Glossary of Aged Care Terms

A

ACAT (Aged Care Assessment Team)

ACAT was replaced by the Single Assessment System in December 2024 to determine someone’s eligibility for government-funded aged care. Learn more about the Single Assessment System.

Accommodation Contribution

The amount a resident may need to pay towards their room in an aged care home if the government helps with some of their accommodation costs. The amount depends on the means assessment. It can be paid as a Refundable Accommodation Contribution (RAC), a Daily Accommodation Contribution (DAC) or a combination of both

Accommodation Costs

The costs linked to the room a person lives in when they move into an aged care home. Depending on the outcome of the means assessment, a person may pay all, some or none of these costs themselves. These costs are separate from care fees and daily living fees.

Accommodation Payment

The amount a resident pays for their room in an aged care home if they are not eligible for government help with accommodation costs. It can be paid as a Refundable Accommodation Deposit (RAD), a Daily Accommodation Payment (DAP), or a combination of both, based on the agreed room price.

Accreditation

Accreditation is the process used to assess whether an aged care home meets the Aged Care Quality Standards. Aged care homes must be accredited by the Aged Care Quality and Safety Commission to receive government subsidies. Accreditation is usually granted for up to three years.

Acknowledgement

In aged care assessment and planning, acknowledgement means that the older person or their supporter confirms they have seen and understood the care or support plan. It does not necessarily mean they agree to every part of it or have given formal consent.

Appointed Decision Maker

A person with legal authority under Commonwealth, state or territory law to make decisions for an older person. They can only act within the scope of that authority, and only when it is active. In My Aged Care, this includes guardians and similar appointed decision-makers under the Aged Care Act 2024.

Adult Disability Assessment Determination (ADAT)

ADAT is the formal assessment tool used by Services Australia to help determine eligibility for Carer Payment and some other carer supports. It looks at the level of care a person needs across areas such as mobility, communication, eating, hygiene and behaviour.

Additional Service Fee

A legacy fee for higher-standard everyday living services in residential aged care. From 1 November 2025, no new Additional Service Fee agreements can be made, as they were replaced by the optional Higher Everyday Living Fee (HELF). Existing agreements made before that date can continue until 31 October 2026.

Administrative Appeals Tribunal (AAT)

Former review body replaced by Administrative Review Tribunal on 14 October 2024.

Administrative Review Tribunal (ART)

The independent body that reviews certain decisions made by Australian Government agencies, departments and ministers. It replaced the Administrative Appeals Tribunal in October 2024. The Administrative Review Tribunal (ART) is not a court but can review some aged care decisions.

Advance Care Directive

A formal document that records a person’s wishes, values and preferences for future health care. In some states and territories, it can also appoint a substitute decision-maker for health decisions. It is sometimes called a living will.

Advance Care Planning

The process of thinking about, discussing and recording a person’s values, goals and preferences for future health and personal care. It helps guide future decisions if the person is unable to make or communicate those decisions themselves.

Advocacy

Advocacy is support that helps a person understand their rights, speak up, make informed decisions and have their views heard. In aged care, advocacy can help older people with service concerns, complaints, choices and communication with providers.

Advocate

Someone who helps an older person understand their rights, speak up, make decisions and raise concerns about aged care. Under the Aged Care Act 2024 Statement of Rights, older people can be supported by an advocate or another person of their choice, including a family member, friend, carer or independent advocate.

Age Pension

The Age Pension is a Services Australia income support payment for eligible older Australians. To qualify, you must be Age Pension age, which is 67 years or older, and meet residency and means test rules.

Aged Care

Aged care is support and services for older people who need help with daily living, health care or staying safe and well. It can be provided at home, in the community or in an aged care home, and may include personal care, nursing, allied health, respite care and assistive technology.

Aged Care Act 2024

The Aged Care Act 2024 is the main Commonwealth law for government-funded aged care in Australia. It started on 1 November 2025 and replaced the Aged Care Act 1997. The Act puts older people’s rights at the centre of the aged care system and supports reforms including Support at Home and the strengthened Quality Standards.

Aged Care Decisions

Aged Care Decisions is a free, independent comparison service that helps families compare residential aged care and home care providers. We help people understand their options, compare providers, and receive a tailored Options Report based on their care needs, location, budget and preferences.

Aged Care Needs Assessors

Trained professionals who assess an older person’s care needs for government-funded aged care services. They may be clinical or non-clinical assessors depending on the type of assessment. Their role is to understand the person’s situation, recommend suitable services and help decide what level of support they may need.

Aged Care Quality and Safety Commission (ACQSC)

The Aged Care Quality and Safety Commission is the national regulator for aged care quality and safety in Australia. It regulates providers, handles complaints, monitors compliance, and can take enforcement action where providers fail to meet their obligations. It is also responsible for overseeing provider registration and quality standards.

Aged Care Quality Standards

The Aged Care Quality Standards set the minimum standards for care and services that government-funded aged care providers must meet. The strengthened Quality Standards started on 1 November 2025 under the Aged Care Act 2024. They are more detailed and measurable than the previous standards and are monitored by the Aged Care Quality and Safety Commission.

Aged Care Provider

An organisation or person that delivers government-funded aged care services. Under the Aged Care Act 2024, they must be registered with the Aged Care Quality and Safety Commission to receive funding. They are also known as a registered provider or aged care service.

Aged Care Specialist Officers (ACSOs)

Aged Care Service Officers (ACSOs) provide face-to-face My Aged Care support at selected Services Australia service centres in every state and territory.

Aged Care Volunteer Visitors Scheme (ACVVS)

The Aged Care Volunteer Visitors Scheme (ACVVS) provides visits from volunteers to older people who live at home or in an aged care home. In each state and territory, ACVVS organisations have coordinators who match you with a suitable regular visitor based on your interests, hobbies and background, to visit you in your own home, or in the community when you are accessing community services or facilities.

Ageing in Place

Your care needs may change over time. Ageing in place means the care you receive in an aged care home or from a Support at Home provider can be adjusted to meet your needs, with providers scaling services over time, though it does not guarantee you won’t need to move.

Allied Health

Health professionals such as physiotherapists, occupational therapists, speech pathologists and dietitians who provide therapeutic services within home and residential aged care settings.

All-Inclusive Pricing

Under the Support at Home Program, providers must present a single, all-inclusive price for each service incorporating coordination, travel and administration costs. They cannot charge separate management or administration fees on top. Learn more about the Support at Home Program.

Australian National Aged Care Classification (AN-ACC)

The funding model used to determine how much government subsidy a residential aged care provider receives for each resident, based on the resident’s care needs.

Asset Threshold

The financial benchmark used in the means test to determine accommodation costs and care fee contributions. This amount is indexed twice yearly in March and September. For current rates, see our residential aged care schedule of fees and charges.

Assets and Income Assessment

An income and assets test conducted by Services Australia (Centrelink) that examines a person’s means to determine their eligibility for government-subsidised accommodation and the fees they are required to pay.

Assistive Technology (AT)

Items and equipment that help an older person perform tasks more easily or safely, funded under the AT-HM Scheme within the Support at Home Program. Examples include walking frames, wheelchairs, shower chairs, commodes, communication devices and modified cutlery. Learn more about the Support at Home Program.

Assistive Technology and Home Modifications Scheme (AT-HM Scheme)

The AT-HM Scheme gives Support at Home participants separate funding for assistive technology and home modifications based on assessed need. It does not come from the regular quarterly budget. Funding is usually available for 12 months, with longer access possible in some cases.

Aged Care Code Of Conduct

The Code of Conduct for Aged Care sets behaviour standards for aged care providers, workers and governing persons. It applies nationally and is enforced by the Aged Care Quality and Safety Commission, which can take action for serious breaches, including banning individuals or sanctioning providers.

B

Basic Daily Fee

The standard daily contribution paid by residents in Residential Aged Care for everyday living services such as meals, cleaning, laundry and utilities. Everyone pays this fee, although the amount may depend on their fee arrangements. For current rates, see our residential aged care schedule of fees and charges.

Basic Daily Fee (Home Care)

Under the former Home Care Package Program, this was a set fee paid by all recipients. Under the new Support at Home Program (from 1 November 2025), there is no basic daily fee. Learn more about the Support at Home Program.

Behaviour Support (Dementia)

Structured support strategies for managing changes in mood, cognition and behaviour associated with dementia. Covered under Support at Home as part of higher-classification funding (typically Classifications 4–8). A specialist clinical service distinct from general personal care.

Budget Rollover

Under Support at Home, unused funds can carry over to the next quarter automatically. The rollover amount is the higher of a capped amount or a percentage of the participant’s quarterly budget, including supplements. This helps people keep some flexibility if services cost less than expected in a quarter. Learn more about the Support at Home Program.

C

Cancellation Fee

Under Support at Home, a provider may charge the full cost of a scheduled service to a participant’s budget if it is cancelled with less than 48 hours’ notice. Some providers may waive this in a genuine medical emergency, but this depends on the provider’s own cancellation policy.

Capacity

Capacity is a person’s ability to understand information, weigh up options and communicate a decision about a specific matter. It can vary over time and may depend on the decision being made. If a person lacks capacity, an Appointed Decision-Maker may be able to act for them.

Care Fees and Charges

In residential aged care, fees and charges can include the Basic Daily Fee, a care contribution and accommodation costs. The amount a person pays depends on their circumstances, including their income and assets. Some people may also pay fees for optional extra services. Learn more about the Aged Care Funding and Finances.

Care Management Fee

Under Support at Home, part of a participant’s quarterly budget is set aside for care management if they receive ongoing services. This covers coordination and oversight such as service planning, scheduling and budget monitoring. It is built into the program structure rather than charged as a separate add-on fee.

Care Manager

See Care Partner.

Care Partner

A Care Partner (formerly Care Manager) is the provider staff member who helps coordinate services for a person receiving Support at Home. They may help with care planning, service changes, scheduling and budget use. In practice, some providers may use different job titles.

Care Plan

A care plan is a personalised document that sets out a person’s care needs, goals and the services to be delivered. It is developed with the person and, if they wish, their family, friend or supporter. In some settings, similar documents may also be called a Support Plan.

Carer Allowance

Carer Allowance is a fortnightly payment from Services Australia for people who provide additional daily care to someone with disability, illness or frailty. It is separate from Carer Payment and is intended to help with some of the extra costs that can come with caring.

Carer Gateway

Carer Gateway is an Australian Government service that gives unpaid carers access to practical information, coaching, counselling and other support. It can also help connect carers with respite and emergency support services. It is available online and by phone.

Carer Payment

Carer Payment is a means-tested income support payment for people who cannot work full-time because they provide constant care to someone with significant care needs. Eligibility depends on the carer’s circumstances, the care recipient’s condition and Australian residency requirements.

Carer Supplement

Carer Supplement is an annual lump-sum payment for people already receiving Carer Payment or Carer Allowance on the relevant assessment date. It is paid automatically by the government, so eligible carers do not need to submit a separate claim for it.

Centrelink

Centrelink is part of Services Australia and manages a range of government payments and assessments. In aged care, Centrelink may assess a person’s income and assets to help work out what they may need to pay toward residential aged care fees and some other aged care costs.

Charter Of Aged Care Rights

Replaced by the Statement of Rights in the Aged Care Act 2024.

Chronic Disease

A chronic disease is a long-term health condition that usually develops slowly and may need ongoing management rather than a cure. Examples include arthritis, dementia, chronic kidney disease and osteoporosis. These conditions can affect independence, daily routines and the type of aged care support a person needs.

Chronic Disease Management Plan

A Chronic Disease Management Plan is a GP-led plan for someone with a chronic medical condition who needs ongoing care from different health professionals. Where a service is already funded through this plan, it is generally not funded again under Support at Home.

Clinical Assessment

A clinical assessment is an evaluation of a person’s health, care needs and support requirements by an appropriately qualified professional. In aged care, it can help identify the level of support needed, any clinical risks and whether services such as nursing, allied health or specialised care are required.

Clinical Care (Support At Home Category)

Under Support at Home, Clinical Care is one of the main service categories and is fully funded by the government. It covers health-related services such as nursing, allied health, continence support and nutrition support, where these services are approved as part of a person’s care.

Co-Contribution

A co-contribution is the share of a service cost that a Support at Home participant pays themselves, if one applies. The amount depends on the service category and the person’s financial assessment. Clinical services are fully government funded, while other services may require a contribution.

Combination Payment

A combination payment is when a resident pays part of their accommodation cost in an aged care home as a lump sum and the rest as a daily payment. This usually refers to paying with a mix of Refundable Accommodation Deposit (RAD) and Daily Accommodation Payment (DAP), rather than choosing only one payment method.

Commonwealth Home Support Programme

The Commonwealth Home Support Programme (CHSP) is the Australian Government’s entry-level home support program. It is expected to transition to Support at Home no earlier than July 2027.

Community Respite

Community respite is short-term support that gives an older person care or supervision for part of a day, overnight or on weekends, while also giving their carer a break. It has commonly been delivered under the Commonwealth Home Support Programme (CHSP) as an entry-level respite option.

Continence Aids Payment Scheme

The Continence Aids Payment Scheme is an Australian Government payment that helps eligible people with permanent and severe incontinence pay for continence products. It is paid directly to the individual, not the provider, which gives people more choice about the products they buy.

Counselling

Counselling is professional support that helps a person work through emotional, behavioural or relationship concerns. In aged care, it may support adjustment, grief, mental health, stress or communication challenges. Services may be provided by counsellors, psychologists or social workers, depending on the person’s needs.

Customer Reference Number (CRN)

A Customer Reference Number (CRN) is a unique number used by Centrelink to identify a person in its systems. It may be needed for payments, assessments and linking records.

D

Daily Accommodation Contribution (DAC)

The Daily Accommodation Contribution (DAC) is a daily fee paid by aged care residents who receive government assistance with accommodation costs. The amount is determined through a means assessment. It applies when a person does not pay a full Refundable Accommodation Contribution (RAC). Learn more about the aged care fees and charges.

Daily Accommodation Payment (DAP)

The Daily Accommodation Payment (DAP) is a non-refundable daily fee paid by residents who are not eligible for government assistance with accommodation costs. It covers the cost of their room and can be paid instead of a lump sum Refundable Accommodation Deposit (RAD) or alongside a partial RAD. Learn more about the aged care fees and charges.

Decision-Making Ability

Decision-making ability is a person’s capacity to understand and make specific choices when required, with appropriate support if needed. It is central to giving consent for aged care services. If this ability is lost, an Appointed Decision-Maker may step in.

Dementia and Cognition Supplement

Provided additional funding under the former Home Care Packages Program for people with dementia-related care needs. Some grandfathered participants may continue to receive it on transitioned packages. It ceases if they move to Support at Home, where these needs are included in the overall funding classification.

Dementia Behaviour Management Advisory Services (DBMAS)

Dementia Behaviour Management Advisory Services (DBMAS) provide free advice, assessment and support for family, carers and aged care workers. They help manage the behavioural and psychological symptoms of dementia, such as agitation or wandering, ensuring older people receive safe and effective care.

Department Of Veterans' Affairs (DVA)

The Department of Veterans’ Affairs (DVA) is the Australian Government agency supporting veterans and their families. In aged care, DVA works alongside Centrelink to complete income and asset assessments. It may also fund specific health and care services for eligible veterans. Find Home Care Providers experienced in Veterans and DVA support.

Deprived Assets

Refers to giving away assets or money specifically to avoid aged care fees. Any assets gifted prior to a means assessment are still counted. See our article on gifting rules for the current deprived assets limits.

Discharge Plan

A discharge plan is coordinated by hospital staff before a patient goes home. It outlines the medical care and support services an older person needs after leaving the hospital. The plan helps arrange short-term aged care supports, such as the Restorative Care Pathway.

Domestic Help

Domestic help includes practical household tasks that help older people maintain a safe and clean living environment. Under Support at Home, this covers everyday activities like cleaning, laundry, dishwashing and shopping. It forms part of the Everyday Living service category. Learn more about the Support at Home Program.

Duty Of Care

Duty of care is the legal obligation of aged care providers and staff to ensure older people are safe and protected from harm. This includes delivering quality services, maintaining safe environments, and identifying and managing risks, while respecting each person’s rights, choices and independence.

E

Elder Abuse

Elder abuse is any harmful act within a relationship of trust, including physical, psychological, sexual or financial abuse, as well as neglect. Aged care providers must report serious incidents of elder abuse to the Aged Care Quality and Safety Commission and, if appropriate, the police.

Emergency Respite

Emergency respite provides urgent, short-term care when regular support is suddenly unavailable, such as if a primary carer becomes unexpectedly ill. It can be arranged quickly in a person’s home or an aged care home by contacting the Carer Gateway.

End-Of-Life

End-of-life refers to the final stages of a person’s life. During this emotionally challenging time, targeted aged care services and programs offer clinical, practical and emotional support to help older people pass away comfortably and with dignity, often through the End-of-Life Pathway.

End-Of-Life Pathway

A short-term Support at Home program helping older Australians remain at home in their final months. It provides targeted funding over a limited period. Clinical services are fully government-funded, while everyday living supports may require a co-contribution. Learn more about the Support at Home Program.

Enduring Guardian

A person legally appointed to make health, lifestyle and accommodation decisions for someone if they lose capacity. The appointment must be made in advance while the person can still understand the arrangement. It is distinct from an Enduring Power of Attorney.

Enduring Power Of Attorney (EPOA)

This is a legal document where a person appoints someone they trust to manage their financial and legal affairs. It must be created while the person has capacity and is separate from an Enduring Guardian, which covers health and lifestyle choices.

Enteral Feeding Supplement

The Enteral Feeding Supplement is an additional government payment for people who require nutrition delivered via a tube. Under Support at Home, funding is available for different feeding methods to help cover the costs of specialised equipment and formula.

Everyday Living (Support At Home Category)

Everyday Living is one of the three service categories under the Support at Home program. It includes practical supports like domestic help, meals, gardening, and home modifications. Participants may need to pay a co-contribution for these services depending on their means assessment.

Exempt Assets

Exempt assets are excluded from the aged care means assessment. The most common is the principal home, which remains exempt if a protected person, such as a spouse or dependent child, still lives there. A Refundable Accommodation Deposit (RAD) is also exempt from the assessment.

Extra Service Fee

See Additional Service Fee. Extra Service Fees were legacy charges for higher-standard hotel-type services in residential aged care. They are being phased out and replaced by optional fee agreements under the latest aged care reforms.

F

Falls Prevention

Falls prevention involves clinical and practical strategies to reduce the risk of an older person falling. Under Support at Home, this can include allied health therapies, safety monitoring, and funding for home modifications like grab rails and non-slip mats.

Financial Hardship Assistance

Financial Hardship Assistance is designed to support individuals struggling to pay for aged care services. If approved, the government may subsidise fees for Support at Home , residential aged care or short-term respite care.

Formal Care

Formal care refers to paid, professional services delivered by trained staff through government-funded or private aged care providers. It is distinct from informal care, which is the unpaid support provided by family members, friends or neighbours.

Full Pensioner

A full pensioner is someone who receives the maximum rate the means-tested Age Pension. In aged care, full pensioners usually pay lower contributions for some home care services and may receive more accommodation support in residential care.

Fully Managed Care

Fully managed care is a Support at Home arrangement where a Care Partner handles all service scheduling, budget tracking, and compliance. The care management component still applies regardless of whether participants choose fully managed or self-managed care. See our article on fully managed vs self-managed care for more information.

G

Gifting

See Deprived Assets.

Goal-Based Planning

Goal-based planning is a collaborative approach used to design a person’s Care Plan. Often used in the Restorative Care Pathway, it involves setting clear, achievable milestones to help an older person regain their independence and track their progress over time.

Goods and Equipment

Goods and equipment, often called assistive technology, are items designed to help older people manage daily tasks safely and independently. This includes mobility aids, adapted utensils, and personal care equipment, which can be funded through the Support at Home program.

Government Funding

Government funding or subsidies are financial contributions paid directly by the Australian Government to an Aged Care Provider. These funds cover the bulk of a person’s assessed care needs, reducing the out-of-pocket Care Fees and Charges families must pay.

Grandfathered Participant

Someone approved for a Home Care Package on or before 12 September 2024. Under Support at Home , their contribution percentage is permanently protected by the no worse of principle. Their fee percentage will not increase even if they need more care.

Guardianship

A legal order appointing a person or statutory official to make health, lifestyle and accommodation decisions for someone who lacks capacity. A tribunal or court appoints this Guardian if the older person has not previously assigned an Enduring Guardian.

H

Higher Everyday Living Fee (HELF)

The Higher Everyday Living Fee (HELF) is an optional charge in an aged care home for premium extras like private televisions or upgraded meals. If you choose these services, you sign a separate agreement.

Home Care

Home care refers to professional aged care support delivered in your own home to help you stay independent. These services are provided primarily through Support at Home and can include nursing, domestic help and personal care.

Home Care Package (HCP)

A Home Care Package (HCP) was a government-funded program that helped older Australians get aged care in their own home. The program was replaced by Support at Home in November 2025.

Home Maintenance

Home maintenance services help you stay safely in your own home. They involve repairing or maintaining existing features, rather than adding new modifications. These services are funded by Support at Home under Everyday Living.

Home Modifications (HM)

Home modifications are physical changes to a home that improve safety and accessibility. Examples include grab rails, ramps and widened doorways. They are usually prescribed by an Occupational Therapist and funded through the AT-HM Scheme. They must be installed by a licensed tradesperson.

Hospice

A hospice is a dedicated health service for people in the end-of-life stages. It offers physical, medical and emotional support for both the person and their family. Hospices are staffed by specialised professionals and can be located in hospitals or separate facilities.

Hospital Discharge

A hospital discharge is the formal release of a patient. Hospitals must ensure a safe Discharge Plan is in place before an older person goes home. If returning home is unsafe, they may arrange a referral to temporary supports like the Restorative Care Pathway.

Hotelling Supplement Contribution (HSC)

The Hotelling Supplement Contribution is a daily fee paid by some residents in an aged care home. It separates daily living costs like meals and cleaning from your direct care costs. The fee is capped daily and the amount depends on your Means Assessment.

I

Income and Assets Test

An income and assets assessment conducted by Services Australia (Centrelink) that examines a person’s means to determine their eligibility for government-subsidised accommodation and the fees they are required to pay.

Income Tested Fee

This specific fee no longer applies under the new Support at Home program, which uses a different co-contribution structure to the former Home Care Packages program.

Independence Support (Support At Home Category)

Independence Support is a service category under Support at Home. It covers general personal assistance, social support, transport and short-term respite. You may need to pay a co-contribution for these services depending on your financial assessment.

Independent Aged Care Advocate

An independent advocate gives free and confidential support to protect your aged care rights. The Older Persons Advocacy Network (OPAN) is a national network of independent organisations that can connect you with an official advocates.

Independent Health And Aged Care Pricing Authority (IHACPA)

The Independent Health and Aged Care Pricing Authority (IHACPA) is an independent government agency. It provides advice on pricing and funding for public hospitals and residential aged care. This helps ensure Care Fees and Charges are fair and transparent.

Informal Care

Informal care is the unpaid, regular help provided by family, friends or neighbours. It is different from paid Formal Care. Informal carers may be eligible for government support like Carer Allowance or Carer Payment to assist with their caring role.

Integrated Assessment Tool

The Integrated Assessment Tool is a digital system used by assessors during an aged care assessment. It evaluates a person's health, mobility and daily living needs to create a tailored Care Plan and assign the correct Support at Home funding classification.

Interim Funding

Interim funding is a partial allocation for Support at Home participants waiting for their full budget to be released. It allows you to start receiving essential services immediately while you wait for your final funding level to become fully available.

L

Lifetime Cap

The lifetime cap is the maximum total amount you will pay toward non-clinical Care Fees and Charges over your lifetime. Once you reach this limit, the government covers these costs, and you pay no further contributions for those specific services.

Live-In Care

Live-in care is an arrangement where an older person lives with a family member for support and safety. Carers providing this level of support may be eligible for government assistance like Carer Payment and Carer Allowance to help with costs.

Living Will

See Advance Care Directive. A living will is a formal document that records your preferences for future health care and can appoint a substitute decision-maker.

Long-Term Absence

Under Support at Home, you only lose your funding approval if you do not use any services for a full year. Temporary breaks, such as Pausing Services for a holiday, hospital stay or respite care, do not count as a long-term absence.

M

Mandatory Reporting

Mandatory reporting is the legal requirement for aged care providers to document and report serious incidents, including Elder Abuse. Reports go to the Aged Care Quality and Safety Commission to ensure the safety and wellbeing of older Australians.

Maximum Permissible Interest Rate (MPIR)

The Maximum Permissible Interest Rate (MPIR) is a government-set interest rate. It is used by an aged care home to calculate your Daily Accommodation Payment (DAP) if you choose not to pay your accommodation costs as a full lump sum.

Meals

Meal services help you maintain a healthy diet. Under Support at Home, you can get help with shopping, cooking or meal delivery. In an aged care home, all daily meals, snacks and special dietary requirements are fully provided by the facility.

Means Assessment

This is a financial evaluation by Centrelink or DVA. It looks at your income and assets to work out how much you need to contribute toward your Care Fees and Charges in residential care or Support at Home. Also referred to as a means test and income and assets test.

Means-Tested Care Fee

The Means-Tested Care Fee is a legacy charge for people who entered an aged care home before November 2025. It is based on a Means Assessment. New residents now pay a Non-Clinical Care Contribution instead. See schedule of fees and charges for more information.

My Aged Care

My Aged Care is the Australian Government’s central starting point for accessing aged care services. It coordinates all assessments and referrals. You can access it via the website, the phone line, or face-to-face through an Aged Care Specialist Officer.

N

National Aged Care Advocacy Program

This program provides free, independent advocacy and information for older Australians receiving government-funded care. Delivered through OPAN, it connects you with an Independent Aged Care Advocate to help you understand your rights and resolve any concerns with your Provider.

Non-Clinical Care Contribution (NCCC)

The Non-Clinical Care Contribution replaced the Means-Tested Care Fee for new residents in November 2025. Based on your Means Assessment, it helps cover daily personal care. This contribution is capped daily and falls under the overall Lifetime Cap.

No Worse Off Principle (NWOP)

The no worse off principle protects Grandfathered Participants who moved from a Home Care Package to Support at Home. It ensures you will not pay more in fees or receive less funding than you did under the previous program.

Notice Of Decision

A Notice of Decision is a formal letter from My Aged Care. It confirms your aged care assessment is complete and your funding is approved. Once received, you can use this letter to start looking for an Aged Care Provider.

Nursing Care

Nursing care is provided by a registered or enrolled nurse. It covers clinical needs like wound care, medication management and health assessments. Under Support at Home, this falls into the fully funded Clinical Care category.

Nursing Home

“Nursing home” is an older term for an aged care home. These facilities provide 24/7 accommodation, personal care, nursing support and meals. Aged Care Decisions uses the term aged care home to reflect the modern focus on lifestyle and Person-Centred Care.

O

Occupational Therapist (OT)

An Occupational Therapist (OT) is an allied health professional who helps you maintain independence. Under Support at Home, an OT assessment is required to prescribe and approve major Home Modifications or complex Goods and Equipment.

Older Persons Advocacy Network (OPAN)

The Older Persons Advocacy Network (OPAN) provides free and confidential support to older Australians using government-funded aged care services. OPAN connects you with independent advocates to help you understand your rights and resolve issues with your provider.

Options Report

An Options Report is a free, tailored document created by Aged Care Decisions. It lists available Support at Home or residential aged care providers in your area that match your care needs, location and budget to help you make an informed choice.

Oxygen Supplement

The Oxygen Supplement is an extra government payment for people who need continual, medically prescribed oxygen therapy. The funds are added directly to your Support at Home budget to help cover the ongoing costs of your oxygen equipment.

P

Palliative Care

Palliative care is specialised, compassionate support for people with an advanced illness. It focuses on comfort and quality of life for the person and their family. It can be provided in an aged care home, a Hospice or via the End-of-Life Pathway.

Partners In Culturally Appropriate Care

This government-funded program helps an aged care home work closely with ethnic communities. It ensures older people stay connected to their social, cultural and linguistic networks while receiving care. There is a program coordinator in every state and territory.

Part-Pensioner

A part-pensioner receives an Australian Government pension, such as the Age Pension, but at less than the maximum rate due to their income or assets. This status affects the Care Fees and Charges you pay for aged care services.

Pausing Services

You can temporarily pause your Support at Home services for a holiday, hospital stay or respite. Your funding approval remains safe, though the standard care management and Budget Rollover rules still apply while services are on hold. More information.

Personal Care

Personal care includes help with daily tasks like bathing, dressing and going to the toilet. From October 2026, these tasks move into the fully funded Clinical Care category under Support at Home, meaning participants will no longer pay a contribution for those services.

Person-Centred Care

Person-centred care is an approach where services are built around your goals, values and lifestyle. It is a core part of the Aged Care Quality Standards, ensuring you have choice and control over how your care is delivered.

Physical Restraint

Physical restraint involves restricting a person's freedom of movement. It is strictly regulated in aged care. If used inappropriately or without proper consent, it is considered a serious incident and requires Mandatory Reporting to the safety commission.

Placement Services Fee

This is a fee paid directly by an Aged Care Provider to an independent service like Aged Care Decisions when a successful match is made. By law, providers cannot pass this cost onto families, keeping the service completely free.

Priority Category

After an assessment, you are placed in a priority category based on your needs. This system determines how quickly your Support at Home funding is released. You can request a review if your needs change.

Private Guardian

A trusted person, often family, appointed by a tribunal to make health and lifestyle decisions if someone loses capacity. It differs from an Enduring Guardian, which is appointed by the person themselves in advance.

Private Home Care

Private home care involves services purchased independently without government funding. It is a practical option if you are not eligible for subsidies, are waiting for Support at Home funding, or want to buy extra help like cleaning or gardening.

Protected Person

A protected person is someone living in your main home whose presence makes the home an Exempt Asset in your Means Assessment. This usually includes a spouse, a dependent child or an eligible carer who meets specific residency requirements.

Provider

See Aged Care Provider. It is an approved organisation registered with the Australian Government to deliver safe, quality services through programs like Support at Home or in an aged care home.

Provider Options Report

A Provider Options Report is a free, tailored document created by Aged Care Decisions. It lists available Support at Home or residential aged care providers in your area that match your care needs, location and budget to help you make an informed choice.

Public Guardian

A Public Guardian is an independent government official. They are appointed by a tribunal to make health and lifestyle decisions for someone who lacks capacity, usually when there is no suitable family member or friend available to take on the role.

Q

Quality Standards

See Aged Care Quality Standards. These rules require providers to meet specific outcomes regarding dignity, safe clinical care, transparent governance and comfortable living environments.

Quarterly Budget

This is the funding allocated to a Support at Home participant every three months. The care management component is deducted from this total. Any unused funds may carry forward subject to the Budget Rollover rules, giving you flexibility.

R

Refundable Accommodation Deposit (RAD)

A Refundable Accommodation Deposit (RAD) is a lump-sum payment for a room in an aged care home. It is fully refundable when you leave or pass away, minus any agreed deductions. You have 28 days after moving in to decide if you will pay by RAD, Daily Accommodation Payment (DAP) or a combination.

Reablement

Reablement is a targeted, short-term approach to help you regain physical ability and independence after an illness or injury. A key part of the Support at Home program, it involves working with health professionals to rebuild your skills so you can stay engaged in your community.

Refundable Accommodation Contribution (RAC)

A Refundable Accommodation Contribution (RAC) is a lump-sum payment toward accommodation in an aged care home. You may be asked to pay a RAC if the government helps with your accommodation costs. It is based on your daily contribution amount set by Centrelink or DVA.

Regional Assessment Service (RAS)

The Regional Assessment Service (RAS) was a government assessment body for entry-level home care. In December 2024, it merged with the ACAT to form the Single Assessment System. You may still hear this term used in older documents or by Grandfathered Participants.

Registered Provider

A registered provider is an organisation approved by the Australian Government to deliver subsidised aged care services. This includes Support at Home, respite care and residential aged care. They are regulated by the Aged Care Quality and Safety Commission.

Registered Supporter

A registered supporter is someone you nominate through My Aged Care to help you understand information, communicate with providers and navigate the aged care system. You keep full decision-making control. This role is different from an Appointed Decision-Maker, who has legal authority to decide for you.

Rehabilitation

Rehabilitation helps you recover physical ability and independence following an illness, injury or hospital stay. Often confused with Reablement, rehabilitation is usually a more intensive, clinically focused process delivered by health professionals to restore lost function.

Remote Supplement

The Remote Supplement provides extra funding for Support at Home participants living in remote or very remote parts of Australia. It boosts standard funding to help cover the higher costs of delivering services, equipment and Home Modifications in those areas.

Reportable Incident

A reportable incident is a serious adverse event in aged care, such as unexplained absence, neglect, or unreasonable use of force. Under the SIRS framework, providers must document these incidents and report them to the Aged Care Quality and Safety Commission.

Resident

If you live in a residential aged care facility, you are known as a resident. Aged Care Decisions prefers the term aged care home over nursing home to reflect the modern focus on lifestyle and Person-Centred Care.

Resident Agreement

A Resident Agreement is a formal, written contract between you and your aged care home. It sets out the terms of your stay, the services provided, your rights and responsibilities, and any agreed Care Fees and Charges.

Residential Aged Care

Residential aged care provides 24/7 support for older people who can no longer live safely at home. Often called an aged care home, it offers accommodation, meals, personal care, social activities and ongoing Nursing Care.

Residential Respite

Residential respite is a short-term stay in an aged care home. It provides accommodation, meals and daily support to give both you and your carer a break. The government subsidises up to 63 days of residential respite per financial year, which may be extended in certain circumstances.

Respite Care

Respite care gives a primary carer a temporary break while ensuring the older person is still supported. It can last for a few hours or a few weeks. It can happen at home, in the community or as Residential Respite in an aged care home.

Restorative Care

Restorative care is short-term, goal-focused support designed to help you regain independence. Under Support at Home, you can access specific restorative funding via a Support Plan Review to help you rebuild your confidence and physical strength.

Restorative Care Pathway

The Restorative Care Pathway is a structured, short-term program under Support at Home. It helps you regain physical and emotional confidence after an illness or hospital stay. It uses a team of professionals to build your abilities rather than doing tasks for you.

Retirement Village

A retirement village is a community of self-contained units for older Australians who are reasonably mobile and do not need significant daily care. It is an independent living option and is entirely separate from government-funded residential aged care.

Rights and Responsibilities

When receiving government-funded aged care, you have specific rights and responsibilities. These are outlined in the Statement of Rights under the Aged Care Act 2024, ensuring you receive safe, respectful care and can make informed choices about your support.

S

Schedule of Fees and Charges

The Schedule of Fees and Charges is the official government document detailing current aged care costs. It is updated regularly and outlines limits and thresholds for key aged costs and fees.

Self-Advocacy

Self-advocacy means speaking up for yourself, understanding your rights and making informed decisions about your care. It empowers you to stay in control of your aged care journey. You can also get help from an Independent Aged Care Advocate if you need support.

Self-Funded Retiree

A self-funded retiree funds their retirement through personal investments and superannuation rather than receiving an Australian Government pension. Because of their income and assets, self-funded retirees generally pay the maximum co-contribution rates for their aged care services.

Self-Managed Care

Self-managed care is a Support at Home option where you take on more responsibility for choosing and scheduling your own workers. It offers more flexibility, but a Care Partner must still oversee your plan and the care management component still applies.

Service Agreement

A Service Agreement is a formal contract between you and your Support at Home provider. It details the services, costs and rules. You usually have 56 days after your funding is approved to sign an agreement, though this can sometimes be extended.

Service Exclusions

Service exclusions are items you cannot buy using Support at Home funds. Exclusions include everyday groceries, prescription medicine, general home furniture, holiday costs, GP fees and beauty treatments. Funds must be spent strictly on approved care and safety needs.

Service Provider

See Aged Care Provider.

Short Stay Rebate

The Short Stay Rebate is a partial refund given to an aged care home by the government if a permanent resident passes away or moves out within 21 days of moving in.

Short-Term Care

Short-term care provides temporary support for a set period. It includes Respite Care, Transition Care and Restorative Care. These programs aim to give carers a break or help an older person recover their independence after an illness or hospital stay.

Short-Term Restorative Care (STRC)

The Short-Term Restorative Care (STRC) program was a former government initiative replaced by the Support at Home program in November 2025.

Single Assessment System

The Single Assessment System was introduced in December 2024 to simplify aged care assessments. It merged the old ACAT and RAS processes, creating one unified pathway to evaluate an older person’s care needs and assign funding accurately.

Special Needs Groups

Some older Australians have specific care needs based on their background, language or life experiences. My Aged Care can help you find verified specialist providers trained to deliver safe, culturally appropriate and inclusive care for these groups.

Specialised Programs

Specialised programs are specific services run by some aged care homes to support residents with distinct needs, such as advanced dementia, severe physical disabilities or complex medical conditions.

Staffing Policy

A staffing policy outlines the workforce structure of an aged care home. It details the ratio of nurses to personal care workers, total staff numbers and the time staff spend directly caring for residents.

Statement of Rights

The Statement of Rights replaced the Charter of Aged Care Rights in November 2025 under the Aged Care Act 2024. It legally requires providers to respect an older person’s independence, choices, safety and right to complain.

Substitute Decision-Making

Substitute decision-making happens when an Appointed Decision-Maker legally makes choices on your behalf because you have lost capacity. The rules depend on your state or territory and the specific legal document, such as an Enduring Guardian or EPOA.

Supplement

A supplement is extra government funding added to a person's aged care budget for specific, higher-cost needs. Common examples under Support at Home include the Oxygen Supplement, the Enteral Feeding Supplement and the Veterans' Supplement.

Support At Home Program (SAH)

The Support at Home program replaced Home Care Packages in November 2025. It provides flexible funding across eight classifications and three service categories (Clinical Care, Independence Support, Everyday Living) to help older Australians stay safe and independent at home.

Support Plan

A Support Plan is your personalised care document. Created after your assessment, it records your care needs, goals and the specific Support at Home services you are approved to receive. Providers use it to guide your care.

Support Plan Review

A Support Plan Review is a formal reassessment requested through My Aged Care if your needs change. It is required if you need higher funding or want to access short-term pathways like Restorative Care.

Supported Decision-Making

Supported decision-making means giving an older person the help they need to understand choices and make their own decisions. Unlike Substitute Decision-Making, the older person remains in control, often with the help of a Registered Supporter.

Supported Resident

A supported resident is a person whose aged care accommodation costs are partially or fully paid by the Australian Government. You may still need to pay other Care Fees and Charges, such as the Basic Daily Fee.

System Governor

The System Governor is a decision-maker role established under the Aged Care Act 2024. They are responsible for making high-level regulatory decisions, including those relating to the approval and regulation of a Registered Supporter.

T

Time-Limited Cap

Under the current residential aged care fee system, the Non-Clinical Care Contribution ends after a set payment period, or when you reach the overall Lifetime Cap, whichever comes first.

Transition Care Programme (TCP)

The Transition Care Programme provides short-term, goal-oriented support after a hospital stay. It helps older people regain their independence so they can return home safely, rather than moving prematurely into an aged care home.

Transitioned HCP

This is the funding level assigned to Grandfathered Participants who moved from a Home Care Package to Support at Home. Protected by the no worse of principle, transitioned HCP participants can apply for higher levels of care if their needs change.

Translating and Interpreting Service (TIS)

The Translating and Interpreting Service (TIS National) provides free telephone and on-site interpreters. It helps non-English speakers and aged care providers communicate clearly about assessments, Care Plans and services.

Transport Services

Transport services help you stay connected to your community. Under Support at Home, this can include a support worker driving you to appointments or social activities, or providing vouchers for taxi services.

U

Unspent Funds

Unspent funds are the portion of your Support at Home budget you do not use in a quarter. You can carry over a set amount to the next quarter under the Budget Rollover rules. Any excess is returned to the government.

Urgent Assessment

An urgent assessment is a fast-tracked evaluation for older people experiencing a crisis, rapid health decline or hospitalisation. You, your family or a health professional can request this through My Aged Care.

V

Veteran and War Widow/Widower Pensioners

Eligible veterans and war widow/widowers receive specific pension support from the Department of Veterans' Affairs (DVA). They can also access targeted aged care support to help cover their Care Fees and Charges.

Veterans' Home Care (VHC)

Veterans’ Home Care is a Department of Veterans’ Affairs (DVA) program providing basic support to help eligible veterans stay independent at home. Services include domestic assistance, personal care and home maintenance.

Veterans' Supplement

The Veterans’ Supplement is extra funding for veterans with accepted, service-related mental health conditions. It is added directly to a Support at Home budget or paid to an aged care home to ensure appropriate, specialised care is delivered.

W

Wait Time / Waiting Period

This is the time between your funding approval and when your funds actually become available. Under Support at Home, a priority system determines the wait time based on how urgent your care needs are.

War Widow/Widower Pensions

These pensions are paid by the Department of Veterans’ Affairs (DVA) to the surviving partners and dependents of veterans who passed away due to war or eligible defence service.

Webster Pack

A Webster Pack is a pre-packed system that organises medication by day and time. A support worker can help you open and take medicine from a Webster Pack under Independence Support, which is different from a nurse administering clinical medication.