Overview of changes between the former CACP, EACH and EACHD packages and the Home Care Packages Program

Issue Up until 1 August 2013 From 1 August 2013 Reference in Guidelines
Program name Community Packaged Care Programs – comprising the CACP, EACH and EACHD Programs Home Care Packages Program Part A
Package levels

3 levels:

  • CACP
  • EACH
  • EACHD

4 levels :

  • Home Care Level 1
  • Home Care Level 2
  • Home Care Level 3
  • Home Care Level 4
Part A
Supplements

Viability Supplement applies to all package levels.

Oxygen Supplement and Enteral Feeding Supplement apply to EACH and EACHD packages, but not CACPs.

If the relevant eligibility criteria for the supplements are met:

  • Viability Supplement applies to all package levels.
  • Oxygen Supplement and Enteral Feeding Supplement applies to all package levels.
  • Dementia and Cognition Supplement or Veterans’ Supplement applies to all package levels.
  • Aged Care Workforce Supplement applies to all package levels.
  • EACHD Top-up Supplement applies to existing EACHD consumers (as at 31 July 2013).
Part H
Consumer Directed Care (CDC)

Limited application

  • 1,000 packages from the former CDC trial were converted to mainstream packages with CDC conditions of allocation in July 2012.
  • these packages will continue to be delivered on a CDC basis.

Applies to all new Home Care Packages from August 2013, and to all packages (including existing packages) from July 2015.

Option to convert existing packages to CDC earlier than July 2015 if the provider wishes.

Parts A & D
Care and services

CACP:

  • does not include nursing and allied health, or aids and equipment in the range of care and services.

EACH/EACHD:

  • include nursing and allied health, as well as some aids and equipment in specified care and services
  • contain exclusions such as motorised wheelchairs and custom-made aids.

A single list of care and services applies to all package levels (the care and services listed in the Guidelines do not provide an exhaustive list).

All package levels, regardless of whether delivered on a CDC basis or not, will have:

  • greater flexibility through other care and services required to support the consumer at home
  • access to nursing, allied health and other clinical services
  • access to a wider range of aids and equipment
  • limited number of specified exclusions.
Part E
Approved provider status

Approved provider of Community Care required for CACP packages.

Approved provider of Flexible Care required for EACH/EACHD packages.

Approved provider of Home Care required for all package levels. Part B
Age eligibility Targeted at frail older people aged 70 years and over. No minimum age requirement for eligibility purposes, but the program is targeted at frail older people. Part C
ACAT approval

Separate approval required for each package level.

Approval for EACH/EACHD enables access to a CACP.

Broadbanded approval – two assessment points (Level 1 / 2, Level 3 / 4).

Approval to access a particular level enables access to any level of Home Care Package that is lower than the approved level

Part C
Lapsing ACAT approvals

CACP approvals automatically lapse if care is not provided within 12 months after the approval.

No automatic lapsing on EACH and EACHD approvals.

Existing approvals (including CACP approvals in force on 31 July 2013), and all new approvals from 1 August 2013, do not automatically lapse at any package level. Part C
Agreement between the approved provider and the consumer Care Recipient Agreement

Now called a Home Care Agreement.

There are also some changes to the information that must be included in the Home Care Agreement.

Part D
National Translating and Interpreting Service (TIS) Service is available to residential care providers . Service is available to residential care and home care providers. Part D
Standards Community Care Common Standards Now re-named as the Home Care Common Standards (also known as the Home Care Standards). Part F
Charter Charter of Rights and Responsibilities for Community Care Now re-named as the Charter of Rights and Responsibilities for Home Care. Part F
Care fees
(care recipient contribution fees)

Consumers can be asked to pay a care recipient contribution fee of:

  • Up to 17.5% of basic pension, plus up to 50% of income above the basic pension.

From 1 August 2013 – no changes from previous arrangements.

From 1 July 2014 – new income testing arrangements, including hardship provisions, will apply.

Part G
Leave provisions
(determining for how long and at what rate the home care subsidy will be paid when a consumer takes leave from a package)
A range of different leave provisions applied across CACPs and EACH/EACHD packages, with different rules depending on the type of leave taken by the consumer. New leave provisions have been introduced for the Home Care Packages Program – with the same rules applying across all package levels, and greater consistency between the different types of leave. Part E
Security of tenure Security of tenure provisions are set out in Division 1, Part 3 of the User Rights Principles 1997. In addition to the existing provisions, an approved provider may also reallocate a package to another person if:
- the consumer does not meet his/her responsibilities, as described in the Charter of Rights and Responsibilities for Home Care, for a reason within the consumer’s control (paragraph 23.21(e) of the User Rights Principles 1997).
Part E
Agreements between the Commonwealth and approved providers Requirement to enter into a Deed of Agreement for CACPs, and separate Payment Agreements for EACH and EACHD packages.

No new agreements from 1 August 2013. Requirements are set out in the legislation (the Act, Principles and Determinations) and in conditions of allocation.

Existing agreements will cease from 1 August 2013, but existing conditions of allocation will continue to apply. All approved provider responsibilities will be set out in the legislation.

Part I
Interface with other programs Some information was included in the former Community Packaged Care Guidelines. The interface between the Home Care Packages Program and other programs is explained in the Guidelines . Part J

More detailed information is available in the Home Care Packages Program Guidelines.

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