SaH Update

In line with the Support at Home program commencing 1 November 2025 and updated guidelines from the Department on 7 October 2025, Super Rehab have updated the pricing structure to ensure full compliance and transparency. Our fee structure now reflects distinct time-based billable units for face-to-face (‘direct’) activities and for related indirect activities, such as documentation, case conferencing, service coordination and planning. As required by the guidelines, travel costs are now incorporated into unit price for direct activities.

To make this easier to understand, we have created Service Duration Breakdown & Minimum Cost Per Service as below. The table reflects the minimum duration per service for both direct (face-to-face) and indirect (non-face-to-face) activities as well as the minimal cost expected per service. Actual billing may vary depending on the time required to deliver clinical services. Any additional time for direct or indirect activities beyond the minimum hours will be charged in 15-minute increments, in line with the participants’ individual needs and service complexity.

You can also download and view our latest Support at Home Fee Schedule below this table.

✅ Service Cancellations

To ensure fairness and continuity of care, the following applies to all scheduled services:

A late cancellation occurs when a participant cancels a scheduled service with less than 2 business days’ notice.
A ‘no show’ occurs when a participant is not present at the agreed time and location for a scheduled service.

In both cases, a cancellation fee, equivalent to 100% of the direct activity (face-to-face time scheduled) will apply unless the participant provides reasonable grounds, which may include emergency hospital admission, a significant health incident, or loss of a loved one. We may use discretion in applying the fees.

✅ What are direct activities?

Direct activities include all face-to-face services, the time our clinician or assistant spends in person with your SaH participants, such as:

Assessments
Therapy or exercise sessions
Home modification site visits with builder
Equipment trials at home or in equipment showroom

✅ What are indirect activities?

Indirect activities include all non-face-to-face work, the tasks done away from the SaH participants but still related to their care, such as:

Writing reports
Updating care plans
Discussing their progress with the SaH provider or family
Completing referrals or prescription forms
Meaningful and extensive phone call or email

✅ How about travel costs?

Travel cost is not billed separately under direct or indirect activities unit price (hourly rate). Under the Support at Home guidelines, travel costs are incorporated into the unit price for direct activities. As a result, the unit prices for direct (face-to-face) activities are higher than that for indirect (non-face-to-face) activities.

✅ How will Super Rehab charge for services?

Let’s say our Occupational Therapist (OT) provides the following:

60-minute home assessment, billed at 1 unit of direct activity unit price of $259
45-minute OT assessment report, billed at 0.75 unit of indirect activity unit price of $194
Another 30-minute Housing NSW application report, billed at 0.5 unit of indirect activity unit price of $194
Total = $259 + $145.5 + $97 = $501.5

Or our Physiotherapist provides the following:

45-minute home exercise session, billed at 0.75 unit of direct activity unit price of $209
15-minute progress note and session planning, billed at 0.25 unit of indirect activity unit price of $132
Total = $156.75 + $33 = $189.75

Case Studies

1: Safe Bathroom Using Unspent Funds

Background: Mark recently transitioned from a Level 3 Home Care Package (HCP) to the new Support at Home (SaH) program. He had $2,300 in unspent funds, and under the latest AT‑HM Scheme Guidelines, older people transferring from HCP can complete agreed purchases or works after 1 November 2025 using unspent funds.

Assessment & Plan: Following a home visit, our OT identified several high‑risk hazards contributing to Mark's falls. The OT prescribed:

Removal of shower hob to create level entry
Installation of non‑slip flooring
Appropriately positioned grab rails for transfers

These modifications were classified as a Medium‑Tier (up to $2,000) home modification under the AT‑HM Scheme.

Clinical Service & Billing:

1.5 hour Direct Activities for initial home environment and risk assessment, measurements taken for reporting
1.5 hour Indirect Activities for OT summary report, home modification report, and liaison with the builder and the provider for quotes and approval

2: Safer Transfers and Seating

Background: Jean, a full pensioner with mild dementia and lower back pain, was approved for Medium‑Tier funding under the AT‑HM Scheme. She was experiencing difficulty standing from a low, soft chair and required frequent carer assistance for transfers.

Assessment & Plan: Our OT and Physiotherapist jointly prescribed the following items to support safe transfers and reduce carer strain:

High‑back armchair – to improve postural support and ease sit‑to‑stand transfers
Removable bed rail – for safe repositioning in bed and safe bed transfers
Transfer belt – for Physio and carer assisted mobility training

Although relatively low‑cost, these items were considered medium‑to‑high risk due to Jean's cognitive and physical profile. To ensure safe and effective use, our OT recommended a home trial and education session as a wraparound service under the AT‑HM Scheme.

Clinical Service & Billing:

The OT billed as follows under the AT‑HM Scheme:

1 hour Direct Activity for initial assessment
1 hour Indirect Activity for summary report, bed rail risk assessment form, and liaison with equipment supplier for home trial

The Physio billed as follows under the AT‑HM Scheme:

45 minutes Direct Activity for Physio assessment
60 minutes Indirect Activity for summary report and recommendations on walk belt

3: Home Modifications in Public Housing

Background: May resides in a public housing unit with limited accessibility. Following a recent amputation, she began using a manual wheelchair, but the external entrance had stairs and no suitable ramp access, creating a significant safety risk and limiting her community participation.

Funding Context: Although May is qualified for Support at Home, the home modifications to public housing properties fall under the responsibility of housing authorities. This meant the OT could not proceed with modifications under AT-HM Scheme.

Assessment & Plan:

Our OT:

Contacted the local housing office to confirm home modification procedures
Organised a joint site visit with the housing-appointed builder to inspect access points and outline scope of work
Recommended a wheelchair-accessible ramp with compliant gradient and handrails, and removal of step hazards
Completed a Complex Home Modification report and submitted it to the Local Housing Office for approval and implementation

Clinical Service & Billing:

Although AT-HM funds did not cover the actual ramp installation, our OT was able to bill for:

1 hour Direct Activity for initial assessment
2.5 hours Indirect Activity for complex report writing, risk assessment, and liaison with Housing Office
1 hour Direct Activity for on site joint assessment with housing-appointed builder
1 hour Direct Activity for post-installation visit to inspect workmanship and educate the client and carer on safe wheelchair use

Service Duration Breakdown & Minimum Cost Per Service

Support at Home Fee Schedule