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- Pilot Scheme on Residential Care Service Voucher for the Elderly


Pilot Scheme on Residential Care Service Voucher for the Elderly

Introduction Service Leaflet
       
  The Social Welfare Department (SWD) launched the Pilot Scheme on Residential Care Service Voucher (RCSV) for the Elderly (Pilot Scheme) in March 2017 with maximum of 3 000 RCSVs to be issued in total. Adopting the "money-following-the-user" principle, the Pilot Scheme provides an additional choice for elderly persons in need of residential care services and waitlisted for care-and-attention (C&A) places on the Central Waiting List (CWL). 

The Pilot Scheme has been extended for three years from March 2020 to March 2023.
 
Residential Care Service Voucher for the Elderly Service Leaflet Cover
(Please click the link below to download the service leaflet)
 
PDF Document (Acrobat Document)
Word Document (MSWord Document) (Text Only)







 
     
Video of the Pilot Scheme (Chinese Version Only)  
     
 
 
     
Quick Links    
     
 
Scope of Service
Voucher Value
Co-payment and Means Test
Support for Voucher Holders at Co-payment Level 0
Top-up Payment
Trial Period and Application Status on the CWL
Casework Service

Recognised Service Providers (i.e. Residential Care Homes for the Elderly Participating in the Pilot Scheme)

Enquiries
 
       
Features of the Pilot Scheme    
     
 
1. The "Money-following-the-user" principle provides greater flexibility and choice: elderly persons can freely choose and switch among residential care homes for the elderly (RCHEs) under the Pilot Scheme according to their needs.
2. The "users pay in accordance with affordability" principle allows elderly person who can afford less to receive more subsidy from the Government: the co-payment level is determined according to the asset and income of the elderly person on an individual basis.  Elderly persons at Level 0 (the lowest level) do not have to pay for the "standard service package" covered by the monthly voucher value.
3. Waiting time is shortened: elderly persons can receive subsidised residential care services in a shorter period of time.
4. Six-month trial period: elderly persons can consider admission to RCHEs and try to adapt to life in RCHEs.
 
     
Eligibility  
     
  Eligible participants are elderly persons who have been assessed and recommended for Residential Care Services under SWD's Standardised Care Need Assessment Mechanism for Elderly Services and are waitlisted for C&A places on the CWL for Subsidised Long Term Care (LTC) Services.  
       
How to Apply    
       
  SWD will send invitation letters direct to a number of eligible elderly personsNote according to their application dates for LTC services, inviting them to apply for RCSVs. SWD will prioritise the applications having regard to the applicants’ position on the CWL and set aside specific quota for recipients of Comprehensive Social Security Assistance (CSSA). SWD will inform the applicants of the result in writing.
   
[Note: Eligible elderly persons are those waitlisted for C&A places on the CWL with their application for LTC services dated on or before 30 June 2021 (not including those who are holding or have utilised their RCSV, those whose status on the CWL is “inactive” or those who are offered subsidised placement). For eligible elderly persons not having received invitation letters, please contact the Residential Care Service Voucher Office for enquiry.]
   
       
Details of the Pilot Scheme    
       
 
Scope of Service
   
  Recognised Service Providers (RSPs) have to provide individual voucher holders with a "standard service package" covered by the voucher value as follows - 
 
(i) accommodation within shared rooms;
(ii) at least 3 meals a day plus snacks;
(iii) basic and special nursing care;
(iv) staff on duty 24 hours a day;
(v) personal care service;
(vi) 2 rehabilitative services sessions per week, on an individual or group basis;
(vii) regular visits by a registered medical practitioner;
(viii) social or recreational activities on regular basis; and
(ix) laundry service.
   
Voucher Value
   
  The voucher value is $15,909 (with effect from 1.4.2021) per month. The voucher value will be adjusted annually pegging to the monthly cost of an EA1 place under the Enhanced Bought Place Scheme (EBPS). From 1 August 2020 onwards, RSPs may charge for voucher services according to individual homes’ actual monthly fee with current voucher value as a ceiling price for providing elderly persons with a "standard service package" covered by the voucher value.
   
Co-payment and Means Test
   
  Under the principle of "users pay in accordance with affordability", the less an elderly person can afford, the more the Government subsidises. A sliding scale of co-payment at eight levels (Level 0 to Level 7) is adopted by SWD. Voucher applicants will be assessed on an individual basis in the means test and both income and asset will be taken into account in determining the co-payment level.

For the income test, the monthly income of the voucher applicants is benchmarked against the Median Monthly Domestic Household Income (MMDHI) for singleton households. For Level 0 (i.e. the lowest level with zero amount of co-payment) voucher holders, their monthly income should not be more than 50% of the MMDHI for singleton households. For Level 7 (i.e. the level with the highest amount of co-payment) voucher holders, there is no limit on their monthly income.

For the asset test, the asset limit for Level 0 voucher holders is pegged to the limit for singleton elderly persons under CSSA. As for Levels 1 to 6 voucher holders, the asset limit is pegged to the limit for singleton elderly persons applying for public rental housing. There is no asset limit for Level 7 voucher holders.

Co-payment amount for voucher holders under different co-payment levels will be calculated according to the voucher value in the year or individual homes’ actual monthly fee (current voucher value as a ceiling price) and users' co-payment percentage.

Please click here to download the Co-payment Table for the Pilot Scheme (with effect from 1.4.2021)
  PDF Document (Acrobat Document)
   
Support for Voucher Holders at Co-payment Level 0
   
  To avoid double benefit, any elderly person who has opted for the Pilot Scheme shall not be entitled to CSSA.  CSSA recipients having opted to become voucher holders will usually be grouped under Co-payment Level 0 and the Government will fully subsidise the voucher services they receive.

Voucher holders at Co-payment Level 0 will be granted:
 
- Medical fee waiver for public healthcare expenses;
- Full assistance under the Samaritan Fund and the Community Care Fund Medical Assistance Programme (if fulfilling the application requirements);
- Public Private Partnership Programmes (similar medical benefits as with CSSA recipients); 
- Government subsidy to RSPs to cover the items, including diapers, special diet and medical consumables, for voucher holders with proven needs as assessed by public doctors.
   
  Voucher holders, including those at Co-payment Level 0, may still receive Social Security Allowance, including Old Age Living Allowance/Old Age Allowance/Normal Disability Allowance, subject to their eligibility.
   
Top-up Payment
   
 
The Pilot Scheme allows voucher holders to make a top-up payment of up to 150% of the prevailing voucher value to purchase enhanced or value-added services. Examples of top-up services include additional physiotherapy/occupational therapy sessions, upgraded dormitory, acupuncture, Chinese medicine and massage service, etc.
   
Trial Period and Application Status on the CWL
   
  The Pilot Scheme provides a six-month trial period for first-time voucher users.  The voucher holder’s status on the CWL will be changed to “inactive” once a voucher is issued.  If the voucher holder decides to opt out of the Pilot Scheme during the trial period or the voucher holder has not used the voucher in the trial period, his/her application status on the CWL will be “reactivated” and the original position will be resumed. If the voucher holder decides to continue using the voucher after the trial period, he/she will be considered as having withdrawn from the CWL. A voucher holder may flexibly switch to another suitable RSP during the trial period or afterwards.
   
Casework Service
   
  Social workers of the Residential Care Service Voucher Office of SWD will provide casework support service for voucher holders, e.g. assisting in choosing/switching to a suitable RSP and providing them with follow-up support, including regular visits and case referrals, etc., after their admission to RSPs.
   
       
Recognised Service Providers (i.e. Residential Care Homes for the Elderly Participating in the Pilot Scheme)
   
       
  RCHEs participating in the Pilot Scheme have to provide non-subsidised places and meet the requirements specified by SWD on space standard, staffing and track record. Currently, there are different types of RCHEs joining as RSPs, including subvented homes, contract homes, NGO-run self-financing homes, Category EA1 homes under the EBPS and other private RCHEs meeting the entry requirements.

Please click here to download the List of RSPs joining the Pilot Scheme (as at 11.10.2021)
   
  PDF Document (Acrobat Document)

For details on individual RSPs including facilities, staffing, fee and number of vacant beds open for accommodating voucher holders etc., please click the image below to visit the one-stop platform of SWD for elderly information.

SWD Elderly Information Website
   
       
Video of Choosing a Recognised Service Provider    
       
 
 
   
       
 Enquiries    
       
 
Address : Residential Care Service Voucher Office
Social Welfare Department
Rooms 2701-07, 27/F, Two Chinachem Exchange Square, 338 King's Road, North Point, Hong Kong
Telephone no. : 3107 3280 / 3107 3290
(9:30 am to 1:00 pm and 2:30 pm to 5:00 pm, Monday to Friday except public holidays)
Fax : 3107 0236
E-mail : rcsv@swd.gov.hk