Home Care Guide

Government-funded home care in Australia

The Australian Government subsidises home care for eligible older Australians — covering the majority of care costs so families are not left bearing the full expense.

How government-funded home care works

Government subsidy

The government pays the majority of your care costs — from $10,731/yr at Level 1 to $78,106/yr at Level 8. This is paid directly to your approved provider.

Basic daily fee

Most package recipients pay a basic daily fee of around $12-$15/day. This is a standard contribution toward living costs and is not means-tested.

Income-tested care fee

If your income is above the threshold set by Services Australia, you may pay an additional income-tested care fee. This is assessed separately from your ACAT assessment.

Your package budget

The government subsidy minus provider management fees equals your care budget. You can allocate this toward services, equipment, or home modifications based on your care plan.

Government subsidies by package level (2025-26)

Level 1Basic needs
$10,731/yr
Level 2Low-level needs
$18,063/yr
Level 3Intermediate needs
$39,310/yr
Level 4High-level needs
$59,594/yr
Level 5Very high needs
$64,754/yr
Level 6Complex needs
$70,179/yr
Level 7Advanced complex
$74,495/yr
Level 8Highest needs
$78,106/yr

Government subsidy amounts only. Provider management fees and your contributions (basic daily fee, income-tested fee) are additional.

Common questions

What government-funded home care services are available?+
The main government-funded home care program is the Support at Home program (formerly Home Care Packages). It provides subsidised personal care, nursing, allied health, domestic assistance, transport, equipment, and home modifications. The Commonwealth Home Support Programme (CHSP) provides entry-level services for people with lower needs.
How does the government fund home care?+
The government pays a subsidy directly to your approved provider on your behalf. The subsidy amount depends on your assessed care level (1-8). The provider uses these funds, plus any fees you pay, to deliver your care plan. You do not receive cash — the provider manages the budget.
Is government-funded home care means tested?+
The government subsidy itself is not means tested — everyone approved at the same level receives the same subsidy. However, an income-tested care fee may apply if your income exceeds the Services Australia threshold. Assets are not assessed for home care (unlike residential care).
What is the difference between CHSP and home care packages?+
The Commonwealth Home Support Programme (CHSP) provides entry-level, government-subsidised services for people with basic needs — such as a cleaner, meals on wheels, or occasional transport. Home care packages are for people with more complex or ongoing needs and provide a larger, flexible budget managed by an approved provider.
How do I apply for government-funded home care?+
Contact My Aged Care on 1800 200 422 or apply at myagedcare.gov.au. A phone screen determines if you need an ACAT assessment. The assessment determines your eligibility and recommended package level. Once approved, you are placed on the national queue until a package is assigned.
How long does it take to receive government-funded home care?+
Wait times vary. CHSP services can often be arranged quickly. Home care packages (Levels 1-8) involve a national queue — wait times have historically been months for higher levels, though the government has committed to reducing this under the Support at Home program.

How the Support at Home program works in 2025–26

The Support at Home program replaced the previous Home Care Packages system from November 2025. It provides 8 levels of government subsidy — from $10,731 to $78,106 per year (Source: Australian Government Department of Health and Aged Care, 2025–26). The subsidy is paid directly to your approved provider, who manages the funds on your behalf.

LevelAnnual subsidy (2025–26)Typical needs
Level 1$10,731/yrBasic support needs
Level 2$18,063/yrLow-level needs
Level 3$39,310/yrIntermediate needs
Level 4$59,594/yrHigh-level needs
Level 5$64,754/yrVery high needs
Level 6$70,179/yrComplex needs
Level 7$74,495/yrAdvanced complex
Level 8$78,106/yrHighest needs / palliative

Source: Australian Government Department of Health and Aged Care, 2025–26. Subject to annual indexation.

What counts against your budget

Nursing and clinical care visits
Personal care (showering, dressing)
Allied health — physio, OT, speech
Equipment and aids
Home modifications
Transport to appointments
Domestic assistance

What does NOT count

General groceries and food
Entertainment and activities
Holidays and travel
Rent or mortgage payments
Utility bills
Clothing
Gambling or betting

What it costs you as a recipient

Government funding covers the majority of costs, but most recipients contribute something. The amount depends on your income and the package level you receive.

Basic Daily Fee

~$12.53/day

Up to 17.5% of the Age Pension. Paid by most package recipients. Not means tested. Approximately $4,573/year. (Source: Services Australia, 2025–26 — subject to indexation)

Income-tested care fee

Varies

Applies if your income exceeds the Services Australia threshold. Assessed separately from your ACAT assessment. Call Services Australia on 1800 227 475 to understand your position.

Provider management fee

15–35% of budget

Taken from your package before care services are delivered. A 20% management fee on a Level 3 package ($39,310) leaves ~$31,448 for actual care. Compare provider fee schedules carefully.

Illustrative example — Level 3 package

Government subsidy: $39,310/yr. Provider management fee at 20%: $7,862. Remaining care budget: approximately $31,448. This pays for roughly 15–20 hours of support per week depending on service type.

This is illustrative only. Actual fees vary by provider. Always request an itemised fee schedule before signing a service agreement.

WithSally is always free to families. We are paid a referral fee by the provider once you sign a service agreement. We will always tell you how we are paid — no hidden commissions, no surprises.

Government-funded vs private home care: what is the difference

Some older Australians use private home care — either while waiting for a government package, or to supplement their existing package. Here is how the two compare.

Government-funded

Heavily subsidised — you pay a fraction of the cost
Requires ACAT assessment to access
Must use an approved provider
Budget managed by your provider
National queue for higher levels
Annual budget allocated by package level

Private home care

No ACAT assessment required
No cap on hours — book as much as you need
No waiting list — start immediately
You pay the full cost
Support worker: typically $50–90/hr
Nursing: typically $100–180/hr

Indicative market rates only — may vary significantly by provider and region. Confirm with individual providers. (Source: indicative market rates, 2025)

Who typically uses private care

People waiting on the national queue who need help now; people who want more hours than their government package allows; people who are ineligible for government funding; and those who value the flexibility of no assessment requirement. Many families combine both — using their government package for core services and topping up with private hours.

Not sure what you qualify for?

WithSally helps families understand what government support is available and connects you with the right provider. Always free to families.

Get guidance free
General information only. Subsidy amounts are 2025–26 figures and subject to change. Contact My Aged Care on 1800 200 422 for current rates. WithSally is independent and not affiliated with the Australian Government.