Population B2 · Reassessment

Your new classification has been approved. Your provider’s fee just went up.

A reassessment means more funding — that’s the good news. But your provider’s care management fee is 10% of your quarterly budget, deducted automatically. Move up one classification and they take more. Nothing tells you by how much. Nothing tells you whether they’ve updated your services to match.

What actually changes when your classification goes up

1

Your quarterly budget increases

Your new classification gives you a larger quarterly budget. The exact dollar increase depends on which classification you moved from and to. The higher funding is available immediately at the start of the next quarter.

2

Your provider's care management fee increases automatically

Care management is capped at 10% of your quarterly budget. On a higher classification, 10% is a larger dollar amount — deducted before any services are funded. You don't receive a notice. It happens at the next quarterly cycle.

3

Your service agreement needs to be reviewed

Your current service agreement was written for your previous classification and budget. It should be updated to reflect your new services and the new budget. Your provider should initiate this — but many don't unless the family asks.

You have 28 days to challenge the classification if it seems wrong.

If you believe the reassessment outcome underestimates the care needed, you have 28 days from the date of your Notice of Decision to request an internal review. After that window closes, challenging the classification becomes significantly harder.

If the classification seems right, there’s nothing to challenge. But if you’re unsure — review it before the window closes.

Four things to do before your next quarterly statement

1

Confirm your new classification and the new quarterly budget figure.

Your Notice of Decision letter has the classification. The dollar amount is on the DoH website or in the Complete System.

2

Calculate how much more your provider will take in care management fees.

Multiply your new quarterly budget by 10%. Compare it to the previous quarter. That's the automatic increase.

3

Review your service agreement.

Ask your provider: has it been updated for the new classification? What additional services are now funded? What does the new care plan show?

4

If the classification seems low, act within 28 days.

Request an internal review through My Aged Care on 1800 200 422.