Assistance With Self-Care Activities - Night-Time Sleepover

When to use this code

Use this code when a participant receives hands-on personal care overnight (sleepover shift). This includes help with showering, dressing, grooming, toileting, or eating. Sleepover rates are a flat amount per night rather than an hourly charge, because the worker is available but not actively providing support for the full period. If the support happens at a different time, check the related items for the correct time-based code. The wrong time code is a common audit flag.

Common billing scenarios

• A support worker stays overnight from 10pm to 6am. They assist the participant to bed and then sleep in a spare room, available if needed. The provider claims one sleepover unit for the night.
• During a sleepover, the participant needs active support for 45 minutes at 2am. The sleepover rate still applies because the worker’s role is primarily to be available. If active support is needed for most of the night, the hourly night code should be used instead.

Provider notes

• Non-face-to-face delivery is allowed for this code. This means you can bill for activities like report writing, care coordination calls, or progress notes, provided your service agreement with the participant covers these activities. Keep clear records of what non-face-to-face work was done and how long it took.
• Provider travel can be claimed under this code. You can bill for reasonable travel time to reach the participant, but only for the portion of travel that exceeds normal commuting. Travel costs should be shared proportionally if you are seeing multiple participants in one trip.
• Short notice cancellation fees apply. If a participant cancels with less than 7 clear days notice (or 2 clear business days for some supports), you can charge up to 90% of the agreed fee. You must document the cancellation and have the cancellation policy in your service agreement.
• Sleepover shifts have specific requirements. The worker must have access to a bed in a private room and should be able to sleep for most of the shift. If the participant regularly needs active support during the night, the hourly night rate is more appropriate. Document any active support periods during a sleepover.
• This is a Core support, which means participants can generally use their Core funding flexibly across different Core categories (unless their plan states otherwise). Check with the participant’s plan manager if you are unsure about flexibility.