The way Australians are assessed for home-based aged-care funding is being investigated by the Commonwealth ombudsman.

Critics say assessment for funding under the Support at Home program is flawed, leaving some older people unable to access the right level of care they need to safely live at home.

Complaints about the process are increasing significantly. Even an expert who helped design the system is unhappy.

Here’s why the Commonwealth should reconsider its approach.

What’s the key issue?

The new Support at Home program was introduced in 2025. One of its aims is to support more Australians to remain at home rather than moving into residential aged care.

When an older person wants to join the program, they are assessed in an interview with a structured digital assessment known as the “Integrated Assessment Tool”. This tool assesses the support they need – physical, cognitive and psychosocial. It also assesses the urgency and the level of assistance required.

An algorithm then analyses the answers and determines Support at Home funding levels.

To be useful, assessments need to predict........

© The Conversation