Assessment outcome: Transition care
After your assessment, your assessor will contact you about your eligibility. This will happen while you are still in hospital.
If you are eligible for transition care, you will receive an assessment outcome letter (sometimes called a ‘Notice of Decision’).
The letter contains:
- the assessment team’s decision on whether you are eligible
- the services you are eligible to receive
- the reasons and evidence supporting the decision
- a copy of your support plan developed during your assessment.
If you haven’t received the assessment outcome letter, find out what to do while you wait.
What to do next
If you are approved to access transition care, you don’t need to do anything.
Your hospital discharge staff will use the referral code to identify and liaise with a transition care provider to access services for you in an aged care home or at home. The code will also let the provider see your assessment information and support plan.
When will I start receiving services?
Once a transition care provider has been located, and offers the services you need, you will begin care after discharge from hospital.
When you need to begin care depends on your living arrangements:
- If you receive care in an aged care home, you must begin transition care within 24 hours of discharge.
- If your care is to be delivered in your home, you have 48 hours from your date of discharge to receive care.
Can I delay my transition care services?
Your transition care must start:
- within 24 hours of hospital discharge if you are receiving care in a residential setting, or
- within 48 hours of hospital discharge if you are receiving care in your own home.
Remember, there may not be an immediate vacancy, and your approval is valid for 28 days. If you are still in hospital and waiting for a place to become available after 28 days, you will need to be reassessed.
Do I have to accept the provider or the services offered?
Contacting or being referred to a provider doesn’t mean you have to agree to their services. You can talk with them, ask questions and make sure you’re comfortable first. Once you’re ready, you can agree to their services. Assessors are encouraged to partner with providers to streamline referrals and achieve successful matches.
What should I do if I’m not eligible?
If you aren’t eligible for transition care, your assessment outcome letter will tell you why.
Find out what other options are available when receiving an assessment outcome.