Processing an Assistance for Isolated Children (AIC) claim 010-03020040
For Assistance for Isolated Children (AIC) Smart Centre Processing staff.
This document outlines how to assess and code a claim for Assistance for Isolated Children (AIC).
On this page:
Update the EIC Claim Details (EICD) screen
Continue to process and finalise an AIC claim
AIC claim pre-checks
Table 1
Action | |
Claim for Assistance for Isolated Children (AIC) (SY040) receivedCheck the applicant has completed the declaration on the SY040 form and has:
and
If the claim is incomplete, unsigned or more details are needed, staff must make genuine attempts to contact the applicant to obtain the details. Note: if an organisation is applying for AIC, an Assistance for Isolated Children (AIC) - Organisation details form (SY067) is required. Has the claim form been filled out correctly, declaration been dated and the applicant has ticked the digital declaration or signed the form by hand?
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Age of claimIs the date of receipt of the claim 18 days or more in the past?
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Issue a request for informationA request for information will need to be issued if:
On the applicant's record, go to the History Summary (HS) screen. View the list of recent correspondence created in Customer First. Has a Q760 AIC - Request for information - incomplete claim letter been previously issued to the applicant for this claim?
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Requested information not providedIf the missing information is:
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Claim lodgementDetermine the student's AIC entitlement start date, see Determining the entitlement start date for Assistance for Isolated Children (AIC). If the claim was lodged greater than 13 weeks prior to AIC eligibility, establish if the claim can be accepted as an early claim. Has the claim been lodged greater than 13 weeks prior to AIC eligibility?
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Most beneficial claimApplicants may claim for AIC when they are entitled to another payment. Did the customer lodge the most beneficial claim for the student?
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Approved applicant for AICDetermine if the applicant is an approved applicant for AIC, see Determining who can be the applicant for Assistance for Isolated Children (AIC). Is the applicant an approved applicant for AIC?
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Check general eligibility for AICCheck both the applicant and student meet the general eligibility criteria for AIC, see Assistance for Isolated Children (AIC) eligibility. Do both the applicant and student meet the general eligibility criteria for AIC?
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EIA service reasonOn the applicant's record, go to the Service Reason Summary (SRS) screen to check for the service reason:
Does the applicant have the required service reason on their benefit status? | |
Unapproved applicantIf the applicant has not provided sufficient evidence to explain why the person with primary care and responsibility for the student cannot apply for AIC, no assessment can be made:
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Manual rejectionWhen the AIC claim is to be manually rejected, a new claim activity will need to be created. Index an AIC NCL activity on the student's record:
To reject the claim after the indexation is complete, see Rejecting an Assistance for Isolated Children (AIC) claim. Procedure ends here. | |
Early claims for current AIC studentsWhen an early claim cannot be processed for a student who is current on AIC, staff must:
Procedure ends here. |
AIC applicant service reason
Table 2
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Small Benefit SystemIn Customer First, in the following fields:
To create the AIC applicant service reason, if the applicant is:
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Individual applicant
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Update personal details
See Table 3. | |
Search for the organisation record
Has the organisation record been found?
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Organisation applicant
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Update organisation details and finalise
See Table 3. |
Process an AIC claim
Table 3
Action | |
Claim submission dateFor an AIC claim to be granted, it must be lodged by 1 March of the year following that for which assistance is sought, unless an applicant experiences pre-claim vulnerable circumstances. If the claim was lodged after 1 March of the year following that for which assistance is sought, see Intent to claim for vulnerable customers. Was the claim received after 1 March of the year following study?
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Index the claimAll AIC claims must be indexed in the student's record. If the applicant has lodged multiple claims for different years with different outcomes, for example Reject and Grant, complete this process in date order oldest to newest for each claim lodged. To index the claim:
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Update student details
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Address details (AD) screenThe Address History (ADH) screen for the student's home address must reflect the applicant's ADH screen from the date of grant. No update is required if the address matches from or before date of grant. If updates to the student's home address are required, see Updating address details. Is the student living in a second home, boarding school or hostel?
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Term address
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Links Summary (LS) screenAll AIC claims must have an Employment Income Confirmation (EIC) link to the applicant. Check for any existing or started (EIC) links on the Links Summary (LS) screen. Select the appropriate option below. Current correct EIC link exists between student and applicantNo further action is required. Current incorrect EIC link already existsThe incorrect link must be end dated on the date prior to the new link start date on the LS screen:
Note: if the claim is for a future year, use the date of receipt of the claim
To link the correct applicant:
The Other Customer Links (OCL) screen will display, update the following fields:
Note: if the claim is for a future year, use the date of receipt of the claim
No EIC link existsOn the Other Customer Links (OCL) screen, update the following fields:
Note: if the claim is for a future year, use the date of receipt of the claim
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EIC link to applicantWhen the OCL screen has been coded, search for and select the applicant. Select the appropriate applicant option below. PersonWhen linking a person, the Link Person (LP) screen will display. To search for the applicant, update the following fields:
The Link Confirmation (LC) screen will display:
OrganisationWhen linking an organisation, the Link Organisation (LO) screen will display. To search for the organisation, update the following fields:
or
or
The Link Confirmation (LC) screen will display:
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ResidencyConfirm all residency screens are coded with the correct information, see Residence and Portability screens. This may include but not limited to the below screens:
After all residency screens have been confirmed, continue through the claim until the EIC Claim Details (EICD) screen displays. To code this screen, see Table 4. |
Update the EIC Claim Details (EICD) screen
Table 4
Action | |
EIC Claim Details (EICD) screenDetermine if the applicant is an approved applicant for AIC, see Determining who can be the applicant for Assistance for Isolated Children (AIC). On the EIC Claim Details (EICD) screen, update the following fields:
Once coded, go to Step 2. | |
Proof of ageProof of age is not needed if the applicant has previously received:
Note: if proof of age is available on the applicant's partner's Family Assistance record, this is sufficient evidence. Go to the applicant's record:
Has the applicant supplied sufficient proof of age with the AIC claim, or can it be verified through the applicant's record?
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Age requirementsConfirm the student meets the age requirements for AIC. If the student does not meet the age requirements, in the Age Exemption: field, key ‘N’. If the student meets the age requirements, and they are a:
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Australian Government income support or similar paymentWill the student claim or receive another Australian Government income support (for example, Youth Allowance (YA)) or a similar payment when they turn 16 years of age?
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Claim submission dateWas the claim received after 1 March of the year following study?
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Remaining fieldsUpdate the remaining fields on the EICD screen:
Continue to process the claim, see Table 5. |
Continue to process and finalise an AIC claim
Table 5
Action | |
Study detailsTo code the Education Course Details (EDC) screen, see Study updates and coding for Assistance for Isolated Children (AIC) students, then return here. Is the student in lawful custody or in state authorised care?
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Student is in lawful custody or state authorised careIf a student is placed in substitute care through a State/Territory welfare authority, this is State authorised care. AIC is not payable for a student in:
Does the student meet one of the non-payable criteria above?
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Student meets non-payable criteriaWhen a student meets a non-payable criteria due to being in lawful custody or state authorised care, AIC is not payable. On the Living Arrangement Details (EILA) screen, update the following fields:
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Living Arrangement Details (EILA) screenThe student's living arrangements need to be correctly recorded on the Living Arrangement Details (EILA) screen. Depending on the AIC allowance the student is claiming, update the required screens from the below links, then return here:
Does the student meet the eligibility criteria for one of the above allowances?
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EIC Isolation Details (EIID) screenAn applicant is eligible for AIC if the student meets an isolation or special needs condition. For assessment and coding, see Isolation conditions for Assistance for Isolated Children (AIC). When coded, return here. Note: for students attending Homeland Learning Centres (HLC) in the Northern Territory, use the hub school institution code as the 'Nearest Approp Govt School' on the EIID screen. For hub school codes, see Study updates and coding for Assistance for Isolated Children (AIC) students. Does the student meet an AIC isolation or special needs condition?
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Payment Instructions (PIPI) screenThe applicant can nominate where their AIC payment is directed. To record payee details on the Payment Instructions (PIPI) screen, see Payee for Assistance for Isolated Children (AIC), then return here. | |
Assessment Results (AR) screenGo to the AR screen. Note: when assessing a pro-rata entitlement for Second Home Allowance, see SHA eligibility and payability Table > Step 12 in Eligibility for Assistance for Isolated Children (AIC) Second Home Allowance (SHA) for manual rate coding. Return to this Step after coding. Check and confirm the AIC entitlement is paying from the relevant grant date. If the AR screen is not displaying the correct AIC entitlement, confirm all screens have been coded as per the previous steps. If the claim is an AIC re-grant and the AIC cancellation activity was processed on the same day as the re-grant, the grant letter must be inhibited from the AR screen. A manual letter will be issued later in the process. On the AR screen, select Actions > Letter Action > Inhibit Letters. Is the claim outcome correct?
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Manual start dateIf the system is not paying the AIC entitlement from the correct start date and all required screens have been checked, a manual start date will need to be coded.
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Record a DOC
Was the claim granted after the second Saturday in October?
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End of Year (EOY) reviewAs the claim has been processed after the EOY Reviews have been issued, the EOY review form will not automatically issue. Attempt to contact the applicant and complete a verbal EOY review, see Processing Assistance for Isolated Children (AIC) End of Year (EOY) review forms. Was a verbal EOY review able to be completed?
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Multiple claimsHas the applicant lodged another claim for a different year?
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Multiple claims for different yearsSeparate activities may be required. Select the appropriate option below. Both claims are to be grantedAdditional coding in the current claim is required:
Have multiple AIC siblings been assessed on the same day?
Each claim has a different outcome or both are to be rejectedThe second assessment is required in a separate new claim activity. Finalise the current claim activity on the AR screen, when finalised:
The claim will be on hold for one day to allow for the Auto letter to issue for the first claim. When second claim is allocated, process claim from the start of this Operational Blueprint procedure. Have multiple AIC siblings been assessed on the same day?
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Issue a Q999 grant letterIf multiple students from the same family have been assessed on the same day, a Q999 grant letter must be issued for each AIC sibling to advise of every claim's outcome. On each the student's records, issue a Q999 grant letter for each claim lodged. For details, see Creating a Q999 or Q888 letter. For letter templates, see Students and trainees. After all letters have been issued, go to Step 14 | |
Finalise the claimA Q999 letter may need to be sent if the granted AIC claim was:
Does the AIC claim meet any of these conditions?
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Home schooling manual reviewsWhen a student is approved for home schooling, create a manual review to make sure the registration is checked before it ceases due to age or to remind the applicant when the registration is ceasing. Note: each state may display the registration period differently. If no end date is given, the registration ceases one year from the registration date (minus one day). For Victorian Registration and Qualifications Authority (VRQA), the registration ceases 31 of December however, they are required to notify before 30 November to continue. If the student's registration will cease due to: Maximum age before the end of the academic yearIn Customer First, create a manual review on the Review Registration (RVR) screen and update the following fields:
The review will mature on the Due Date coded in the RVR activity. Workload Management will allocate the review for manual action. When the activity falls due, see Eligibility for Assistance for Isolated Children (AIC) Distance Education Allowance (DED). Procedure ends here. Registration period ending greater than 12 weeks from todayIn Customer First, create a manual review on the Review Registration (RVR) screen and update the following fields:
The review will mature on the Due Date coded in the RVR activity. Workload Management will allocate the review for manual action. When the activity falls due, see Eligibility for Assistance for Isolated Children (AIC) Distance Education Allowance (DED). Procedure ends here. Registration period ending less than 12 weeks from todayIssue a Home schooling registration obligation for applicants Q888 letter to the applicant on the student's record. See Creating a Q999 or Q888 letter. Annotate the AIC Claim Granted DOC to advise the letter has been issued. Procedure ends here. |