Home Care Package Inclusions & Exclusions

Find out what's included in your Home Care Package, and what's not.

Inclusions

Specialised foods

These products are designed to address situations where the intake of energy and nutrients may not be adequate to meet an individual’s requirements and are intended for the dietary management of a disease, disorder or medical condition that cannot be achieved without the use of the item.

Food for special medical purposes - E.g. dysphagia or cognitive impairment

Only formulated supplementary food

Inclusions

Allied health

Allied health professionals must be registered with Australian Health Practitioner Regulation Agency (Ahpra) or self–regulated by another national professional association.

Allied health services such as the following may be included:

Podiatry

Physiotherapy

Chiropractic

Hydrotherapy

Inclusions

Goods, Equipment and Assistive Technology (GEAT)

Allied health professionals must be registered with Australian Health Practitioner Regulation Agency (Ahpra) or self–regulated by another national professional association.

Allied health services such as the following may be included:

Prescribed GEAT
Bed transfer rails, walking frames, scooters

Under advice GEAT
Toilet frames, shower chairs, kitchen stools, magnifiers, personal alarms

Low risk GEAT
Jar openers, long handled shower sponges, long handled dustpan and brush, sock aids, large print calendar

Inclusions

Minor home maintenance & regular cleaning

Minor home maintenance services may be provided where the care recipient was previously able to carry out the activity themselves but can no longer do so safely.

Regular cleaning is an inclusion:

Dusting

Vacuuming

Mopping

Making beds

Ironing

Laundry

Exclusions

Exclusions

The following items are not included in the package of care and services:

Use of the package funds as a source of general income for the care recipient

Purchase of food, except as part of enteral feeding requirements

Payment for permanent accommodation, including assistance with home purchase, mortgage payments or rent

Payment of home care fees

Payment of fees or charges for other types of care funded or jointly funded by the Australian Government

Home modifications or capital items that are not related to the care recipients care needs

Travel and accommodation for holidays

Cost of entertainment activities, such as club memberships and tickets to sporting events

Gambling activities

Payment for services and items covered by the Medicare Benefits Schedule or the Pharmaceutical Benefits Scheme

Exclusions

Medication, vitamins and supplements

HCP Program does not fund medications of any kind:

Medicare Benefit Scheme (MBS) & Pharmaceutical Benefits Scheme (PBS) covered medications –not duplicate services

Non-PBS medications are excluded

Alternative options for care recipients:

Public hospitals (state & territory funding)

Private health insurance

Exclusions

Heating and cooling

The program does not cover general income expenses that all Australians are expected to cover regardless of age.

Heating

Cooling

Alternative options for care recipients:

Energy rebate tool www.energy.gov.au/rebates

No interest Loan Scheme

Exclusions

Natural therapies

Natural or alternative therapies that are not classified as allied health modalities by Ahpra, or a department recognised National Board, are excluded.

More information about the Natural Therapies Review can be found here.

Exclusions

Home appliances

The program does not cover general income expenses that all Australians are expected to cover regardless of age.

General household appliances and white goods, including television and refrigerators.

Exceptions to this rule:

Items designed for frailty (e.g. tipping kettle)

When hygiene is impacted with severe and permanent incontinence, washing machines and dryers may be considered.

Exclusions

Major home maintenance & specialist cleaning

More extensive home maintenance services (such as those requiring a tradesperson) are typically the responsibility of the homeowner.

More specialised cleaning is excluded except in cases of severe and permanent incontinence or one-off hoarding remediation.

Minor home maintenance services may be provided where the care recipient was previously able to carry out the activity themselves but can no longer do so safely.

Regular cleaning is an inclusion: dusting, vacuuming, mopping, making beds, ironing and laundry.

Frequently Asked Questions

Commonly asked questions about inclusions and exclusions.

What home modifications can be included?

Must meet the following criteria:

  • Ageing related care needs
  • Safety and accessibility
  • Building Code of Australia
  • Qualified tradespeople
  • Documented, planned and budgeted for in the care plan
Why is pet care excluded?

Pet care is a general income expense.

Can HCP funding be used to cover gap payments for Medicare or the PBS or other programs e.g. state funded?

No, HCP does not cover the gap on Commonwealth or state government programs

What is considered ‘light’ gardening?
  • Maintaining access pathways through a property
  • Lawn mowing
  • Weeding established garden beds
  • Yard clearance where there are safety and access issues
  • Essential pruning
Are electronics included e.g. laptop, phone?

Laptops, phone and similar electronics are typically excluded.

Do exceptions exist?

  • Homelessness
  • Medication management
  • Social isolation
Why are hearing aids excluded?
  • Pensioner Concession Card holders may access subsidised hearing aids through the Hearing Services Program.
  • Hearing aids may be funded under HCP if the client is ineligible for the Hearing Services Program.
Is remedial massage an inclusion or exclusion?

Remedial massage can by funded by HCP under the following circumstances:

  • there is an assessed care need
  • it is required due to age-related (or disability related) decline
  • it is delivered by an accredited provider

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