Transition care (care after a hospital stay)

Transition care is for older people who have been in hospital and need extra help to recover.

You can receive transition care in:

  • your own home
  • a 'live-in' setting (which can be part of an aged care home or hospital).

Transition care can be provided for up to 12 weeks. This may be extended to 18 weeks if you are assessed as needing more help while in transition care.

Eligibility

You may be eligible for transition care if you:

  • are a patient in a public or private hospital and have been told that you are ready to leave hospital
  • are receiving care as part of a hospital-in-the-home program
  • will benefit from short-term help such as physiotherapy to improve your fitness, nursing support and personal care.

Assessment

To find out if you are eligible for transition care, you will need an assessment by an Aged Care Assessment Team (ACAT, or ACAS in Victoria) while you are still in hospital. The ACAT will work out if you will benefit from transition care and explain your options to you.

To arrange an assessment, talk to the hospital staff or call My Aged Care on 1800 200 422.

Services

Depending on your needs, the types of services you may be eligible to receive include:

  • physiotherapy (exercise, mobility, strength and balance)
  • podiatry (foot care)
  • access to a social worker
  • nursing support such as wound care
  • personal care such as showering, toileting and dressing.

Costs

If you can afford to do so, you may be expected to contribute to the cost of your care and services.

For every day you are receiving transition care (from the day your care starts, to the day your care ends) your service provider can ask you to pay a daily care fee of up to:

  • 17.5% of the single Age Pension for care provided in a home or community setting
  • 85% of the single Age Pension for care provided in an aged care home.

The daily care fee rates increase in March and September each year in line with changes to the Age Pension.

The maximum daily care fee that a service provider can charge from 20 March 2018 to 19 September 2018 is:

  • $10.32 per day for care provided in a home or community setting
  • $50.16 per day for care provided in an aged care home.

If you are already living in an aged care home and you are paying the maximum basic daily fee, you cannot be asked to pay the same amount to your transition care service provider.

Fees should be discussed between you and your provider before you start services. The amount charged should form part of the agreement between you and your provider.

Existing care recipients

If you're already receiving:

  • subsidised care in an aged care home, but you need to get transition care elsewhere, your place in the aged care home is held until you return, or until another care place that meets your needs is found.
  • a Home Care Package, your place is held until you return from transition care.

Last reviewed: 10 July, 2018.