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- Pilot Scheme on Home Care and Support for Elderly Persons with Mild Impairment


Pilot Scheme on Home Care and Support for Elderly Persons with Mild Impairment

Background and Objectives
Target Beneficiaries
Application Procedures
Vetting of Applications
Arrangement of Service and Payment of Subsidy for Services
Responsibilities of the Applicant
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Background and Objectives
 

A three-year “Pilot Scheme on Home Care and Support for Elderly Persons with Mild Impairment” (“Pilot Scheme”) launches in December 2017 by the Community Care Fund (CCF) to provide home care and support services to low-income elderly persons with mild impairment. The Pilot Scheme, administered by the Social Welfare Department (SWD), will start from December 2017 to the end of November 2020.

 
 
Target Beneficiaries
 
The beneficiaries shall meet the following criteria:
  
  • aged 60 or above;
  • living in the community;
  • assessed to be of mild impairment under a designated assessment tool(Note 1);
  • waitlisting for the Integrated Home Care Services (Ordinary Cases) (IHCS(OC))(Note 2); and
  • with a monthly household income not exceeding a specified percentage of the relevant Median Monthly Domestic Household Income (MMDHI) (i.e. not exceeding 175% for one-person households and not exceeding 150% for two-or-more-person households)(Note 3) (Note 4).
   
Note 1: Under the Pilot Scheme, the SWD has commissioned a consultant to formulate a simple and standardised assessment tool, with a view to identifying elderly persons with mild impairment and their service needs.
 
Note 2: Home-based IHCS, currently provided by a total of 60 IHCS teams across the territory, comprise IHCS(OC) and IHCS (Frail Cases) (IHCS(FC)). To apply for IHCS(FC), elderly persons must be assessed to be of moderate or severe impairment under the Standardised Care Need Assessment Mechanism for Elderly Services (SCNAMES) of the SWD and in need of a range of care services. Elderly applicants for IHCS(OC) are not required to be assessed under SCNAMES. The scope of IHCS(OC) covers meal service and home services, which include personal care, simple nursing care, physical exercise, home-making (e.g. home cleaning), escort, purchase and delivery of daily necessities, etc. Moreover, there is currently a Home Help Team, which provides elderly persons with services similar to IHCS(OC).
 
Note 3: The number of household member(s) include the applicant and his/her father, mother, son(s), daughter(s), husband/wife residing with the applicant in Hong Kong. Legally recognised adoptive parents/children or illegitimate children with proof of parentage are also included. Such household member(s) must be Hong Kong resident(s).
 
Note 4: The monthly household income limit is set with reference to the relevant MMDHI published in the latest Quarterly Report on General Household Survey by the Census and Statistics Department. Monthly household income, which refers to the income of the applicant and household members residing with the applicant in Hong Kong as mentioned in Note 3, is determined by the average monthly income of the three months prior to the submission of application and includes the following items:
  • Employment earnings: salary, double pay/leave pay, work allowance, bonuses/prize/commission/tip/contract gratuity, income from rendering services, business profits, etc.; and
  • Other income: contributions from children, financial assistance from relatives/friends, alimony, monthly pension/widow’s and orphans’ payments or pensions, investment profits, interest income from fixed deposits, dividends, rental income, etc.
For income not paid on a monthly basis, e.g. double pay, bonus, contract gratuity, etc., it should be apportioned over the period concerned.
Reportable income excludes employee’s mandatory contributions to the Mandatory Provident Fund (MPF) scheme (i.e. the 5% mandatory contributions made by employees to an MPF scheme), financial assistance provided by the Government, charitable donations and subsidies from other assistance programmes under the CCF, etc.

 

   
Application Procedures
   
  • SWD will issue letters (together with an application form) for inviting applications from the elderly persons, who waitlisting for the IHCS(OC), through the IHCS/Home Help Teams (Service Teams) participating in the Pilot Scheme.
  • Service teams will conduct assessment to the elderly persons who are interested to join the Pilot Scheme. Upon being ascertained to have mild impairment, eligible elderly persons will be provided with information on service teams within their district of residence (please refer to Annex 1 for a list of approved service providers) so that they can flexibly choose the service team and the service package most suitable to their actual needs. With the assistance of the service teams, completed application forms and copies of identity documents will be submitted, by post or by hand, to the CCF Team of the SWD for vetting.
  • Eligible elderly persons are expected to receive service of the Pilot Scheme from the service teams starting from January 2018.
   
Vetting of Applications
   
  • Applications will be processed by the SWD on the basis of the information submitted by the applicants. Upon completion of the vetting procedures, the SWD will notify the applicants of the results in writing.
  • In making an application, the applicant is not required to submit relevant proof of income. The SWD will conduct random checks in the course of processing the application or releasing subsidy payment, and the relevant persons will be required to provide detailed information of their financial position together with relevant documents for verification.
   
   
Arrangement of Service and Payment of Subsidy for Services
   
  • The CCF Team of the SWD will refer elderly persons to service teams of their choice, which will discuss with the elderly persons and draw up individualised care plans with service fees, and provide at the earliest possible the necessary support services such as meal and/or home services, which include personal care, simple nursing care, physical exercise, home-making (e.g. home cleaning), escort, purchase and delivery of daily necessities, etc.
  • Payment of the subsidy will not be made directly by the SWD to the elderly beneficiaries. Elderly persons participating in the Pilot Scheme are required to make co-payment with amounts determined on the basis of their household income. The Pilot Scheme will adopt five co-payment categories on a sliding scale and the household income level of each category will be determined by the SWD with reference to the relevant MMDHI published by the Census & Statistics Department. After co-payment, all remaining value of the services will be paid by the CCF such that the less an elderly person can afford, the more subsidy he/she receives from the CCF. A co-payment table of the Pilot Scheme is set out at Annex 2.
  • Moreover, to provide more flexibility, elderly persons participating in the Pilot Scheme may choose to receive services on the basis of each meal or service hour according to their individual needs. A fee schedule for individual services broken down by co-payment category is set out at Annex 3.
  • Applications under the Pilot Scheme are made on a household basis with a specific upper limit of average monthly income for different household sizes. For the calculation of household income, please refer to the “Guide on Reporting Income” at Annex 4. The rate of subsidy will be determined by the SWD according to the monthly household income of the eligible elderly person in the three months prior to the submission of application.
  • The SWD will verify the eligibility of the elderly persons for the subsidy on a regular basis. If an elderly beneficiary no longer meets the eligibility criteria (e.g. owing to changes in financial position or receipt of government-subsidised community care services for the elderly) during the period of subsidy payment, such payment will cease from the month following that in which they become ineligible. A new application may be made via the service teams if the eligibility criteria are met again before the end of the Pilot Scheme.
   
Responsibilities of the Applicant
   
 

Information provided by the applicant must be true, correct and complete. In case of any change of the relevant information, the applicant must notify the service team concerned or the CCF Team of the SWD as soon as possible. The applicant must provide detailed information for verification when the SWD conducts random checks on his/her case. Any amount verified as overpayment will have to be returned.

   
   
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Brief and Annexes on Pilot Scheme on Home Care and Support for Elderly Persons with Mild Impairment

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