Population A · Pillar 1

What happens after your aged care assessment

In short: Your Notice of Decision letter is not a funding approval. It confirms your classification and your place in the Support at Home Priority System. A separate funding allocation letter arrives when a place becomes available — and that is the letter that starts your 56-day clock to choose a provider. What you do in the gap between these two letters determines how smoothly care begins.

By Steve Hadfield, AgedCareActionPlan.au · Last updated: 11 June 2026

There are two letters. Most families only know about one of them.

The first arrives within two to four weeks of your assessment. It confirms the classification. Families read it, feel relieved, and start making plans. Then nothing happens. No provider calls. No care starts. No one from the system is in touch.

That silence is not an error. It is how the system works. The first letter — the Notice of Decision — places the older person in a national priority queue. The second letter arrives when a funded place becomes available. That second letter is the one that starts the clock.

The gap between these two letters is where most families lose weeks they could have used. The system approves you, sends a letter, and then goes quiet. There is no follow-up call. No caseworker assigned. No timeline given. Families who wait for someone to guide them through what comes next discover, sometimes months later, that they were supposed to be using that time to prepare.

What the two letters actually mean

Understanding the difference between these two letters prevents the most common mistake families make after assessment.

LetterWhat it saysWhat it does not mean
Notice of DecisionYour classification (1–8), your support plan, your priority category (Urgent / High / Medium / Standard), and your right to appeal. Arrives 2–4 weeks after the assessment visit.Your funding has been allocated. Services can begin. The 56-day clock has started. None of these are true yet.
Funding allocation letterA funded place has been assigned. Your quarterly budget amount, your referral code, and confirmation of your priority category. This is the letter that starts your 56-day clock.This is the action letter. From this date you have 56 calendar days to choose a registered provider and sign a service agreement.

What to do with your Notice of Decision right now

Four things in the Notice of Decision are worth acting on immediately, before the funding letter arrives.

1

Check your priority category

Your letter will show one of four categories: Urgent, High, Medium, or Standard. This determines how long you wait for your funding allocation letter. Urgent receives full funding within one month. End-of-Life and Restorative Care pathways are immediate with no waitlist. High, Medium, and Standard categories wait longer — contact My Aged Care on 1800 200 422 and ask for a directional timeline based on your category and current demand.

2

Confirm your 'seeking services' status

Call My Aged Care on 1800 200 422 and confirm your status shows 'seeking services.' This status can be set to 'not seeking services' during the assessment — sometimes when the older person expressed uncertainty, sometimes without the family realising it. If your status is 'not seeking services,' you will not be allocated funding until you change it. Change it immediately if it does not reflect the current situation.

3

Decide whether to appeal the classification

If the classification feels too low for the person's actual needs, act now. The appeals process is detailed in your letter. A higher classification means a higher quarterly budget and potentially a faster priority category. Do not wait until the funding letter arrives to raise this — the full process is covered in 'What to do if the classification does not match the real situation' further down this page.

4

Start researching providers

You cannot sign a service agreement yet — but you can shortlist providers, understand their fees, ask about availability, and have initial conversations. Families who have not started this research when the funding letter arrives find the 56-day window under pressure from the start.

⚠ The status trap most families don't know about

If the older person said "I'm managing fine" or "I'm not sure I need anything yet" during the assessment, the assessor may have recorded their status as 'not seeking services.' This is not a red flag in the assessment — it is a legitimate status. But it means the priority queue is paused. No funding will be allocated until the status is changed. Call My Aged Care on 1800 200 422 to check and update if needed. There is no penalty for changing it.

Before the funding letter arrives

The classification your family received may not reflect the real situation — and the window to challenge it is now.

Most underclassifications happen for predictable reasons: carers adapt invisibly, the older person performs better on assessment day, or they minimise their difficulties out of pride. None of that shows up in the assessor's notes unless someone documented it in writing first. The Complete System walks you through documenting the real situation — and everything that happens after the funding letter arrives.

Get the Complete System — $97 →

30-day money-back · No form · No justification · $9.95 in-room prep guide available at checkout

How long until the funding allocation letter arrives?

Wait time depends on your priority category and overall system demand. As a guide:

Priority categoryExpected timing
End-of-Life PathwayImmediate — no waitlist
Restorative Care PathwayImmediate — no waitlist
UrgentFull funding within 1 month
High / Medium / StandardVariable. You may receive interim funding (60% of your approved budget) while waiting for full allocation. Most people on interim funding receive full allocation within approximately 10 weeks.

About interim funding

If you receive a letter offering 60% of your approved quarterly budget, this is interim funding — not an error or a reduced classification. It allows services to begin while you wait for your full place in the priority system. The remaining 40% is released automatically when your full allocation arrives. The 56-day rule applies from the date of the interim funding letter, not from when the full 40% is released.

What to do while you wait for the funding letter

The families who start care most smoothly use this period to prepare. Three practical actions make the biggest difference.

Research providers before the clock starts

You cannot sign a service agreement yet — but you can have conversations. When speaking with potential providers before your funding letter arrives, ask three things: what is their care management fee as a percentage of the quarterly budget (the legal cap is 10%); what is their exit process and how much notice is required; and whether they have current availability for someone with your approved classification. Providers who cannot answer the first question clearly deserve closer scrutiny.

Understand your contributions before committing to services

Not all services are free. Clinical care — nursing, physiotherapy, occupational therapy, speech therapy, podiatry, dietetics, and continence support — has zero co-contribution. Personal care and Independence category services involve an income-tested co-contribution. Everyday Living services such as cleaning, meals, and gardening carry the highest contributions. The My Aged Care fee estimator gives you a guide to likely out-of-pocket costs before you begin.

Consider CHSP for immediate support needs

If care cannot wait for the funding allocation letter, Commonwealth Home Support Programme (CHSP) services — such as meals, transport, or domestic assistance — may be available in the interim. CHSP is a separate program from Support at Home and does not affect your position in the priority system. Contact My Aged Care on 1800 200 422 to ask what is available in your area.

When the funding allocation letter arrives: the 56-day clock

From the date on this letter, you have 56 calendar days to complete three things:

  1. Choose a registered Support at Home provider
  2. Sign a service agreement with them
  3. Start receiving services

Your funding allocation letter includes a referral code — the unique number you give to your chosen provider. With this code, the provider can access your support plan and formally accept you as a client. Without it, they cannot begin onboarding. Keep it safe. If it is lost, call My Aged Care on 1800 200 422 or log in to your My Aged Care Online Account.

If the 56 days expire without a service agreement

Your funding is withdrawn and returned to the priority system. You can re-enter by calling My Aged Care on 1800 200 422, but you lose your queue position and will wait again for a place to become available. If you need more time, request a 28-day extension (taking you to 84 days total) before the window expires — not on the final day.

For a full guide to making the most of the 56-day window, see The 56-day activation window — how it works. If you have already missed it, see Missed the 56-day deadline? What to do next.

What to do if the classification does not match the real situation

You have the right to request a review of your classification, your priority category, or both. The process is detailed in your Notice of Decision letter. Act before the funding letter arrives — a successful review can mean a higher quarterly budget and a faster timeline to funding.

Three patterns account for most underclassifications. Understanding them tells you what your written evidence needs to correct:

1

The invisible carer effect

Family members quietly take over tasks — showering assistance, medication management, meal preparation — without realising the baseline has shifted. The older person appears more capable than they would be without that invisible support. The assessor scores what they see, not what the family provides.

2

The good-day effect

Formal visitors consistently produce better performance than the person's typical day. The assessor arrives, the older person makes an effort, and the assessment captures a performance that does not represent daily reality. The assessor has no way to know this unless someone documents typical-day function in advance.

3

The minimising effect

Older people routinely understate their difficulties — out of pride, fear of losing independence, or genuine unawareness of how much they have adapted. 'I'm managing fine' at the assessment visit. 'I can do that myself' about a task that takes three times as long as it used to. The assessor cannot score what the person does not disclose.

Written documentation of worst-day functioning — specific incidents, tasks that can no longer be performed unassisted, and the support family members are currently providing — directly counters all three patterns. This is what changes a review outcome. See How to prepare for your aged care assessment for the full framework.

What happens once care begins

After signing a service agreement with your provider:

  • You and your provider develop a care plan aligned to your support plan from the Notice of Decision
  • Your provider notifies Services Australia within 28 days of care starting
  • Your quarterly budget accumulates from the start of the quarter; unused funds carry over up to $1,000 or 10% of your quarterly budget (whichever is greater)
  • You can change providers if needed — contact My Aged Care to reactivate your referral code
  • Your quarterly budget figures are indexed on 1 July each year — Classification 1 begins at $2,682.75 per quarter and Classification 8 at $19,526.59 per quarter (figures valid until 1 July 2026)

When the funding letter arrives: the focus shifts to choosing the right provider, understanding service agreements, and making sure you receive the full value of your approved quarterly budget. The Support at Home approved? What to do in the next 56 days guide covers that sequence in full — worth reading now so you are ready when the letter comes.

Common questions

I received my Notice of Decision letter. Can I start receiving services now?

Not yet. Your Notice of Decision confirms your classification and places you in the Support at Home Priority System — but funded services cannot begin until you receive a separate funding allocation letter. From the date of that second letter, you have 56 days to choose a registered provider and sign a service agreement. Use the waiting period to research providers and confirm your 'seeking services' status with My Aged Care on 1800 200 422.

What does interim funding mean on my aged care letter?

Interim funding is 60% of your approved quarterly budget, allocated when wait times in the priority system are longer than expected. It allows services to start while you wait for your full allocation. The remaining 40% is released automatically when your full place becomes available — most people receive it within approximately 10 weeks. The 56-day clock applies from the date of your interim funding letter.

My classification feels too low for Mum's actual needs. What can I do?

Request a review using the process in your Notice of Decision letter. Three patterns explain most underclassification: carers adapt invisibly, taking over tasks without realising the baseline has shifted; the good-day effect, where formal visitors trigger better performance than typical; and older people minimising difficulties. Written documentation of worst-day function — specific incidents, tasks no longer manageable unassisted, and the support family currently provides — is what moves a review. The Complete System at AgedCareActionPlan.au covers this in full — and includes a $9.95 in-room preparation guide available at checkout.

What happens if we do not respond to the funding allocation letter in time?

Your funding is withdrawn and returned to the priority system. You can re-enter by calling My Aged Care on 1800 200 422, but you lose your queue position and will wait again. If you need more time, request a 28-day extension before the 56 days expire — not on the final day.

What is a referral code and why does it matter?

Your referral code is in your funding allocation letter. It is the unique number that allows a registered provider to access your support plan and formally accept you as a client. Without it, a provider cannot begin onboarding. If you lose it, log in to your My Aged Care Online Account or call 1800 200 422.

Related guides

If the classification feels wrong

Most underclassifications happen for the same three reasons — and a written record fixes all of them.

The Complete System walks you through documenting the real situation — and everything that happens after the funding letter arrives.

Get the Complete System — $97 →

30-day money-back · No form · No justification · $9.95 in-room prep guide available at checkout

This guide is for information only — not legal, medical, or financial advice. Verified against the Aged Care Act 2024 and Aged Care Rules 2025. Check myagedcare.gov.au for current rates and rules.

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