SA Health
207-235 Hampstead Road
LIGHTSVIEW SA 5085
Mrs Chungsoon Pak
43 Riverbank Circuit
CAMPBELLTOWN
SA 5074
Your eligibility for Australian Government subsidised aged care
Dear Chungsoon Pak
I am writing
about your assessment by Kimberley Lim
of the Department for Health and
Wellbeing ACA Metro East & West SA Aged Care Organisation on 04 July
2025.
After careful consideration you are approved as
eligible to receive the care types listed below from 04 July 2025.
Unless indicated below, these are permanent
approvals which allow you to receive Australian Government subsidised aged
care.
Residential Care
❖
Permanent
Residential Care.
❖ Residential Respite Care. This approval allows you up to 63 days of subsidised residential respite care in a financial year. If you need respite care for longer than this, you (or if you are receiving residential respite care, your provider on your behalf) can apply to an ACAT for an extension (up to 21 days). More than one extension can be granted.
Home Care
❖
Home Care
Package Level 2.
❖
Your priority for home care services is Medium.
At assessment you indicated that you are not seeking home care services at
present. Therefore, you will not be placed on the national priority system for
access to home care.
You can call My Aged Care on 1800 200 422 to
re-enter the national priority system for access to home care services at any time
in the future. You will not be disadvantaged if you choose this option as you
will re-enter and then be assigned a package based upon your existing home care
approval date and priority for service. The time you have waited will be
counted from your initial approval date.
REASONS FOR THE DECISION
The reason for these decisions, other approval
conditions and your rights to have these decisions reviewed are explained in
the next pages of this letter.
Also enclosed is a copy of your support plan. You can
access your support plan and other information through your My Aged Care Online
Account which is accessed through myGov. Further information about accessing
your Online Account is available at www.myagedcare.gov.au/access-your-online-account
For more information regarding My Aged Care and aged care services please call 1800 200 422. Alternatively, you can visit www.myagedcare.gov.au where you will find a range of online tools (including Find a Provider tool and Fee Estimator) to assist you with finding the right service to meet your needs.
If you need more information or want to discuss any
issues about these decisions, please call Kelly McNamara at the Department for Health and Wellbeing ACA
Metro East & West SA on (08) 7133 0500.
Yours sincerely
Kelly McNamara
4XE417
Delegate of the Secretary
Department of Health
04 July 2025
REASONS FOR THE DECISION
The decision to approve you for Home Care Package Level 2 and Residential Permanent and Residential Respite Care has been made under section 22-1 of the Aged Care Act 1997.
You were assessed as having care needs that require
the provision of care and meet the other criteria for the care approved.
The decision to prioritise your needs for home care as
Medium has been made under section 22-2A of the Aged Care Act 1997.
EVIDENCE
In reaching my decision I have considered your
medical, physical, psychological and social circumstances as indicated by the
following evidence:
- Evidence
of your medical condition provided by Mrs Chungsoon Pak and Mr Sejin Pak.
- Assessment
information indicates you need help to perform daily living tasks.
Your priority for home care services at the Medium category has been determined using the
information obtained during your assessment.
APPROVAL CONDITIONS
In addition to the conditions set out in the covering
letter:
❖ In a small number of cases, approval may be
revoked if reassessment shows that a person is no longer eligible for the type
of care they were approved for. If your approval is likely to be revoked, we
will tell you in writing and you will get the chance to tell the Department of
Health why you think your approval should not be revoked.
RIGHT OF REVIEW
If you or any other person affected by this decision
are not satisfied with the decision, you can write to the Secretary of the
Department of Health. You must write within 28 days of receiving this letter
and give the reasons why you think the decision should be changed.
If you think the decision should be changed, please
write to:-
The Secretary
Department of Health
Attn: Aged Care Assessment Program Reconsiderations
GPO Box 9848
Adelaide SA 5001
If you are not satisfied with the Secretary's reply,
or if the Secretary does not answer you within 90 days, the Administrative
Appeals Tribunal can review the decision.
<한국어>
1] 코멘트
7월 ACAS 평가는 “초기 알츠하이머/기억력 저하”를 전제로, 당시 기능(샤워·배변·이동·쇼핑 등)이 전반적으로 “대체로 독립”이고, 세진님이 주로 식사·교통·약 복용 감독을 돕는 상황으로 기록되어 있습니다.
Chungsoon Pak Support Plan 3 De…
그런데 10월 이후 레비소체치매(LBD) 쪽 증상(환시/망상, 변동, 수면·파킨슨성 등)이 두드러지면, 7월 기록의 “질환 프레임(알츠하이머)”과 “지원 필요도”가 실제와 크게 어긋날 수 있습니다. 이 어긋남 자체가 이상한 게 아니라, <평가 시점이 너무 과거가 되어버린 것>이 핵심 문제입니다.
좋은 점은, 7월 승인 자체는 꽤 넓게 나와 있습니다:
<Residential Respite Care> (연간 일수 제한 있는 단기 입소)
<Permanent Residential Care> (필요 시 상시 입소)
<Home Care Package Level 2> (집에서 받는 패키지 지원) + “현재는 서비스 신청 안 함” 상태
즉, “기록이 알츠하이머로 돼 있다”는 점은 찜찜하지만, 현실적으로는 <지금 당장 쓸 수 있는 카드(재가 지원, 간호, 리스파이트, 필요시 시설 입소 승인)>를 이미 손에 쥔 상태입니다.
다음 행동의 우선순위는 두 가지입니다.
(A) <My Aged Care에 현재 상태 변화를 반영하도록 업데이트/재평가 요청>
(B) <“not seeking services(서비스 신청 안 함)”을 풀고, 실제 서비스를 붙이기> (특히 간병자 번아웃 방지)
2] 62일(문서에는 63일) Residential respite care란 구체적으로 뭔가요?
의미: <요양원(Residential Aged Care Home)에 “단기간” 입소하는 제도>입니다. 보호자(세진님)에게 휴식이 필요하거나, 당사자(정순님)가 집에서 버티기 어려운 구간을 “잠시” 넘기거나, “시설 생활을 시험(trial)”해보는 용도로 씁니다.
일수: ACAS 승인서에 따르면 “한 회계연도(financial year) 기준 최대 63일의 정부 보조(residential respite)”가 가능합니다. 문서에서 세진님이 들으신 62일은 실제 배정/계산(이용일 산정) 과정에서 그렇게 안내됐을 가능성이 크고, 제도 설명 자체는 “63일”로 적혀 있습니다.
PAK Chungsoon AC48210702 ACAS D…
연장: 63일을 넘겨야 하면, 제공기관이 ACAT에 “최대 21일 연장”을 신청할 수 있고, “연장 승인”은 1회 이상도 가능하다고 안내되어 있습니다.
PAK Chungsoon AC48210702 ACAS D…
형태: 연속 2달을 한 번에 쓰는 것도 가능하고(자리만 있으면), 1~2주씩 여러 번 나눠 쓰는 것도 가능합니다. (현실에선 <침대 availability>가 핵심 변수)
비용: “정부 보조”가 붙는 것이지 “완전 무료”라는 뜻은 아닙니다. 보통 기본 일일부담금 및 서비스별 비용이 생길 수 있어요. (정확한 금액은 선택하는 시설의 안내가 필요합니다.)
3] 우리 사정에 적합한 care support가 뭘까요? (현실적인 조합)
정순님 상태가 10월 이후 급변했고, 세진님이 메인 케어러라는 점(약·식사·교통·전반 관리)을 문서가 이미 인정하고 있습니다.
Chungsoon Pak Support Plan 3 De…
그래서 “지금 당장”은 <집에서 버티되, 세진님 부담을 구조적으로 줄이는 지원>을 붙이고, 동시에 <시설 옵션을 실제로 작동 가능하게 준비>하는 게 맞습니다.
(1) 지금 당장 집에서 붙이기 좋은 것들 (Support at Home / HCP 레벨2 범위 안에서 조합)
<Nursing care(간호)>: 약 복용 체계 점검, 부작용/섬망/수면 문제 관찰, 상처·낙상 이후 관리 등. 문서에 간호 추천과 리퍼럴 코드가 있습니다.
<Home/community respite(집·커뮤니티 리스파이트)>: 누군가가 일정 시간 집에 와서 돌봐주거나, 센터 기반 프로그램으로 맡아주는 형태. 역시 추천 및 리퍼럴 코드가 있습니다.
<Domestic assistance + Meals(가사/식사 지원)>: 청소·세탁·식사 준비/배달을 외부로 일부 이전. “사소하지만” 간병 지속가능성을 크게 올립니다.
Chungsoon Pak Support Plan 3 De…
<OT/Physio(작업치료/물리치료)>: 낙상 위험, 집안 동선·욕실 안전, 의자·침대·조명·문턱 등 환경 수정. 7월 기록에도 지난 12개월 낙상/근접낙상이 언급됩니다.
Chungsoon Pak Support Plan 3 De…
<Personal alarm(개인 알람)>: 지원계획에 “개인 알람 알아보기”가 들어가 있습니다.
Chungsoon Pak Support Plan 3 De…
<Transport + Social support(이동/동행/사회적 지지)>: 외출 동행, 병원 동행, 교회/모임 연결 유지(가능할 때).
Chungsoon Pak Support Plan 3 De…
(2) “급변/불안정”에 대비한 시설 쪽 준비
이미 <Permanent Residential> 승인과 리퍼럴 코드가 있습니다. “당장 입소”가 아니라도,
(A) 가까운 후보 시설 3~5곳을 리스트업
(B) 리스파이트(단기입소)로 1~2주 “시험”
(C) 위기 시 바로 들어갈 수 있게 대기/절차 파악
이 3단계를 밟으면, 갑작스런 악화 때 선택지가 생깁니다.
(3) 세진님 상황에서 가장 중요한 “행정 버튼” 2개
① <Home Care Package을 ‘seeking services’로 전환>
7월 당시 “현재는 서비스 신청 안 함”으로 되어 있어, 그대로 두면 실서비스가 붙는 속도가 늦어집니다. “원할 때 다시 신청하면 초기 승인일(7/4/2025)부터 기다린 시간은 인정”된다고 승인서에 적혀 있습니다. 지금이 바로 그 “원할 때”일 가능성이 큽니다.PAK Chungsoon AC48210702 ACAS D…
② <재평가/상태 업데이트 요청>
진단이 LBD로 더 타당해졌고 기능이 급변했다면, My Aged Care에 “10월 이후 급격한 변화”를 근거로 업데이트/재평가를 요청하는 게 맞습니다. (기록의 질환명이 알츠하이머로 박혀 있는 문제도 여기서 같이 정리해야 합니다.)
(4) 도움을 받을 창구
문서에 나온 My Aged Care 전화(1800 200 422), Aged Care Specialist Officer(대면 도움), Carer Gateway(케어러 지원) 같은 창구가 정리돼 있습니다.
원하시면, 세진님이 My Aged Care/제공기관에 전화할 때 그대로 읽을 수 있는 <짧은 스크립트(한국어+영어)>로 “10월 이후 변화 요약 + 지금 필요한 서비스(간호/재가 리스파이트/가사·식사/OT) + 리스파이트/시설 트라이얼 요청” 문장을 만들어 드릴게요.
<English>
Comment
The July ACAS assessment was written on the assumption of “early Alzheimer’s / short-term memory issues,” with relatively preserved day-to-day independence at that time, and with you (Sejin) as the main carer helping with cooking, transport and medication supervision.
Chungsoon Pak Support Plan 3 De…
If Chungsoon’s condition changed markedly after October (features more consistent with Lewy body dementia such as hallucinations, fluctuations, sleep issues, parkinsonism), then the July “diagnostic frame” and “support needs” can be out of date. The core issue is timing: <the assessment is no longer describing today’s reality>.
The practical upside: the approvals are already broad—Residential Respite, Permanent Residential care, and a Home Care Package Level 2 (not currently “seeking services”).
So even if the wording bothers you, you’re not starting from zero; you already have usable pathways (home support, nursing, respite, and a permanent residential option if needed).
What exactly is “62 days Residential respite care”?
It means a <short, temporary stay in a residential aged care home>—used to give the carer a break, to bridge difficult periods, or to trial residential care.
The approval letter explains it as up to <63 days of subsidised residential respite care per financial year>.
PAK Chungsoon AC48210702 ACAS D…
Extensions: if more is needed, the provider can apply to ACAT for an extension of up to 21 days, and more than one extension may be granted.
PAK Chungsoon AC48210702 ACAS D…
It can be used in blocks (e.g., 1–2 weeks at a time) or longer stretches, depending on bed availability.
“Subsidised” does not necessarily mean free; fees vary by facility and services.
What care supports fit your situation?
Given the post-October change and your role as the main carer, the best fit is usually a two-track plan: <stabilise at home with real services now> + <make residential options operational as a backup>.
Home supports to prioritise now (within the approved service list):
<Nursing care>: medication supervision systems, monitoring side effects/confusion/sleep issues. (You have a referral code.)
<Home/community respite>: scheduled respite hours to protect your stamina. (You have a referral code.)
<Domestic help + meals>: cleaning/laundry + meal prep/delivery to reduce daily load.
Chungsoon Pak Support Plan 3 De…
<OT/physio>: falls risk, home safety setup, bathroom and mobility supports (falls/near falls were noted).
Chungsoon Pak Support Plan 3 De…
<Personal alarm>: specifically recommended in the plan.
Chungsoon Pak Support Plan 3 De…
Residential preparation:
You are also approved for <Permanent Residential> and <Residential Respite> with referral codes. Using a short respite stay as a “trial” can reduce fear/uncertainty and creates a realistic emergency pathway if symptoms worsen suddenly.
Two key admin actions for you:
Switch the Home Care Package status to <“seeking services”>. The letter says you can re-enter the priority system at any time, and your waiting time is counted from the original approval date.
PAK Chungsoon AC48210702 ACAS D…
Request an <update/reassessment> reflecting the post-October change, so the record matches reality and supports the right level/type of services.
Support channels listed in your documents include My Aged Care, face-to-face Aged Care Specialist Officers, and Carer Gateway.
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