Navigate Australian aged care with our expert guide to the Department of Health and Aged Care. Understand services, access, costs, and support for quality aged care.
Unlocking quality support, understanding your options, and accessing the right aged care for yourself or loved ones through the Australian Government’s key agency.
Facing the journey of aged care can feel overwhelming. Whether you’re planning for your own future, supporting a family member, or seeking information, understanding the landscape of services, support, and regulations is crucial. In Australia, the primary body responsible for shaping and funding these vital services is the Australian Government Department of Health and Aged Care.
This department plays a pivotal role in ensuring that older Australians receive the quality care they deserve, whether at home or in a residential facility. Understanding its functions, the types of aged care available, how to access them, and what your rights are, empowers you to make informed decisions.
This comprehensive guide will demystify the Department of Health and Aged Care’s role in aged care. You’ll gain insights into:
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The structure and responsibilities of the Department concerning aged care.
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The different types of aged care services available.
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How to access these services through My Aged Care.
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Funding, costs, and consumer rights within the aged care system.
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The ongoing reforms and future direction of aged care in Australia.

What is the Australian Government Department of Health and Aged Care?
The Australian Government Department of Health and Aged Care is the federal government agency responsible for national health and aged care policy, funding, and programs. Its mission is to ensure better health and wellbeing for all Australians, now and for future generations.
Its Role in Aged Care
Specifically concerning aged care, the Department plays a critical leadership role. This includes:
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Policy Development: Creating the overarching policies and frameworks that govern how aged care services are delivered and regulated in Australia.
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Funding: Allocating and managing significant government funding for aged care programs, including subsidies for providers and individuals.
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Program Management: Overseeing national aged care programs like My Aged Care, Home Care Packages, and support for residential care.
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Regulation and Oversight (in partnership with the Aged Care Quality and Safety Commission): Ensuring services meet quality and safety standards.
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Reform Implementation: Driving reforms to improve the aged care system based on reviews, inquiries (like the Royal Commission into Aged Care Quality and Safety), and evolving community needs.
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Data Collection and Research: Gathering information to monitor the system, inform policy, and identify areas for improvement in aged care.
Vision for Aged Care
The Department’s vision for aged care is centered on providing accessible, affordable, high-quality, and safe care that is person-centered. This means services should respect individuals’ choices, dignity, and independence, enabling them to live fulfilling lives as they age.
Understanding the Types of Aged Care Services
The Australian aged care system offers a spectrum of services designed to meet varying levels of need. These are primarily accessed through the My Aged Care gateway.
Commonwealth Home Support Programme (CHSP)
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Focus: Provides entry-level support services for older people who need some assistance to keep living independently at home and in their community.
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Services: Can include domestic help (cleaning, laundry), personal care, meals, transport, social support, allied health, and home maintenance.
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Suited for: Individuals with lower-level care needs.
Home Care Packages (HCP)
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Focus: For those with more complex aged care needs who wish to remain at home. HCPs provide a coordinated package of care and services.
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Levels: There are four levels, from basic care (Level 1) to high care needs (Level 4).
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Services: A wide range of services can be funded, including personal care, nursing, allied health, meal preparation, domestic assistance, social support, and clinical care. Funds are allocated to the individual, who can then choose a provider and decide (with their provider) how best to spend the funds.
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Consumer Directed Care (CDC): A key principle, giving recipients more control over the types of care and services they receive and who delivers them.
Residential Aged Care (Nursing Homes)
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Focus: Provides accommodation and care for people who can no longer live independently at home, offering 24/7 support.
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Services: Includes personal care, accommodation, meals, nursing care, laundry, cleaning, and social activities. Many homes also offer specialised care, such as dementia care.
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Choice: Individuals can choose a residential aged care home that meets their needs and preferences, subject to availability.

Short-Term Care Options
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Respite Care: Provides temporary care to give regular carers a break or when an older person needs extra support for a short period. Can be delivered at home, in a community centre, or in a residential aged care home.
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Short-Term Restorative Care (STRC): A goal-oriented program delivered over a short period (up to eight weeks) to help older people regain or improve their independence and functioning, often after a hospital stay or health setback.
Transition Care
Transition care provides short-term care (up to 12 weeks, extendable to 18 weeks) for older people after a hospital stay. It offers services like low-intensity therapy (e.g., physiotherapy, occupational therapy), nursing support, and personal care, either in a home-like setting or in their own home. The aim is to help them fully recover and make long-term aged care decisions.
Palliative Care
While not exclusively an aged care service, palliative care is crucial for many older Australians with life-limiting illnesses. The Department works to improve access to high-quality palliative care services within the aged care sector, ensuring comfort, dignity, and support for individuals and their families.
My Aged Care: Your Entry Point to Services
The Australian Government established My Aged Care as the central point of contact for accessing government-funded aged care services.
What is My Aged Care?
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Website: myagedcare.gov.au
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Contact Centre: 1800 200 422
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Purpose: Provides information about aged care services, assesses eligibility, and refers individuals to appropriate providers.
The Assessment Process
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Registration: Contact My Aged Care to register. They will ask questions about your situation and current needs.
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Screening: Based on your answers, My Aged Care will determine if you need a basic home support assessment (by a Regional Assessment Service – RAS) for CHSP, or a comprehensive assessment (by an Aged Care Assessment Team – ACAT, or ACAS in Victoria) for HCPs, residential care, or flexible care.
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Assessment: A trained assessor will visit you at home (or in hospital) to discuss your needs, goals, and preferences. This is a collaborative process.
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Outcome: You’ll receive a letter explaining the outcome of your assessment, including the types of subsidised aged care services you’re eligible for.

Finding and Choosing Providers
Once approved, My Aged Care can help you find aged care providers in your area. You have the right to choose your provider, and it’s important to research and compare options to find one that best meets your needs and preferences. The “Find a Provider” tool on the My Aged Care website is invaluable for this.
Costs and Funding of Aged Care
While the Australian Government subsidises a significant portion of aged care costs, individuals may be required to contribute to the cost of their care.
Government Subsidies
The Department of Health and Aged Care allocates funding to aged care providers to reduce the cost of services for eligible individuals. The amount of subsidy depends on the type of care and the individual’s assessed needs.
Client Contributions and Fees
Depending on the type of service and your financial situation, you may need to pay:
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Basic Daily Fee: Applies to some CHSP services, Home Care Packages, and all residential aged care. It’s a percentage of the single basic age pension.
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Income-Tested Care Fee (Home Care and Residential Care): If your income is above a certain threshold, you may need to pay an income-tested care fee. This is determined by Services Australia (Centrelink).
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Means-Tested Care Fee (Residential Aged Care): Based on an assessment of your income and assets.
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Accommodation Costs (Residential Aged Care): Depending on your means, you may need to pay for your accommodation. This can be a Refundable Accommodation Deposit (RAD), a Daily Accommodation Payment (DAP), or a combination.
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Additional Service Fees: Some providers offer extra services beyond the standard care requirements for an additional fee.
It’s crucial to understand all potential fees before signing an agreement with an aged care provider. The My Aged Care website has fee estimators to help.
Financial Hardship Assistance
If you’re concerned about affording your aged care costs, you can apply for financial hardship assistance. The Department has provisions to help those who genuinely cannot meet their obligations.
Quality, Safety, and Rights in Aged Care
Ensuring high-quality, safe care and protecting the rights of older Australians is a core responsibility overseen by the Department of Health and Aged Care and delivered primarily through the Aged Care Quality and Safety Commission.
Aged Care Quality Standards
All government-funded aged care providers must comply with the Aged Care Quality Standards. These eight standards define what good care looks like:
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Consumer dignity and choice
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Ongoing assessment and planning with consumers
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Personal care and clinical care
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Services and supports for daily living
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Organisation’s service environment
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Feedback and complaints
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Human resources
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Organisational governance
The Aged Care Quality and Safety Commission
The Commission is the national regulator of aged care services. Its role includes:
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Accrediting, assessing, and monitoring providers against the Quality Standards.
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Managing complaints about aged care services.
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Providing education and information to providers and consumers.
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Taking regulatory action when providers don’t meet their obligations.
Charter of Aged Care Rights
This Charter outlines 14 fundamental rights for people receiving Australian Government funded aged care. These include the right to safe and high-quality care, to be treated with dignity and respect, to have your identity and culture valued, to live without abuse or neglect, and to have control over your personal and social life. Providers must give you a copy of the Charter and assist you to understand it.
Making a Complaint
If you have concerns about the quality of care or services you or someone else is receiving, you can:
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Speak directly to the aged care provider first.
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If unresolved, contact the Aged Care Quality and Safety Commission.
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You can also seek support from an advocacy service like the Older Persons Advocacy Network (OPAN).
Navigating Special Needs in Aged Care
The Department of Health and Aged Care recognizes that diverse populations have specific needs within the aged care system.
Dementia Care
Specialised programs, funding, and resources are available to support people living with dementia and their carers. This includes dementia-specific training for staff and secure environments in some residential care homes. The Department funds Dementia Support Australia to provide the Dementia Behaviour Management Advisory Service (DBMAS) and Severe Behaviour Response Teams (SBRT).
Care for Aboriginal and Torres Strait Islander Peoples
Culturally appropriate aged care services are crucial. The Department funds services specifically for Aboriginal and Torres Strait Islander peoples, ensuring care is respectful of their cultural identity, traditions, and connection to country.
Care for LGBTIQA+ Individuals
The Department promotes inclusive aged care services where lesbian, gay, bisexual, transgender, intersex, queer, and asexual (LGBTIQA+) individuals feel safe, respected, and understood. Resources and training are available for providers to create welcoming environments.
Support for Veterans
Veterans may have specific aged care needs related to their service. The Department of Veterans’ Affairs (DVA) works closely with the Department of Health and Aged Care to ensure veterans can access appropriate care. Veterans may be eligible for DVA-funded community nursing or veterans’ home care services.
The Future of Aged Care: Reforms and Initiatives
The Australian aged care system is undergoing significant transformation, largely driven by the recommendations of the Royal Commission into Aged Care Quality and Safety.
Recommendations from the Royal Commission
The Royal Commission delivered its final report in March 2021, outlining a clear path for systemic reform to ensure older Australians receive high-quality, safe, and dignified care. Key themes included improving workforce capabilities, enhancing governance, increasing transparency, and putting older people at the center of the aged care system.
Current Government Reforms
The Department of Health and Aged Care is leading the implementation of a multi-year reform agenda. Key initiatives include:
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A new Aged Care Act: Designed to be rights-based and person-centered.
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Increased funding for Home Care Packages: To reduce wait times.
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Improved staffing in residential aged care: Including mandated care minutes and 24/7 registered nurse presence.
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Enhanced regulatory powers: For the Aged Care Quality and Safety Commission.
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A new star rating system for residential aged care homes: Increasing transparency for consumers.
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Support for the aged care workforce: Through improved training, wages, and career pathways.

These reforms aim to create an aged care system that Australians can trust and that meets the evolving needs and expectations of the community.
Resources and Support
Navigating the aged care system can be complex. Here are some key resources:
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My Aged Care: myagedcare.gov.au or 1800 200 422 (for information, assessment, and service finders).
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Department of Health and Aged Care: health.gov.au (for policy information, reports, and reform updates).
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Aged Care Quality and Safety Commission: agedcarequality.gov.au (for quality standards, complaints, and provider performance).
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Older Persons Advocacy Network (OPAN): opan.org.au (free, independent advocacy and information).
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Services Australia (Centrelink): servicesaustralia.gov.au (for income and assets assessments for aged care fees).
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Dementia Australia: dementia.org.au (for information and support for people living with dementia and their carers).
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Carer Gateway: carergateway.gov.au (for support, services, and advice for carers).