1. HACC and the NDIS
NDIS impact on HACC Program for Younger People in Victoria
14 October 2016
Justin McDermott
DHHS Ageing and Aged Care Branch

2. The NDIS is a significant reform in disability services
Overview
The NDIS is a significant reform in disability services
Participant choice and control
Individualised funding (av. $35,000 p.a.)
NDIS pays for ‘all reasonable and necessary’ supports
NDIA pays providers on invoice
About 105,000 participants in Victoria
$5.1 billion p.a. ($2.5 bn from Vic govt.)
Disability workforce will double to 48,000.
30 December 2018

3. Split in HACC Program from 1 July 2016
Each HACC provider’s grant has been split
Service agreement with Commonwealth:
CHSP for people aged 65-plus (and Indigenous 50-plus)
Around 70% of funds
Service agreement with DHHS:
HACC-PYP for people aged less than 65
Around 30% of funds
No change to eligibility
30 December 2018

4. Roll-out schedule – 3 years to end of June 2019
Seventeen areas
Barwon trial began in 2013
North East Melbourne from 1 July 2016
Around 2000 HACC clients by July 2017
Loddon area from 1 May 2017
Around 800 HACC clients
30 December 2018

5. Activities to transition
Example of client phasing by program type (North Eastern Melbourne Area)
Existing clients: est. 7,281 over 12 months to 30 June 2017
New clients: est. 2,595 by 30 June 2019 (majority over first 18 months)
Activities to transition
Jul-16
Aug-16
Sep-16
Oct-16
Nov-16
Dec-16
Jan-17
Feb-17
Mar-17
Apr-17
May-17
Jun-17
DSR and ECIS Waitlist
Shared Supported Accommodation
Individual Support Packages
ECIS
Student Transport
Attendant Care
Future for Young Adults
Other disability activities*
Mental Health (MHCSS)
Home and Community Care (HACC)
New clients
Commonwealth – Young People in Residential aged care & Home Care
* Other disability activities include: community and facility based respite, flexible support packages, outreach, behaviour intervention services, case management, recreation, therapy and independent living training.
From 1 July 2016
Defined programs
Eligibility for defined programs
30 December 2018

6. Who is eligible for the NDIS?
An individual must:
have a permanent disability that significantly affects their ability to take part in everyday activities;
be aged less than 65;
meet certain requirements for citizenship.
30 December 2018

7. Which HACC clients?
About 25% of HACC clients under 65 are likely to be eligible, comprising:
HACC clients who are also getting Disability Services
Such as ISPs
HACC Linkages clients
Clients getting ongoing personal care or respite
Clients attending a Planned Activity Group
Mainly PAG High clients
30 December 2018

8. CALD clients potentially eligible
Some PAG clients under 65 (mainly PAG High)
Especially clients already receiving Disability services
CALD provider role:
Supporting your clients
Working with NDIA and LACs
30 December 2018

9. HACC funding in transition to NDIS
During the 12 month transition period:
Some of your HACC clients will get into NDIS
But your HACC funds will continue in full during this period
That is, HACC services are provided to NDIS ‘in kind’
30 December 2018

10. Statewide data collection via ‘SigBox’
DHHS has asked all disability and HACC providers to identify clients who are likely to be eligible for the NDIS
Statewide
Client names and addresses
Data collection is via SigBox data room
Due 21 October
30 December 2018

11. Transition to cash At end of 12 month transition:
Your HACC grant is reduced
Thus HACC contributes $82m to NDIS
Remaining funds stay with HACC-PYP
Registered NDIS providers get paid cash on invoice from the end of the phase-in period
Registered providers can also claim cash for providing extra hours of service to individuals during phase-in period.
30 December 2018

12. If you provide HACC nursing or allied health …
Consider a client with a need for catheter care or wound management.
Barwon Trial experience was that home nursing :
is sometimes included in an NDIS care plan
and sometimes not
Same for HACC-funded allied health.
As a provider, you may need to negotiate with the NDIA about who should be billed (i.e. the NDIA or HACC)
This is an evolving interface between the NDIS and Health
30 December 2018

13. Continuity of Support
People who do not meet the eligibility requirements of the NDIS, and are currently receiving care and support, will continue to receive supports to ensure they are not disadvantaged by the transition to the NDIS.
So existing HACC clients who don’t get into the NDIS will continue to get services under the HACC Program for Younger People (HACC-PYP).
Continuity of Support arrangements relates to those clients who do not meet the eligibility requirements of the NDIS and are currently receiving care and support through funded programs that will cease as the NDIS is implemented. People will continue to receive supports to ensure they are not disadvantaged by the transition to the NDIS.
People receiving HACC services who are not eligible to participate in the NDIS will continue to receive services over the transition period as a result of the commitment to stability of funding in the Transition Bilateral Agreement.
Victoria and the Commonwealth have agreed to provide continuity of support for clients of their funded programs. The Commonwealth will have responsibility for continuity of support arrangements for people aged 65 years and over (and indigenous people 50 to 64 years), which will be implemented to coincide with the roll out of the NDIS.
Arrangements for continuity of support are still being negotiated and expected to be finalised by the Commonwealth and Victoria.
30 December 2018