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

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

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

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

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

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

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

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

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

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

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

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

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