By Luke Benson. Last reviewed 24 September 2026, against the Support at Home Payment Integrity Rolling Review Cycle 1 summary report (September 2026) and program manual V4.4.
The Department of Health, Disability and Ageing has published the results of the first cycle of its payment integrity rolling review. Sixty registered providers were asked to produce evidence for 2,448 claims and 262 monthly statements from November and December 2025, the first two months of Support at Home. The claims covered 1,405 participants.
The headline numbers. 67 per cent of claims had sufficient evidence that the good or service was delivered. For services the figure was 78 per cent, so 344 of the 1,542 service claims reviewed could not be substantiated. For assistive technology and home modifications it was 50 per cent. Only 35 per cent of claims had sufficient evidence that the participant had agreed the price, and only 21 per cent of monthly statements contained everything the legislation requires. Findings on monthly statements were raised with 51 of the 60 providers.
By service type, nursing (93 per cent) and personal care (88 per cent) were the best evidenced. Maintenance and repairs, including gardening, was the worst at 54 per cent. Provider size made no consistent difference: medium and micro providers scored above 90 per cent on delivery evidence, very large providers 77 per cent.
What the reviewers accepted. The report says providers substantiated delivery best where their records included contemporary progress notes, staff attendance or monitoring records, delivery receipts, clinical documentation, photographs, or correspondence with the participant. Of the 1,542 service claims, the evidence offered was most often progress notes (452), a signed delivery slip or invoice (254), staff attendance records (243) and clock-in and clock-out data (120). Geolocation data was offered for 16 claims and a sign-in book or QR code at the participant’s home for three.
What they rejected. Many providers submitted only an invoice or a monthly statement, with no secondary evidence. The report restates sections 10.5 and 13.7 of the program manual: an invoice alone is enough for allied health, consumables and meal delivery, and for nothing else. Evidence that was not contemporary was not accepted. Care notes written more than a week after the service, and agreements signed weeks or months after the claimed service, were both ruled out. Evidence that did not carry a date, a description or another identifier that let the reviewer tie it to the claim was also ruled out.
The reviewers also found data quality problems in the claims themselves: several hours or episodes of care claimed as a single unit, mismatched dates, and service types coded incorrectly, such as home maintenance claimed as domestic assistance. Monthly statements often did not show when a service had been delivered by a third party.
What happens next. No Cycle 1 finding was referred to the Aged Care Quality and Safety Commission. The Department calls the first cycle education-focused, because the claims came from the transition months, and it warns that the sample is not representative. But the review is rolling. The Department says it will run three to four cycles each calendar year and will cover every active Support at Home provider over time. Selected providers are notified under section 513 of the Aged Care Act 2024 and given 14 calendar days to upload their evidence. Cycle 1 evidence packs ran from about 80 to more than 200 documents per provider.
The practical test has not changed since the assurance plan was published: for any claimed service, can you produce a dated record of who delivered it, when and where, made at the time, without going back to a subcontractor to ask?
How DidYouGo fits. The record DidYouGo creates at each visit is the kind the reviewers accepted: worker, service, time and location, captured at the door rather than written up later, and held by you whether the worker is an employee or a subcontractor. DidYouGo does not fix price agreements or monthly statements. It does mean that when your 14 days start, the delivery evidence is already in one place.
