Timely access to aged care services is an indicator of how well older people’s care needs are being met. Linked data was analysed for a national cohort who received their first comprehensive aged care assessment in 2021–22 to measure elapsed time from assessment to receipt of services at the approved level, enabling follow up of people’s journeys through the aged care system and to outcome. Elapsed times were calculated from approval for home care packages (HCP), permanent residential aged care (PRAC) or both (HCP&PRAC) to receipt of aged care services or death, up until 30 June 2024. Multivariate regression modelling was used to calculate event rate ratios (ERR) for demographic and clinical factors, measuring the strength of their association with shorter or longer elapsed time to receipt of approved services. In the study cohort (N=118,193), 78.2% received their approved service, 15.2% received home support (CHSP) only and 2.2% died without receiving services. Median elapsed times differed by approval group, with PRAC-only shortest (53 days) compared with HCP-only (177 days) and HCP&PRAC (176 days). Among those approved for HCP only, high priority recorded at assessment was associated with shorter elapsed time compared to low priority (ERR 2.78, 95%CI 2.18-3.55), while First Nations status was associated with longer elapsed time compared to non-indigenous (ERR 0.88, 95%CI 0.82–0.95). Elapsed times for HCP were substantially shorter than in the previous report (2019-20 approval cohort). These findings can inform policy and provide a baseline for assessment of recent aged care policy reforms.