Process for younger person considering entering residential aged care

Process for a younger person considering entering residential aged care

This process identifies available pathways when a younger person (under 65 years of age) is considering entering residential aged care. There are many potential 'off-ramps' throughout the process which are not covered in this journey map.

This is a collaboration between the Department of Health and Aged Care, the National Disability Insurance Agency, My Aged Care, and Ability First Australia.

Simplified version of the process – YPIRAC Journey Map – Simple (PDF 171KB)

If you are not an NDIS participant:

If you are under 65 and at risk of entering residential aged care, contact Ability First Australia (A F A) on 1800 771 663.
You can also contact My Aged Care (MAC) contact centre on 1800 200 422 and MAC will refer you to A F A.

NDIS eligibility:

A F A can help you to test your NDIS eligibility if appropriate.
If you become eligible for the NDIS, an NDIS officer will help you (follow NDIS participant pathway from the planning meeting step).

Exploring options:

If you are not eligible for the NDIS, A F A will help you explore accommodation and care support options in your preferred area.

Sustainable housing option identified:

AFA finds and secures a sustainable housing and/or care support option.
You transition into your suitable housing option with appropriate levels of support.

Sustainable housing option not identified or declined:

If alternatives to residential aged care cannot be found, or you decline options identified, A F A will provide you with the 'A F A summary report - younger people at risk of entering residential aged care'.
You can now test your eligibility for residential aged care.

Transition to My Aged Care pathway

You contact My Aged Care:

You or your representative call the My Aged Care (MAC) contact centre on 1800 200 422.
Based on the information you provide, MAC will see if you are suitable for an aged care assessment.
You will need documents that detail the accommodation and care support options A F A explored. *If you do not have the required documents, MAC will refer you to AFA.

Assessment referral:

If you are suitable for an aged care assessment, MAC will refer you to an Aged Care Assessment Team (A CAT) for assessment.
Provide documentation:

You or your representative can provide your documents:
- to an A CAT officer; or
- through your My Aged Care online account

ACAT assessment:

A CAT will determine (according to the Aged Care Act) regardless of whether previous accommodation and/or care support options have been declined, if you are eligible for aged care services and the types of services that may be appropriate.
A CAT will consider whether there are more appropriate accommodation and/or care support options to meet a younger person's needs.

Further support:

If you are not eligible for aged care services, A F A will help you to explore further suitable housing and/or care support options.

If you are an NDIS participant:

Email the National Disability Insurance Scheme (NDIS) YPIRAC team at [email protected]
You can also contact My Aged Care (MAC) contact centre on 1800 200 422 and MAC will refer you to an NDIS YPIRAC officer.

Review of your current supports:

An NDIS YPIRAC officer will assess if your existing supports are adequate.
If you require additional funded supports to explore your home and living options, the NDIS YPIRAC officer will conduct a plan reassessment.

Planning meeting:

The NDIS YPIRAC officer will conduct a planning meeting with you to seek more information about your situation and support needs.

Plan approval and implementation:

The NDIS YPIRAC officer prepares, approves and implements your plan, including a request for support coordination if appropriate