How do we make decisions about other supports for younger people in residential aged care?

Younger people in residential aged care often have complex support needs that bridge the aged care, disability, health, housing and community services sectors. This table of supports is a support guide for decision makers in determining reasonable and necessary funded supports under section 34(1)(f) of the NDIS Act.

Type of support Supports generally funded by NDIS Supports generally funded by other parties
Basic day to day living

Supports to assist the participant to access community activities or to complete home visits with family etc.

Note: - The ‘Basic Care Subsidy’, as determined by the Aged Care Funding Instrument (ACFI), is for the resident’s day to day care and support needs. The NDIS reimburse this fee through the cross billing arrangements.

The ‘Basic Daily (Care) Fee’ paid to the RACF is the participant’s responsibility which contributes towards day to day living costs at the RACF, such as meals, cleaning, laundry, heating and cooling. This is a cost normally met through disposable income.
Therapy supports Therapy supports related to skill development, capacity building, Assistive Technology assessment, specification and training. Therapy supports that the RACF is required to provide under the Aged Care Act. The NDIS does not replace existing supports provided by the RACF.
Refundable accommodation deposit Nil Participant is responsible for any refundable accommodation deposit (RAD) charged by the residential RACF. The RAD was referred to as an Accommodation Charge for residents who moved into an RACF prior to 1 July 2014.
Consumables Disability related Interpreting/Translation services (for example, Auslan). If a participant is in receipt of Services Australia /CAPS allowance, Reasonable and Necessary funding for continence aids needs to be included in their plan.

Continence aids.

In most cases, as soon as a person enters an RACF their Services Australia/CAPS allowance is cancelled and their continence aids are funded and provided by the RACF.

PEG and HEN products are provided by the RACF at no cost to the participant.

Identifying housing solutions

Some younger people in residential aged care may want to be supported to live in age-appropriate accommodation.

The NDIS aims to support participants to live in community-based settings or other age-appropriate settings where possible.

Funding for individual therapy assessments and Support Coordination may be required when determining a participant’s suitable housing options and support needs.

Home modifications within the RACF Nil Any modifications or repairs to the RACF (e.g. fixed structures, ceiling hoists) is the responsibility of the RACF provider.
Assistive technology including repairs The NDIS may fund personalised assistive technology or equipment (for example, power wheelchair or slings) solely for the participant’s individual needs, to support the participant to build their independence and functional capacity

Funding for shared assistive technology equipment within an RACF (for example, ceiling hoists, recliner chairs, mobile hoists, manual wheelchairs etc.) is the responsibility of the RACF provider, including any repairs. For further information on what at RACF will provide please refer to the Aged Care Quality of Care Principles 2014 Schedule 1 Part 2.

This page current as of
28 September 2020
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