In 2007, the legislative conditions for quality-assured 24-hour care were created, and at the same time a corresponding subsidy scheme was developed on the initiative of the Ministry of Social Affairs.
Caring for persons in private households can take place as self-employed or employed work.
To support 24-hour care, the Ministry of Social Affairs has developed a subsidies model with which benefits for persons in need of care or their family members can be granted from the support fund for people with disabilities. A subsidy can be applied for from Stage 3 according to the Federal Long-Term Care Act.
The subsidy when two self-employed carers are deployed is a maximum of €550 per month. The subsidy when two employed carers are deployed is a maximum of €1,100 per month. To fulfil the conditions, care must be provided in accordance with the Home Care Act (Hausbetreuungsgesetz).
The first point of contact for questions on 24-hour care and for making applications is the Sozialministeriumservice (previously the Federal Social Welfare Office) with its nine provincial offices.
Conditions for entitlement to financial support for 24-hour care
In order to obtain financial support for 24 hour care, the following conditions have to be fulfilled:
- A need for (up to) 24-hour care
- Receipt of long-term care benefit at Stage 3 or higher
- Existence of a care relationship (i.e. a formal or informal contract) between a carer and the person in need of care or a family member, or a contract between either of these persons and a non-profit organisation offering care services
- Carers need to be able to prove that they have either completed a theoretical training course (which is essentially the same as that for a home help), or have cared for the person applying for the subsidy in a proper manner for at least six months. Alternatively, the carer must possess official authorisation for carrying out care work or nursing work.
Income limits for the financial support of 24-hour care
The income of the person in need of care is taken into account during the application process. The maximum earnings limit is €2,500 net per month, whereby benefits such as long-term care benefit, special payments, family allowance, child care benefit and housing benefits are not taken into account. The maximum income limit increases by €400 for every family member who is dependent or entitled to maintenance, and by €600 for family members who are disabled and entitled to maintenance. The support is provided independently of the assets of the person in need of care.
Caring for persons in private households can take place as either self-employed or employed work.
The Home Care Act applies to these employment relationships. This ensures the legal protection of carers and the persons they care for, as well as the practical realisation of 24-hour care.