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Support at Home vs
Home Care Packages

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Support at Home (SAH) is the Australian Government’s new program. It will replace the current Home Care Packages and Short-Term Restorative Care programs from 1 November 2025 and aims to improve the way aged care services are delivered across Australia.

With the Support at Home changes, the goal is for older people in Australia to have more access to services, equipment, and home modifications so they can live independently for longer. In addition to a new rights-based Aged Care Act, this will be the most significant reform to the Australian aged care system in decades.

Here are some of the key facts you need to know about the principal differences between the old and new systems with the main differences explained below.

Level of care

Home Care Package

There are four levels of care in the Home Care Package program:

Level 1
Basic Care Needs

Level 2
Low Care Needs

Level 3
Intermediate Care Needs

Level 4
High Care Needs

Support at Home

Eight funding classifications will be available under the Support at Home program.

If you already have a Home Care Package, you will stay on your existing package when Support at Home begins. Your existing package will be called a “Transitioned Home Care Package”.

You will only move to one of the new 8 Support at Home levels if you have a reassessment after 1 November 2025, or if you are approved for aged care for the first time after 1 November 2025.

Service categories

Home Care Package

The current Home Care Package system includes a list of specific types of care, which includes:

  • Personal Care
  • Nursing
  • Cleaning
  • Meals and Food Preparation
  • Home or Garden Maintenance
  • Allied Health
  • Assistive Technology
  • Transport
  • Social
  • Respite

Support at Home

Services are grouped into three specific support categories:

Clinical Supports
for health-related care, such as nursing.

Independence Supports
for personal care and social participation.

Everyday Living Supports
for daily tasks such as cleaning and meal preparation.

Clinical services

Home Care Package

Home Care Packages can be used for clinical services, and clients pay an income tested fee, regardless of the type of service they receive.

Support at Home

The government will fully fund clinical care for all Support at Home clients, including nursing care, allied health and other therapeutic services.

Client contributions (for eligible clients) will need to be paid for goods and services considered an Independence Support or an Everyday Support.

Pricing

Home Care Package

One fee

A combined care and package management fee of 13% of your total package value. This amount is calculated each day, so it stays about the same each month.

Support at Home

Two fees

Care Management Fee
Under the Support at Home program,10% of your quarterly budget isautomatically ringfenced by theGovernment and paid directly to theregistered provider (PlanCare) to provideCare Management activities.  

Platform Management Fee
The Platform Management fee replaces the traditional Package Management fee under the new Support at Home program.It covers the essential administrative and compliance functions that registered providers are legally required to perform,even when you self-manage your care.

Client contribution

Home Care Package

Currently called Income Tested Fees (ITF). These are paid at regular intervals (i.e. monthly), after services have already been delivered and paid for.

The Income Tested Fee rate depends on your pension status but does not differ based on what goods or services you purchase.

Support at Home

Under the new scheme Income Tested Fees will be called client contributions. These fees are paid when an invoice is received by PlanCare, before the provider is paid. The contribution rate will differ depending on your pension status, and the type of service you are receiving – either Clinical Support, Independence Support, or Everyday Support.

Existing clients (if grandfathered) who do not currently pay an Income Tested Fee (ITF) will not be required to contribute under Support at Home.

Assessment system

Home Care Package

Under the Home Care Package program, clients are assessed by multiple organisations depending on their needs, including the Regional Assessment Service (RAS), Aged Care Assessment Teams (ACAT), and the Australian National Aged Care Classification (AN-ACC).

Once approved for home care, clients may have to switch to different assessors as their needs evolve.

Support at Home

The Single Assessment System Workforce will bring together assessors from RAS, ACAT, and AN-ACC into one organisation.

Under the new arrangement, Needs Assessment Organisations will provide the entire scope of assessments, including clinical and non-clinical. In other words, there will no longer be dedicated organisations for different types of care and the same organisation will provide all the necessary assessment services, making it easier to switch between funding programs.

Unspent funds

Home Care Package

There are no limits on how much funding you can accrue in your unspent funds.

Support at Home

With the Support at Home changes, annual subsidy amounts will be divided into four quarterly budgets with each covering three months of the year.

If you don’t spend your entire budget within a given quarter, you can rollover the unspent funds of up to a maximum of $1,000 or 10% of your quarterly budget - whichever is greater - between quarters to meet unplanned needs.

Purchasing high-cost items

Home Care Package

To purchase high-cost items, you have to deliberately underspend and accrue these funds in your unspent funds.

Support at Home

You will have specific funding, separate from your Support at Home funding, which can be used for assistive technology and home modifications.

Assistive Technology and Home Modifications (AT-HM)

Home Care Package

Clients accumulate and use funds from their Home Care Package budget to purchase assistive technology and home modifications.

Support at Home

The new AT-HM scheme will provide separate funding, meaning you will not have to accumulate or ‘save up’ funds to pay for this support.

There will be three funding tiers for Assistive Technology and three tiers for Home Modifications (Low, Medium, and High), and funding will range from $500 to $15,000 depending on your tier.

Home modifications

Home Care Package

Under the Home Care Package program, there is no limit to how much funding can be used for Home Modifications.

Support at Home

Under Support at Home, there is a lifetime cap of $15,000 that can be spent from your dedicated Home Modifications funding.

Short-term support

Home Care Package

In the Short-Term Restorative Care Program (STRC), older people can get up to eight weeks of support to reverse or slow functional decline and avoid long-term care.

Support at Home

The new Restorative Care Pathway will expand upon existing arrangements under STRC by increasing support from 8 weeks to 12 weeks.

If approved, you will receive a budget of approximately $6,000 for the 12-week episode. You can also receive multiple episodes of Restorative Care, though there must be a 90 day period inbetween episodes.

End-of-Life care pathway

Home Care Package

End-of-life care does not exist under Home Care Packages and does not have dedicated funding.

Support at Home

This new pathway provides access to additional services in the last three months of life for clients who prefer to remain at home. A total of $25,000 will be available per eligible client over those three months, with the option to extend for a further four weeks if necessary.

Wait times

Home Care Package

As of March 2025, estimated wait times for Home Care Packages vary based on the assigned level and priority:

  • 6-9 months (Level 1)
  • 6-9 months (Level 2)
  • 9-12 months (Level 3)
  • 12-15 months (Level 4)

Support at Home

Under Support at Home, the goal is for wait times to progressively reduce over the next two years.

Interim funding

Home Care Package

Interim funding does not exist under the Home Care Package program.

Support at Home

If wait times for services exceed expectations, new entrants will be assigned an interim allocation of 60% of their Support at Home classification budget while they wait to receive their full funding.

The remaining 40% will be allocated when funding is available.

Quality standards

Home Care Package

Under the Home Care Package program, there are eight Aged Care Quality Standards, each one to improve the quality of care you receive.

Support at Home

The existing eight Aged Care Quality Standards will be replaced with a revised set of seven, maintaining a strong emphasis on safety, respect, and high-quality service while reducing complexity.

Taking leave from your funding

Home Care Package

You will continue to receive your daily subsidy when you take leave from your package (for example, to attend respite, or when you’re admitted to hospital). Your daily subsidy amount will be reduced to 25% of your regular amount after 28 days of leave. You can be on leave indefinitely, without losing your Home Care Package funding.

Support at Home

Your daily subsidy will continue to be accrued in full, even after 28 days.

However, your package will be reallocated to another client when one year has passed since the end of the quarter from when the last service was delivered.

Click here to download our easy to read fact sheet you can print at home.