Applying for Residential Care

To be included on our waiting list for permanent residential care, we require the following documents:

  1. LHI's Application Form, (click on the underlined text to download LHI's Application Form, then print the form to complete it).
  2. Medical Information (click on the underlined text to download the 
    Medical Details form, then print the form to complete it).
  3. Assets and Income Information – Please complete the Request for a Combined Assets and Income Assessment Form,  (click on the underlined text to download and then print the form to complete it).  Send this form and copies of additional documents by mail to Department of Human Services OR Department of Veterans' Affairs.  Their addresses are given on the form. 

If you have any queries regarding your Income and Asset Assessment, please visit Department of Human Services website www.humanservices.gov.au/agedcare or call them on 1800 227 475 OR call the Department of Veterans' Affairs on 133 254.

  1. A copy of your ACAT Assessment
  2. A copy of the relevant authority e.g. Enduring Power of Attorney or Guardianship papers (if applicable).

Once you have completed these forms, please retain a copy of all documents for your record and send the required documents to:

The Residential Care Admissions Officer
LHI Retirement Services
24 Avenue Road
Glynde SA 5070

 If you need any information about the fees and charges, please contact our Residential Care Admissions Officer or visit www.myagedcare.gov.au/fee-estimator/residential-care

On receipt of your completed application we will send you an acknowledgement and your name will be placed on our Waiting List and we will contact you when suitable accommodation becomes available. 

We select the most urgent and suitable client for vacancies, irrespective of how long the application has been on the waiting list.

Regrettably the Government funding process means that offers of accommodation must be made at very short notice.  We do not conduct tours of our sites however do have a look at the Virtual Tours on this website. When accommodation is available you will be invited to come and have a look at the room, shown around the facility and asked to advise us if you wish to accept the accommodation.  You will be asked to make a decision within 24 hours of the offer being made.

FAQs

Please click on the FAQ questions below to expand and view the answers:

What are the costs involved in the Residential Aged Care?

  • a basic daily fee (which everyone can be asked to pay). This covers living costs such as meals, power and laundry. Everyone moving into an aged care home can be asked to pay this fee.
  • means-tested care fee (worked out by the Department of Human Services. This is a contribution towards the cost of your care. The Department of Human Services will work out if you need to pay this fee based on an assessment of your income and assets, and tell you the amount.
  • accommodation costs. Some people will have their accommodation costs paid in full or in part by the Australian Government, while others will need to pay the accommodation price agreed with the aged care home. The Department of Human Services will tell you which applies to you based on an assessment of your income and assets.
  • fees for extra and additional services. You may have to pay extra if you choose a higher standard of accommodation or extra services. We can give you details of these services and the fees that apply. You may have to pay additional fees for other care or services that are above your assessed care needs or the care and services we are required to provide you.

How does the ‘Waiting List’ work?

As long as you have a current assessment approval from an Aged Care Assessment Team (ACAT), you are welcome to submit an application to be on our waiting list at any time. Once you are included on our waiting list, we will contact you if, and as soon as, we have suitable accommodation available. Please note that we consider a number of factors, including care needs, when determining the right client for available accommodation. It does not depend on the date of your application. 

What is a Refundable Accommodation Deposit? [RAD]

A Refundable Accommodation Deposit is a lump sum amount paid or payable by a resident, for entry to residential care. The balance of the Refundable Accommodation Deposit (after any agreed deductions have been drawn down) will be refunded to the resident or their estate on termination of the agreement for residential services. 

What is a Daily Accommodation Payment? [DAP]

A Daily Accommodation Payment is an amount calculated by converting the Refundable Accommodation Deposit into a daily charge, using the Maximum Permissible Interest Rate (MPIR) applicable at the time of admission. 

How is the Refundable Accommodation Deposit (RAD) amount determined?

The amount of the RAD is set for each type of accommodation that we offer. At LHI Information about our accommodation types, key features of the accommodation as well as the RAD amount, are available to view on the My Aged Care website as well as our website (www.lhi.org.au). The amount that you will be asked to pay as a RAD, is included in the new means-tested care fee calculation. 

Does LHI keep any money from the Refundable Accommodation Deposit (RAD)?

If you pay the full RAD amount, then usually, there are no deductions from the refundable value of the accommodation deposit you are in care. Those who choose a combination of RAD and DAP, may elect to have all/part of the Daily Accommodation Payment deducted from the refundable balance of the RAD. 

Are there minimum assets that I must be left with?

You cannot be charged a RAD that would leave you with less than the permissible asset value of 2.5 times the annual single pension, which is currently $47,500. 

What if I am a ‘Fully Supported’ or ‘Partially Supported’ pensioner?

If you are fully supported, you will not be asked to pay an accommodation payment because you will have assets and income less than the defined thresholds. You will also not be required to pay any means-tested care fee. If you are partially supported, you will be required to pay a contribution for your accommodation, but no means tested care fee would apply. 

Will I be able to accept Residential Care accommodation if I don’t have any money?

Residential Care providers are required to allocate a percentage of their accommodation to those who have limited financial means. The percentage amount is prescribed by the Federal Government and depends on the location of the facility. According to your level of assets and income, part, or all, of your accommodation costs may be paid by the Government. 

How long will I have to decide on an accommodation payment method?

You will have up to 28 days after admission, to decide on your payment method, be it a RAD, DAP, or combination of the two. Your decision must be advised in writing. If you don’t choose your payment type within the 28 days, the default option for your payment will be a full DAP. 

How long do I have to pay the Refundable Accommodation Deposit (RAD)?

You will have six months, from the date of entry, to pay the RAD. Please note that a DAP will continue to be payable until the RAD is paid. 

What are my payment options for accommodation payments?

Accommodation payments can be paid:

  • as lump sum amounts
  • by daily payment or
  • a combination of both.

Where accommodation payment is paid by a combination of the RAD and DAP, the amount and frequency of the payment, will be advised in the accommodation offer and is determined in consultation with you. Amounts paid as Daily Accommodation Payments are non-refundable.

When is the Refundable Accommodation Deposit (RAD) returned?

The Refundable Accommodation Payment balance is repaid in accordance with the criteria outlined in your signed Residence Agreement, (typically within 14 days after you vacate LHI). The repayment due includes any applicable interest on the outstanding Refundable Accommodation Payment balance, calculated for the period from the day you vacate, until the date on which the balance is refunded. 

If I am an existing resident in Residential Care Facility, and entered care prior to 1 July 2014, what do all the new legislative changes and reforms mean for me?

‘Grandfathering’ provisions apply for everyone who entered a Residential Care Facility prior to 1 July 2014. You will continue to pay accommodation and care costs based on the current system. However, if you leave the Care Facility for 28 days and then return, you will be subject to the new pricing arrangements. You will also be given the option to change to the new system if you move to a new Residential Care Facility. 

What are the available Accommodation Payment options, and how does the combination payment with drawdown work?

You will be able to choose to pay for your accommodation through, one of the options listed below:-

Option 1 – Refundable Accommodation Deposit or RAD

A RAD is essentially an interest-free loan from you to the provider, refunded after you leave the facility. Choosing a full lump sum RAD, is electing to pay the full price, set for the accommodation, as a lump sum.
For example: Bill enters into care and has been asked to pay $400,000 for a room in a Residential Care Facility [his Accommodation Payment]. Based on his individual circumstances, he elects to pay the entire $400,000 as a lump sum.

Option 2 – Daily Accommodation Payment or DAP* [See the note at the end]

The DAP is calculated from the RAD at a government set Maximum Permitted Interest Rate [MPIR], which from 1st July 2017 is 5.73%

In this example, Bill instead decides to pay his Accommodation Payment as an equivalent DAP which would be $62.79 per day. ($400,000 X 5.73% / 365 = $62.79).

Option 3 – A combination RAD & DAP* [See the note at the end]

This payment type consists of part RAD with the remainder payable by DAP.
In this example, Bill instead decides to pay for his $400,000 full priced room, with $200,000 as an upfront lump sum (RAD) and then converts the remaining $200,000 to a DAP, which in this case would equate to $31.40 per day.($200,000 X 5.73% / 365 = $31.40)

Upon leaving the facility, Bill will have the RAD balance of $200,000 refunded to him (or his estate, less any outstanding charges).

Option 4 – A combination RAD & DAP with draw downs* [See the note at the end]

In addition to choosing to pay by way of a combination of RAD and DAP, residents may further elect to have their DAP drawn down (deducted) from their lump sum RAD each month.
In this example, Bill provides a $200,000 RAD and pays the remaining $200,000 as a DAP of $31.40/day. However, rather than physically paying the DAP each month, Bill elects to have the DAP drawn down from the existing RAD, held by the residential care organisation.

This means that, each month, an entry is made against the outstanding RAD balance for the amount owing from the DAP; i.e. for a 30-day month, the DAP = $942 (30 X $31.40)

Therefore, after the first month, the existing RAD now totals $199,058 ($200,000 - $942).

However, due to the diminishing balance of the RAD as a result of the DAP being drawdown from the RAD, the DAP will increase each month.

In the example above, after the first month the calculation of the DAP will be as follows:

$400,000 (Room Price) - $199,058 (RAD held) = $200,942 (new base for calculating DAP payable). Interest would be adjusted for the next month $200,942 x 5.73% / 365 x 30 = $946.35

*Please note that, if you decide to pay less than a certain percentage of the Accommodation Payment fixed by LHI by way of RAD, you must guarantee the payment of that amount by signing a Guarantee Deed.

How can I find out my Means-Tested Care Fee (MTCF)?

A Residential Care Fee Estimator tool is available online on the My Aged Care website. It provides an indication of the fees you may pay.

Please visit http://www.myagedcare.gov.au/fee-estimator/residential-care 

Can I refuse to have my means assessed by Centrelink?

Yes you can. If you refuse to have your income and assets assessed, you will not be eligible for government assistance to pay your fee and accommodation costs. Centrelink will write to you seeking income and asset information. If information is not provided, you can be asked to pay the maximum means-tested care fees, based on the cost of your care, as well as an accommodation payment (agreed with the Care Facility).

Am I required to complete a new income and assets assessment if I move to a new Residential Care Facility?

If you first entered a residential aged care facility on or after 1 July 2014, you must havea new means-tested amount determined each time you move to a new Residential Care Facility (as identified by a separate RACS ID). A previous assessment will not be valid unless it is within the initial 120 days validity period. However, if you have kept the Department of Human Services (DHS) informed of changes to your means, you may not need to complete the full Permanent Residential Aged Care - Request for a Combined Assets and Income Assessment (SA457) form again. If unsure, you should speak to DHS on 1800 227 475. It is your means-tested amount, at the date of entry into a facility, that determines whether you will be liable to pay an accommodation payment or accommodation contribution towards your accommodation costs in that facility, as outlined under the Aged Care Act 1997. If you were in care before 1 July 2014, are moving to a new facility and considering opting into the new fee arrangements, you will need to complete a Permanent Residential Aged Care – Request for a Combined Assets and Income Assessment (SA457)

Can I have a means assessment before entering Residential Care?

Yes you can. To request an assessment prior to entering aged care, you will need to complete and lodge the Combined Assets and Income Assessment (SA457) form. The form is available on the Department of Human Services website. The Department of Human Services will issue an initial fee notification advice which is valid for 120 days. If there is a change in your circumstances after the fee advice has been issued, the Department of Human Services (or Department of Veterans’ Affairs) will need to be notified and provided with updated information.

How is the principal residence assessed under the new means assessment?

Consistent with current arrangements, the principal residence will be exempt from the means assessment, if occupied by a spouse or other protected person. If the home is not occupied by a protected person, the value of the home, up to a capped amount, will be included in the assets test.

Mode of payment for the payment of the fees

LHI has a policy that ALL of the Fees and Charges (e.g. Basic Daily Fee, MTCF, DAP/DAC, Medications, Hairdresser’s charges, other extras etc.) must be paid by Direct Debit from your nominated bank account. You will be asked to complete the Direct Debit Request Service Agreement before your Date of Admission.

How can My Aged Care help me?

My Aged Care is designed to make it easier for older people, their families, and Carers to access residential care information, have their needs assessed, and be supported to access aged care services. You can contact My Aged Care via the My Aged Care website (www.myagedcare.gov.au) or calling My Aged Care contact centre on 1800 200 422.

If you are seeking access to services for the first time, you will need to contact the My Aged Care contact centre. My Aged Care contact centre staff will:

  • discuss your aged care needs and determine the appropriate next steps for you
    •  this may involve providing you with information about aged care or referring you for either a home support assessment conducted by the Regional Assessment Service (RAS) or a comprehensive assessment conducted by an existing Aged Care Assessment Team (ACAT); and
  • create a client record for you
    • the client record will enable appropriate sharing of your information with you, your representatives, assessors and service providers. You will be asked for your permission to share your client record, which will decrease the number of times you have to repeat your information.

If you are referred to a RAS, they will contact you to arrange the assessment. During the home support assessment, the RAS assessor will work with you to develop a support plan that reflects your care needs, goals and preferences. The support plan forms part of your client record, which can be viewed online via the My Aged Care client portal.

The outcome of your home support assessment may include referral to Commonwealth Home Support Programme services, such as transport, social support, domestic assistance, personal care, home maintenance, meals, home modification, nursing care and flexible respite services.

What happens if I am currently receiving aged care services?

If you are currently receiving aged care services, you do not need to contact My Aged Care. If your needs change and you want to consider different or additional services, you can contact My Aged Care to receive a referral to the RAS or an Aged Care Assessment Team.

More information is available online at www.myagedcare.gov.au or via phone on 1800 200 422.