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Department of Health

CAPS - Frequently Asked Questions

Below are 10 frequently asked questions regarding the Continence Aids Payment Scheme (CAPS).

What is the Continence Aids Payment Scheme (CAPS)?

The CAPS is an Australian Government Scheme that provides a payment to assist eligible people who have permanent and severe incontinence to meet some of the costs of their incontinence products.

The payment will be made by Medicare directly to the client's nominated bank account.

The CAPS provides greater choice and flexibility for clients to allow them to purchase their incontinence products from the supplier of their choice.

How much is the CAPS payment?

For detailed information about what you may be entitled to see CAPS - Payment. In summary:

  • The first CAPS payment is based on a pro-rata rate from the date Medicare receive an application form.
  • Future payments are made in July each year
  • The payment is indexed annually
  • The CAPS Payment for 2015-16 is up to $558.90, indexed annually
Who is eligible for CAPS?

For detailed information about who is eligible for CAPS see CAPS - Eligibility. In summary, a person is eligible for CAPS if they are five years of age or older and meet either one of the following requirements:

A - has permanent and severe loss of bladder and/or bowel function (incontinence) due directly to an eligible neurological condition;

OR

B - has permanent and severe loss of bladder and/or bowel function (incontinence) caused by an other eligible condition, provided the applicant has a Centrelink Pensioner Concession Card or entitlement, whether as a primary cardholder or a dependent of a cardholder.

OR

C - has permanent and severe loss of bladder and/or bowel function (incontinence) caused by an other eligible condition and has a Department of Veterans' Affairs Pensioner Concession Card or entitlement, whether as a primary cardholder or a dependent of a cardholder

How do people apply for the CAPS?

For details information about how to apply for CAPS see CAPS - How to apply. In summary:

  • Applicants must complete a CAPS Application Form, which includes a health report.
  • Applicants and their health professional should read the CAPS Application Guidelines prior to completing the application form and health report.
  • A health professional must complete the health report component.
  • The CAPS Application Form must be returned to Medicare.
    Continence Aids Payment Scheme
    Medicare
    GPO Box 9822
    Sydney NSW 2001
  • Medicare will process the application and, if the information is complete and the applicant is eligible, will make the CAPS payment to the client's nominated bank account.
  • If the application is incomplete or the applicant is ineligible, Medicare will contact the applicant.
Where can applicants get a CAPS application form?

CAPS Application Form and Guidelines are available from the Department or by calling Medicare on 132 011 (select general enquiries option) or the National Continence Helpline on 1800 330 066

How often will the payment be made?

Applicants can choose an annual payment in July, or biannual payments in July and January each financial year.
PLEASE NOTE: changes to a clients payment option will not take affect until the next financial year.

For detailed information about payments see CAPS - Payment

Will clients need to produce receipts for their payment?

As CAPS is not a reimbursement scheme clients are not required to produce receipts.

For detailed information please see CAPS - Purchasing information

Can a client nominate to have a payment made directly to a supplier of their choice?

Yes, a client can nominate to have the payment made directly to a supplier, who will provide assistance in the purchase of continence related products. See the CAPS Application Form and Guidelinesfor details.

For detailed information please see CAPS - Payment 

How long will applications take to be processed?

This will depend on the completeness of the application form. If Medicare receives all information necessary to process the application form, the CAPS payment will be made to the nominated bank account within 30 days.

For detailed information please see CAPS - How to apply

How will applicants know if their application form has been approved?

For detailed information please see CAPS - How to apply. In summary:

  • If the application form has been processed by Medicare as eligible, a payment will be made into the client's nominated bank account.
  • Once the payment has been made clients will receive a statement from Medicare confirming the transaction.
  • If the application form is incomplete, Medicare will contact the applicant requesting additional information.

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