
★ Key takeaways
- Physiotherapy at home through aged care is funded across three tiers, and which applies depends on how much support you need.
- The Commonwealth Home Support Program is the entry tier, suited to something minor, with a small co-payment and no extensive assessment.
- Support at Home is the main tier and requires a full assessment, which determines your funding level and how much physiotherapy you receive across the year.
- Restorative care is a defined shorter period, generally used after a significant fall or major surgery.
- If you still need care when a restorative period closes, you can be assessed for Support at Home.
Physiotherapy at home through aged care is funded across three tiers, and which one applies depends on how much support you need: the Commonwealth Home Support Program for something minor, Support at Home for ongoing needs, and restorative care following a fall or major surgery.
Commonwealth Home Support Program
This is the entry tier. It suits something niggling, a smaller injury where you do not need ongoing physiotherapy but you do want advice on how to sort it out and what to do yourself.
There is a small co-payment, and access does not require the extensive assessment the higher tiers involve. For many people this is the appropriate starting point rather than the fallback.
Not sure what is safe to do right now? A physio can tell you in one visit.
Support at Home
This is the main tier, and where most people now sit. It requires a full assessment, usually involving a physiotherapist and an occupational therapist, and often a doctor and a nurse as well.
That assessment determines your funding tier, and the tier in turn determines how much physiotherapy is allocated to you across the year. It is worth being accurate about what you are struggling with at that assessment, because the picture it captures sets the funding.
Restorative care
Restorative care is generally used after a significant fall or a major surgery such as a hip replacement. It provides access to physiotherapy over a defined period, typically around six to eight weeks.
The point of the tier is concentrated support during the window where recovery moves fastest, rather than open-ended care.
What happens when restorative care ends
If you still need physiotherapy or ongoing care when that period closes, that is not the end of the road. You can be assessed for the Support at Home package and move onto ongoing funding from there.
Knowing this in advance matters, because the transition is smoother when it is planned before the restorative period finishes rather than after.
Not sure what is safe to do right now? A physio can tell you in one visit.
Getting physiotherapy at home
Once funding is in place, a physiotherapist can come to you. Being seen at home has a genuine advantage for this kind of care: the assessment happens in the environment where you actually move, which shows up things a clinic visit can miss, from step heights to the chair you find hardest to get out of.
Frequently asked questions
Which aged care tier do I need for physiotherapy at home?
It depends on how much support you need. Something minor with no ongoing requirement usually fits the Commonwealth Home Support Program. Ongoing needs point to Support at Home. Recovery from a fall or major surgery generally goes through restorative care. An assessment determines which applies.
Do I need an assessment to get physiotherapy at home?
For Support at Home and restorative care, yes, a full assessment is required. The Commonwealth Home Support Program does not need an extensive assessment, which is part of why it works well as an entry point for smaller issues.
Who carries out the aged care assessment?
For Support at Home it is usually a team rather than one person, commonly involving a physiotherapist and an occupational therapist, and often a doctor and a nurse. They build a picture of what you need, and that determines the funding tier you are allocated.
Is there a cost for the Commonwealth Home Support Program?
There is a small co-payment at this tier. The amount depends on the program and your circumstances, so it is worth confirming directly when you arrange support rather than assuming.
How long does restorative care last?
It runs for a defined period, typically around six to eight weeks. It is designed as concentrated support during the phase where recovery tends to move fastest, rather than as ongoing care.
What happens when my restorative care period finishes?
If you still need physiotherapy or ongoing support, you can be assessed for the Support at Home package. Planning that assessment before the restorative period ends makes the transition considerably smoother.
Can a physiotherapist come to my home?
Yes. Once funding is in place, physiotherapy can be delivered at home. That has a real advantage for aged care, because the assessment happens in the environment you actually move around in every day.
James Becerra
Master of Physiotherapy · SWITCH Physiotherapy
I love being able to help someone out of pain and get them moving again, the smile on that persons face when they experience pain free movement makes it all worth it.
For me its about going above and beyond to treat the cause of the inju… View James’s profile →
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