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Home Equity Access Scheme (HEAS) cancellation, restorations and rejections 065-19060321



For the Home Equity Access Scheme National team only

This page contains information for the Complex Assessment Officers (CAO) about cancelling, rejecting and restoring HEAS fortnightly payments. For details about advance payments, see Advance payments for Home Equity Access Scheme loans.

On this page:

Coding claim rejections

Coding payment cancellations

Coding payment restorations

Processing the HEAS applications within the 13 week rejection period

Coding claim rejections

Table 1: applications for the HEAS are processed through Process Direct. See Processing Home Equity Access Scheme claims for more details.

Step

Action

1

Manual rejection + Read more ...

The HEAS applications require manual rejection if the customer:

  • fails to return information within the requested timeframe
  • has voluntarily requested withdrawal of their application
  • was not physically present in Australia on the date the application was lodged
  • has not agreed to the HEAS terms and conditions

Manual rejections can also be applied where the delegate has made a discretionary decision that the value of a person’s real assets are not sufficient to secure repayment of a HEAS loan.

For details about how to determine if a manual rejection reasons applies see Assessing Home Equity Access Scheme applications.

Does the application need to be manually rejected?

2

Auto-rejections + Read more ...

Code all claim information then select Assess to enable the system to automatically determine if the claimant is eligible. The system assessment is based on the coding entered and any existing data on the customer’s record.

If the outcome is a rejection, the rejection reason will display on the Entitlement (ELD) screen within the Process Direct claim.

Has the system automatically determined the HEAS claim is to be rejected?

3

Review provisional rejection outcome + Read more ...

Review the rejection displayed on the Entitlement (ELD) screen and determine whether the provisional outcome is correct. Do not finalise the claim if there is any doubt that the correct rejection reason has been applied.

For help identifying what a cancellation reason code indicates, see Resources for a list of codes and refer to Assessing Home Equity Access Scheme applications for further assistance.

Is the rejection outcome correct?

  • Yes, proceed to finalise the claim. Upon finalisation of the claim a letter automatically issues to the customer to advise of the claim rejection. See the History Summary (HS) screen for letter details. Procedure ends here.
  • No, go to Step 4

HEAS Rejection (REJ) - Age requirements not met (APA)

Where a HEAS claim is rejecting for reason is APA. The property ID  must  be removed from the HEAS/PLS screen to prevent any future HEAS payments commencing when the customer reaches their Age Pension age.

4

Unexpected or incorrect outcome + Read more ...

If the provisional outcome on the Entitlement (ELD) screen is unexpected or incorrect, check the HEAS claim coding is correct and make any necessary updates, then assess the HEAS claim again. For help determining the correct HEAS outcome see Assessing Home Equity Access Scheme applications.

If the coding is correct, and the system is assessing an incorrect outcome, raise an incident via the Roxy Digital Assistant. The HEAS claim will be automatically placed on hold pending a resolution of the ICT assessment issue. Procedure ends here pending ICT advice.

For further information see Processing claims for the Home Equity Access Scheme.

Coding payment cancellations

Table 2: cancellation coding for the HEAS fortnightly payments is conducted in Customer First or Customer Record.

Step

Action

1

Manual cancellation + Read more ...

Fortnightly HEAS loan payments need to be manually cancelled if the customer:

Manual cancellations can be applied where the delegate has made a discretionary decision that the value of a person’s real assets is no longer sufficient to secure repayment of a HEAS loan.

Do the HEAS loan payments need to be manually cancelled?

  • Yes, in Customer First or Customer Record, go to the HEAS Details (PLS) screen:
    • Enter the Effect Date for the cancellation
    • Set the Cease Loan Indicator to 'Y' to prevent further HEAS loan payments from being issued
    • Code the applicable cancellation code in the Reject/Cease reason field
    • Navigate to the Assessment Results (AR) screen and finalise the activity. A cancellation letter will be automatically generated and issued to the customer to advise of the cancellation
    • On the Document List (DL) screen create a DOC and record the decision, including the reason payments have been cancelled. Procedure ends here.
  • No, go to Step 2

2

Auto-cancellations + Read more ...

Fortnightly HEAS loan payments automatically cancel in response to certain changes in a customer’s circumstances. The change of circumstance may be caused by an automated system update or manual coding by staff.

To trigger an auto-cancellation through a manual coding update, code the relevant change of circumstance then navigate to the Assessment Result (AR) screen. Before finalising the activity, check the provisional outcome:

  • Go to the XPDETR screen
  • Enter PHLS in the Nxt: field and press [Enter]
  • If a provisional cancellation exists it will be indicated by the following:
    • a provisional PHLS.AMR will exist (indicated if the AMR number is followed by 'P', e.g. 123P)
    • the provisional status will be CAN in the PHLS.LOAN.STS.CODE field
    • a provisional cancellation reason code will display in the PHLS.LOAN.RSN.CODE field

Make sure the provisional outcome is correct before finalising the activity. For help determining the correct outcome see Eligibility for the Home Equity Access Scheme. Resources provides a list of cancellation reason codes.

Upon finalisation of an activity that results in a cancellation, the following occurs:

  • The Cease Loan Indicator on the HEAS Details (PLS) screen is set to 'Y' to prevent further loan payments from being issued
  • The applicable cancellation reason displays in the Reject/Cease reason field on the PLS screen
  • A letter is automatically generated and issued to the customer to advise that their loan payments have stopped. See the History Summary (HS) screen for letter details

Is the cancellation outcome correct?

3

Unexpected or incorrect outcome + Read more ...

If a cancellation of HEAS loan payments has occurred unexpectedly or incorrectly, or has not been applied as expected, check the coding on the HEAS Details (PLS) screen and the circumstance information on the customer’s record. If the coding is not correct, make any necessary updates and reassess the activity via the Assessment Results (AR) screen.

If the coding is correct, and the system is assessing an incorrect outcome, raise an incident via mySupport -  Home Equity Access Scheme (HEAS) issues webform. Place HEAS claim on hold pending a resolution of the ICT assessment issue. Procedure ends here pending ICT advice.

If the HEAS loan payment needs to be restored, see Table 3.

Procedure ends here.

Coding payment restorations

Table 3: this table describes the coding required for starting fortnightly loan payments.

Step

Action

1

Auto-restoration + Read more ...

Fortnightly HEAS loan payments automatically restore if the cancellation reason is STS (no qualifying payment) and the qualifying payment is restored. The HEAS loan payment will automatically start when the qualifying payment is restored to a current status.

Most qualifying payments can only be restored within 13 weeks of a cancellation occurring, therefore by default the auto-restoration of a HEAS loan payment is subject to the same restriction.

Consideration can be given to a manual date of effect of fortnightly HEAS loan payments, if auto-restoration has not occurred.

For information about manually starting fortnightly HEAS loan payments, go to Step 2.

2

Manual restoration + Read more ...

Fortnightly HEAS loan payments can be manually started if:

There is no time limit on how long after a cancellation HEAS loan payments can be started, however if there is any doubt as to whether the customer is still qualified , consider whether further information is required to re-establish their eligibility before starting the customer’s fortnightly HEAS loan payments.

Where a HEAS customer requests their loan payments be restored from a date prior to the current entitlement period end date on the PLS/HEAS screen, a Complex Assessment Officer must calculate the arrears the system may need to pay via the Payment Adjustment (PYAJ) screen. See Assessing Home Equity Access Scheme (HEAS) applications.

If it has been more than 13 weeks since a HEAS advance payment has been made or the fortnightly HEAS loan payments stopped, the customer will be required to lodge evidence to enable eligibility to be re-established. The customer will be asked to complete the Home Equity Access Scheme review (SA498) form.

Is the customer eligible to have their loan payments restored?

  • Yes, in Process Direct go to the HEAS Details (PLS) screen:
    • Enter the Effect Date for the restoration.
    • Set the Cease Loan Indicator to 'N' to enable HEAS loan payments to start
    • Remove the cancellation reason from the Reject/Cease reason field
    • If the HEAS loan payment is to be started as a HEAS loan only payment, set the HEAS Only Claim indicator to 'Y' (this will prevent pension components from being incorrectly calculated and paid)
    • If the HEAS payment is being restored to issue an advance payment only (without fortnightly HEAS loan payments), set the Loan Topup Type on the PLS screen to ADV. Code the advance payment details on the HEAS Advance (HEASADV) screen
    • Go to the Assessment Results (AR) screen and check to ensure the outcome and payments are correct before finalising the activity. A letter automatically generates and issues to the customer to advise of the restoration. See the History Summary (HS) screen for letter details
    • On the Document List (DL) screen create a DOC and record the decision, including the reason payments have been restored
  • No, on the Document List (DL) screen create a DOC and record the reason for the decision on the customer’s record

Note: when starting fortnightly HEAS loan payments as a HEAS loan only arrangement, the qualifying payment may need to be restored first via the Benefit Action (BA) screen or reindexed as a new claim. The Effect Date for the HEAS Only Claim indicator on the PLS screen must align with the pension restoration date to ensure pension payments are not incorrectly paid.

Processing the HEAS applications within the 13 week rejection period

Table 4

Step

Action

1

Create a Social Application + Read more ...

2

Processing the HEAS claims + Read more ...

See Processing claims for the Home Equity Access Scheme.

Note: there is no reference to 'reclaiming' in the Social Security (Administration) Act 1999.

A reclaim is an alternative form of claim, approved by the Secretary to be applied in circumstances where a payment is claimed in the recent past and then cancelled or rejected. The HEAS is not approved by the secretary as an alternative form of claim.