Understanding the ACAT assessment: Your first step in accessing aged care
An ACAT assessment helps older Australians understand what level of care and support they need, from in-home help to residential aged care services.
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Update: On 9 December 2024, the Single Assessment System (SAS) workforce has replaced several previous assessment teams including the Regional Assessment Service (RAS), Aged Care Assessment Teams (ACAT) and the independent organisations that carried out Australian National Aged Care Classification (AN-ACC) assessments.
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Every person who moves into aged care, even for respite, or receives government-subsidised home care services must undergo an assessment. It may sound like a lot of paperwork, but it’s actually a free and straightforward process designed to make sure older Australians receive the right level of support.
What is an ACAT assessment?
An ACAT assessment is conducted by an Aged Care Assessment Team which is funded by the Australian Government. The team usually includes health professionals such as nurses, occupational therapists or social workers. Their role is to assess an older person’s health, daily living needs, and goals for ageing well.
The outcome of this assessment determines eligibility for government-funded aged care services such as Home Care Packages, residential aged care, respite care and short-term restorative care.
From 1 November 2025, the new Support at Home program will replace Home Care Packages, bringing together several programs into a single, more flexible system. Having an ACAT assessment early will help make that transition smoother, ensuring your care plan continues under the new structure.
It’s not a test, and it doesn’t automatically mean someone will be placed in an aged care home. Think of it as a way to explore what options are available and what level of care may be most suitable now or in the future.
When to consider an ACAT assessment
Many families wait until a crisis happens, such as a fall or hospital admission, before seeking aged care support. However, organising an ACAT assessment early can make a big difference. It gives you time to understand your options, prepare financially and make informed choices rather than rushing decisions during a stressful moment.
If your parent or loved one has started to find daily tasks harder, or you’ve noticed changes in their mobility, memory or general wellbeing, it might be time to organise an assessment.
Because wait times can vary and sometimes stretch for months, starting early can help ensure that when care is needed, the right supports are already in place.
What happens during an ACAT assessment?
An ACAT assessor will visit your loved one at home, in hospital, or another location of your choice. The visit usually takes about an hour. Family members, friends or carers are welcome to be present.
During the conversation, the assessor will ask questions about health, mobility, home safety, social connections, diet, current support and any personal goals. They may also review medical history and existing care arrangements.
The aim is to understand the person’s overall situation, not just what’s challenging, but what matters to them most in their day-to-day life.
It’s also a good opportunity for families to ask questions or share concerns. Many people find that simply talking through their situation with a professional brings peace of mind and a clearer picture of what to do next.
Who is eligible for an ACAT assessment?
Not everyone needs an ACAT assessment, but it is required for those seeking ongoing or higher-level aged care services.
Generally, you may be eligible if you:
- Are aged 65 or older (or 50+ for Aboriginal and Torres Strait Islander people).
- Need support to manage everyday activities such as mobility, personal care, or medication.
- Have a health condition, disability, or age-related limitation affecting your independence.
- Are looking to access a Support at Home, residential care or other subsidised aged care programs.
Eligibility is based on your individual circumstances rather than a specific diagnosis or age alone.
How to apply for an ACAT assessment?
You can start the process by contacting My Aged Care in one of three ways:
- Call 1800 200 422 to discuss your situation.
- Apply online through the My Aged Care website.
- Ask your GP, hospital, or health professional to make a referral on your behalf.
Once you apply, My Aged Care will review your details and decide whether an ACAT or RAS assessment is most appropriate.
What happens after an ACAT assessment
After the visit, you’ll receive a letter from My Aged Care outlining the results. This document includes:
- The type and level of aged care services your loved one is eligible for.
- A Referral Code, which is used to connect with service providers.
- Next steps on how to access approved services.
If you disagree with the outcome, you can request a review or reassessment through My Aged Care.
Once approved, you have 56 days to choose an aged care provider, though you can request an extension if more time is needed. There’s no cost for the assessment itself.
Why it’s worth doing it early
Completing an ACAT assessment before a crisis means more options and smoother planning. It can prevent rushed decisions about moving into aged care, help you secure preferred providers, and ensure care is ready when it’s needed most.
Waiting too long can limit choices or create gaps in care, which might mean paying privately or relying on family for support until government funding becomes available.
Need help navigating the process?
At Leora Healthcare, we understand that aged care planning can feel overwhelming, especially with new changes like the upcoming Support at Home program. Our team can help you prepare for your aged care assessment, understand your eligibility and connect you with care options that fit your needs and goals.
Get in touch today to learn how we can support you or your loved one in taking the next step toward a safer, more supported future.