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Carer or care receiver is absent from care for Carer Payment (CP) and/or Carer Allowance (CA) 009-25112618




Recording the absence

On this page:

Coding the absence in Process Direct

Coding the absence in Customer First

Manually coding an absence in Customer First

Applying discretion to extend respite past 63 days under special circumstances

Coding the absence in Process Direct


Table 1: This table helps staff coding respite and hospitalisation for Carer Payment (CP) and/or Carer Allowance (CA) using the Temporary cessation of care workflow in Process Direct.

Expand table

Step

Action

1

Code the absence

Code all absences using the Temporary cessation of care workflow:

  • Key START into the Super Key
  • Select the Temporary cessation of care workflow from the Task Selector
  • On the Temporary cessation of care summary (ABCE) screen, select Expand next to the Care Receiver's name to view the breakdown and history of absences. If required, additional care receivers can be selected and details recorded within the workflow
  • Select the drop-down arrow in the Period to display and select the required period to view
  • Select Next
  • On the Temporary absence details (ABSN) screen, select Add

Complete the following fields:

  • Care Receiver Name: select care receiver from drop down
  • Start Date: first full 24 hour period of absence
  • End Date: last full 24 hour period of absence
  • Absence Type Reason codes:
    • HSP - Hospitalisation (applies to both CA and CP)
    • RSP - Respite (applies to both CA and CP)
    • CWP - Child with partner (Respite for CP only, will not reduce CA respite allocation)
    • ETT - Education, Training and Treatment (applies to both CP and CA, but CA has special rules once 63 days exceeded)
    • RCP - Respite for CP only when exceeding 100 hours work limit
  • Regular Absence per Fortnight: only applies if updating a regular ongoing absence
  • Absence Extended: only applies if approval for an extension has been granted
  • Select Save
  • Complete the Receipt Date and Channel
  • Select Save
  • Select Assess
  • On the Errors (SWE) screen warnings will display to explain how an absence is calculated and to consider if there are any impacts on the customers payment due to the absence being recorded. Discuss any impacts and alternative payment options if needed with the customer
  • Select Assess
  • Check the Entitlement (ELD) screen to see if the absence coding results in the cancellation of CP and/or CA due to exceeding the respite or hospitalisation allowance. Do not finalise the activity without reviewing the outcome(s)
  • if a customer is receiving CA (auto) and their CP cancels, it also impacts their CA (auto). Consider if they are eligible for CA manual. See Eligibility for Carer Allowance (CA) (auto) when a carer is also receiving Carer Payment (CP) (child)

Will the absence coding result in the cancellation of CP due to exceeding the respite or hospital allowance?

  • Yes, go to Step 2
  • No, CP will not cancel, finalise the transaction on the ELD screen. Record details on a Note of all actions taken on the record including any updates. Procedure ends here

2

CP cancellation - exceeding allowance

CP will cancel, the customer:

  • may be eligible to suspend instead of cancelling. Do not finalise the Temporary cessation of care workflow activity. Take note of the date of cancellation. Go to Step 5
  • does not want to enter a suspension period. CP will cancel automatically when respite/hospitalisation allowances have been exhausted. Finalise the transaction from the ELD screen. Record any additional information in the Finalisation Notes for example, customer has been advised of cancellation, Go to Step 3

3

Cancellation of Carer Allowance

Is CA being received?

4

CA cancellation

For Carer Allowance (CA):

  • If the customer is receiving CA and because of the absence coding CA will cancel, a separate Fast Note is needed if finalisation results in cancellation of CA payment
  • Record the decision. Use Fast Note - select Auto text, use Generic > SUS/CAN/RES > Suspend Cancel Reason

Note all actions taken on the record including any updates.

Procedure ends here.

5

Suspension of CP instead of cancellation

Carers can enter a suspension period for CP for up to 26 weeks if all the following apply:

  • they are not qualified due to ex-Wife Pension (XWP)
  • the absence is temporary
  • they have exhausted their hospitalisation and/or respite allocation
  • they do not qualify for an extension of their days
  • the Service Officer is satisfied they reside in Australia, and
  • they satisfy all other eligibility criteria

The carer can choose to enter a suspension period or not. They do not have to exhaust all their respite or hospitalisation allocation first. Discuss if the suspension is the right for the customer or if an alternate payment is a better option.

Can CP be suspended?

6

CP cannot be suspended

If the carer is not eligible for an absence extension or the extended suspension period or does not want to access the extended suspension period, tell the carer:

  • their payment will cancel at the end of the 63 days
  • they will need to claim another payment or reclaim if they return to providing care and meet eligibility for CP
  • To find the cancellation date:
    • go to the Temporary cessation of care summary (ABCE) screen
    • select Expand next to the Care Receiver's name

Note the record with details of the discussion and outcome and close the Manual follow-up (MFU).

Note: if a customer is receiving CA (auto) and their CP cancels, it will also impact their CA (auto). Consider if they are eligible for CA manual. See Eligibility for Carer Allowance (CA) (auto) when a carer is also receiving Carer Payment (CP) (child).

Procedure ends here.

7

Suspend CP

Go to the Entitlement (ELD) screen. Do not select Finalise

Note: before coding the suspension, check to see if the customer has been manually placed onto reporting (RPRS). Take the customer off reporting before applying the suspension. This makes sure the suspension is not overridden and changed to Failed to Report (FRP).

Go to the Benefit Action (BA) screen. Select Add and code the following:

  • Benefit Type Code: CAR
  • Benefit Action: SUS
  • Reason:
    • RBX - respite balance exhausted or
    • HBX - hospitalisation allowances exhausted
  • Select Save
  • Select Assess
  • The Errors (SWE) screen displays

A suspension cannot be applied if the DOE is more than the next EPED + 28 days. If this is the case, the following error will show: E401PN DOE cannot be later than Next EPED + 28 days.

If the error:

  • displays, return to BA screen and delete the suspension coding. Finalise the activity with the future cancellation and Note the record with the reason for not applying the suspension. An MFU is created 14 days before cancellation to follow up. Procedure ends here
  • does not display, select Assess, go to Step 8

8

Document the suspension

On the Entitlement (ELD) screen, CP shows suspended from the date the allowable respite/hospital days were exceeded.

  • Select Finish
  • Add the following to the Finalisation Note:
    • Date respite/hospitalisation days exceeded
    • Carer Payment (CP) suspended
    • Date of effect of suspension
    • Reason for suspension
    • Suspended under Social Security Administration Act S95CA
  • Finalise the activity

Procedure ends here.


Coding the absence in Customer First


Table 2: This table helps staff coding respite and hospitalisation for CP and/or CA using the Temporary cessation of care workflow in Customer First.

Expand table

Step

Action

1

Code the absence

All absences are to be updated in Customer First using the Temporary cessation of care workflow.

Manual updates are only to be done if the workflow is not available or working.

Is the Temporary cessation of care workflow working?

2

Launch the Temporary cessation of care workflow

Go to the Temporary cessation of care workflow.

  • The Temporary cessation of care summary page will show details of the care receiver(s). Note: this is a display screen only
    A breakdown of respite used can be seen by selecting the >> next to the care receiver's name
  • Select Continue

On the Temporary cessation of care update screen, code the Care Receiver Absence Update fields:

  • Care Receiver: select care receiver from drop down
  • Start Date: first full 24 hour period of absence
  • End Date: last full 24 hour period of absence
    Note: if absence is for portability over 42 days, code the end date equal to the end of the limited portability period
  • Absence Type Reason codes:
    • HSP - Hospitalisation (applies to both CA and CP)
    • RSP - Respite (applies to both CA and CP)
    • CWP - Child with partner (Respite for CP only, will not reduce CA respite allocation)
    • ETT - Education, Training and Treatment (applies to both CP and CA, but CA has special rules once 63 days exceeded)
    • RCP - Respite for CP only when exceeding 100 hours work limit
  • Regular 24hr Period PFN: only applies if updating a regular ongoing absence. Leave blank if coding a one-off absence. This is the number of full 24 hour days (midnight to midnight) the care receiver is regularly absent each fortnight
  • Absence Extended: tick if approval for an extension has been granted
  • Source:
  • DOR: date the agency was advised of the absence
  • Select Update

Warnings will appear to explain how an absence is calculated and to consider if there are any impacts on the customers payment due to the absence being recorded. Discuss any impacts and alternative payment options if needed with the customer.

  • If required, record additional absences on the Care Receiver Absence Update section of the page and select Update
  • Make all updates and select Continue
  • Go to Assessment Results (AR) screen. Check any warnings and/or ripple impacts

Note:

Will the absence coding result in the cancellation of CP due to exceeding the respite or hospital allowance?

  • Yes, CP will cancel:
    • customer may be eligible to suspend instead of cancelling. Do not finalise the Temporary cessation of care workflow activity. Take note of the date of cancellation, go to Step 3
    • customer does not want to enter a suspension period. CP will cancel automatically when respite/hospitalisation allowances have been exhausted. Finalise the activity. A DOC will be created in the carer's record. Annotate the DOC with any additional information e.g. customer has been advised of cancellation etc. Procedure ends here
  • No, CP will not cancel - finalise the activity. The workflow will create a DOC in the carer's record. Annotate the DOC to include all actions taken on the record including any updates. Procedure ends here

For Carer Allowance (CA):

  • If the customer is receiving CA and because of the absence coding CA will cancel, a separate Fast Note is needed if finalisation results in cancellation of CA payment
  • Record the decision. Use Fast Note - select Auto text, use Generic > SUS/CAN/RES > Suspend Cancel Reason

DOC all actions taken on the record including any updates. Procedure ends here.

3

Suspension of CP instead of cancellation

Carers can enter a suspension period for CP for up to 26 weeks if all the following apply:

  • they are not qualified due to ex-Wife Pension (XWP)
  • the absence is temporary
  • they have exhausted their hospitalisation and/or respite allocation
  • they do not qualify for an extension of their days
  • the Service Officer is satisfied they reside in Australia, and
  • they satisfy all other eligibility criteria

The carer can choose to enter a suspension period or not. They do not have to exhaust all their respite or hospitalisation allocation first. Discuss if the suspension is the right for the customer or if an alternate payment is a better option.

Can CP be suspended?

4

CP cannot be suspended

If the carer is not eligible for an absence extension or the extended suspension period or does not want to access the extended suspension period, tell the carer:

  • their payment will cancel at the end of the 63 days
  • they will need to claim another payment or reclaim if they return to providing care and meet eligibility for CP. To find the cancellation date, go to the Temporary cessation of care summary (ABCE) screen and select care receiver from the Care Receiver Summary (CRS) screen

DOC the record with details of the discussion and outcome and close the MFU.

Note: if a customer is receiving CA (auto) and their CP cancels, it will also impact their CA (auto). Consider if they are eligible for CA manual. See Eligibility for Carer Allowance (CA) (auto) when a carer is also receiving Carer Payment (CP) (child).

Procedure ends here.

5

Suspend CP

From the AR screen in the Temporary cessation of care workflow activity, select Do Not Finalise and then select Continue.

Note: before coding the suspension, check to see if the customer has been manually placed onto reporting (RPRS). Take the customer off reporting before applying the suspension. This makes sure the suspension is not overridden and changed to Failed to Report (FRP).

Go to the AL screen:

  • Select the started Temporary cessation of care workflow activity
  • Go to the Benefit Action (BA) screen and code the following:
    • Service Reason: CAR
    • Action: SUS
    • Reason:
      - RBX for exceeding respite, or
      - HBX for exceeding hospitalisation allowances

A suspension cannot be applied if the DOE is more than the next EPED + 28 days. If this is the case, the following error will show: E401PN DOE cannot be later than Next EPED + 28 days.

If the error:

  • shows, return to BA screen and delete the suspension coding. Finalise the activity with the future cancellation and DOC the record with the reason for not applying the suspension. A MFU is created 14 days before cancellation to follow up. Procedure ends here
  • does not show, select Continue

DOC the suspension

The AR screen shows CP suspended from the date allowable respite/hospital days were exceeded.

From the left side menu under Customer, select Document (DOC). Record on the DOC:

  • Service Reason: CAR - Carer Payment
  • Channel: choose relevant contact channel
  • Enquiry Type: CSR - Cancellation/Suspension/Rejection
  • Who:
  • Source: choose relevant source
  • Receipt Date: DOR

The summary details cannot be updated but the following must be recorded:

  • Extra Detail field: Carer Payment (CP) suspended
  • Text field: Leave the auto populated 'Absence Recorded via Temporary Cessation Workflow' and add the following:
    • Start and end date of absence
    • Date respite/hospitalisation days exceeded
    • Carer Payment (CP) suspended
    • Date of effect of suspension
    • Reason for suspension
    • Suspended under Social Security Administration Act S95CA

Finalise the activity. Procedure ends here.


Manually coding an absence in Customer First


Table 3: This table helps with manually coding respite and hospitalisation for CP and/or CA when the Temporary cessation of care workflow is not available or working in Customer First.

Expand table

Step

Action

1

Manually coding of absence - workflow not available

Absences are manually coded only when the Temporary cessation of care workflow is not available or not working in Customer First.

Is the workflow unable to be used because there is no link between the Carer Payment (CP) carer and care receiver?

2

Register absences by creating a DOC

When there is no Carer Payment (CP) link between the care giver and the care receiver, it is necessary to register absences by creating a DOC with the following format:

  • Summary Line - In the Sum: field record 'Number of <Respite or Hospitalisation> Days in <current year> = NNN for <care receiver's name>'
    • Where NNN equals the running total of nights of this particular type of absence that will have been used by the end date of this particular absence
    • For example, Number of days of Hospitalisation in 2001 = 14 for <care receiver's name>
  • Keyword: field code 'TAB'
  • Text: field record information about the absence, including start and end dates

Procedure ends here.

3

In Customer First:
  • Go to Care Receiver Summary (CRS)
  • Select the appropriate care receiver from the list
  • Select Continue

Care Receiver Task Selector (CETS) screen shows. Go to Step 4.

4

CETS screen

On this screen, select the following fields:

  • Absence Enquiry
  • Absence Details
  • Assessment Results

Select Continue and go to Step 5.

5

Updating selected screens

In Customer First the Temporary cessation of care update page shows.

Make sure the correct care receiver is shown in the Care Receiver: field. If not, use the drop down box to select correct care receiver.

Field help for the ABCE and the Absences Detail (ABSN) screens refers to absences as 'nights'.

The ABCE screen provides the summary of the absences taken in the current calendar year.

  • Code 'Y' in the Go to Absences Details Screen (Y/N): field
  • Press [Enter]. The ABSN screen shows

Is the absence a:

6

One-off absence update

For a one-off absence, the following must be coded:

  • Start Date: field - this date is the first full 24 hour midnight to midnight period of the absence. E.g. if the care receiver left home on 10 January, record the start date as 11 January
  • End Date: field - this date is the last evening the care receiver is away from home. E.g. if the care receiver returned home on 29 November, code 28 November as this was the last evening the carer was absent. The system will correctly calculate the absence. Make sure the correct dates are listed on the DOC attached to the activity in the carer's record
    • An end date must be coded for a one-off absence
    • If the carer does not provide an end date, contact them to ask for an estimated date
    • Tell the carer the situation will be reviewed as the estimated end date draws near
  • Absence Type: field in Customer First or the Reason: field in the Centrelink system:
    • HSP - Hospitalisation (applies to both CA and CP)
    • RSP - Respite (applies to both CA and CP)
    • CWP - Child with partner (Respite for CP only, will not reduce CA respite allocation)
    • ETT - Education, Training and Treatment (applies to both CP and CA, but CA has special rules once 63 days exceeded)
    • RCP - Respite for CP only when exceeding 100 hours work limit
  • Absence Extended: only tick if approval has been provided
  • Update the Source: and DOR: fields
  • Press:
    • [Update] in Customer First, or
    • [Enter] in the Centrelink system

Go to Step 8.

7

Regular absence update

For a regular absence, the following must be coded:

  • Start Date: field - this date is the first full 24 hour period (midnight to midnight) of the absence. E.g. if the care receiver left home on 10 January, the start date to be recorded is 11 January
  • Absence Type: field in Customer First or the Reason: field in the Centrelink system:
    • HSP - Hospitalisation (applies to both CA and CP)
    • RSP - Respite (applies to both CA and CP)
    • CWP - Child with partner (Respite for CP only, will not reduce CA respite allocation)
    • ETT - Education, Training and (applies to both CP and CA, but CA has special rules once 63 days exceeded)

Regular 24 hour absences PFN: field - this is the number of full 24 hour days (midnight to midnight) the care receiver is regularly absent each fortnight.

Absence Extended: only select if approval has been provided.

End Date:

Press Update in Customer First or [Enter] in the Centrelink system

Go to Step 8.

8

Continue with assessment

If a carer enters a nil rate due to ETT absences recorded, the nil rate date is shown on the Temporary cessation of care update page in Customer First or the ABCE screen in the Customer Record.

In Customer First:

The Temporary cessation of care update page will redisplay with additional fields to allow for further absences to be updated.

  • The updated data will show. Check the details
  • When all updates are completed, press [Continue]

If the absence coding results in the cancellation of CP or CA due to exceeding the respite or hospital allowance, CP will cancel:

  • customer may be eligible to suspend instead of cancelling. Do not finalise the activity. Note down the date of cancellation, go to Step 9
  • customer does not want to enter a suspension period. CP will cancel automatically when respite/hospitalisation allowances have been exhausted. Finalise the activity. Go to Step 10

If the absence coding does not result in cancellation of CP, go to Step 10

For Carer Allowance (CA), go to Step 10.

9

Consider a Suspension

Note:

  • before coding the suspension, check if the customer has been manually placed onto reporting (RPRS). Take the customer off reporting before applying the suspension. This makes sure the suspension is not overridden and changed to Failed to Report (FRP)
  • if a customer is receiving CA (auto) and their CP cancels, it will also impact their CA (auto). Consider if they are eligible for CA manual. See Eligibility for Carer Allowance (CA) (auto) when a carer is also receiving Carer Payment (CP) (child)
  • Go to Benefit Action (BA) screen and code the following:
    • Service Reason: CAR
    • Action: SUS
    • Reason:
      - RBX for exceeding respite, or
      - HBX for exceeding hospitalisation allowances

A suspension cannot be applied if the DOE is more than the next EPED + 28 days. If this is the case, the following error will show: E401PN DOE cannot be later than Next EPED + 28 days.

If the error:

  • shows, return to BA screen and delete the suspension coding. Finalise the activity with the future cancellation and DOC the record with the reason for not applying the suspension. A MFU is created 14 days before cancellation to follow up. Procedure ends here
  • does not show, select Continue

DOC the suspension

The AR screen shows CP suspended from the date allowable respite/hospital days were exceeded.

From the left side menu under Customer, select Document (DOC). Record on the DOC:

  • Service Reason: CAR - Carer Payment
  • Channel: choose relevant contact channel
  • Enquiry Type: CSR - Cancellation/Suspension/Rejection
  • Who:
  • Source: choose relevant source
  • Receipt Date: DOR

The summary details cannot be updated but the following must be recorded:

  • Extra Detail field: Carer Payment (CP) suspended
  • Text field: Leave the auto populated 'Absence Recorded via Temporary Cessation Workflow' and add the following:
    • Start and end date of absence
    • Date respite/hospitalisation days exceeded
    • Carer Payment (CP) suspended
    • Date of effect of suspension
    • Reason for suspension
    • Suspended under Social Security Administration Act S95CA

Finalise the activity. Procedure ends here.

10

Finalise activity
  • Include on the DOC the end date if it is an estimate by the carer
  • Go to the AR screen and finalise the activity

If the absence relates for the dependent child of a lower ADAT score adult care receiver, who is not receiving CA for the dependent child, a DOC with the following format must be recorded on the care receivers record.

  • Summary Line: Number of <Respite/Hospitalisation> Days in <current year> = NNN for <Care Receiver's Name>
    • Where NNN equals the running total of days of this particular type of absence that will have been used by the end date of this particular absence
    • For example, Number of days of Hospitalisation in 2001 = 14 for Joe XXXXX
  • Keyword: code 'TAB'
  • Text: provide information about the absence, including start and end dates
  • Procedure ends here

Applying discretion to extend respite past 63 days under special circumstances


Table 4: This table explains how to update a record when there is a special reason for a carer exceeding the 63 days allowable for temporary cessation of care (respite) in a calendar year.

Expand table

Step

Action

1

For SSO - APS5/6 approval officer

When considering if a special circumstance applies, there should be a definite period for when the care receiver will return to the care of the carer.

From the Document List (DL), select the direct referral DOC in the carers record.

Annotate the DOC with the decision to either approve/not approve the extension.

2

Applying the decision

Was the decision to extend respite approved?

  • Yes, approval given to extend past 63 days, go to Step 3
  • No, payment will automatically cancel one the 63 days respite have expired unless the customer is eligible for an extended suspension period of up to 26 weeks (6 months)
    Where possible, call the carer to advise that the respite extension has not been approved, and issue the carer with a manual letter (Q999) to advise the decision and include the Appeal paragraph. For more information on Q999 letters, see Creating a Q999 or Q888 letter. Procedure ends here

3

Code the absence extension

All absence extensions are updated using the Temporary cessation of care workflow.

To code the extension in:

4

Updating the Temporary cessation of care workflow in Process Direct
  • Key START into the Super Key
  • Select the Temporary cessation of care workflow from the Task Selector
  • On the Temporary cessation of care summary (ABCE) screen, select Expand next to the Care Receiver's name to view the breakdown and history of absences. Note: if a different period is needed, select the required period using the drop-down box in the Period to display field
  • Select Next
  • The Temporary absence details (ABSN) screen displays

Update the absence:

  • Select Edit next to the appropriate Care Receiver Name
  • Open the drop-down box in the Absence Extended field and select Y
  • Select Save
  • Complete the Receipt Date and Channel
  • Select Save
  • The ABSN screen displays showing the updates made
  • Select Assess
  • On the errors (SWE) screen. select ABSN from the Task Selector and select Next
  • On the ABCE screen, select Expand next to the Care Receiver's name. Confirm that the total absences have been updated under the Absence type Respite - extension
  • Select Assess
  • On the SWE screen, select Assess again
  • Check the details on the Entitlement (ELD) screen
  • Finalise the activity

Record details on a Note of all actions taken on the record including any updates.

Procedure ends here.

5

Updating the Temporary cessation of care workflow in Customer First

Code the absence extension using the Temporary cessation of care workflow. If the workflow is not available or not working, update the absence manually. For manual coding, go to Step 6.

  • Run the Temporary cessation of care workflow. The Temporary cessation of care summary page will show
  • Expand the page for the applicable care receiver by clicking on the arrows (>>) next to the care receiver's name. This shows the full summary of the history of absences for the period displayed. Note: if a different period is needed use the drop down box in the Period to Display: field at the top of the page
  • Press Continue. The Care Receiver Absence Update page will show

Update the absence by:

  • Selecting the appropriate care receiver from the drop-down box in the Care Receiver: field, then tick the Absence Extended: field. Select the Update button. The updates made will show
  • Check for accuracy and select Update to show the Absence Updates Summary page
  • If more absence updates are required, repeat the previous steps to update
  • If no more updates are needed, select Continue
  • The Assessment Results for Activity page will show. Finalise activity and exit the workflow
  • Record all updates on a DOC, including the details of the APS5/6 who approved the extension

Procedure ends here.

6

Manual coding of updates in Customer First

Manual coding is used only when the Temporary cessation of care workflow is not available.

  • In carer's record, select the:
    • CDA/MFU with review reason 14W, and/or
    • CAR/AAP with review reason RSP
  • Make sure the correct care receiver has been selected. If not, go to the Care Receiver Summary (CRS) screen in the carer's record and select the appropriate care receiver
  • Select Continue

The Temporary cessation of care update page will show. Go to Step 7.

7

Update extended absence

Update:

  • In Customer First, tick the Absence Extended: field
  • In Customer Record code 'Y' in the Absence Extended: field

This makes sure the Carer Payment (CP) and/or Carer Allowance (CA) will not cancel once the absence extends beyond the 63 respite care days allowable per year.

8

Finalise the activity

Complete the following fields:

  • Source
  • in Customer First Receipt Date: field, or
  • in the Customer Record, the DOR: field

Finalise activity

  • In Customer First select Update. If more absence updates are required, complete the Care Receiver Absence Update section of the page for the additional absences. If no more updates are needed, select Continue
  • Finalise activity on the Assessment Results (AR) screen
  • Record details on a DOC in the carer's record, including the name of the APS5/6 level officer who made the extension decision. The decision to allow an extension must be recorded on a DOC