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Vacation of home to enter care situation (INH) reviews 110-02090000




A system issue exists about Pending RADs. See NNU - Pending RAD not able to be coded for sale of home.

This document outlines information on reviews that are conducted for customers who have vacated their principal home to enter a care situation.

On this page:

Reviewing the customer’s details

Actioning INH reviews

Reviewing the customer’s details

Table 1: steps required for a vacation of home to enter care situation (INH) review.

Expand table

Step

Action

1

Vacation of home to enter care review

If a vacation of home to enter care situation (INH) review has matured, the Manual Follow-up (MFU) can be found on the Activity List (AL) screen with the code 'INH' (vacation of home).

Is the customer or partner currently in receipt of an income support payment (includes suspended payments) and/or have a benefit status of RCA/CUR or RCA/NCL?

  • Yes:
  • No, no review required:
    • Remove the reason and date home vacated from the Accommodation Details (AC) screen
    • Finalise the INH review
    • Record details on a DOC. Use Fast Note - select Auto text, use Assessments and Reviews > Income and assets > 2YR Home Vacation Review. Link the Fast Note to the transaction or activity before completing
    • Procedure ends here

2

Customer is deceased

Have any documents for the vacation of home review been returned?

  • Yes, see Table 2
  • No, Service Officers in service centres or smart centres can:
    • Restore payment from the date payment was suspended
    • Finalise the INH review
    • Record details on a DOC. Use Fast Note - select Auto text, use Assessments and Reviews > Income and assets > 2YR Home Vacation Review. Link the Fast Note to the transaction or activity before completing
    • Proceed with death action
    • Procedure ends here

3

Blind customers

Customers getting DSP (Blind) or Age Pension (Blind) payments may not need to disclose their income and assets. Check the Benefit Status line on Customer Summary.

Is this customer getting DSB - DSP (Blind) or AGB - Age Pension (Blind)?

4

DSB or AGB customer

Customers getting DSB - DSP (Blind) or AGB - Age Pension (Blind) payments do not need to disclose their income and assets, unless they:

  • are getting or claiming Rent Assistance (RA), or
  • have a partner who is getting or claiming an income and asset tested payment
  • Check Pension Disability Information (PDI) and Accommodation Circumstances Summary (ACS) screens.

Is the customer required to disclose their income and assets?

  • Yes, go to Step 5
  • No, no review required:
    • Remove the reason and date home vacated from the Accommodation Details (AC) screen
    • Finalise the INH review
    • Record details on a DOC. Use Fast Note - select Auto Text, use Assessments and Reviews > Income and assets > 2YR Home Vacation Review. Link the Fast Note to the transaction or activity before completing
    • Procedure ends here

5

Benefit status of RCA/CUR or RCA/NCL

If customer or partner have benefit status of RCA/CUR or RCA/NCL updates to Residential Care Asset Assessment (RCAA) screen may be required.

Does the customer or partner have a benefit status of RCA/CUR or RCA/NCL?

  • Yes:
    • Aged Care skilled staff only can complete this process. Aged Care staff must complete all required RCAA screen updates, go to Step 6
    • Non Aged Care staff refer to Aged Care (RCA) team by creating a Fast Note - select Auto text, use Aged Care > Enquiry > Aged Care Principal Home, Procedure ends here
  • No, go to Step 6

6

Prior relationship status

Check the Marital Status (MS) screen. Confirm if customer is currently or was previously a member of a couple since the date they entered a care situation.

Check the RCA Institution Summary (RIS) and Accommodation Details (AC) screens for date home vacated to enter care.

Has the customer remained single since the date they entered a care situation?

7

Current relationship status

INH reviews may be set, but no longer required if:

  • both parties enter a care situation where one member of the couple returns to the principal home
  • there has been a change in relationship status from single to partnered since entering care

Is the customer currently coded as partnered on Marital Status (MS) screen?

8

Partner is a homeowner

Is the customer’s current partner currently a homeowner, for example, living in the principal home or proceeds of sale exempt?

  • Yes, the customer remains a homeowner while their partner is considered a homeowner. On Accommodation Details (AC) screen:
    • Home Ownership for customer remains a homeowner (GFH)
    • Home Ownership for partner remains a homeowner (HOM)
    • Clear the Reason Home Vacated field
    • Clear the Date Home Vacated field
    • Date of receipt - see Date of receipt
    • Make sure the correct qualifier code exists on Marital Status (MS) screen - ILC for customer and ILP for partner. See Assessment of circumstances for a couple separated due to illness
    • Check the customer's address has been updated to their aged care home, see Change of address to an aged care home
    • Check the proceeds of the sale and exemption have been correctly recorded? See Sale of principal home
    • Finalise the INH review
    • Record details on a DOC. Use Fast Note - select Auto text, use Assessments and Reviews > Income and assets > 2YR Home Vacation Review. Link the Fast Note to the transaction or activity before completing
    • Procedure ends here
  • No, go to Step 9

9

Partner in a care situation

Check the RCA Institution Summary (RIS) and Accommodation Details (AC) screens for date home vacated to enter care situation.

Has the customer's partner vacated the former home to enter a care situation at a later date than the customer?

  • Yes, set a new vacation of home review date (this only applies if the date the partner entered care is later than the customer):
    • Update the Date Home Vacated field on the customer's AC screen. This will be the date the partner entered care. Code ‘INH’ in the Reason Home Vacated field
    • This creates a new INH review
    • A 2 year exemption period applies from this date
    • Finalise the INH review. Do not finalise if the new expiry date is within 6 weeks of the 2 year end date, see Table 2
    • Record details on a DOC. Use Fast Note - select Auto text, use Assessments and Reviews > Income and assets > 2YR Home Vacation Review. Link the Fast Note to the transaction or activity before completing
  • No, see Table 2

10

Previous partner

If a care recipient has been a member of a couple at any time while in care, the date the home was vacated may need to be changed. This depends on what has happened to the care recipient's partner and the former home.

Death of partner

If a customer’s partner passed away after the customer vacated their home to enter a care situation, the start date of the 2 year exemption is set from the later of the date:

  • the customer entered a care situation
  • the partner entered a care situation
  • of the partner’s death, if they lived in the principal home

On the AC screen:

  • Update the Date Vacated Home field on the surviving customer's AC screen, to the date of death of their deceased partner. Code INH in the Reason Home Vacated field
  • This creates a new INH review
  • Finalise the INH review. Do not finalise if the new expiry date is within 6 weeks of the 2 year end date, see Table 2
  • Record details on a DOC. Use Fast Note - select Auto text, use Assessments and Reviews > Income and assets > 2YR Home Vacation Review. Link the Fast Note to the transaction or activity before completing

Customer separates

If a customer separates after vacating their home to enter a care situation, the start date of their 2 year exemption is the date the customer entered a care situation.

The end date of the exemption may revert to an earlier date if:

  • the original review date was based on a later date because the previous partner entered care, or
  • no review was set as the customer's previous partner was residing in the principal home

The exemption period does not start from the date the relationship ended.


Actioning INH reviews

Table 2: steps to confirm the status of the former principal home for vacation of home to enter care situation (INH) review

Expand table

Step

Action

1

Incentivising to Downsize Reviews (2 year home vacation reviews)

Do not cancel the activity.

Note: staff must not cancel a 2 year home vacation review activity to action updates in another activity or platform, unless supported by reference material.

If staff are allocated a work item for an Incentivising to Downsize Review (2 year home vacation review) and they:

2

Real estate recorded

If the customer has sold or rented their former principal home, notification should have been provided for the:

If the former principal home was rented, the home should already be recorded on the Real Estate (RE) screen as Type: EXE (exempt asset General 2 year exemption). The rental income should be included in the income test and the asset exemption ended at the end of the 2 year exemption.

Is the former principal home already recorded on Real Estate (RE) screen?

3

Life interest in former principal home

Check Accommodation Details (AC) screen for:

  • LIF - Bequeathed life interest
  • DEE - Deemed interest code

Does the customer have a life interest or deemed interest in the former home?

4

Evidence of sale of former principal home

Check the customer's record for evidence the former home has been sold, including:

  • AC screen - customer Homeowner Ownership field - was a homeowner (e.g. codes GFH, NHH or HOM) at the time entered care, now a non-homeowner (codes GFN, NHN or NHO)
  • Savings Summary (SVS) screen - significant increase in funds since the date of entering care
  • DOCs (including archived) - notification of sale and distribution of proceeds
  • Documents provided to confirm the sale of the former home

Confirm on the record that either:

Is there evidence of either of the above?

5

Request for information

Has a request for information (QSS32- HVR Vacation of home to enter care (INH) review) letter been sent to the customer?

6

Vacation of home review request for information

Before issuing a Request for information (RFI), a genuine attempt to contact by phone must be made to:

  • clarify or gather more information
  • help the customer in providing the correct information for the first time
  • provide an efficient outcome for the customer

Make a request for information using a QSS32 - HVR Vacation of home to enter care (INH) review.
Note: tailor the request for information to the customer’s circumstances:

  • If the customer has a correspondence nominee, copies of letters and notices sent to the customer must also be sent to the nominee
  • If a correspondence nominee is not recorded or documented, include the optional text on how to get an Authorising a person or organisation to enquire or act on your behalf (SS313) form
  • Take care when a customer has a current Residential Care Assessment (RCA) record. The customer may be in an aged care home and not able to notify of their change of address or circumstances. Check that the request for information is being sent to the correct address
  • Place the INH review on hold for 21 days+ delivery (allow extra time for surface mail delivery)
  • Record details on a DOC. Use Fast Note - select Auto text, use Assessments and Reviews > Income and assets > 2YR Home Vacation Review
  • Procedure ends here pending response

7

Confirm and contact

If the requested documents have not been provided, make a genuine attempt to contact the customer and/or nominee to:

  • explain the home vacation review requirements
  • confirm ownership of the former principal home
  • confirm current mailing addresses for customer and nominee (update if required)
  • decide if an extension is needed to provide requested documents

Take care when a customer has a current Residential Care Assessment (RCA) record. The customer may be in an aged care home and not able to notify of their change of address or circumstances. Check that the request for information has been sent to the correct address.

If there is a correspondence nominee, check if copies of the request for information have been issued.

For action to take for Residential Care Assessment (RCA) customers, see:

Has the end date of the 2 year exemption been reached?

  • Yes, go to Step 14
  • No:
    • hold INH review for the end date of the 2 year exemption
    • record details on a DOC. Use Fast Note - select Auto text, use Assessments and Reviews > Income and assets > 2YR Home Vacation Review
    • procedure ends here

8

Details of former home

Does the customer still own the former principal home?

9

Former home not sold

INH reviews may be set, but are no longer required if:

  • single customer returns to principal home
  • both parties enter a care situation where one member of the couple returns to the principal home
  • there has been a change in relationship status from single to partnered since entering care

Has the customer (or partner) returned to living in the principal home within 2 years of the date vacated?

  • Yes, the customer remains a homeowner:
    • On Accommodation Details (AC) screen:
      Home Ownership field for customer remains a homeowner
      Event Date is the date the customer returned to the principal home
      Clear the Reason Home Vacated field
      Clear the Date Home Vacated field
    • Finalise the INH review
    • Record details on a DOC. Use Fast Note - select Auto text, use Assessments and Reviews > Income and assets > 2YR Home Vacation Review. Link the Fast Note to the transaction or activity before completing
    • Procedure ends here
  • No, go to Step 10

10

Former home not sold at end of 2 year exemption

If the former home has not been sold at the end of the 2 year exemption:

  • the customer is treated as a non-homeowner
  • the principal home is an assessable asset

On the Accommodation Details (AC) screen update:

  • Home Ownership with the required non-homeowner code:
    • GFN - Non homeowner in Govt funded Aged Care
    • SRN - Non homeowner Lives in Special Residence
  • Event Date: the end date of the 2 year exemption
  • Clear the Reason Home Vacated field
  • Clear the Date Home Vacated field
  • Date of Receipt - see Date of receipt
  • Update partner's AC screen if relevant

Is the former home a retirement village unit?

11

Update real estate screens

If the former principal home is already coded on the REBI screen (due to rental income) as an exempt asset General 2 year exemption code NAA, end date the entry:

Update the REBI screen: Remove any entry in Sold/Gifted/Ceased and code 'C' for change in Action field.

Update the Real Estate (RE) screen with the following details from MOD R:

  • % Asset Owned
  • Current Market Value
  • Gross Annual Income
  • Allowable Income Dedns
  • Annual Interest
  • Make sure the Curtilage type field is blank as curtilage no longer applies
  • Event Date is the end date of the 2 year exemption
  • RCA former principal home - change to Yes

If the former home was not recorded on REBS screen, record the former home on the RE screen as an assessable asset.

Follow the process for Assessing and coding the Real estate details Mod R: The Event Date on the RE screen is the same as recorded on the AC screen.

Finalise the INH review.

Note: if there is an unfavourable decision, see Advising verbally of an unfavourable decision.

Record details on a DOC. Use Fast Note - select Auto text, use Assessments and Reviews > Income and assets > 2YR Home Vacation Review. Link the Fast Note to the transaction or activity before completing.

If the customer is deceased, proceed with the death action.

Procedure ends here.

12

Former home is a retirement village unit

If the former home is a retirement village and the customer has not received a refund of their entry contribution:

  • Check the Other Assets Summary (OASS) screen to see if any entry contribution is being assessed. If it is, select it to go to the OAS screen
  • Enter the description as 'OTHER ASSET'
  • In the Total Asset $: field, update value as detailed below:
  • If the customer has not received a refund but expects to later, for example, when the unit has sold, do not remove the asset value of the entry contribution until the refund is received

If an assessable amount is not already coded, the net refundable amount should now be on the OAS screen as it is no longer exempt. This is because the Entry Contribution was exempt (more than the Extra Allowable Amount).

If the customer has not received a refund, check the contract for the previous retirement village:

  • If the terminology indicates a loan has been created between the customer and the retirement village, the deeming provisions would apply on the balance due to the customer. See Loans
  • If not, then deeming would not apply

Procedure ends here.

13

Former home sold

If the home is sold during the 2 year exemption period:

  • the customer is treated as a non-homeowner, and
  • proceeds of sale are assessed as an asset and subject to deeming from the date of sale of the former principal home

On the Accommodation details (AC) screen update these fields:

Update Home Ownership with the required non-homeowner code:

  • GFN - Non homeowner in Govt funded Aged Care, if not already coded
  • SRN - Non homeowner Lives in Special Residence, if not already coded
  • Event Date: settlement date for the sale of the home
  • Clear Reason Home Vacated
  • Clear Date Home Vacated
  • Date of Receipt - see Date of Receipt

Update the partner's AC screen if relevant.

Follow the process for Sale of principal home.

Code the income and asset changes including updating the Household and Personal Effects (HPE) from the Other Asset Summary (OAS) screen with value provided by the customer.

Finalise the INH review.

Note: if there is an unfavourable decision, see Advising verbally of an unfavourable decision.

Record details on a DOC. Use Fast Note - select Auto text, use Assessments and Reviews > Income and assets > 2YR Home Vacation Review. Link the Fast Note to the transaction or activity before completing.

If the customer is deceased, proceed with the death action.

Procedure ends here.

14

Suspend income support payment

If the customer was issued an appropriate request for information/action and has failed to reply within the allowable time, the payment may be suspended FRC.

Refer to the payment specific process for suspension instructions:

DOC the suspension of payment and include the text:

Please refer to the 2YR Home Vacation Review DOC dated (xx/xx/xx) for further information relating to this matter.

Close DOC - 2YR Home Vacation Review.

Finalise the INH review adding in the notes ‘payment suspended FRC'.

15

Customer is deceased

Before completing the death action:

  • Restore the payment from the date payment was suspended
  • Finalise the INH review
  • Record details on a DOC. Use Fast Note - select Auto text, use Assessments and Reviews > Income and assets > 2YR Home Vacation Review. Link the Fast Note to the transaction or activity before completing
  • Proceed with death action
  • Procedure ends here