We have compiled some of the new questions we received, along with the answers to help you navigate the funding rules more confidently. If you need a refresher on the full AT-HM List, you can view it from this link.
Q: What is the OT’s role in AT-HM Scheme?
🅰️: An OT’s role is not just to “approve” AT items, but to ensure the equipment and products are clinically suitable, safely used, and addresses functional goals, particularly when there are multiple conditions, cognitive or mobility concerns. While low risk AT items may not require prescription, providers still have a duty of care to ensure purchases are safe, appropriate, and aligned with the participant’s assessed needs. Seeking OT input helps manage risk, meet compliance obligations, and protect both the participant and provider. In terms HM, all home modifications require a prescription from an OT working within their scope of practice.
Q: Can the participant buy low-cost items like a dustpan, clock, or shoes under the AT-HM Scheme since they are listed on the AT-HM list?
🅰️: While the AT-HM list is a definitive list of products, equipment, and home modifications available under the scheme, the items are not intended to be standard household purchases. Each item must be clearly linked to optimising a person’s functioning or supporting disability or age-related functional decline (see the front page of AT-HM List). For example, a dustpan may be eligible only if it is adaptive or modified, such as one designed for people who cannot bend down safely to clean. Standard versions of these items are not covered.
Q: Can participants request specific brands or models of equipment under AT-HM?
🅰️: Participants may express preferences; however, funding is generally provided for the most cost-effective and clinically appropriate option that meets the participant’s functional needs. Funding will not cover requests based solely on brand name, preferred materials, or aesthetics unless there is a strong clinical justification provided by an allied health professional. This justification must clearly explain why the preferred item is necessary over other suitable alternatives.
Q: Can a participant purchase multiple low-cost items without an assessment?
🅰️: Only the AT items listed as “Low risk” category on the AT-HM Inclusions List can be purchased without an allied health professional’s assessment. However, each purchase must be clearly documented in the participant’s care plan. Again, each item must be clearly linked to optimising a person’s functioning or supporting disability or age-related functional decline. Excessive or repeated purchasing of similar items without clear justification may raise compliance concerns during audits.
Q: Can home modifications be approved without an OT assessment?
🅰️: No. All home modifications (regardless of the scope of work) require a functional assessment and written recommendations (or prescription) from a registered Occupational Therapist. This ensures the modification is both clinically necessary and tailored to the participant’s specific needs and environment. The OT also ensures the proposed works meet safety and regulatory requirements, and provides input for quotes and contractor engagement.
Q: Can funding be used for installation or delivery fees of AT items?
🅰️: Yes, installation and delivery costs can be included under the AT-HM funding as part of the total provision of AT. These costs must be reasonable, clearly linked to the supply of the AT items, and outlined in the quote or invoice. Delivery and installation must also be reflected in the participant’s budget and care plan, especially if they significantly impact total spend.
Q: Can AT-HM funds be pooled between two people living in the same home (e.g., husband and wife)?
🅰️: No. AT-HM funding is allocated per individual and must be used to meet that person’s specific functional needs. Even if a shared item (like a bathroom modification) is used by both, funding must be proportionally allocated and justified in each person’s support plan.
Q: What happens if an item needs repairs or replacement?
🅰️: Repairs or replacements may be funded under the AT-HM Scheme if the item remains essential to the participant’s daily function and aligns with their wellness and reablement goals. For higher-cost or customised items, a re-assessment by an allied health professional may be required to confirm the item is still suitable and necessary. Any replacement must also follow procurement and budgetary guidelines to ensure value for money and compliance.
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