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FOI 24/25-0642
Practice Guide 
Contents 
Practice Guide  Younger People in Residential Aged Care ..................................................... 1 
For use by YPIRAC trained Planners and Delegates only. ................................................... 1 
Introduction ........................................................................................................................... 3 
Audience .............................................................................................................................. 4 
Access .................................................................................................................................. 5 
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Introduction 
The purpose of this Practice Guide is to support YPIRAC trained planners and/or delegates 
to understand and facilitate the transition of Younger People in Residential Aged Care 
(YPIRAC) to the National Disability Insurance Scheme (NDIS) and to support the 
development of their NDIS plan. 
Younger people (aged under 65) may be living in a residential aged care facility (RACF) if 
they have been unable to access alternative age-appropriate accommodation and care due 
to their high-level care needs. Younger people in residential aged care are scheduled to 
transition to the NDIS in line with agreed geographic or aged based phasing arrangements 
for each state or territory. 
There are approximately 6,100 younger people in residential aged care nationally and it is 
anticipated the majority of this cohort will be eligible for the NDIS. 
The National Disability Insurance Agency (NDIA), the Department of Health (DoH) and the 
Department of Social Services (DSS) have agreed on the service delivery model and funding 
arrangements that will enable the transition of younger people in residential aged care to the 
NDIS. 
DoH are the policy owners of the Aged Care Act 1997 (Aged Care Act), however the 
Commonwealth Department of Human Services (DHS) are responsible for conducting 
income and assets assessments. DoH is responsible for setting the fees and charges 
payable for people accessing Aged Care services. 
The Aged Care Act applies to all people living in RACFs who have been approved as eligible 
under the Act for residential aged care, no matter how they are funded. Therefore, the 
structure of fees and charges payable by people in RACFs, and the subsidies and 
supplements payable by the Australian Government by DoH apply to NDIS participants who 
are permanent residents of a RACF. 
Under the funding arrangements, the NDIS pays DoH for the subsidies and supplements it 
pays the RACF for the care, support and accommodation of a participant who is residing in 
an RACF on a permanent basis. This is made through a cross billing arrangement. The NDIS 
will also fund some of the fees and charges that a participant permanently residing in a RACF 
is required to pay. The name of the fees and charges may differ depending on when the 
participant entered the aged care facility. The fees and charges that are reimbursable to the 
participant are: 
•  Income Tested Care Fees (before 1 July 2014), or Means Tested Care Fees (after 1 
July 2014), and 
•  Up to a specified limit - Daily Accommodation Payments, or Accommodation Charge 
(before 1 July 2014) or Daily Accommodation Contribution (after 1 July 2014), if 
applicable. 
To support the transition to the NDIS, the NDIA receives individualised data under Section 55 
of the NDIS Act for every younger person under the aged of 65 residing in an RACF on a 
permanent basis. The information is received from DoH on a quarterly basis and uploaded to 
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the NDIS Business System (System). Once uploaded, contact can be made with the relevant 
RACF by the local YPIRAC planner/Business Support Officer. This is in preparation of 
scheduling a time to meet with the potential participant to establish if the person would like to 
request access to the NDIS. The National Access and Workload Management (NAWM) 
Branch will determine the eligibility decision of the potential participant against the access 
requirements. 
This Practice Guide relates to participants who reside in a Commonwealth registered RACF 
on a permanent basis and who have been approved under the Aged Care Act for residential 
aged care. 
This Practice Guide does not apply to participants who are: 
•  in receipt of respite at a RACF 
•  occupying a place in a facility operating as part of the National Aboriginal and Torres 
Strait Islander Flexible Aged Care Program 
•  in a Multi-Purpose Service 
•  residing in a Commonwealth registered RACF but who have not been approved under 
the Aged Care Act for residential aged care. 
If the participant does not meet the YPIRAC criteria, do not use the YPIRAC planning 
process. For guidance regarding planning for these participants, refer to Practice Guide – 
Determine Reasonable and Necessary Supports in a Plan. 
A participant who resides in a Commonwealth registered RACF on a permanent basis and 
has been approved under the Aged Care Act for residential care should have the following 
documentation: 
•  A Department of Human Services (DHS) Residential Aged Care Advice letter 
•  Last six months of itemised RACF tax invoices for the participant 
The RACF must be a Commonwealth registered RACF. This can be checked using the 
YPIRAC Fee Calculator, services tab. Refer to Standard Operating Procedure – Using the 
YPIRAC Fee Calculator. 
When deciding to include any support in a participant’s plan, the NDIA must have regard to a 
range of matters set out in the NDIS Act 2013, including the participant’s statement of goals 
and aspirations. Specifically, the NDIA must be satisfied that each support meets each of the 
reasonable and necessary criteria outlined in section 34(1)(a)-(f) of the NDIS Act and the 
Supports for Participants Rules (see deciding to include supports in a participant’s plan). 
Audience 
This document is to support: 
•  NDIA Planners 
•  Staff involved in YPIRAC planning 
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