Coding periodic compensation payments and raising debts 117-03010020

Table 1

Table 2: this table shows when an update is required to the Preliminary Notice ‘Issue Advice’ field.

Table 3: this table shows outcomes for the Issue Advice: field for Compensation Recovery Notices.

Valid Codes:

• BENEFIT: In receipt of a benefit/allowance
• PENSION: In receipt of a pension

If the compensation recipient is partnered:

• select the compensation recipient’s current payment stream, or
• when the compensation recipient has lodged multiple claims (for example, JobSeeker Payment and Disability Support Pension) select the payment stream which will be granted first, or
• select the partner’s current payment stream if the compensation recipient is not claiming or receiving a Compensation Affected Payment (CAP)

Note: when the compensation recipient has not claimed or received a CAP since their date of injury, the compensation is treated as ordinary income for the calculation of their partner's rate. Use the partner’s current payment stream in this field.

When a compensation recipient is partnered, this field records if the compensation recipient is qualified for a Compensation Affected Payment (CAP).

These tables show how to update the Recipient Assessment CAP Qualified: field when the compensation recipient has a partner.

Incident after CAP grant – Yes

Table 4

Incident after CAP grant- No

Table 5

When a compensation payer has advised that periodic compensation ceased, staff must investigate the advice to correctly determine the date the payments have been paid up to and including. In some cases, the payer will advise this date. However, in many cases the language used can be unclear and staff must interpret the language used in each case to determine the correct To Date to use when ceasing periodic compensation.

For example, if the compensation payer advises periodic payments:

• Ceased from 20 May 2022 - code the To Date as 19 May 2022
• Ceased 20 May 2022 - assume this is when payments ceased from and code the To Date as 19 May 2022
• Paid up to 20 May 2022 - code the To Date as 20 May 2022

Each state and territory have their own workers compensation scheme, including Commonwealth schemes. Some workers compensation schemes include an Employer Excess or Liability period. During this period, the employer is responsible for paying for the injured worker’s first one to two weeks of incapacity.

When calculating a charge to the compensation payer, any Employer Excess/Liability period must not be included.

If the Compensation advice of periodic payments (SS445) includes a period that the compensation payer may not be liable to pay, staff must contact the compensation payer to confirm the correct details, including compensation start date.

If the customer has provided a payslip, record any periodic compensation paid during the Employer Excess/Liability period in CMS under ongoing for the period it represents.

Staff can find more details about Employer Excess/Liability periods on the Safe Work Australia website > Table 3.9: Employer excess.

For APS5 staff with access to move limiting dates:

• Limiting dates can be moved on the Limiting Date (LMTD) screen if the existing reason is BLK in the relevant system
• Moving the limiting date to an earlier date will let the reassessment occur before the BLK limiting date
• If moving a BLK limiting date, it needs to be moved to the date after the previous limiting date recorded
• The limiting date cannot be moved for any other reason, for example, DOC, LNK, ULK, NCL or BTR

How to move the limiting date:

• Identify the BLK Limiting date for the correct system. The system displays on the LMTD screen. There will be different dates in each system
  for example 01 MAR 2015 BLK PEN
• Identify the earlier limiting date displayed below the BLK limiting date
  for example, 27 MAR 2009 NCL
• In the Event Date field, key the date one day after the earlier limiting date
  for example, 28 MAR 2009 = 27 MAR 2009 + 1 Day
• Key details in Notes:
  'LIMITING DATE MOVED BACK AS FAR AS IT WILL GO TO ALLOW REASSESSMENT PRIOR TO BLK LIMITING DATE’
• Enter Source: INT and DOR: the date source document was received
• Press [Enter], this should show:
• the original BLK limiting date as deleted, for example,1 March 2015 AMR is deleted
• the date keyed as the only other limiting date, for example, 28 MAR 2009

Compensation advice of periodic payments (SS445)

Compensation and damages (MOD C)

Updating periodic compensation payments

Ceasing periodic compensation payments