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Aged care jargon — in plain English

The aged care system runs on acronyms and technical terms that nobody explains. This glossary explains the ones you're most likely to meet, in plain English.

By Steve Hadfield, AgedCareActionPlan.au · Last updated: October 2026 · 29 terms

29 terms

ACAT — Aged Care Assessment Team
Assessment

The teams that used to assess people for aged care. Since 9 December 2024, the government's aged care assessors (the Single Assessment System) do this work. Many people still call the assessment an ACAT assessment.

ACQSC — Aged Care Quality and Safety Commission
Regulation

The federal regulator of aged care — responsible for auditing providers, investigating complaints, and taking enforcement action against providers who fail to meet quality standards. Complaints: 1800 951 822.

ACR — Aged Care Reforms
Legislation

The package of changes to Australia's aged care system introduced through the Aged Care Act 2024, commencing 1 November 2025.

Advance Care Directive
Legal

A legal document where a person records their wishes about future medical treatment in case they lose capacity to make decisions. Rules vary by state.

Aged Care Act 2024
Legislation

The legislation that replaced the old Aged Care Act 1997, introducing the new Support at Home program, a Statement of Rights, and stronger regulation of providers.

AN-ACC — Australian National Aged Care Classification
Residential Care

The funding model for residential aged care — replaces the old ACFI system. Funding is allocated based on a resident's assessed care needs using the AN-ACC classification tool.

AT-HM — Assistive Technology and Home Modifications
Support at Home

Separate funding within the Support at Home program for equipment (like wheelchairs or shower chairs) and home modifications (like grab rails or ramps) — comes from a different budget to regular care services.

Basic Daily Fee
Fees

The daily fee everyone living in an aged care home pays for everyday living costs, such as meals, cleaning, laundry and utilities. The most it can be is 85% of the single basic Age Pension. It goes up each March and September with the pension.

Care management fee
Fees

Under Support at Home, 10% of each quarterly budget is set aside for care management: the provider's work planning, coordinating and reviewing care. It's a fixed deduction, not a rate the provider sets, and it applies to everyone with an ongoing classification, including people who self-manage. Statements show care management in hours, not dollars. There's no contribution (co-payment) for care management.

CHSP — Commonwealth Home Support Programme
Home Care

Basic help at home, funded by the government, such as cleaning, meals, transport and personal care. Providers may ask you to pay something towards it. You need to register with My Aged Care and have an assessment first. CHSP carries on alongside Support at Home, and the government is extending its funding to 30 June 2029. If you already get CHSP, you can usually keep it while you wait for Support at Home.

Classification level
Support at Home

Your Support at Home level, from 1 to 8. It is worked out from your assessment, and your assessment outcome letter, called a Notice of Decision, shows it. Each level has its own quarterly budget.

Co-contribution
Fees

The part of your Support at Home service costs that you pay yourself. Its official name is a participant contribution. Your rate depends on your pension status, income and assets. There is no contribution for clinical supports, such as nursing. Most people pay a contribution for independence services, such as equipment, and for everyday living services, such as cleaning and gardening. Rates are highest for everyday living services. From 1 October 2026, you pay no contribution for approved personal care, such as help with showering. Its cost still comes out of your Support at Home budget.

DAP — Daily Accommodation Payment
Residential Care

The ongoing daily fee option for residential aged care accommodation — an alternative to paying the RAD (lump sum). DAP is calculated as a percentage of the RAD.

Enduring Guardianship
Legal

Legal authority for someone to make personal and lifestyle decisions (not financial) on behalf of a person who has lost capacity. Called different things in different states — in NSW it's an Enduring Guardianship, in VIC an Enduring Power of Attorney (personal).

HCP — Home Care Package
Home Care

The former name for government-funded home care packages (Levels 1–4), replaced by the Support at Home program from 1 November 2025. Still referred to as HCP in older documents and by some providers.

IAT — Integrated Assessment Tool
Assessment

The set of questions an aged care assessor works through at your assessment. What the assessor records helps set your Support at Home classification level, if that is what you are assessed for. It has 13 sections, covering things like daily tasks, health, memory, mood, social life and safety at home.

Means test
Fees

The financial assessment done by Services Australia to determine how much a residential aged care resident pays toward their accommodation and care costs, based on income and assets.

MPIR — Maximum Permissible Interest Rate
Residential Care

The interest rate used to calculate the daily accommodation payment (DAP) equivalent of a refundable accommodation deposit (RAD) in residential care. Set by the government.

My Aged Care
Administration

The Australian Government's central entry point for aged care — the website and phone service (1800 200 422) where you register, request assessments, and find providers.

NDIS — National Disability Insurance Scheme
Related Systems

The government scheme for people under 65 with permanent and significant disability — separate from the aged care system. People over 65 generally access aged care services rather than NDIS.

OPAN — Older Persons Advocacy Network
Advocacy

A free, independent advocacy service for people receiving aged care — they can attend meetings with providers on your behalf, help with complaints, and explain your rights. Phone: 1800 700 600.

POA — Power of Attorney
Legal

A legal document giving another person authority to make decisions on your behalf — financial, personal, or both. An Enduring POA continues to apply if the person loses mental capacity.

RAD — Refundable Accommodation Deposit
Residential Care

A lump sum payment for accommodation in residential aged care — fully refundable when the resident leaves (minus any agreed deductions). An alternative to paying the DAP daily fee.

RAS — Regional Assessment Service
Assessment

The service that used to assess people for basic help at home through CHSP. Since 9 December 2024, the government's aged care assessors (the Single Assessment System) do this work.

SIRS — Serious Incident Response Scheme
Regulation

The scheme that makes providers report serious incidents, such as abuse, neglect or an unexpected death, to the Aged Care Quality and Safety Commission. Since 1 December 2022, it has covered care at home as well as aged care homes.

Star Rating
Residential Care

The publicly available rating system for residential aged care homes — 1 to 5 stars — based on compliance, staffing levels, resident experience surveys, and quality indicators. Available at My Aged Care.

Statement of Rights
Legislation

The formal statement of rights for people receiving aged care under the Aged Care Act 2024 — covering dignity, decision-making, safety, complaints, and cultural identity. Providers must act consistently with it.

Support at Home
Support at Home

The home care program that started on 1 November 2025. It replaced Home Care Packages and Short-Term Restorative Care. CHSP carries on separately for now. Support at Home has 8 ongoing classification levels, each with its own quarterly budget. Equipment and home changes are funded separately (AT-HM). 10% of each quarterly budget is set aside for care management.

TCP — Transition Care Programme
Home Care

Short-term support (up to 12 weeks) after a hospital stay for older Australians — providing nursing, allied health, and personal care while they recover. Must be arranged before hospital discharge.

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Last updated October 2026.

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