SAH vs CHSP: Key Differences

Duncan Hamra
March 15th 2022
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Australia's aged care system has changed significantly with the introduction of the Support at Home program on 1 November 2025. While Support at Home has replaced the Home Care Package (HCP) program, the Commonwealth Home Support Programme (CHSP) continues to operate until at least 1 July 2027, after which it is expected to transition into the new system.

If you're trying to decide between CHSP and Support at Home, this guide explains how each program works, who they're designed for, and which option may best suit your needs.

Overview of HCP and CHSP

2.1 What is Support at Home?

Support at Home is Australia's primary in-home aged care program for older Australians who require ongoing assistance to remain independent at home.

Unlike the previous Home Care Package system, Support at Home provides:

  • Eight funding classifications
  • Quarterly individual budgets
  • Government-funded clinical care
  • Greater flexibility
  • Transparent pricing
  • Simplified assessments through the Single Assessment System

Support at Home is designed for people who require regular or ongoing support with daily living, personal care or clinical services.

2.1.1 Services Available Under Support at Home

Support at Home can fund services including:

a. Clinical Care (Fully Government Funded)

  • Nursing
  • Wound care
  • Medication management
  • Physiotherapy
  • Occupational therapy
  • Podiatry
  • Speech pathology
  • Dietetics

b. Independence Support

  • Personal care
  • Showering
  • Dressing
  • Meal preparation
  • Transport
  • Shopping
  • Social support

c. Everyday Living Support

  • House cleaning
  • Laundry
  • Gardening
  • Home maintenance
  • Minor home modifications

2.2 Commonwealth Home Support Programme (CHSP)

The Commonwealth Home Support Programme (CHSP) is Australia's entry-level aged care program.

It provides basic assistance for older Australians who are still largely independent but need help with one or two everyday activities. Rather than receiving an allocated budget, people access individual services through approved providers.

2.2.1 Services Covered by CHSP:

The major services covered by CHSP are as follows:

  • Domestic Assistance: Help with cleaning, laundry, and meal preparation.
  • Personal Care: Assistance with showering, dressing, and grooming.
  • Social Support: Activities to help you stay connected with your community.
  • Home Maintenance: Minor repairs and gardening.
  • Allied Health Support: Physiotherapy, occupational therapy, etc.
  • Nursing Care: Basic nursing services.
  • Transport: Transport to appointments, shopping centers, or community activities.
  • Respite care: Short-term care to give your regular carer a break.

Comparing  SAH vs CHSP Services

While the types of services can look similar, they’re delivered quite differently in terms of scope, flexibility, frequency, and funding. The differences in service provided by these packages are explained below:

Service CHSP Support at Home
Cleaning Occasional cleaning assistance. Ongoing domestic assistance based on your care needs.
Personal Care Basic help with bathing, dressing and grooming. Comprehensive personal care, including higher levels of daily support.
Nursing Limited clinical nursing for short-term needs. Comprehensive clinical care, fully government funded for eligible participants.
Allied Health Short-term access to services such as physiotherapy or occupational therapy. Ongoing allied health support based on assessed needs.
Transport Limited transport for essential appointments and community access. More flexible transport options tailored to individual care plans.
Meal Preparation Basic meal preparation or meal delivery services. Comprehensive meal planning, preparation and nutrition support.
Gardening Basic gardening and lawn maintenance. Regular gardening and outdoor maintenance to support independent living.
Home Modifications Minor safety modifications such as grab rails and ramps. Minor and major home modifications based on clinical assessment.
Care Coordination Limited coordination between services. Ongoing care planning and coordination by your provider.
Clinical Care Limited clinical support. Fully government-funded clinical services, including nursing and allied health.

Key Differences Between SAH and CHSP

Support at Home(SAH) and the Commonwealth Home Support Programme (CHSP) offer many of the same types of services, such as help with cleaning, meals, personal care, and allied health.

However, there are key differences between CHSP and SAH in terms of funding, flexibility, and level of care.

Feature CHSP Support at Home
Best For Older Australians needing low-level or occasional support. People requiring ongoing, higher-level or complex care.
Funding Government block funding provided directly to service providers. Individual quarterly budget allocated based on assessed care needs.
Care Levels Single entry-level program. Eight funding classifications offering increasing levels of support.
Flexibility Limited choice of services and scheduling. Greater flexibility to tailor services around individual needs.
Care Plan Basic service planning. Personalised care plan developed around your goals and support needs.
Clinical Care Limited clinical services. Fully government-funded clinical care, including nursing and allied health.
Assessment Single Assessment System. Single Assessment System.
Provider Choice More limited provider options depending on local availability. Greater choice and flexibility when selecting an approved provider.
Care Management Minimal coordination. Ongoing care management and regular reviews.
Pricing Service fees set by individual providers. Government price caps provide greater pricing transparency.

Eligibility Criteria

You may be eligible for either program if you:

  • Are aged 65 or older (50+ for Aboriginal and Torres Strait Islander people)
  • Need support to continue living safely at home
  • Complete a My Aged Care assessment

Generally:

CHSP is suitable for people needing occasional assistance.

Support at Home is intended for people who require ongoing or multiple services.


Understanding the Costs

CHSP

Under CHSP:

  • Government subsidises most services.
  • Providers may charge a small contribution.
  • Fees vary between providers.

Support at Home

Support at Home uses a national contribution model.

Clinical Care services are fully funded by the Australian Government.

Participants may contribute towards:

  • Independence Support
  • Everyday Living Support

Contribution amounts depend on income and assets.

Which Program is Right for You?

Choose CHSP if you:

  • Need occasional assistance.
  • Only require one or two services.
  • Are mostly independent.

Choose Support at Home if you:

  • Need regular personal care.
  • Require nursing or allied health services.
  • Need ongoing coordinated support.
  • Want greater flexibility and control over your care.


Still unsure which program fits your needs? Use our free Care Journey Tool to get a personalised recommendation based on your situation.

Conclusion

Both CHSP and Support at Home help older Australians remain safe and independent at home, but they serve different needs.

CHSP is ideal for people requiring occasional, entry-level assistance, while Support at Home offers more comprehensive, flexible and ongoing care for those with higher support needs.

We recommend starting with a conversation involving your doctor, family, or an aged care provider like ACC. At ACC, we help you understand your options, guide you through My Aged Care registration and assessments, and connect you with trusted service providers.

Whether you're just starting to explore your options or ready to transition to a higher level of care, ACC is here to help ensuring you stay safe, supported, and independent at home.

Frequently Asked Questions

1. Has Support at Home replaced CHSP?

No. Support at Home replaced the Home Care Package and Short-Term Restorative Care programs. CHSP continues to operate until at least July 2027, after which it is expected to transition into Support at Home.

2. Can I stay on CHSP?

Yes. Existing CHSP participants can continue receiving services while the program remains in place.

3. Can I move from CHSP to Support at Home?

Yes. If your care needs increase, you can be reassessed through My Aged Care and, if eligible, transition to Support at Home.

4. Which program offers more flexibility?

Support at Home provides greater flexibility through personalised care plans, individual funding and a broader range of services.