Support at Home guide · Care Management

Support at Home care management software

How do I run SAH care management within the 10% allocation without working for free?

Named Care Partners, participant-attributed activity records and goal reviews help providers explain the care-management work they deliver. For ongoing Support at Home services, 10% of quarterly participant budgets funds a pooled branch account. Manage coordination and funding together while keeping the participant’s needs at the centre of each review.

Requirements and guidance

The Department’s Support at Home guidance separates eligible care-management activities from general administration and explains how the ongoing-service funding pool works.

  • For ongoing services, 10% is deducted from each participant’s quarterly budget and allocated to the provider’s care-management account. Funding is pooled at service-delivery-branch level; it is not a fixed personal limit on support.
  • Providers must deliver care management to all participants at least once per month. The activity should address their care planning, service coordination, monitoring, review, support or education needs.
  • Care management is clinical support and is fully government funded. Participants cannot be asked to contribute to these costs.
  • Staff scheduling, rostering, training, travel, governance and human-resources activities cannot be claimed as care management. Check Chapter 8 of the program manual for detailed eligibility.

Reference: Support at Home program manual, Chapter 8; Department of Health, Disability and Ageing, Funding for Support at Home care management.

What providers usually get wrong

Common mistakes: care management.

  • Treating each participant’s 10% contribution as a hard personal ceiling. The pooled model allows care-management support to vary with need within the branch’s available funding.
  • Recording duration without explaining purpose and outcome. Time records should identify the participant and the eligible coordination or review delivered.
  • Charging rostering, staff travel or general compliance administration to care management. These are excluded activities rather than participant care-management services.
  • Confusing an internal threshold flag with a funding decision. Review the participant’s needs and branch account before deciding how to respond to higher utilisation.

How Statura handles it

Platform workflow: Care Management.

  • A named Care Partner record identifies who coordinates the participant’s care. Assignment history records changes and their effective dates so handovers have an accountable starting point.
  • Activity entries identify the participant, date, type, duration and narrative. Care-plan reviews, goal reviews, calls, visits and external coordination can be documented with their purpose.
  • Existing utilisation and threshold-review content supports internal oversight. Participant-level flags need to be considered alongside the provider’s branch funding reconciliation, rather than presented as the statutory pooled balance.
  • Care Partner review records bring together goal reviews, care-plan reviews and outstanding actions. Managers can review whether documented coordination has led to the required follow-up.
Explore care management in a demo

The audit trail

Evidence for care management.

Use these records to structure your evidence review. In your demonstration, check their history, attribution and export options against your organisation's requirements:

  • Care Partner assignment history with the person responsible, effective dates and reason for a change.
  • Participant-attributed activity records showing the date, duration, activity type and narrative explaining the work delivered.
  • Goal and care-plan review history with the outcome, responsible Care Partner and next action.
  • Utilisation-review records and supervisor decisions explaining how internal warnings were considered alongside available funding.

Support at Home care management software should make coordination visible: who is responsible, what support was provided, how long it took and what needs to happen next. Care management is not simply a percentage deducted from a budget. It is the work of planning, reviewing and adapting services with the participant, including when their needs change.

For ongoing services, the Department allocates 10% of each participant’s quarterly budget to a pooled care-management account at service-delivery-branch level. This is different from saying that each person may receive only a fixed amount of care-management time. Providers can respond to differing needs within the available pool. Statura’s existing content describes Care Partner assignments, activity time records, goal reviews and utilisation reporting; use those records to support oversight without confusing an internal participant threshold with the funding rule.

How it works in Statura

  1. Confirm the participant and branch

    Check the participant’s ongoing classification, quarterly funding and service-delivery branch. Identify who is responsible for coordination and confirm the participant’s care plan and goals. Distinguish ongoing services from short-term pathways, which have different care-management funding arrangements. Do not copy a percentage from an old Home Care Package agreement into a new Support at Home record.

  2. Assign the Care Partner

    Record the named Care Partner and the effective date of the assignment. Statura’s published workflow keeps assignment history and participant attribution rather than relying solely on a free-text note. Establish how the person can contact their Care Partner and how another staff member will cover absence. Responsibility should remain clear when a caseload changes hands.

  3. Plan meaningful monthly contact

    Plan care-management activity around the participant’s needs, goals and service changes. The Department requires care management at least once each month for all participants. A review might address whether current services are meeting a goal, whether risks have changed or whether other professionals need to be involved. A recurring appointment is useful only when the resulting activity is actually delivered and documented.

  4. Record activity and outcomes

    Capture the date, activity type, duration, participant and a useful narrative. Statura includes care-plan reviews, goal reviews, phone calls, visits and external coordination. Explain the purpose and result rather than recording only minutes. Separate funded participant care management from staff rostering, governance and general administration, which are not eligible care-management claims.

  5. Review utilisation and follow-up

    Use the time and utilisation records to review the caseload, outstanding actions and emerging pressure on funding. Statura describes participant-level threshold flags and supervisor review; treat those as internal controls, not as the legal limit on an individual’s care. Reconcile eligible claims with the branch’s pooled account and available balance through the provider’s authorised funding process.

Worked example: a quarter managed within the 10% funding allocation

Consider a fictional branch with ten ongoing participants, each with an illustrative quarterly budget of $10,000. This round amount is used only to explain the arithmetic; it is not a published Support at Home classification rate. Their combined budgets are $100,000. Ten per cent provides $10,000 of care-management funding to the branch’s pooled account, leaving $9,000 per participant from these assumed budgets for direct services.

The Department’s care-management funding guidance explains both the 10% allocation and pooling. It also identifies funded activities and excludes staff scheduling, staff training and general governance. This example assumes no supplement, opening balance, classification changes or other funding adjustments.

Assume an agreed illustrative care-management price of $100 per hour. This is a costing assumption, not a government price cap. Over the quarter, nine participants each receive eight hours of eligible care management, costing $800 each. One participant with changing needs receives eighteen hours, costing $1,800. The total is 72 + 18 = 90 hours, or $9,000, leaving $1,000 in the assumed pool.

The ten participants each receive meaningful care management in every month. For the participant with changing needs, activity includes a care-plan review, coordination with relevant professionals and follow-up with the participant. The remaining participants receive reviews and support suited to their needs. Document the activity and outcome, not a nominal monthly charge disconnected from delivered work.

The higher-need participant’s $1,800 exceeds their individual $1,000 contribution to the pool, but total eligible expenditure remains below the branch’s $10,000 allocation. That is the point of pooling: 10% is not a personal ceiling on support. An internal software flag at $1,000 should prompt review, not an incorrect statement that the additional care management is prohibited.

At quarter end, reconcile the ninety recorded eligible hours and claims against the branch account. The Department says care-management balances can carry across quarters within a financial year, with a specific limit for carry-over into the next financial year. Apply that rule to the actual account rather than applying the participant’s direct-service carry-over rule to this pool. Participants do not pay a contribution for care management, which is treated as clinical support.

This example illustrates a quarter within the 10% allocation; it does not guarantee that every branch can meet every need at this price. Monitor changing classifications, eligible activities, actual available funding and any supplement separately. The quarterly-budget page explains the distinct direct-service budget workflow.

What to look for in Support at Home care management software

  • Named Care Partner assignments with effective dates and a clear handover record.
  • Participant-attributed activity records showing duration, purpose and outcome.
  • Monthly care-management review without charging for undelivered activity.
  • Clear separation of eligible coordination from rostering and administration.
  • Utilisation reports whose participant thresholds are distinguished from branch pooling.
  • Goal and care-plan review records with outstanding actions visible.
  • Reconciliation evidence for authorised funding and statement processes.

When comparing care-management software, ask to see one quarter for a participant whose needs increase. Follow the Care Partner assignment, contact records, updated goals and utilisation review. Then ask how the provider reconciles those records with the branch’s care-management account. A personal threshold warning and a branch funding balance answer different questions.

Read the Support at Home hub for the wider service workflow, reablement and goals for review context, and statements and claims for related financial records. These records should explain what was done and why, without presenting care management as an extra participant contribution.

Common questions

Frequently asked questions about care management.

Is Support at Home care management capped at 10% per participant?

For ongoing services, 10% of each participant’s quarterly budget funds a pooled care-management account at service-delivery-branch level. It is not a fixed personal ceiling on the care-management support they may receive. Providers manage the available pool and can vary support with need. Distinguish participant monitoring thresholds in software from the funding rule.

What activities can be claimed as care management?

The Department lists care planning, service planning and management, monitoring and review, and support and education. Record the participant, purpose, duration and outcome of eligible activity. Staff scheduling, rostering, training, travel, general governance and human-resources work are not care-management claims. Check the program manual for the full eligibility guidance.

How often must a participant receive care management?

The Department says providers must deliver care management to all participants at least once per month. Plan contact and reviews that address the person’s needs and goals, and record what was actually delivered. A recurring appointment or a generic note is not a substitute for evidence of the care-management activity.

Does the participant pay a contribution for care management?

No. The Department categorises care management as clinical support, fully funded by government. Providers cannot ask participants to contribute to those costs. Financial records should explain the eligible activity and funding treatment without presenting the pooled care-management allocation as an additional out-of-pocket participant charge.

How does Statura record Care Partner activity?

Statura supports a named Care Partner assignment, dated activity records with types and duration, participant attribution, goal and care-plan reviews and utilisation reporting. Use the records to explain the coordination and follow-up. Confirm the branch funding reconciliation process during a demonstration rather than assuming a participant-level warning represents the whole pooled account.

Can unused care-management funding carry over?

The Department allows care-management funding to carry between quarters within a financial year. The maximum carry-over into the next financial year is equivalent to the funding allocated for April to June. This is a care-management-account rule, separate from direct-service participant budget carry-over. Check the actual account and any funding adjustments before reconciliation.

Do short-term pathways use the same 10% arrangement?

No. The Department describes care management for Restorative Care and End-of-Life pathways as claimed against the participant’s pathway budget, with services proportionate and in their best interests. AT-HM has separate sourcing and wraparound-service arrangements. Identify the funding pathway before applying an ongoing-service pool calculation.

Scope the software around your team.

Evaluate this workflow on its own or as part of the wider operating record. Your proposal confirms modules, integrations, migration, training and fees. Keep the evidence your clinical, finance and IT reviewers need in the same buying decision.

See how Statura handles care management.

A tailored demonstration grounded in your provider's workflow, records and implementation requirements.