Payment Integrity Pre-Flight Tool

Support at Home Monthly Statement Checker

Check your monthly statement template against every required inclusion under Aged Care Act 2024 s155 and Aged Care Rules 2025 s155-40 / s155-45, plus the common findings from the Department's Payment Integrity Rolling Review Cycle 1 report. No client data is uploaded.

Cycle 1 Review: Complete Statements

21%

51 of 60 providers reviewed had monthly statement findings.

Agreed-Price Evidence Before Supply

35%

Services: 42% · AT-HM: 23%.

Evidence of Service / Item Delivery

67%

Services: 78% · AT-HM: 50%.

Statement Pre-Flight Score

4 / 11 required inclusions verified

7 gap(s) remaining (7 flagged in Cycle 1 Payment Integrity Review).

Gap Report Summary

Fix these 7 missing inclusion(s) before issuing statements:

  • Each primary supplement (by name and quarterly amount) and carryover from the previous quarter — List veterans', oxygen, enteral feeding, dementia and cognition, or remote supplements by name and amount, plus quarter-start carryover.
  • Transitioned Home Care Package (HCP) unspent funds in total and split across all 3 portions — Show Commonwealth-held portion, provider-held Commonwealth portion, and participant portion (held by the provider). Missing HCP unspent portions was one of the top Cycle 1 integrity review findings.
  • AT and HM shown as separate accounts with 12-month funding, opening balance, forward commitments, and closing balance — Assistive Technology and Home Modifications must appear separately with ordered/committed items deducted from available funds.
  • AT-HM funding period expiry dates and any AT-HM funds that expired during the month — Clearly show the 12-month (or extended) funding expiry date on the statement.
  • Every delivered service or item shows official service-list name, delivery date, hours/units (15-min steps), unit price charged, and government subsidy — Never combine multiple dates onto one line or claim multiple hours as 1 unit. Ensure service type matches work delivered (e.g. home maintenance vs domestic assistance).
  • Third-party (associated provider / brokered) services clearly identified with an agreed price prior to supply — Flag every third-party service on the statement and ensure the participant agreed to the price before delivery (never 'available on request').
  • Participant contribution shown per service/item and total payable for the month (with personal care at 0% from 1 October 2026) — Line contribution = round_half_up(cost × rate, 2), and subsidy = cost − contribution. State clearly 'This is not an invoice' and that contributions are invoiced separately.
Rule effective from: 2025-11-01Verified: 2026-10-22

Estimate, not advice: Estimate only, not financial, clinical or legal advice. Always verify rates, budgets and contribution notices with Services Australia and the Department of Health, Disability and Ageing. Runs entirely in your browser — no client personal data is collected.

Coming soon: join the waitlistHome care (Support at Home) & CHSP — not residential aged care facilities

Alevora's aged care module will do this automatically. Coming soon.

Join the waitlist to hear first when our Support at Home and CHSP tools open for Australian home care providers. To keep a copy of this calculation, use Print / Save PDF above.

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