Veterans' Home Care
Approved in a VHC Assessment Agency care plan, with a small co-payment.
- Domestic assistance
- Personal care
- In-home respite
- Residential respite
- Emergency short-term home relief
- Home and garden maintenance
- Social assistance
- Shopping
AI Enabled · DVA servicesDVA services for veterans,
DVA services for veterans,
within every approval.
DVA has no single budget. Each veteran holds a card and a separate approval for each program, so Care Nexus checks every booking against the right one: the VHC care plan, the nursing referral or the determination. Veterans and their families book and follow their services in a free client portal.
Free client and family portal · Australian-owned and hosted
Checked on every bookingAI Enabled
- Gold or White Card eligibility checked
- Program approval current on the booking date
- VHC approved hours and reassessment date
- Nursing referral valid, care plan review not overdue
- Determination limits for Household Services and Attendant Care
- No duplicate DVA funding for the same help
DVA services
Every DVA
in-home service.
Care Nexus holds the services for each DVA program, priced from your provider agreement or the current DVA fee schedule, with the claim rules for each.
Community Nursing
On a GP, hospital or nurse practitioner referral. Claimed per 28-day claim period.
- Clinical care
- Personal care
- Clinical and personal care add-ons
- Overnight care
- Palliative care
- Assessment
- Second worker
- Nursing consumables
- Bereavement visit
Household Services
Approved in a written determination with a weekly limit.
- Cleaning
- Laundry and ironing
- Lawn mowing and gardening
- Meal preparation
- Shopping
Attendant Care
Approved in a determination, with its own weekly limit.
- Personal care
Care coordination
- Coordinated Veterans' Care
Booking rules
The DVA booking rules,
explained.
These rules run every time a DVA service is booked, by your team or by the veteran in the client portal. They start as the rules in Service Settings, and any of them can be changed for one veteran only.
The card is eligible for the program
Gold Card holders are eligible for all assessed needs. White Card holders are eligible only for an accepted condition or Non-Liability Health Care, so a White Card with no accepted condition recorded is flagged. Orange Card holders aren't eligible for these programs.
The program approval is current
Each program has its own approval: a VHC care plan, a Community Nursing referral, or a Household Services or Attendant Care determination with its claim reference. Care Nexus checks the right approval is in place and current on the booking date.
VHC hours stay within the care plan
Hours approved in the VHC care plan are tracked against services delivered. Reassessment dates are monitored, and a booking after the reassessment date is flagged. Social assistance runs as a 12-week service from its approval date.
Nursing referrals and care plans are up to date
Community Nursing needs a valid referral, and the nursing care plan review mustn't be overdue. Each booking falls into a 28-day claim period, and DVA claim limits for visits, overnight care, consumables and once-only items are enforced automatically.
Determination limits are respected
Household Services and Attendant Care are each checked against the hours and weekly limit in the veteran's determination. Attendant Care has its own weekly limit, separate from Household Services.
No double funding
DVA doesn't fund the same help twice. A veteran with both Veterans' Home Care and Household Services for the same type of support is flagged before the service is booked.
Future dates can be held
A booking for a future date can be confirmed and held. Claims can't be made for a future date, so the booking is checked again when the service is delivered.
When a rule isn't met
Each rule is set to one of three responses. You choose per service, and can change it for a single client.
Block
The booking can't be confirmed until the rule is met. Use it where funding can never apply, such as a plan or approval that has ended.
Warn
Your team sees exactly which rule isn't met and can continue with a reason, which is kept with the booking for audit.
Suggest private funding
Only the part funding covers is booked to the funded service. The rest is offered as private funding, at your matching private service rate.
Limits for any period
Limits can be set in hours, visits, units or dollars, and taken from the program rules, the client's approval or your own policy.
- Per booking
- Per day
- Per week
- Per fortnight
- Per month
- Per 28 days
- Per quarter
- Per financial year
- Approval or plan period
Set once, customised per client
Booking rules are set for each service in Service Settings and apply to every client. Open any client's funding to change a rule for that client only. Customised rules are clearly marked, and rules can be switched off for services that need no funding check.
Invoicing
Who pays,
program by program.
Each DVA program is paid differently. Care Nexus invoices or prepares each one the right way.
VHC co-payments invoiced automatically
The veteran's co-payment is invoiced and sent automatically, and DVA pays the balance. Where DVA has approved a co-payment waiver, the veteran isn't charged.
Community Nursing prepared for Medicare
Nursing is priced from the current DVA Community Nursing Schedule of Fees and prepared for lodgement through Medicare. The veteran is never charged.
Household Services and Attendant Care invoiced to DVA
Invoices to DVA include the DVA file number, claim reference, TRN and approval details.
Client and family portal
Booking made simple,
for clients and families.
Veterans and their nominated family members get the client portal free. Every booking they make is checked against the same DVA rules your team uses.
- Book with live rule checksEvery booking is checked against the client's approval, funding and limits as it's made, using the same rules your team works with.
- Hours left this week or monthSee the hours or visits left for each service in the week, fortnight or month before booking.
- Private funding when rules don't allowIf a booking falls outside the funding or limits, the client can still book it, or just the uncovered part, as private funding.
- Change days or request a new serviceMove a booking to another day, or request a new service, straight from the portal.
- Funding, services and invoicesSee approved hours and what's left in each program, co-payments, services delivered and every invoice.
- Free for clients and familyClients and their nominated family members get free lifetime access to the portal.
Booking for KenClient portal
VHC domestic assistance · 1.5 hoursMonday, 2:00 pm
- Gold Card, eligible for VHC
- VHC care plan current
- No VHC hours left this week
Book this visit as private funding instead?
Book with private fundingChoose another day
Questions
DVA services,
answered.
How does Care Nexus check DVA eligibility?
Each veteran's DVA card and accepted conditions are recorded. Gold Card holders are eligible for all assessed needs, White Card holders only for accepted conditions or Non-Liability Health Care, and Orange Card holders are flagged as not eligible.
Can Care Nexus stop Veterans' Home Care and Household Services overlapping?
Yes. DVA doesn't fund duplicate services, so a veteran with both for the same type of support is flagged before the service is booked.
How are Community Nursing claim limits handled?
Every nursing service falls into a 28-day claim period, and DVA claim limits for visits, overnight care, consumables and once-only items are enforced automatically from the current fee schedule.
Can veterans and families see their services?
Yes. Veterans and their nominated family members can book services, change booking days, request new services and see approved hours, services delivered and invoices in the free client portal.
One platform
Services for every
funding program.
NDIS services and booking rules
Plan is active on the booking date · Support category has budget left, with core flexibility · Hours and visit limits for the week, fortnight or month
Explore NDIS servicesSupport at Home services and booking rules
Participant is receiving services on the booking date · Service is approved in the Notice of Decision · The right funding account has enough balance
Explore Support at Home servicesCHSP services and booking rules
My Aged Care approval is current · Service has a referral code and is inside its dates · Frequency approved for the week, fortnight or month
Explore CHSP services
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