My Aged Care - DSS



Frequently Asked QuestionsInformation for Home Care Package providers…………………………………………………………………………………………………………………………………………………………………What does CDC mean for my organisation?The introduction of Consumer Directed Care (CDC) brings with it a new way of looking at your business and the way you provide your aged care service. CDC will give older people greater control over their care by allowing them to make choices regarding the types of care and services they receive and the delivery of those services. CDC provides the opportunity for providers to work in partnership with the consumer to ensure that:the consumer has choice and flexibility when selecting their care and services the consumer is supported by the provider in their decision-making process services provided are responsive to the consumer’s customs, sexual orientation, circumstances and background, including their relationship with carers and family members the consumer remains as independent as possible, including having support through restorative (including wellness and re-ablement) opportunities the consumer is able to continue to participate in the community should that be their desire.; care plans and individualised budgets are co-produced with the consumer; andconsumers receive individualised income and expenses statement to the consumer.What do I need to do to prepare for CDCCDC provides an opportunity to consider how your organisation delivers services. It will involve reviewing the following key elements:organisational culture - understanding the culture change required to implement CDC and reorientate service delivery where consumers including care recipients and their carers can choose and control the services they getStaff training - training staff to understand the philosophy of CDC to ensure they are skilled in undertaking conversations with consumers that encourages empowers them.Administrative systems - have administrative systems that can provide consumers with an individualised budget and monthly income and expenses statement.What does co-production mean for my organisation?The introduction of CDC on 1 July 2015 will enable providers to enhance the relationship with the consumer through the co-production of their care plan. Understanding what the consumer wants and aspires to achieve is the key to developing and delivering services which will work best for them.During your discussion with the consumer and/or their families, representative or carer, you will need to discuss the level of involvement the consumer would like to have in managing their package. Some consumers may wish that the provider continues to fully manage their package while other consumers may want to have more involvement. Providers will also be able to talk about what the consumer’s care and service needs are and how these can be provided. This could be through in-house or through existing brokerage arrangements. The consumer’s choices should not be limited to a list of services or service providers. As additional costs may be involved when setting up brokerage arrangements, providers should make these additional costs clear to the consumer prior to them agreeing to these services.Once providers have worked through the care and services the consumer requires, and the agreed level of involvement they would like to have in managing their package, this information will need to be recorded in the consumer’s care plan and individualised budget. It is important that the care and services identified in the care plan fit within the available budget for the package level. If not, further negotiations will be required between the provider and the consumer. Any fee for services charged over and above the package level should be discussed with the consumer and made clear that this is not part of the Home Care Package. Providers will also need to continue ongoing monitoring of the package and a formal re-assessment of the package at least once every 12 months to ensure it remains appropriate for the consumers as their needs change.What if I am unable to provide the services the consumer is requesting?Services can be provided directly by the provider, sub-contracted to another service provider (individual or organisation), or brokered through another organisation within the limits of the services and resources available. However, there are some services that cannot be purchased using package funds. For more information on excluded items, please refer to schedule 3, part 2 – excluded items, of the Quality of Care Principles 2014. How can I help my consumer transition to CDC?Research shows that older Australians generally want to remain independent and in control of how and where they live; be connected and relevant to their families and communities; and be able to exercise some measure of choice over their care.CDC provides this choice through a flexible approach that allows older Australians to remain in their homes, as well as exercising more choice, more control and easier access to a full range of services. . As part of the care planning process, discussions with the consumer should cover the level of involvement they would like to have in managing their package. Their level of involvement could range from a high level of involvement, particularly in areas such as care co-ordination and administration, to very little or no active involvement in the management of the package. The level of consumer involvement and control that has been agreed should be documented in the consumer’s care plan. This may vary over time as the consumer’s needs change. Any changes to the level of consumer involvement and control must also be documented in the care plan.What should an individualised budget and/or individualised monthly statement include? The individualised budget is a proposed budget for the consumer’s package (broken down by income and planned expenditure) which is developed in partnership between you and the consumer based on the agreed care plan. The budget should be in a format that is simple to understand.Providers will also need to supply the consumer with a monthly statement of income and expenditure in a format that enables them to understand where funds have been expended, as well as the balance of available funds.? Any unexpended funds, including contingency funds, must carry over for as long as the consumer continues to receive care under your care.What happens to a provider that hasn’t converted to CDC by 1 July 2015?Delivering Home Care Packages on a CDC basis is currently a condition of allocation for approximately 13,500 home care places. As part of the aged care reforms on 1 July 2015, the remaining home care places will convert to a CDC model of care.The Department will monitor implementation of CDC through the Quality Agency reviews. Should providers fail to meet the CDC home care standards the Quality Agency will work with providers in a continuous improvement framework.Where do I go if I want more information about CDC and Home Care Packages?homecaretoday – Information for home care providers and consumers about the delivery of Home Care Packages on a Consumer Directed Care basis.Call COTA Australia on 03 9909 7910 Email at?homecaretoday@.auVisit the Home Care Today website at: .au/ Finding a home care provider and basic information about home care packagesMy Aged Care website under the Help at Home page on My Aged Care at: .au or phone freecall on 1800 200 422.Payments information for providersContact DHS by emailing co.ac.homecare@.au or call the provider support team on 1800?195?206Aged Care LawVisit the Guide to Aged Care Law website at: Care Packages Programme Policy for consumers and home care providersHome care providers and consumers can enquire about Home Care Packages Programme policy by emailing homecarepackages@.auHome Care Package Programme Guidelines 2014The Guidelines are available at:.au/our-responsibilities/ageing-and-aged-care/aged-care-reform/home-care/home-care-packages-programme-guidelines-july-2014Australian Government home care subsidies and supplementsThe Schedule of Subsidies and Supplements is available at:.au/our-responsibilities/ageing-and-aged-care/aged-care-funding/aged-care-subsidies-and-supplementsAged Care Quality AgencyCall 1800 288 025 to speak to someone?at your local office.The Aged Care Complaints SchemeThe Aged Care Complaints Scheme can be contacted directly on freecall 1800 550 552 (calls made from mobile phones may incur additional costs), or online at: writing to:Aged Care Complaints SchemeDepartment of Social ServicesGPO Box 9820SYDNEY NSW 2001 ................
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