Application process – Frequently Asked Questions

What is the pre-approval process and how does it work?

The pre-approval process involves an initial phone or email consult with an EnableNSW SASH HM advisor before a decision can be made. This initial step aims to support all stakeholders and reduce unnecessary paperwork and follow up.

Each enquiry addresses factors such as eligibility, the persons’ clinical needs, and proposed modifications.

There are two ways to contact the team, including:

• Phone: 1800 362 253 (please ask for the SASH Home Modifications Advisor)
• Email: HSNSW-Enable.SASHhomemods@health.nsw.gov.au

Where can I find the SASH Home Modifications Forms?

The relevant forms are sent to the clinician once pre-approval has been determined.

There are two forms that need to be completed in full and returned to HSNSW-Enable.SASHhomemods@health.nsw.gov.au with relevant OT report, photos, diagrams and specifications. Incomplete forms/applications will delay the outcome for the person

*Please be aware that clinicians cannot be the representative of the person or the homeowner on the forms.

Once pre-approval is provided, the forms should be returned within 4 weeks. Clinicians should contact the SASH Home Modifications Clinical Advisor to discuss if this timeframe cannot be met, to ensure the person remains eligible for assistance

How long does it take for modifications to be completed?

Minor modifications can take up to four weeks to complete and major modifications can take anywhere between 8-12 weeks (longer in some circumstances). It is important for clinicians to liaise directly with the home modifications service provider/s to discuss their capacity and lead times, particularly if the request is to support discharge from hospital.

Is there an out-of-pocket cost for the person needing the modifications?

No, there is no cost, contribution or co-payment payable for the SASH home modifications program. All costs for the minor or major home modifications are covered by the program.  Fixtures and fittings will be from a standard range of products. Refer to terms and conditions on the homeowner agreement for more information.

Please note that any costs for accessing an Occupational Therapist to assess for home modifications is not covered by the program.

My client requires a temporary solution to meet their clinical needs, how long can this remain in place?

Temporary solutions including careports and stair climbers are on loan for a period of six months unless otherwise negotiated with the program.

Does the EnableNSW SASH HM Program fund equipment?

Equipment such as portable ramps, shower trays, personal care equipment and other devices are not funded through this program and will need to be privately funded, hired or sourced through the person’s Local Health District Equipment Loan Pools.

Eligible people can seek funding assistance through the EnableNSW Aids & Equipment Program for personal care and mobility equipment.

I have not previously prescribed home modifications, am I an eligible prescriber?

Prescribers to the program must be Occupational Therapists (OTs) and request home modifications within their level of experience. OTs who have not previously prescribed home modifications will need clinical support and supervision. Similarly, OTs with some home modifications prescription experience may require clinical support or advice when prescribing more complex modifications.

There are currently no documented funding criteria to guide prescribers, however the SASH HM Program advisors are OTs with experience in home modifications and can provide general advice and information as required.

What are the key roles of an Occupational Therapist when requesting SASH Home Modifications for funding?

• Initiate an enquiry with an EnableNSW SASH Home Modifications Program advisor
• Complete the required forms and OT specifications and ensure the minimum SASH HM report requirements are met
• Remain in close communication with all stakeholders including the funding program and home modification providers
• Communicate changes or concerns as soon as they arise
• Complete the post-modification evaluation process. This process is currently being finalised and will be communicated to prescribers.

A useful resource is the SASH Home Modifications report requirements

Do you have a builders’ network across NSW?

There are over 30 registered EnableNSW SASH Home Modifications service providers that can receive requests across the state.

Their key roles are to:

• Work with clinician to determine feasibility of proposed modifications, including joint visits where required
• Provide a quote for the cost of the modifications
• Inform the clinician of their capacity and estimated time to complete works
• Communicate with all stakeholders regarding concerns or issues
• Undertake an ‘acquittal’ process including invoicing & providing notice of completion

All home mods providers have completed registration as a vendor with HealthShare NSW. Builders or services who are not registered with HealthShare cannot be used.

A list of registered home modifications providers will be available on the website soon. In the meantime, please contact an EnableNSW SASH Home Modifications advisor on 1800 362 253 or email HSNSW-Enable.SASHhomemods@health.nsw.gov.au to determine which provider can best service the person’s local area.