Find complex care in Maryland, NSW

Complex care rates in Maryland typically range from $50-$90/hour (NDIS/HCP subsidised rates available). Rates are higher than standard support worker services because complex care requires workers with specialist training in high-intensity support skills. The exact rate depends on the specific supports required, the qualifications of the worker, whether nursing oversight is involved, and the time of day or week.

For NDIS participants, high-intensity daily activities attract higher price limits under the NDIS Pricing Arrangements and Price Limits. Providers must demonstrate that their workers hold the training required for each specific high-intensity task. Self-managed participants can negotiate rates directly but should still verify worker qualifications. Plan-managed and NDIA-managed participants must use NDIS registered providers.

Home Care Package holders with complex needs generally require a Level 3 or Level 4 package to access adequate funding for the volume and type of support required. Your case manager can help structure your package to maximise coverage of complex support hours, often combining package funds with other funding sources.

Private clients with complex care needs pay market rates. Some providers offer case coordination as an additional service, which can help manage multiple providers and clinical teams within a single point of contact.

Complex care is typically funded through government programs. The right funding pathway depends on your age, disability type, and the nature of the supports you need.

NDIS (National Disability Insurance Scheme): Complex care for NDIS participants is funded primarily under Core Supports (Assistance with Daily Life) and, where clinical nursing is involved, Improved Daily Living (Capacity Building). High-intensity daily activities attract separate price limits under the NDIS Pricing Arrangements. Participants with very high support needs may also access Supported Independent Living (SIL) funding for 24-hour supported accommodation. If your current plan does not adequately reflect your complex needs, a plan review request supported by specialist reports from occupational therapists, nurses, or allied health practitioners can help secure appropriate funding.

Home Care Packages (HCP): Older Australians with complex care needs generally require a Level 3 or Level 4 Home Care Package. These higher-level packages provide substantially more funding than entry-level packages and can cover complex personal care, nursing visits, and care coordination. Wait times for higher-level packages can be significant; a My Aged Care assessment is the first step.

Department of Veterans' Affairs (DVA): Veterans with a DVA Gold Card or relevant White Card conditions may be eligible for complex care at home through DVA programs, including the Community Nursing Program and Extended Aged Care at Home equivalent services.

Private payment: Complex care providers accept private payment. For people waiting on an NDIS plan, waiting for a package to be assigned, or managing a short-term post-hospital need, private payment allows services to start immediately without a funding approval process.

Complex care involves high-intensity support for people whose health and disability needs go beyond what standard support workers can safely manage. Workers delivering complex care hold specialised training across a range of specific tasks, and services are typically coordinated alongside clinical and allied health teams.

High-intensity tasks that fall within complex care include: ventilator management and tracheostomy care, complex bowel management, urinary catheter care, enteral feeding (PEG and NG tubes), subcutaneous injections, seizure monitoring and management, dysphagia support (modified textures and safe swallowing assistance), and behavioural support for people with complex presentations. The NDIS requires providers to verify that workers delivering these tasks have completed specific training modules aligned to NDIS guidelines.

Before services begin, the provider will conduct a thorough assessment covering your health history, disability-specific needs, existing clinical team, and daily routine. They will develop or review your support plan, identify which workers are appropriately trained for your needs, and establish clear protocols for managing risks and emergencies. Coordinating with your GP, specialist, or allied health team is standard practice for complex cases.

You should expect a consistent team of trained workers rather than rotating casual staff. Consistency is particularly important in complex care because unfamiliar workers pose greater safety risks when specific techniques and your individual responses must be well understood. Ask providers how they manage handover, staff absence, and worker training verification before committing to a service agreement.