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HomeFundingSupport at Home rules, explained
Government rules · plain-language edition

Support at Home rules, explained

What the funding can and cannot pay for, and why. Every claim on this page cites the page number and section of the government manual, so you can check the English original yourself.

Not company policy — lawEvery limit here comes from the manual
254-page manual, V4.3July 2026, cited page by page
Ask us insteadA bilingual care partner will explain it free
First, one thing worth saying plainly: families often assume providers invent rules to make life difficult. They do not. Every limit set out on this page comes from the Australian Government's Support at Home program manual. If we ignore it, your funding is clawed back and our registration is revoked.

How to read the citations

A marker such as p.130 · §10.2 means the statement comes from page 130, section 10.2 of the manual. Every marker is a link — click it and the government PDF opens in a new tab at that page, so you can check the original wording directly. The manual runs to 254 pages. Anything marked service list comes from the separately published Support at Home service list.

Download both government documents

On this page

Fifteen sections. Jump straight to the one you need.

Ten things to know, if you read nothing else

These ten cover most of what comes up in practice.

1. The money never reaches your account

It sits in a government account managed by Services Australia, and the provider can only claim it after a service is delivered. It buys services, not cash.

2. Only what is on the service list

And only what your assessment approved. Anything off the list cannot be paid for with government funds. p.130 · §10.2

3. Cleaning means light cleaning

The service list says Essential light cleaning — mopping, vacuuming, washing dishes. Spring cleans, carpet cleaning and pest control are "professional cleaning that would usually be paid for". service list p.7

4. Approval comes before purchase

Four conditions must be met beforehand. The manual is explicit: providers can refuse to reimburse. p.141 · §10.7.1

5. Funds cannot be saved up

Unspent quarterly funds carry over only up to $1,000 or 10% of the quarterly budget, whichever is higher. The rest is gone. p.122 · §9.7.1

6. A year without services empties the account

Four consecutive quarters with no service and the funding is withdrawn and reallocated. p.160 · §12.1

7. Clinical care costs you nothing

Nursing, physio, OT, psychology, dietetics — clinical supports carry a 0% contribution regardless of your means. p.109 · §9.4

8. Not disclosing means paying the top rate

The means assessment is optional, but skipping it means 50% / 80% contributions. p.113–114 · §9.5

9. Nothing may be charged on top of the hourly price

No administration fee, no travel fee. If you are charged one, question it. p.134–136 · §10.3

10. Complaining cannot be held against you

The standards require that you feel safe and supported to complain, without reprisal. p.143 · §10.9

Everyday living · Domestic assistance

Cleaning: the rules fund "Essential light cleaning"

This is the single most common source of friction, and the cause is almost always the same. Families expect a cleaning company; what the government actually buys is essential light cleaning. In Australian aged care these have never been the same thing.

The short answer: in the government's Support at Home service list, the cleaning included in domestic assistance is written as "Essential light cleaning (e.g., mopping, vacuuming, washing dishes)". It is not deep cleaning, not a spring clean, and not the professional cleaning a household would normally pay for itself.

🏛️ How the government defines this category

The service list defines the whole "Everyday living" category as:

"Support to assist older people to keep their home in a liveable state in order to enable them to stay independent in their homes."

Read that twice. The funding buys keeping the home liveable, not making the home immaculate. That definition decides every line below.

🧹 Why "light", specifically

This is not a cost-cutting excuse. There are three real reasons:

  • Purpose — the funding exists so an older person can live safely at home, not to cover a household's ordinary cleaning bills.
  • Fairness — deep cleaning is an expense every household already pays for. Funding it would take care hours away from someone else.
  • Safety — working at height, shifting heavy furniture and handling industrial chemicals are hazardous tasks support workers are not permitted to do.

The service list, word for word

The middle column is the government's own wording. You can take this page to any provider and hold them to it.

Service list columnOfficial wording
Service typeDomestic assistance
ServicesGeneral house cleaning · Laundry services · Shopping assistance
In scope ✅Essential light cleaning (e.g., mopping, vacuuming, washing dishes).
Launder and iron clothing.
Accompanied or unaccompanied shopping.
Out of scope ❌General expenses:
· professional cleaning services that would usually be paid for (e.g., pest control, carpet cleaning, dry cleaning)
· pet care
· cost of groceries and other purchased items.

Source: Australian Government Department of Health, Disability and Ageing, Support at Home service list, page 7, "Everyday living — Domestic assistance". The corresponding manual entry is p.133 · §10.2.

Task by task: what a support worker can and cannot do

What you wantAllowed?Why
Mopping, sweeping, vacuuming✅ YesNamed examples of essential light cleaning.
Washing dishes, wiping kitchen surfaces✅ Yes"washing dishes" is in the official wording.
Cleaning the bathroom, toilet and basin✅ YesRoutine hygiene that keeps the home liveable.
Making the bed, changing linen and towels✅ YesCovered by laundry services.
Washing, hanging out, ironing and putting away clothes✅ Yes"Launder and iron clothing."
Taking out rubbish, wheeling the bin to the kerb✅ YesRoutine upkeep, and directly safety-related.
Dusting surfaces, tidying rooms✅ YesWithin light cleaning.
Inside of windows you can reach from the floor⚠️ UsuallyFine without a ladder; not if it needs working at height.
Clearing out the fridge⚠️ UsuallyRemoving old food and wiping down is routine; full defrost and deep clean is not.
Accompanied or unaccompanied shopping✅ YesShopping assistance — but you pay for the goods themselves.
Outside windows, upstairs windows, anything needing a ladder❌ NoWork at height — a work health and safety prohibition, and beyond "light".
Annual or spring cleaning❌ No"Professional cleaning services that would usually be paid for."
Carpet or steam cleaning❌ No"carpet cleaning" is named in the out-of-scope column.
Pest control, termite treatment❌ No"pest control" is named in the out-of-scope column.
Dry cleaning❌ No"dry cleaning" is named in the out-of-scope column.
Degreasing the oven or rangehood❌ NoSpecialist chemicals and hours — professional, not light, cleaning.
Moving the sofa, bed or cupboard to clean behind it❌ NoInjury risk from shifting heavy items, and deep cleaning besides.
Clearing out the garage, shed or loft❌ NoDecluttering, not keeping the home liveable.
A one-off hoarding clean-up❌ NoNeeds its own assessment and a specialist service, not ordinary domestic hours.
Feeding pets, walking the dog, litter trays❌ No"pet care" is named in the out-of-scope column.
Washing the car❌ NoNot on the service list; vehicle costs are expressly excluded. p.134 §10.2
Cleaning an adult child's room in the same house❌ NoThe funding covers the participant's living needs only.
Renovating, painting, refurbishing❌ No"General home renovations" are expressly excluded. p.172 §13.1.2
Mowing, pruning, clearing the yard⚠️ Different serviceNot domestic assistance — it is home maintenance, and equally limited to essential light gardening.

🌿 Gardening follows the same logic

In scope: Essential light gardening — the examples given are lawn mowing, pruning and yard clearance for safe access.

Out of scope: professional gardening that would usually be paid for (tree removal, landscaping), and gardening that "relates to visual appeal rather than safety/accessibility" — planting, garden beds, compost.

Source: service list p.7, "Home maintenance and repairs".

🔧 Repairs: safety is the boundary

In scope: essential minor repairs and maintenance the person used to be able to do themselves, or that safety requires — clean gutters, replace lightbulbs, repair a broken door handle.

Out of scope: professional services usually paid for (pest extermination, installing cabinetry, replacing carpet worn by ordinary use) — with one exception: an imminent age-related safety risk, such as uneven flooring that poses a falls risk, or carpet damaged by a wheelchair.

Also excluded: anything that is someone else's legal responsibility — landlords, government housing authorities, or matters normally covered by insurance.

Source: service list p.7.

If you genuinely need a deep clean

It can be done — just not with government funding. The manual permits additional services outside the budget under a separate private agreement, self-funded. p.122 §9.7 We will quote at market rate in writing beforehand, and nothing is drawn from your aged care funds.

One case deserves separate mention. If the state of the home has reached the point of affecting health and safety — falls risk, infestation, a kitchen or bathroom that can no longer be used — that is no longer a cleaning question. It is a signal that the support plan needs reviewing, and we will help you request that.

One more thing families overlook: domestic assistance sits in the Everyday living category, which carries the highest contribution of the three — 17.5% for a full pensioner, up to 80% for a self-funded retiree. Asking a support worker to do work that did not need doing spends government money and your own money too. See how contributions are calculated

See the domestic assistance service Ask a care partner

1. The nine rules families most often push back on

We hear each of these most weeks.

What we hearWhat the rule actually says
"Why can't I buy the thing I want?"Government funds pay only for items on the service list, and only those your assessment approved. Nothing off the list can be funded. p.130 · §10.2
"Why do supplements need a doctor or dietitian?"The listed item is prescribed nutrition: "prescribed nutritional supplement products (enteral and oral) and associated aids to treat impairment or functional decline", which may include prescribed supplements bought at a pharmacy. Ordinary supplements without a prescription do not qualify. p.133 · §10.2 note 4
"Why does a grab rail need an OT assessment first?"The manual requires that all home modifications be prescribed by a qualified health or allied health professional such as an OT. Some assistive technology also requires a prescription or must be bought "under advice". p.175 · §13.4.1
"I bought it already — why won't you reimburse me?"Four conditions must be met before purchase (on the list, approved, written into the care plan and budget, agreed in writing). The manual says plainly that providers can refuse to reimburse where they are not met. p.141 · §10.7.1
"It's my money — why can't I save it?"Unspent quarterly funds carry over only up to $1,000 or 10% of the quarterly budget, whichever is higher. The remainder is no longer available. p.122 · §9.7.1
"Why is 10% taken for management?"It is how the program is designed: 10% of every ongoing classified participant's quarterly budget goes into the provider's care management account and may only be used for care management. p.89 · §8.8
"Why am I charged for a last-minute cancellation?"Less than 2 business days notice is a late cancellation; nobody home is a "no show". The provider may claim in full and charge the contribution. With a legitimate reason (hospital, for instance) you can request an adjustment in writing. p.142 · §10.8
"I know a handyman — why is this so complicated?"The law requires third-party workers to be formally engaged by a registered provider and fully worker-screened. Where statutory obligations cannot be met, the provider may decline that person, but must give written reasons. p.151–152 · §11.5
"I'm overseas or in hospital for months — can't services just pause?"They can pause, but after four consecutive quarters (one year) without service counted from the end of the quarter of your last service, the funding is withdrawn and reallocated. p.160 · §12.1

2. Your rights

The Statement of Rights sits in section 23 of the Aged Care Act 2024. Providers and every care worker must take "all reasonable and proportionate steps" to act consistently with it. p.22–23 · §2.3.1

Independence, autonomy, freedom of choice

Equitable access to care

Quality and safe funded aged care services

Respect for privacy and information

Raise issues without reprisal

Access to advocates and social connections

Documents the provider must give you and explain before services start

  • A copy of the Statement of Rights
  • Information on complaints and feedback
  • A copy of the aged care Code of Conduct
  • How your personal information is protected
  • An explanation of contributions and the means assessment
  • The circumstances in which the provider may cease services
  • An explanation of the care plan and monthly statements

In addition, on written request the provider must within 7 days supply a statement of its financial position and its most recent audited accounts. p.64–65 · §7.3.1

Registered supporters — the point almost every family gets wrong

The law presumes every older person has decision-making capacity. A registered supporter's role is to help the person make and communicate their own decisions; it confers no power to decide on their behalf. The provider must still take the decision from the person themselves.

Only someone who also holds legal authority — guardianship, an enduring power of attorney — is an "appointed decision-maker" and may decide within the scope of that authority. p.23–24 · §2.4

3. The service list: what can and cannot be funded

The government defines a list of fundable and excluded services. Participants can only receive government-funded services from that list.

You are also not automatically eligible for everything on it. What you can use depends on your assessment, recorded in your Notice of Decision and support plan. Providers may only deliver against your approved assessed needs. All services must be delivered in a home or community setting. p.130 · §10.2

Three categories — which also set what you pay

CategoryServices includedYour contribution
Clinical supportsRegistered and enrolled nurses, nursing assistants, nursing consumables; allied health and therapeutic services (OT, physiotherapy, podiatry, psychology, dietetics, exercise physiology, speech pathology, social work, music therapy and other therapies); prescribed nutrition; care management.0%
IndependencePersonal care (help with self-care, assistance to self-administer medication, non-clinical continence management); social support and community engagement (group and individual, accompanied activities, cultural support, digital education, help with personal affairs); therapeutic services for independent living (acupuncture, chiropractic, recreational therapy, remedial massage, art therapy, osteopathy); respite; transport (direct or taxi and rideshare vouchers); assistive technology and home modifications.5–50%
Everyday livingDomestic assistance (general cleaning, laundry, shopping); home maintenance and repairs (gardening, repair assistance, materials); meals (preparation and delivery).17.5–80%

Apart from a few items charged per session, per meal or at actual cost, everything on the list is measured in hours. Change ahead: from 1 October 2026 personal care moves from Independence into Clinical supports — fully government funded, with no contribution from you. p.130–133 · §10.1–10.2 · p.109 · §9.4

❌ Expressly not fundable (the manual's own list)

  • Any service or item not on the service list p.130 §10.2
  • Ordinary household appliances, such as a dishwasher p.171 §13.1.1
  • Assessment or treatment tools for the therapist's own use p.171 §13.1.1
  • Products and equipment that should be funded by other national or state schemes (e.g. the Medical Aids Subsidy Scheme) p.172 §13.1.1
  • General home renovations p.172 §13.1.2
  • Repairs and restoration that fall within normal home maintenance p.172 §13.1.2
  • Structural changes unrelated to the older person's support needs p.172 §13.1.2
  • Travel for holidays p.134 §10.2
  • Buying a vehicle, running costs and registration p.134 §10.2
  • Non-essential assistance dog costs, such as boarding or cosmetic grooming p.181 §13.5.1
  • Cottage respite — available only through CHSP p.134 §10.2
  • Services beyond the budget — permitted, but only under a separate private self-funded agreement p.122 §9.7

🚫 What a provider may not charge you on top

The service price is the provider's entire revenue.

  • No separate administration fee
  • No separate travel fee
  • Nor may those costs be charged to the care management account
  • All costs must be built into the unit price

Providers must also publish their prices on the My Aged Care portal and their own website, and record the agreed prices in the service agreement. p.134–136 · §10.3–10.3.3

See CareU's published price list

4. Reimbursement: the process and the test

The manual allows "you pay, the provider reimburses" arrangements, most often for nursing consumables and prescribed nutrition. But it is a conditional arrangement, not an entitlement — in two places the manual states that providers can refuse to reimburse where the conditions are not met. That is why we insist on approval before purchase. p.140–141 · §10.7–10.7.1

TypeConditions that must all be met before the purchase or serviceSource
A listed service or item
e.g. nursing consumables, prescribed nutrition
① it is on the Support at Home service list; ② you are approved to receive it (see the Notice of Decision and support plan); ③ it is written into your care plan with the price in your individualised budget; ④ the reimbursement arrangement has been discussed with you and recorded in writing.p.141
§10.7.1
A service delivered by a third partyIn addition: the provider must itself be registered to deliver that service, and must have formally engaged that worker and completed all worker screening. This cannot be done retrospectively.p.155
§11.5.4
Buying assistive technology yourself① it is a product on the AT-HM list; ② you have approved AT eligibility (or transitional approval as a former HCP client); ③ funds are available and the product is in your care plan and individualised budget; ④ the reimbursement arrangement is discussed and recorded.p.181–182
§13.6.1

🧾 The evidence you must supply

To claim from government, the provider needs evidence of the purchase from you, including the price — an invoice or receipt. The provider must keep those records for government audit. p.141 · §10.7.1

⏰ Why we chase you for receipts

Providers must claim within 60 days of the end of the quarterly funding period (and within 60 days of the end of the funding period for AT-HM). After that government will not accept the claim, and the cost falls on you or on us. p.141 · §10.7.1 · p.182 · §13.6.1

How contributions work on a reimbursement

The price you paid contained both the government subsidy and your contribution, where one applies. The provider may either refund you in full and then invoice your contribution on the usual cycle, or refund only the subsidised portion. Which approach applies must be agreed with you and recorded. p.142 · §10.7.2

5. Supplements and nutrition: the full process

The most misunderstood item on the list. There is no category called "health supplements" in the manual. The two closest items are tightly defined.

Prescribed nutrition

Covers "prescribed nutritional supplement products (enteral and oral) and associated aids required to treat impairment or functional decline", and may include prescribed supplements bought at a pharmacy.

Conditions: there must be a prescription, and it must address an assessed functional impairment. p.133 · §10.2 note 4

Nursing care consumables

Only specialised nursing products for a specific individual — prescribed emollients, oxygen therapy consumables — the kind a nurse would not carry with them.

Note: everyday consumables such as bandages and antiseptic are already included in the nurse's hourly price and cannot be claimed separately. p.133 · §10.2 notes 2–3

The correct order to buy and claim

1

Raise the need

Talk to your care partner, then a nurse, GP or dietitian assesses and writes a prescription.

2

Confirm it is fundable

The care partner confirms the item is on the service list and within your approved services. p.130 §10.2

3

Into the plan

The item and price go into your care plan and individualised budget, and the reimbursement arrangement is confirmed in writing. p.141 §10.7.1

4

Purchase

You or we buy it. If you buy, keep the invoice or receipt showing the price.

5

Claim and refund

Evidence to the care partner, claim within 60 days of the quarter's end, refund and contribution settled as agreed. p.141–142 §10.7

What happens if steps 1–3 are skipped: the manual permits the provider to refuse reimbursement, and government will not pay. This is not obstruction — outside the rules we have no authority to spend your funding.

6. Assistive technology and home modifications (AT-HM)

Manual chapter 13. AT and home modifications have their own funding tiers and their own account, separate from your quarterly service budget. Whether you get it, and at which tier, is decided by the aged care assessment and recorded in your Notice of Decision and support plan. p.171–173 · §13.1–13.2

TierMaximumPeriod and notes
AT · low$50012 months
AT · medium$2,00012 months
AT · high$15,00012 months. Not a hard cap — above $15,000, additional funds can be sought with a valid prescription and supporting evidence.
Home modifications · low / medium$500 / $2,00012 months
Home modifications · high$15,00012 months; for complex work, evidence of progress to Services Australia within the first 12 months can extend it by another 12 (24 total). Lifetime cap $15,000.
Assistance dog upkeep$2,000/yrAllocated automatically every 12 months; cannot accumulate or carry over. Covers vaccination, worming, necessary grooming, food and vet fees.
"Spent, not just committed": AT-HM funds are time-limited and must be actually spent within 12 months, counted from the date you sign the service agreement. After that the funds cannot be used, and the provider must claim within 60 days of the period ending. Where the assessment identifies certain progressive conditions, AT funding is automatically given for 24 months, extendable by a further 24 (48 total). p.175 · §13.3.1

The full home-modification process, using a bathroom grab rail as the example

1. Assessment and approval

The assessor uses the IAT tool to assess functional capacity and the home environment, and decides whether home modification funding is granted and at which tier. p.172 §13.2

2. Prescription — not skippable

Every home modification must be prescribed, by an OT, physiotherapist, speech pathologist, podiatrist, registered nurse, GP, rehabilitation physician or Aboriginal and Torres Strait Islander health practitioner within their scope. p.175–176 §13.4.1

3. Into the plan and budget

All AT-HM costs must be agreed with you and recorded in writing before funds are drawn (this can be done in stages). p.183 §13.7.1

4. Wrap-around services

Delivery and installation, building approvals, training in use, professional follow-up review — these come out of the AT-HM funding too. If the tier is insufficient, a support plan review can be requested. p.176–177 §13.4.2

5. Work and sign-off

Home modifications may be claimed in stages as work progresses. p.183 §13.7.1

6. Proof of delivery

For every AT-HM item the provider must keep the invoice plus at least one further piece of evidence — care or clinical notes, a delivery docket you signed, photos or video of the completed installation, electronic system records. p.183 §13.7.2

Caps on the provider's coordination fee

Administration costs for assistive technology may not exceed 10% of the item cost or $500, whichever is lower; coordination of home modifications may not exceed 15% of the total quote or $1,500, whichever is lower. These must come out of the AT-HM funding and cannot be charged to care management. p.177 · §13.4.3

Contributions on AT-HM

AT and modification items are charged at the Independence rate; prescriptions and wrap-around services are charged as clinical supports at 0% — meaning the assessment, prescription, training and follow-up cost you nothing. p.183 · §13.8

Maintenance and repair: listed AT can be maintained and repaired from AT funding, but only where the equipment was originally obtained through Support at Home or another Australian government-funded aged care program. Repairs to privately bought equipment are not covered. p.179 · §13.4.5

See what AT and modifications cover North Sydney showroom

7. Budgets, classifications and carryover

Manual chapter 9

Your annual funding follows your classification and is split into four quarterly budgets (each covering three months, calculated as annual budget ÷ days in the year × days in the quarter, so quarters differ slightly). Services Australia releases each quarterly budget at the start of the quarter (July, October, January, April) into a government-managed account in your name; the provider can only claim after a service is delivered. Mid-quarter entrants are pro-rated by days. p.99–100 · §9.2

The carryover rule — the most misunderstood in the program: unspent funds automatically carry over to the next quarter, but the amount is capped at $1,000 or 10% of that quarterly budget, whichever is higher. So the most you can spend in a quarter is "this quarter's budget plus $1,000 or 10% carried in". The 10% is calculated after the care management deduction. Services Australia determines the carryover on the 61st day after the previous quarter ends, or the day after the provider submits its final claim for that quarter — whichever is earlier. p.122 · §9.7.1

The manual's own worked example (Larry, classification 2)

  • Quarterly budget $3,995.42, less 10% ($399.54) care management, leaving $3,595.88 available.
  • In quarter 1 he spends $2,000, leaving $1,595.88 — but only $1,000 carries over (because $1,000 is higher than the 10% figure of $359.58).
  • Quarter 2 therefore has $4,595.88 available; $753 is left at quarter end, which — being above $359.58 and below $1,000 — carries over in full.

p.123 · §9.7.2

Overspending is not permitted

Your account cannot go negative, and government will not pay claims beyond the budget. The manual states that "overspending should not occur" and that preventing it is the provider's responsibility. Where an overspend does happen, either you agreed in the service agreement to self-fund it, or the provider absorbs it. That is why we watch rosters and balances closely. p.123–124 · §9.7.3

What the budget must set out

Providers must develop the individualised budget with you (and your registered supporter or appointed decision-maker): the government funding amount and AT-HM tier amounts, the cost of each service and each item of AT or modification, prescription and wrap-around costs, AT administration and modification coordination costs, a description of each item, and the contribution rate you pay on each. The budget must be reviewed alongside every care plan review, whenever service costs change, and whenever you ask. p.121–122 · §9.7

What the government funding is made up of

Ongoing service funding (less the 10% care management, less your contributions) + short-term pathway funding where applicable + AT / home modification funding where approved + primary supplements (oxygen, enteral feeding, veterans and so on) + the Commonwealth portion of any unspent former HCP funds. p.101–102 · §9.3

Work out your level's budget

8. Your contribution

§9.4–9.6 — contributions are assessed by Services Australia on your income and assets. Providers do not set them and cannot change them. The amount depends on two things: which category of service you use, and your pension status. p.109 · §9.4

Means assessment outcomeClinical supportsIndependenceEveryday living
Full pensioner0%5%17.5%
Part pensioner and self-funded retiree with a CSHC0%5–50%17.5–80%
Self-funded retiree without a CSHC, and "means not disclosed"0%50%80%

Rates between the bands are tapered against the means assessment. If you do not give Services Australia your income and asset details you are treated as "means not disclosed" and charged at the top rate — the assessment is not compulsory, but declining it costs money. Care management carries a 0% contribution rate. p.109–110 · §9.4 · p.113–114 · §9.5

Three situations where a provider may not charge you

  • Before the service has been delivered
  • Where a full fee reduction supplement has been granted
  • While a fee reduction application is under assessment

p.118 · §9.6

Lifetime cap

Contributions are subject to a lifetime cap. Once reached you pay nothing further and government meets 100% of the cost. Services Australia notifies both you and the provider. p.113–114 · §9.4.3 · p.119 · §9.6

Your obligation: 28 days to report a change

Where your financial circumstances change in a way that could affect your contribution, you must tell Services Australia within 28 daysthis is the participant's own responsibility. If the change increases your contribution it applies from the next quarter; if it decreases it, it is backdated to the date of the change and the provider must refund the difference. p.114 · §9.5 · p.118 · §9.5.3

Why back-charges and refunds happen

Before the means assessment is finalised, government pays at 100% subsidy. Once it is settled, the rate is backdated to your entry date. If you underpaid, the provider must recover the difference; if you overpaid, it must be refunded. To avoid a large back-charge, you can agree with the provider to pay at an interim rate in the meantime. p.115 · §9.5.1 · p.120 · §9.6.2

If you cannot afford it: the fee reduction supplement

Where financial hardship makes contributions unaffordable, you can apply to Services Australia on form SA462. While the application is being assessed the provider may not invoice your contribution. If approved, government meets all or part of the cost, backdated to the date of application; if refused, the provider will recover the amount.

One of the tests: after paying all essential expenses (contributions included), what remains is less than 15% of the basic single pension. If you have nobody to help with the form, call the aged care advocacy line on 1800 700 600. p.108 · §9.3.4

If you were already in the HCP system before 12 September 2024 (grandfathered): the "no worse off" principle applies — your contribution will be no higher than under your original HCP arrangement, even if you are later reclassified at a higher level. Those who previously paid no income-tested care fee (which includes all full pensioners) continue to pay nothing under Support at Home. p.111–112 · §9.4.1.1

9. The 10% care management fee, and self-management

Manual chapters 8 and 11

For ongoing classified participants, 10% of the quarterly budget is deducted into the provider's care management account and pooled with the same allocation from other participants. The design intent is flexibility: when one person's situation changes suddenly, the provider can put substantially more in immediately, rather than everyone receiving a fixed few hours a month. The manual is explicit that care management time should not be determined by classification alone, but by assessed need, emerging risk and individual complexity. p.89 · §8.8 · p.93–94 · §8.9–8.9.1

What the 10% expressly may not be used for

Rostering, building staff schedules and swapping workers; submitting government claims; staff travel to and from service locations; staff training and education (including mandatory training); program governance and compliance activity (including SIRS incident reporting and complaints handling); financial and operational reporting; record-keeping unrelated to care management (including general support workers' care notes) and record auditing; human resources activity (recruitment, performance management); AT-HM related services and activities.

These must be met from the provider's own operating costs or built into the service price. p.77–78 · §8.4.2

You are entitled to care management every month: the manual requires providers to deliver at least one direct care management activity per participant per month — even if you self-manage, and even while services are paused (if you decline during a pause, that must be recorded in the care notes). The care plan must be complete on or before the day services start and reviewed and updated at least every 12 months; the service agreement is likewise reviewed every 12 months. p.148 · §11.1 · p.161 · §12.2 · p.86–88 · §8.6–8.6.2

How far self-management can go

You may choose to select and coordinate services yourself, manage the budget, arrange times and workers, deal directly with workers, choose your own suppliers or workers, pay first and be reimbursed, and handle aged care system matters yourself — and you can self-manage a single service while the provider manages the rest. It must be agreed by both parties and recorded in writing; where agreement cannot be reached, or you do not meet the agreed obligations, the provider must resume full responsibility. The 10% care management fee is deducted regardless. p.148–151 · §11.2–11.4

Your obligations when self-managing

  • Use only services consistent with your assessment, care plan, budget and the service list
  • Get care partner approval before changing services
  • Understand that only approved services are subsidised
  • Follow the agreed processes and requirements

p.149–150 · §11.3

Cap on management costs for a worker you choose

Where you source a third-party worker yourself and self-manage that service, the provider's management overhead is capped at 10% of the actual cost of that third-party service, and must be included in the final unit price, not claimed separately.

Support at Home services are GST-free to participants, and GST may not be charged to your budget. p.152–153 · §11.5.1–11.5.2

10. Pausing services: hospital, travel, respite

To be clear at the outset: Support at Home has no concept of "leave". You may pause services for any reason, but should tell the provider in advance. Quarterly budgets keep arriving during a pause, but the carryover cap still applies — so a long pause loses money quarter after quarter. p.160 · §12.1–12.2

Reasons the manual lists

🏥 Hospital

Receiving treatment or surgery.

🔄 Transition care

Rehabilitation after discharge through the Transition Care Programme.

🛏️ Residential respite

Planned or unplanned.

✈️ Other reasons

Social absence, holidays or personal circumstances — including visiting family overseas.

In some circumstances Support at Home can run alongside other aged care programs, under specific rules. p.160–161 · §12.2

A year without services and the funding is withdrawn: counted from the end of the quarter containing your last service, four consecutive quarters (one year) with no service means your funding is zeroed and reallocated to someone else in the national priority system. Providers do not have to notify government of a pause, but where no claims are made for a long period government will send you a reminder. Once withdrawn, you must contact My Aged Care yourself to restart. Care management should still be delivered monthly during a pause. p.160–161 · §12.1–12.2

Late cancellations and no-shows

Cancelling with less than 2 business days notice is a late cancellation; a worker attending and finding you not at the agreed location is a no show. In both cases, where the provider is not at fault, it may claim in full and charge the contribution.

If you believe there was a legitimate reason — hospital admission, an acute health event, a sudden change in informal care arrangements — provide evidence in writing. The provider must consider each case on its merits and may adjust the claim where satisfied. The provider's cancellation policy must be set out in the service agreement. p.142–143 · §10.8

11. Changing providers, and ceasing services

You may change provider or leave at any time, for any reason — dissatisfaction, moving house, needing a service your current provider cannot deliver. Your service approvals and budget move with you. Tell your current provider early, agree a cessation date, and tell them who the new provider is so records can be handed over and care is not interrupted. The cessation date should not overlap with the new provider or with residential care, and should not disadvantage you unnecessarily. p.161–162 · §12.3

What the outgoing provider must do, and by when

  • Agree the cessation date with you and keep delivering services until the day before it.
  • Notify Services Australia within 28 days of the cessation date.
  • Share your service records with the new provider (a requirement of Strengthened Quality Standard 3) — records or copies within 28 days of the request.
  • Tell the new provider your remaining AT-HM funding and quarterly budget balance (including services delivered but not yet claimed) within 28 days.
  • Complete all claims within 60 days of the cessation date.
  • Issue a final contribution invoice and a final monthly statement.
  • Return any of your personal portion of unspent former HCP funds to you (within 70 days of cessation; if the person has died, within 14 days of sighting letters of administration or probate, paid to the estate). The Commonwealth portion goes back to Services Australia within 60 days and remains available to you within Support at Home.

p.162–165 · §12.3.1 / §12.3.3

Important: the new provider must submit an entry notification to Services Australia once you sign the service agreement. If government does not receive it, your funding is terminated and reallocated. You also have four quarters (one year) from the quarter of your last service to sign with a new provider and set a start date. p.162 · §12.3

Permanent cessation

Entering permanent residential aged care: the day of entry is the Support at Home cessation date and the system exits you automatically; the provider has 60 days to claim. Support at Home services may only be delivered on the day of entry or return home, to assist the transition.

If the person dies, the date of death is the cessation date. The provider must update My Aged Care records, notify by phone, and complete claims within 60 days. p.160 · §12.1 · p.165–166 · §12.4.1

When a provider may cease services — an exhaustive statutory list

Under Rules section 149-35(2), only where:

  • the provider's available resources can no longer care for the person at home
  • the person no longer needs the services the provider delivers
  • an assessor determines their needs are better met by a different type of funded aged care
  • the person intentionally causes serious injury to a care worker
  • the person intentionally disregards a care worker's right to work in a safe environment
  • within their control, the person has not paid contributions under the service agreement, has not negotiated an alternative payment arrangement, and has not applied for fee reduction
  • the person moves to an area the provider does not service
  • the provider transfers that service branch to another registered provider

These circumstances must be set out in your service agreement in advance.

Your protections: the provider must give at least 14 days written notice before ceasing, stating the reasons, the cessation date and your rights — how to complain to the provider, what other complaint channels exist, and information about independent aged care advocacy. The provider must ensure appropriate continuity-of-care arrangements. If the reason was conduct-related and the matter is resolved, the provider must confirm in writing that services will not cease. p.166–167 · §12.4.2

12. Monthly statements: what you are entitled to see

Manual chapter 17

Providers must issue a statement every month, plus a final statement when services end. The deadline is no later than the last day of the following month (August's statement by 30 September). A statement must be issued even if there were no services that month, or only part of a period. Other than for the final statement, the provider must also help you understand what the statement says. p.230 · §17.1 · p.66 · §7.3.2

What must be itemised on it

  • Total funds available this quarter, opening and closing balance, and the name and amount of any primary supplement.
  • Any carryover from the previous quarter; a breakdown of unspent former HCP funds.
  • The 12-month AT-HM funding, opening and closing balance, and any forward commitments made this month (equipment ordered but not yet delivered, for example).
  • An itemised list of every service or item this month: the service list name, the price charged, the delivery date, hours or units, the subsidy government paid for it, and which were delivered by a third party.
  • Total care management hours or units for the month.
  • The contribution payable on each service or item, and the monthly total.
  • Any adjustments or refunds relating to earlier months, with service name and delivery date.
  • The expiry date of AT-HM funding, and any funds that expired during the month.

p.230–232 · §17.2

Delivery itself must also be evidenced

Providers must keep proof of delivery for all participants, including third-party delivered and self-managed services: care notes, progress records, clinical notes or reports (which for gardening and home repairs may include photographs); staff sign-in and sign-out records (including electronic timesheets and attendance systems, which may include geolocation data recording time and place); and sign-in books or QR scans in the home.

Only allied health, nursing, nutrition consumables and meal delivery may use an invoice as the evidence. p.138–139 · §10.5

13. Complaints, incidents and safeguards

Providers must have a complaints and feedback system available to the older person, their registered supporter, family, carers and others. Strengthened Quality Standards 2.6a and 2.6b require that you feel safe, encouraged and supported to complain, without any reprisal, that you are involved in how it is handled, and that you know appropriate action was taken. On receiving a complaint the provider must use its complaints resolution process, apply open disclosure, and proactively tell you what other avenues exist, including complaining to the Commission. p.143 · §10.9

Elder abuse: providers are responsible for identifying and reporting any risk to an older person's health, safety and wellbeing, including abuse. Under section 16(1) of the Act, reportable incidents must be notified to the Commission. Service delivery must be free from all forms of abuse, and older people must be treated with dignity and respect. National helpline: 1800 ELDERHelp (1800 353 374). p.144 · §10.10

State and territory elder abuse helplines

State / territoryOrganisationPhone
NSWNSW Ageing and Disability Abuse Helpline1800 628 221
VICSeniors Rights Victoria1300 368 821
QLDElder Abuse Prevention Unit1300 651 192
WAAdvocare Elder Abuse Helpline1300 724 679
SAAdult Safeguarding Unit1800 372 310
ACTOlder Persons ACT Legal Service (OPALS)1800 353 374
TASElder Abuse Tasmania1800 441 169
NTOlder Person Abuse Prevention1800 037 072

Source: p.144–145 · §10.10 (the manual's own table). Need an interpreter? Call TIS National on 131 450, free. In an emergency call 000.

14. Questions we are asked most

Direct answers, each with the manual reference.

Cleaning and domestic help

Does Support at Home cover house cleaning?

Yes, but only essential light cleaning. The government service list says "Essential light cleaning (e.g., mopping, vacuuming, washing dishes)". The stated purpose of the category is to help older people "keep their home in a liveable state", not to make it immaculate.

What does "light cleaning" actually mean?

Routine, low-intensity cleaning that needs no specialist equipment or chemicals: mopping, sweeping, vacuuming, washing dishes, wiping surfaces, cleaning the bathroom, changing linen, taking out rubbish. Deep cleaning — steam-cleaning carpets, degreasing ovens, spring cleans, exterior windows — is "professional cleaning that would usually be paid for" and is expressly out of scope.

Can a support worker do a spring clean?

Not with government funding. A spring clean falls under "professional cleaning services that would usually be paid for" in the service list's out-of-scope column. You can buy one privately, outside the budget, under a separate self-funded agreement (permitted at p.122 §9.7). We quote at market rate in writing and draw nothing from your aged care funds.

Why won't the support worker clean the windows?

It depends which. The inside of windows reachable from the floor without a ladder is ordinarily light cleaning and can be done. Anything requiring a ladder, or the outside or upstairs windows, cannot — working at height is a work health and safety prohibition, and it is beyond "light" cleaning.

Can you clean my carpets, do pest control, or dry cleaning?

No. The service list names all three in its out-of-scope column: carpet cleaning, pest control and dry cleaning, as professional services that would usually be paid for.

Can the worker feed my cat or walk my dog?

No — pet care is expressly out of scope. The one exception is an approved assistance dog, which has its own $2,000 per year upkeep allocation (p.181 §13.5.1).

If the worker does my shopping, who pays for the groceries?

You do. The service list excludes "cost of groceries and other purchased items" — the funding pays for the worker's time doing accompanied or unaccompanied shopping, not for the goods.

Can they move the sofa to clean behind it?

No. Shifting heavy furniture carries injury risk, and cleaning behind it is not light cleaning. If dust in that space is genuinely affecting health, tell your care partner — that may warrant a different route.

Is mowing and pruning part of domestic assistance?

No — it belongs to a separate category, home maintenance and repairs, but follows the same logic and is limited to essential light gardening: "lawn mowing, pruning and yard clearance for safe access". Tree removal, landscaping, and gardening for visual appeal rather than safety are expressly excluded.

Why do I pay so much of the cost of cleaning?

Because domestic assistance sits in Everyday living, the highest-contribution category: 17.5% for a full pensioner, up to 80% for a self-funded retiree. Clinical supports — nursing, physio, OT, psychology, dietetics — carry a 0% contribution. Spending the budget on clinical care is usually better value.

Money

Will the funding be paid into my bank account?

No. It is held in a government account managed by Services Australia, and the provider can only claim after delivering a service (p.99–100 §9.2). It buys services, not cash.

Can I save this quarter's unused funds for later?

Only partly: $1,000 or 10% of the quarterly budget, whichever is higher, carries over; the rest is lost. The 10% is calculated after the care management deduction (p.122 §9.7.1). Saving up over time is not possible by design.

Why is 10% taken for care management? Can I opt out?

No. 10% of every ongoing classified participant's quarterly budget goes to the provider's care management account (p.89 §8.8), and it is deducted even if you self-manage (p.148–151 §11.2–11.4).

How much do I have to pay, and who decides?

Services Australia decides, on your income and assets. Providers have no say and cannot change it. Full pensioner: 0% clinical, 5% independence, 17.5% everyday living. Self-funded retiree without a CSHC: 0% / 50% / 80% (p.109 §9.4).

Can I decline to disclose my income and assets?

Yes — the means assessment is not compulsory. But you are then treated as "means not disclosed" and charged at the top rate: 50% independence, 80% everyday living (p.113–114 §9.5). For most people the assessment is worth doing.

What if I cannot afford my contribution?

Apply to Services Australia for the fee reduction supplement using form SA462. While it is assessed the provider may not invoice your contribution. If approved, government covers all or part, backdated to the application date. For help with the form, call 1800 700 600 (p.108 §9.3.4).

Can a provider charge an admin fee or travel costs on top?

No. The manual is explicit: the service price is the provider's entire revenue, and no administration fee or travel fee may be charged separately, nor charged to the care management account (p.134–136 §10.3). Providers must also publish prices on My Aged Care and their own website.

Why have I suddenly been asked to pay a lump sum?

Before the means assessment is finalised government pays at 100% subsidy. Once settled, the rate is backdated to your entry date, so an underpayment is recovered (p.115 §9.5.1). To avoid a large back-charge you can agree to pay an interim rate in the meantime.

Buying things, reimbursement and equipment

I bought it myself — can I claim it back?

Probably not. Four conditions must be met before purchase: on the service list, approved for you, written into the care plan and individualised budget, and the reimbursement arrangement recorded in writing. The manual says twice that providers can refuse to reimburse otherwise (p.140–141 §10.7). Always get approval first.

Can supplements be bought with the funding?

There is no "supplements" category in the manual. The closest is prescribed nutrition, which requires a prescription and must address an assessed impairment or functional decline. Ordinary over-the-counter vitamins do not qualify (p.133 §10.2 note 4).

Why does a grab rail need an OT assessment first?

Because the manual requires that every home modification be prescribed by a qualified professional — OT, physiotherapist, registered nurse, GP and others (p.175 §13.4.1). It cannot be skipped; without it government will not pay. The good news: the prescription and assessment are charged as clinical supports at 0%, so they cost you nothing (p.183 §13.8).

Does equipment funding come out of my regular service budget?

No. Assistive technology and home modifications (AT-HM) have separate funding and a separate account from the quarterly service budget, in three tiers — $500, $2,000 and $15,000 — set by your assessment (p.171–173 §13.1–13.2).

Can I buy a dishwasher or a robot vacuum with it?

No. The manual expressly excludes "ordinary household appliances, such as a dishwasher" (p.171 §13.1.1). Assistive technology means equipment addressing a functional impairment, not general appliances.

Travel, hospital and changing providers

I'm going overseas for a few months — can services just stop? Will I lose my package?

You can pause, and should tell the provider in advance. Two cautions: budgets keep arriving and the carryover cap still applies, so funds are lost each quarter; and after four consecutive quarters (one year) with no service, counted from the end of the quarter of your last service, the funding is withdrawn and reallocated (p.160 §12.1). For absences beyond about six months, plan it with your care partner first.

Why am I charged when I cancel at short notice?

Less than 2 business days notice is a late cancellation, and a worker arriving to find nobody there is a no-show; the provider may claim in full (p.142 §10.8). But where there is a legitimate reason — hospital admission, an acute health event, a sudden change in informal care — provide evidence in writing, and the provider must consider it case by case and may adjust the claim.

I'm unhappy with my provider — can I change? Is it difficult?

You can change at any time, for any reason, and your approvals and budget move with you. The outgoing provider must by law notify Services Australia within 28 days, share your records and balances with the new provider within 28 days, complete claims within 60 days, and issue a final statement and contribution invoice (p.161–165 §12.3). Note that the new provider must submit an entry notification, or the funding is terminated.

If I complain, can the provider retaliate or drop me?

The law protects you. Strengthened Quality Standards 2.6a and 2.6b require that you feel safe, encouraged and supported to complain, without reprisal (p.143 §10.9). The grounds on which a provider may cease services are an exhaustive statutory list (Rules s.149-35(2)) and complaining is not among them; any cessation requires at least 14 days written notice setting out your complaint options (p.166–167 §12.4.2).

Download the full PDF

The complete guide, written for Chinese-speaking clients and their families. Print it for a parent, or take it to an assessment or another provider.

📄

Support at Home rules explained · Chinese client edition

Compiled from Support at Home program manual — A guide for registered providers, Version 4.3, July 2026. Thirteen sections, each citing the manual page and section.

Download PDF · 3.5MB

Looking for the official government documents?

We keep every Simplified Chinese document My Aged Care publishes on one page, sorted by topic — applying, service agreements, changing providers, the Statement of Rights, privacy. Seventeen documents, all linked to the government's own site.

Open the resources page

Not sure which rule applies to your situation?

That is entirely reasonable — this is a 254-page manual written for registered providers, not for the families living with the rules. Call us and a bilingual care partner will work out which two or three points actually matter for your circumstances. No charge, and you do not need to be a client.

📋 Applications line 0426 523 259 📞 0485 835 655 Enquire online

Need an interpreter? Call My Aged Care on 1800 200 422 and ask for Mandarin or Cantonese, or TIS National on 131 450. Both are free.

15. Sources: download the government documents

This page does not ask you to take our word for it. Every p.xxx · §x.x marker above is a link — click it and the official PDF opens at that page, so you can read the original wording yourself. Both source documents are below.

How to check a citation: click any marker such as p.130 · §10.2 and the government manual opens in a new tab at page 130. If your browser's PDF viewer does not jump automatically, download the file and turn to that page — the manual's printed page numbers and its PDF page numbers are identical, so no conversion is needed.
📕

Support at Home program manual

A guide for registered providers · Version 4.3 · July 2026 · 254 pages · approx. 5.0MB

Published by the Department of Health, Disability and Ageing, and written for registered providers. Every p.xxx marker in sections 1 to 14 of this page refers to this document.

Download the manual · 5.0MB

Official publication page (always the current version)

📗

Support at Home service list

9 pages · approx. 0.2MB

The separately published list of fundable services, setting out In scope and Out of scope for each. The wording quoted in the cleaning section — Essential light cleaning — comes from page 7 of this document.

Download the service list Jump to page 7

Official publication page

Jump to a chapter

Which manual chapter each section of this page draws on, and where it starts. Click a page number to open the original.

Section on this pageManual chapterOpen the source
2. Your rightsCh. 2 · Aged Care Act 2024, Statement of Rights, registered supportersp.22 · §2.3.1
2. Documents you must be givenCh. 7 · Entry and service agreementsp.64 · §7.3.1
9. The 10% care management feeCh. 8 · Care managementp.77 · §8.4.2
7. Budgets and carryover / 8. ContributionsCh. 9 · Classification, budgets and contributionsp.99 · §9.2
3. Service list / 4. Reimbursement / 13. ComplaintsCh. 10 · Delivering servicesp.130 · §10.2
9. Self-management and third-party workersCh. 11 · Self-managementp.148 · §11.1
10. Pausing / 11. Changing providersCh. 12 · Pausing, changing and ceasingp.160 · §12.1
6. Equipment and home modificationsCh. 13 · AT-HM schemep.171 · §13.1
12. Monthly statementsCh. 17 · Statementsp.230 · §17.1

Two things worth noting

  • We cite Version 4.3 (July 2026). If the department publishes a newer version, page numbers may shift. The "official publication page" link above always points to the current release; if you find a citation that no longer lines up, treat the official version as authoritative and tell us so we can update this page.
  • The manual is in English and written for providers. It is long and technical, and was never meant for the older people the rules apply to. This page is a summary; where the wording differs, the English original prevails. If a passage is unclear, call and a bilingual care partner will go through it with you.

Disclaimer

This page was compiled by CareU from the Support at Home program manual — A guide for registered providers, Version 4.3, July 2026 (Australian Government Department of Health, Disability and Ageing) and that department's published Support at Home service list, to help clients and families understand the rules.

The manual itself states that it is "a general guide to policy intent and does not constitute legal or professional advice"; the same applies here. This page is not legal advice and does not replace the source documents. Where wording differs, the English originals and the current Aged Care Act 2024 and Aged Care Rules 2025 prevail. Some provisions noted in the manual — such as the personal care category change on 1 October 2026 — had not commenced when this was written. The manual's own disclaimer is at p.3.

Last updated 25 August 2026 · CareU Home and Health Care Pty Ltd · ABN 40 674 208 327 · A registered Support at Home provider serving Chinese-Australian families in Sydney, Perth, Adelaide and Brisbane.

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