If you're planning to access the Australian Government's Support at Home program, the first step is completing an aged care assessment through My Aged Care. This assessment helps determine whether you're eligible for government-funded aged care services and the level of support you may need.
Many people still refer to this as an ACAT assessment. However, with the introduction of the Support at Home program on 1 November 2025, aged care assessments are now delivered through the Single Assessment System, replacing the former Aged Care Assessment Team (ACAT) and Regional Assessment Service (RAS) processes.
This guide explains how the assessment works, who is eligible, how to prepare, what happens during the assessment, and what to expect afterwards.
What Is an Aged Care Assessment?
An aged care assessment is a free assessment arranged through My Aged Care that determines whether you're eligible for government-funded aged care services, including the Support at Home program.
The assessment is completed by a qualified assessor through the Single Assessment System. During the assessment, they'll discuss your health, mobility, daily activities, home environment, current support network, and personal goals to understand the level of care you require.
Based on the assessment, you'll receive an outcome that may include:
- Eligibility for government-funded aged care
- Your Support at Home funding classification
- Recommended services
- Eligibility for other aged care programs, if appropriate
Who Needs an Aged Care Assessment?
You may need an aged care assessment if you:
- Are 65 years or older (or 50 years or older for Aboriginal and Torres Strait Islander people)
- Need help with daily activities due to age-related changes
- Want to apply for the Support at Home program
- Are considering residential aged care or respite care
- Have experienced changes in your health, mobility, or independence
If you're unsure whether you need an assessment, My Aged Care can help determine the most appropriate pathway.
The Support at Home Assessment Process
Understanding the assessment process can help you prepare and know what to expect.
Step 1: Register with My Aged Care
The first step is to register with My Aged Care, either online or by phone. You'll be asked basic questions about your health, living arrangements, and the support you currently receive.
Step 2: Complete an Aged Care Assessment
If an assessment is required, My Aged Care will arrange an appointment through the Single Assessment System.
A qualified assessor will usually visit you at home, although assessments may also take place in hospital or another suitable location if needed.
Step 3: Discuss Your Care Needs
During the assessment, the assessor will talk with you about:
- Your physical and mental health
- Mobility and balance
- Personal care needs
- Daily household activities
- Home safety
- Current supports from family or carers
- Your personal goals and preferences
The conversation is designed to understand what assistance would help you remain independent.
Step 4: Receive Your Assessment Outcome
After the assessment, you'll receive a decision outlining:
- Whether you're eligible for government-funded aged care
- Your Support at Home funding classification (if approved)
- Recommended services
- Other support options that may suit your needs
Step 5: Wait for Funding Allocation
If ongoing Support at Home funding isn't immediately available, you'll join the Support at Home Priority System until funding is allocated.
Funding is prioritised according to your assessed care needs and clinical urgency.
Step 6: Choose a Registered Provider
Once funding becomes available, you'll receive a Funding Allocation Letter. You can then choose a registered Support at Home provider and develop a personalised care plan before services begin.
Preparing for Your Assessment
Being prepared can help make the assessment more productive.
Before your appointment, gather:
- Medicare card
- List of current medications
- GP or specialist reports (if available)
- Details of any current support services
- Questions you'd like to ask the assessor
It's also helpful to think about the daily tasks you find difficult, such as cooking, showering, cleaning, shopping, or getting to appointments. Being open about your challenges ensures the assessor has a clear understanding of your support needs.
Can Someone Attend the Assessment With Me?
Yes. You're encouraged to have a family member, friend, carer, or authorised representative present during the assessment.
A support person can help explain your circumstances, remind you of important information, and ensure your concerns and goals are fully discussed.
What Happens During the Assessment?
Most assessments take around one to two hours, depending on your circumstances.
The assessor isn't there to test you or judge your abilities. Instead, they'll have a conversation about your daily life and the support you may need to remain independent.
They'll ask questions about:
- Your overall health
- Mobility and balance
- Personal care
- Household tasks
- Memory and cognition
- Social connections
- Safety at home
The assessment may also include simple observations of how you move around your home or complete everyday activities.
What Happens After the Assessment?
Once the assessment is complete, you'll receive a written outcome explaining the services you're eligible to receive.
If approved for Support at Home, your outcome may include:
- Your funding classification
- Recommended services
- Information about participant contributions
- Next steps for accessing care
If funding isn't immediately available, you'll join the Support at Home Priority System until funding is allocated.
If you're not eligible for Support at Home, you may be referred to other community or health services that better suit your needs.
How Long Does the Process Take?
The timeframe varies depending on your location, the urgency of your care needs, and funding availability.
Generally, the process includes:
- Registering with My Aged Care
- Completing an aged care assessment
- Receiving your assessment outcome
- Waiting for funding allocation (if required)
- Choosing a provider and starting services
If your needs change while waiting, you can contact My Aged Care to request a reassessment.
Does the Assessment Cost Anything?
No. The aged care assessment is completely free.
However, once you begin receiving Support at Home services, you may need to contribute towards the cost of some services.
- Clinical Supports are fully funded by the Australian Government.
- Independence Services and Everyday Living Services may require participant contributions depending on your income and assets assessment.
Your provider will explain any costs before your services begin.
How Aged Care Choices Can Help?
Understanding the aged care system can feel overwhelming, especially if you're applying for government-funded support for the first time. Aged Care Choices makes the process easier by helping you compare registered Support at Home providers across Australia.
Whether you're looking for personal care, nursing services, domestic assistance, or specialised support, we can help you find a provider that matches your care needs, location, and preferences.
Conclusion
Completing an aged care assessment is the first step towards accessing the Support at Home program. The assessment helps ensure you receive the right level of care and support based on your individual needs, allowing you to remain safe, independent, and comfortable at home.
By understanding the assessment process, preparing in advance, and choosing the right provider, you can make the transition into government-funded aged care with confidence.
If you're ready to begin your aged care journey, Aged Care Choices can help you compare trusted Support at Home providers and connect you with quality care that supports your independence and wellbeing.
Frequently Asked Questions
1. Is ACAT still used?
No. ACAT assessments have been replaced by the Single Assessment System. Many people still use the term "ACAT," but all aged care assessments are now completed through the new system.
2. How do I book an aged care assessment?
You can register through My Aged Care online or by calling their contact centre. If an assessment is required, one will be arranged for you.
3. Can I have someone with me during the assessment?
Yes. A family member, friend, carer, or authorised representative is welcome to attend and support you.
4. What happens if my care needs change?
You can contact My Aged Care and request a reassessment if your health or support needs change over time.
5. Can I choose my own Support at Home provider?
Yes. Once your funding has been allocated, you can compare registered providers and choose the one that best meets your needs.
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