each quarter (with the exception of new accounts). The amount of care management funding allocated varies based on the participants you have and their classifications.
You must claim for care management services delivered from this account, which is held by Services Australia.
Care management funding carries over to the next quarter across a single financial year. The maximum amount you can carry over into the next financial year is equivalent to the care management funding allocated for the April – June quarter.
For more information, refer to Chapter 8 of the Support at Home program manual.
Pooled care management funding
Care management funding is pooled at the service delivery branch level. All participants must be connected to a service delivery branch. Pooled funding helps you be flexible and responsive to your participants’ changing needs.
You are responsible for managing the available funding in your care management account.
Care management supplement
You may receive a care management supplement if you deliver services to certain participants, such as older Aboriginal or Torres Strait Islander people. This supplement is credited to your care management account.
Learn more about the care management supplement.
Care management funding for short-term pathways
For the Restorative Care Pathway and the End-of-Life Pathway, you claim care management against a participant’s funding account for that pathway. While there is no cap for care management services that you can claim from the participant’s budget, these must be proportionate and in the participant’s best interests.
For the Assistive Technology and Home Modifications (AT-HM) scheme, you cannot claim for care management services but you can claim the costs associated with sourcing AT-HM items and wraparound services through the participant’s AT-HM funding tier.
While there is no cap for care management services that you can claim from the participant’s budget, these must be proportionate and in the participant’s best interests.
Participant contributions
Care management activities are categorised as clinical supports under the Support at Home service list, so they are fully funded by the government. You cannot ask participants to contribute to these costs.
For more information about participant contributions.
Find out more
Read:
- Chapter 8 (care management) in the Support at Home program manual
- Support at Home pooled care management funding fact sheet.