What is a Self-Managed Support at Home Package?
Scott Lynch

Physiotherapist, Founder of Community Therapy

Clinician and aged care resident walking outdoors

Navigating the aged care system can feel like learning a new language. If you or a loved one are looking into Support at Home options, you’ve likely come across various terms and wondered, “what is a Self-Managed Support at Home Package?”

While the name sounds straightforward, self-management in the Support at Home program works a bit differently than you might expect. Let’s break this down to help you feel more informed about the Support at Home program.

What Does “Self-Managed” Actually Mean?

In the context of the Support at Home program, “self-managed” is a specific type of partnership with a provider. It’s important to note that it is not the same as self-management in the NDIS.

Under the NDIS, self-management often means the participant handles everything, from coordination of services to paying invoices directly. In the Support at Home program, you still work with a registered provider, but the “self-managed” route changes the rules of that relationship.

Two Key Factors of Self-Managed Plans:

  1. Capped Fees: A self-managed provider is limited to charging a 10% fee on top of services engaged from third-party providers. 
  2. Broader Networks: Sometimes, self-managed providers have a larger network of associated providers and are often flexible in allowing you to bring in various third-party services.

Self-Managed vs. Agency Managed: Which is Right for You?

There is no “one-size-fits-all” answer. The best choice depends entirely on your individual needs and how you want your care delivered.

Why Choose a Self-Managed Provider?

  • Flexibility: If you want a wider variety of third-party providers or have specific people you want to engage for your services, self-management may offer more flexibility.
  • Lower Overheads: With the 10% fee cap on third-party invoices, more of your budget may go directly toward your actual care.

Why Choose a normal Registered Provider?

  • Employed Workforce: These providers predominantly have their own employed care staff. 
  • Continuity of Care: Because they often have a larger internal support team, they can often better manage leave coverage and ensure that your support remains consistent if a specific worker is unavailable.

Common Questions for Families

Does my “My Aged Care” assessment change?

No. You don’t need to do anything differently during your initial assessment. You make the choice between a self-managed or agency-managed provider after you have been approved for a Support at Home classification. You can then research providers online or call them directly to inquire.

Can we switch providers later?

Yes. If you start with one type of provider and realise it isn’t the right fit, you can change at any time. You simply provide notice to your current provider and transition to a new one. The new provider will handle the claims through Services Australia to ensure your care continues smoothly.

Note: Under the Support at Home program, you are not required to manage the complex budget planning or invoice payments yourself, the provider still handles those essential administrative tasks.

Where to Get More Help

If this still feels a bit confusing, you aren’t alone. The aged care landscape is complex, but there is support available to help you and your family navigate it.

The best place to start is Services Australia. You can:

  • Call them directly to ask for support in navigating aged care.
  • Visit a local center and ask to speak with an Aged Care Officer. They are available to sit down with you, discuss your specific needs, and help you make a more informed decision.

 

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