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Support at Home changes from 1 October 2026: personal care contributions end

By Steve Hadfield, AgedCareActionPlan.au · Last reviewed: 25 September 2026

Recently changed: Support at Home facts many sites still get wrong

Last reviewed: · Next review: after the 20 March 2027 indexation

No personal care contribution from 1 October 2026 (still paid from your budget)

From 1 October 2026, personal care moves into the Clinical Supports contribution category. If it is approved in your support plan and there is funding available, you pay no contribution for it, whatever your income. It is still paid from your Support at Home budget, so removing the contribution does not free up budget for other services. Personal care covers showering, non-clinical continence management, dressing, eating, personal hygiene and help taking your own medication. Personal care delivered before 1 October 2026 still attracts a contribution.

Source: My Aged Care — Support at Home personal care contribution changes ↗
In short: From 1 October 2026, all personal care services under Support at Home move from the Independence contribution category to the Clinical Supports category. You no longer pay a contribution for approved personal care, such as help with showering, dressing, eating, personal hygiene, non-clinical continence management and taking your own medication. It is still paid from your Support at Home budget.

Last updated: September 2026

Key facts at a glance

  • What: All personal care moves from the Independence contribution category to the Clinical Supports category
  • When: 1 October 2026
  • Effect: No contribution for approved personal care delivered from 1 October 2026. It is still paid from your Support at Home budget.
  • Who benefits most: Anyone who pays an Independence contribution for personal care now
  • What you need to do: Nothing, if personal care is approved in your support plan and you have funding available. Your provider may contact you to update your service agreement or care plan.

Not yet on Support at Home?

To access personal care funding — including personal care with no contribution from 1 October 2026 — you first need to be registered with My Aged Care and receive a Support at Home assessment. The sooner you apply, the sooner the assessment can happen. How to prepare for your aged care assessment →

What is changing on 1 October 2026?

Since Support at Home started on 1 November 2025, personal care has been in the Independence contribution category. Most participants pay a contribution for it, based on their pension status and means.

From 1 October 2026, personal care moves to the Clinical Supports contribution category, alongside nursing and allied health. Participants pay no contribution for clinical supports, whatever their pension status or income. The services are still paid from the participant's Support at Home budget.

The Department of Health, Disability and Ageing and My Aged Care have both published the change.

Which personal care services are included?

All personal care services on the Support at Home service list are included. Common examples:

ServiceBefore 1 Oct 2026From 1 Oct 2026
Showering and bathingIndependence — co-contribution appliesClinical — no co-contribution
Dressing and groomingIndependence — co-contribution appliesClinical — no co-contribution
Non-clinical continence managementIndependence — co-contribution appliesClinical — no co-contribution
EatingIndependence — co-contribution appliesClinical — no co-contribution
Personal hygieneIndependence — co-contribution appliesClinical — no co-contribution
Help taking your own medicationIndependence — co-contribution appliesClinical — no co-contribution

The Department says the definition of personal care has not changed. It covers help with daily tasks such as showering, non-clinical continence management, dressing, eating, personal hygiene and taking your own medication. If you are not sure whether a service counts as personal care, ask your provider to check the Support at Home service list.

Other Independence services, such as social support and transport, still attract contributions. So do Everyday living services, such as cleaning and home maintenance.

Important: "Non-clinical" continence management

The reclassification covers non-clinical continence management — help with changing incontinence aids and managing continence at home. Clinical continence support (provided by a nurse or allied health professional as part of a clinical care plan) was already in the Clinical category. If you are unsure which applies to your situation, ask your provider.

Who does this affect?

To benefit from the change, two things must be true:

  1. Personal care must be approved as a service type in your support plan. Not every Support at Home participant has personal care in their plan. If your assessed needs don't include personal care, the reclassification doesn't change anything for you. If you're not sure whether personal care is in your plan, contact your provider or call My Aged Care on 1800 200 422.
  2. You must have available Support at Home funding. Personal care is still paid from your quarterly budget. If the budget runs out, you may need to pay for extra services yourself.

Which group are you in?

How much this change matters to you depends on when you were approved for aged care services:

Approved on or before 12 September 2024

You kept the contribution rates you had before Support at Home. If you are a full pensioner, you already pay no contribution for personal care, so nothing changes for you. If you pay a contribution for personal care now, it stops from 1 October 2026.

Approved after 12 September 2024

You pay contributions at the standard Support at Home rates. From 1 October 2026 you stop paying them for personal care. Contributions still apply to other Independence services and to Everyday living services.

If you moved from a Home Care Package to Support at Home, your group depends on your approval date, not on the move itself.

What does this mean for your costs?

Under the Support at Home Independence category, co-contribution rates are means-tested. Full pensioners pay the lowest rate; self-funded retirees pay the highest. The range for Independence services runs from 5% to 50% of the provider's price for each service.

From 1 October 2026, the contribution for personal care drops to zero for every participant. The full price is paid from your Support at Home budget.

The practical saving depends on how many hours of personal care you receive, your provider's pricing, and your current contribution rate. A self-funded retiree receiving regular showering and dressing assistance will see a more significant change than a full pensioner at the 5% rate.

What this change does for your Support at Home budget

Personal care is paid from your Support at Home budget, before and after 1 October 2026. What stops is your contribution.

So the change does not free up budget for other services. If you use more personal care, there is less left for cleaning, transport and other services.

For a precise picture of what your provider charges for personal care and what you currently contribute, check your latest monthly statement or ask your provider.

If you were on a Home Care Package before November 2025

Under the old Home Care Package system, there was no separate contribution for each personal care service. If you were approved on or before 12 September 2024, you kept your earlier contribution rates under Support at Home. Full pensioners in this group already pay no contribution for personal care. Others in the group who pay one stop paying it from 1 October 2026.

What do you need to do before October 2026?

For most participants, the change applies automatically on 1 October 2026 — you do not need to reapply, request a reassessment, or contact My Aged Care. However, there are a few things worth checking before the date arrives.

1

Confirm personal care is in your support plan

Check your current support plan to confirm the personal care service type is approved. If it is not, the change does not apply to you. Ask your provider, or call My Aged Care on 1800 200 422. Adding a new service type means asking My Aged Care to review your support plan. A Support Plan Review is lighter than a full reassessment. See our assessment preparation guide for what to expect.

2

Ask your provider how they will apply the change

Providers are required to update their billing from 1 October 2026. Ask your provider to confirm when and how the change will appear on your statements. If you receive your first October statement and the co-contribution for personal care has not been removed, raise it with your provider immediately.

3

Keep an eye on your budget

Personal care is still paid from your Support at Home budget. Removing the contribution does not add funding, so using more personal care leaves less for other services. If your needs have grown, talk to your provider or My Aged Care.

What is not changing?

The October 2026 reclassification is specific to personal care. The rest of the Support at Home fee structure continues to apply.

  • Clinical supports — nursing, physiotherapy, occupational therapy, and other allied health services remain fully funded by the government. No change.
  • Other Independence services — social support, transport and assistive technology products stay in the Independence category. Contributions still apply to these services.
  • Everyday Living services — domestic assistance, meal preparation, gardening, and home maintenance remain in the Everyday Living category with the highest contribution rates. No change.
  • The eight classification levels and quarterly budgets — the structure of how Support at Home funding is allocated does not change. See the classifications guide for detail on what each level covers.
  • The no-worse-off protections — participants approved on or before 12 September 2024 retain their existing protections. These are not affected by the October 2026 change.
  • The CHSP — the Commonwealth Home Support Programme is unaffected by this change, and in August 2026 the government extended it to 30 June 2029.

New to Support at Home? For a full comparison of how Support at Home differs from the old Home Care Package system — read the Support at Home vs Home Care Package guide.

Frequently asked questions

Do I need to do anything to stop paying a personal care contribution from 1 October 2026?

If personal care is already approved as a service type in your support plan, the change applies automatically from 1 October 2026. You do not need to call My Aged Care or request a reassessment. If you are not sure whether personal care is in your plan, ask your provider.

Personal care isn't currently in my support plan. Can I get it added before October?

Contact My Aged Care on 1800 200 422. If your needs have changed, you can ask for a Support Plan Review, which is lighter than a full reassessment. Whether personal care is added depends on your assessed needs.

Will this change affect my quarterly budget?

Personal care is still paid from your Support at Home budget. What changes is that you no longer pay a contribution for it. It does not free up budget for other services.

I'm a self-funded retiree. How much could I save?

Self-funded retirees currently pay the highest co-contribution rate for Independence services — up to 50% of the provider's price for each session of personal care. The exact saving depends on your provider's pricing and how many hours of personal care you receive each week. Your provider can give you a specific figure based on your current service schedule.

Does this apply to residential aged care as well?

No. Support at Home is for people living in their own home. Aged care homes have separate fee rules.

What about services that start before October 2026?

The change does not apply to services delivered before 1 October 2026, even if they are claimed after that date. Contributions already paid for those services are not refunded.

What if my provider keeps charging me a co-contribution for personal care after 1 October?

From 1 October 2026, providers are required to remove the co-contribution for personal care. If a statement shows a contribution for approved personal care delivered from 1 October 2026, raise it with your provider first. Personal care itself still appears on your statement, because it is paid from your budget. If it is not resolved, you can contact the Aged Care Quality and Safety Commission (ACQSC) on 1800 951 822.

I was on a Home Care Package before November 2025. Does this apply to me?

It depends on your approval date. If you were approved on or before 12 September 2024, you kept your earlier contribution rates, and any contribution you still pay for personal care stops from 1 October 2026. If you were approved later, you pay standard Support at Home contributions, and the personal care part stops from 1 October 2026.

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

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