Aged Care Fees Income Assessment Request - Australian Department Of Human Services

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Information you need to
know about your request for
Aged care fees income assessment
Most aged care services in Australia, including home care services, are subsidised through
government payments to providers. You may be asked to contribute to the cost of your care if you
can afford to do so.
The aged care fees income assessment asks for details about your income so we can advise you
of your income tested aged care fees if:
• your Home Care Package has started on or after 1 July 2014, or
• your permanent residential aged care admission commenced before 1 July 2014.
If you receive a means tested Australian income support payment from Centrelink, such as the:
• Age Pension, or
• Disability Support Pension, or
you receive from the Department of Veterans’ Affairs, such as the:
• Service Pension, or
• Income Support Supplement
you do not need to complete this form. The Department of Human Services or the
Department of Veterans’ Affairs will have sufficient information to work out your income
tested care fees.
However, you can use this form to receive advice on your fees before commencing a Home
Care Package. You can either complete your relevant details and sign this form or, if you
receive a means tested income support payment from the Department of Human Services,
you can contact the Department of Human Services on Freecall™ 1800 227 475 to trigger the
pre‑commencement assessment.
If you do not receive any means tested Australian income support payments, you will need to
complete the entire form to obtain an income assessment.
You can choose not to provide your income details and opt out of an assessment using the Aged
Care Fees Income Assessment form (SA456). If you do not seek an assessment, you may be
asked to pay the maximum applicable fees.
If you receive a non-income tested payment from Centrelink, such as the:
• Age Pension (Blind)
• Disability Support Pension (Blind)
• Carer Allowance, or
• Mobility Allowance
you will need to complete the form as we will not have enough information about your
income to complete the assessment.
Continued
Keep these Notes (pages 1 to 8) for your information.
1 of 8
SA456.1705
NOTES—

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