Child Dental Benefits Schedule (CDBS) in Medicare 011-41030000

Field

Description

Agency ID

This will show:

• Customer Reference Number (CRN) - unique number provided by Centrelink
• Department of Veterans' Affairs (DVA) file number, or
• Unique identifier number (UIN) provided by DVA

Agency ID type

This will show:

• CRN
• DVA ID, or
• DVA UIN

Name

• First name, initial and last name
• This data comes from Centrelink or DVA

Date of birth

This data comes from Centrelink or DVA.

Gender

This data comes from Centrelink or DVA.

Consumer ID

If the child/teenager's Centrelink or DVA record has:

• been match to a Medicare record, their Consumer ID will show
• not been matched to a Medicare record, this will be blank

Matched Medicare status

This will show:

• E (Exact match by system)
• P (Possible match by system)
• N (Not matched)
• A (Already matched)
• M (Manually matched), or
• U (Unmatched)

Address sensitivity code

This will show when the customer's address details are valid or available.

This field will show:

• Blank - the address is valid and has been used by Medicare to issue the notification
• 1 - Cancelled - the Centrelink entitlement has been cancelled.
• The child/teenager was entitled to a Centrelink benefit at some time in the calendar year, but the entitlement has been cancelled
• They are entitled to Child Dental Benefits Schedule (CDBS) for the remainder of the calendar year
• 2 - Deny Access - no details about the child/teenager can be released due to restrictions in place by Centrelink, or
• 3 - Both Cancelled and Deny Access

Address

This shows the:

• Address of the eligible child/teenager as they are the person in receipt of the payment from Centrelink or DVA, or
• An amended address actioned by Medicare as part of a notification issue/reissue process

If this is blank, see Guardian/Parents Details tab for the customer's address.

Return mail flag

This will show when a CDBS notification is sent back to Medicare.

This field is updated by Service Officers in the Amend Consumer Details tab.

See Process page > Table 3.

Overseas indicator

This data comes from Centrelink or DVA.

In prison indicator

This data comes from Centrelink or DVA.

Medicare deceased date

• The date of death comes from the Medicare system

Agency deceased date

• This data comes from Centrelink or DVA
• If the Deceased indicator is:
• updated with a date, a notification is not issued
• blank, a notification is issued when all other matching criteria is met

Consumer end date

When an end date is recorded against a consumer record on CDMS, the End Date indicator is set during the matching process between the:

• Centrelink or DVA record, and
• Medicare record

Where a Consumer End Date is:

• updated with a date, a notification is not issued
• blank, a notification is issued when all other matching criteria is met

Medicare eligibility indicator

The Medicare Eligibility indicator is set during the matching process between the Centrelink or DVA record and the Medicare record.

Where a matching Medicare record is found, the indicator is set to Y.

Where Medicare Eligibility indicator is:

• Y, a notification is issued when all other matching criteria are met
• N, a notification is not issued

Field

Description

Agency ID

This will show:

• Customer Reference Number (CRN) - unique number provided by Centrelink
• Department of Veterans' Affairs (DVA) file number, or
• Unique identifier number (UIN) provided by DVA

Agency ID type

This will show either:

• CRN
• DVA ID
• DVA UIN

Name

• First name, initial and last name
• This data comes from Centrelink or DVA

Date of birth

• This data comes from Centrelink or DVA

Gender

• This data comes from Centrelink or DVA

Consumer ID

If the child/teenager's Centrelink or DVA record has:

• been matched to a Medicare record, the guardian/parent's Consumer ID will show
• not been matched to a Medicare record, this will be blank

Matched Medicare status

• E (Exact match by system)
• P (Possible match by system)
• N (Not matched)
• A (Already matched)
• M (Manually matched)
• U (Unmatched)

Address Sensitivity code

This will show when the customer's address details are valid or available.

This field will show:

• Blank - the address is valid and has been used by Medicare to issue the notification
• 1 - Cancelled - the Centrelink entitlement has been cancelled.
• The child/teenager was entitled to a Centrelink benefit at some time in the calendar year, but the entitlement has been cancelled, or
• They are entitled to Child Dental Benefits Schedule (CDBS) for the remainder of the calendar year
• 2 - Deny Access - no details about the child/teenager can be released due to restrictions in place by Centrelink
• 3 - Both Cancelled and Deny Access

Address

This shows the:

• Address of the eligible child/teenager as they are the person in receipt of the payment from Centrelink or DVA, or
• An amended address actioned by Medicare as part of a notification issue/reissue process

.

Return mail flag

This will show when a CDBS notification is sent back to Medicare.

This field is updated by Service Officers in the Amend Consumer Details tab.

See Process page > Table 3.

Overseas indicator

This data comes from Centrelink or DVA.

In prison indicator

This data comes from Centrelink or DVA.

Medicare deceased date

The date of death comes from the Medicare system.

Agency deceased date

• This data comes from Centrelink or DVA
• If the Deceased indicator is:
• updated with a date, a notification is not issued
• blank, a notification is issued when all other matching criteria is met

Consumer end date

When an end date is recorded against a consumer record on CDMS, the End Date indicator is set during the matching process between the:

• Centrelink or DVA record, and
• Medicare record.

Where Consumer End Date indicator is:

• updated with a date, a notification is not issued
• blank, a notification is issued when all other matching criteria is met

Field

Description

Currently Eligible

Will show:

• Yes, or
• No

Date of Inquiry

Shows the current date of inquiry.

Balance of Inquiry

This will show:

• the remaining CDBS balance as at the date of inquiry
• 'Unavailable' if the web service is down

Current Entitlement Period

This field shows the 2 consecutive calendar years of entitlement. The first calendar year is determined by the year the child/teenager receives their first CDBS service.

Examples:

• A child/teenager receives and claims their first dental service in 2024. Therefore, their current entitlement period is 2024-2025
• If a child/teenager is eligible for CDBS in 2024 but does not have any dental services performed and claimed until 2025, then their current entitlement period is 2025-2026

Note: a child/teenager must meet eligibility criteria for each calendar year of entitlement.

CAP Amount

This shows the CDBS cap amount.

The cap amount is indexed yearly from 1 January. The increase in cap amount will only apply to a child/teenager who received their first eligible service in that year.

See CDBS eligibility and cap amount examples.

Entitlement year

This field shows:

• the child/teenager's current or previous year of CDBS entitlement
• up to 2 rows
• 'Unavailable' when the web service is down

Example:

A child/teenager's Current Entitlement Period is 2022-2023, but they also had entitlement in 2021.

Entitlement Year will show:

• '2022' on the first row and
• '2021' on the second row

Benefit code

This field shows the eligibility code:

• Centrelink payment codes:
• ABY - ABSTUDY - eligibility because they are an ABY customer in their own right or receiving ABY (Schooling B) on behalf of an applicant
• ABA - eligibility because they are an ABY (Schooling A) customer on behalf of an applicant
• YAL - Youth Allowance payment. Eligible because they are a YAL customer in their own right
• DSP - Disability Support pension. Eligible because they are a DSP customer in their own right
• CAR - Carer payment. Eligible because they are a CAR customer in their own right
• SPL - Special Benefit payment. Eligible because they are an SPL customer in their own right
• FTB - Family Tax benefit. Eligible because they are an FTB Part A customer in their own right
• F1X - FTB partner. Eligible because their partner is an FTB Part A customer
• KFY - child of FTB guardian. Eligible because their carer(s) are FTB Part A customers
• PPS - Parenting Payment Single. Eligible because they are a PPS customer in their own right
• PST - Eligible because their parent is a PPS customer
• PPP - Parenting Payment Partnered. Eligible because they are a PPP customer in their own right
• PPR - Eligible because their partner is a PPP customer
• PPT - Eligible because their parent is a PPP customer
• KDH - Double Orphan Pension. Eligible because their career is a DOP customer
• Department of Veterans' Affairs (DVA) codes:
• DVT - Veterans' Children Education and Training Scheme
• MDT - Military Rehabilitation and Compensation Act Education and Training Scheme (MRCAETS)

Field

Description

Benefit code

This field shows the eligibility code:

• Centrelink payment codes:
• ABY - ABSTUDY - eligibility because they are an ABY customer in their own right or receiving ABY (Schooling B) on behalf of an applicant
• ABA - eligibility because they are an ABY (Schooling A) customer on behalf of an applicant
• YAL - Youth Allowance payment. Eligible because they are a YAL customer in their own right
• DSP - Disability Support pension. Eligible because they are a DSP customer in their own right
• CAR - Carer payment. Eligible because they are a CAR customer in their own right
• SPL - Special Benefit payment. Eligible because they are an SPL customer in their own right
• FTB - Family Tax benefit. Eligible because they are an FTB Part A customer in their own right
• F1X - FTB partner. Eligible because their partner is an FTB Part A customer
• KFY - child of FTB guardian. Eligible because their carer(s) are FTB Part A customers
• PPS - Parenting Payment Single. Eligible because they are a PPS customer in their own right
• PST - Eligible because their parent is a PPS customer
• PPP - Parenting Payment Partnered. Eligible because they are a PPP customer in their own right
• PPR - Eligible because their partner is a PPP customer
• PPT - Eligible because their parent is a PPP customer
• KDH - Double Orphan Pension. Eligible because their career is a DOP customer
• Department of Veterans' Affairs (DVA) codes:
• DVT - Veterans' Children Education and Training Scheme
• MDT - Military Rehabilitation and Compensation Act Education and Training Scheme (MRCAETS)

Start Date

Shows the eligibility start date in the format DD/MM/YYY.

End Date

Shows the eligibility end date in the format DD/MM/YYY.

Reference

This field shows the reference:

• user id
• user code
• source office code
• timestamp of data

Field

Description

Letter type

The different letter types are:

• Family letter
• Individual letter
• Approved Care Organisation (ACO),

This field will show:

• Initial - the initial notification
• Reissue - the original notification was reissued
• Initial Requested - an initial notification has:
• been requested via the Reissue tab
• not been sent yet
• Reissue Requested - a reissue notification has:
• been requested via the Reissue tab
• not been sent yet, or
• No Send - The requested notification was not sent due to address sensitivity code

Contact type

Shows how the notification letter issued:

• Mail - sent in the post
• myGov - sent through myGov Inbox

Date sent

Shows the date that the notification was sent to Fuji Xerox or my.gov.au.

If there is no date sent, this means it is waiting to be sent in the next processing batch.

Addressee name

Shows the addressee's name.

Address

Shows the address where the notification was sent.

This is blank if the Contact type is myGov.

Field

Description

Reason for Reissue

This is a dropdown menu, staff can select one of the following options:

• Reissue notification:
• Notification Damaged
• Notification Lost
• Notification Stolen
• Change/Insert Address, or
• Issue notification:
• Issue Notification
• Change/Insert Address

Type

This field lets staff select the recipient receiving the notification reissue.

It will show:

• Guardian/Parent if it exists on the Guardian/Parents tab
• one row if the Eligible Person is eligible in their own right. For example, they have no Guardians
• one row listing the Guardian/Parent if the Eligible Person has one Guardian/ Parent
• two rows if the Eligible Person has 2 Guardian/ Parents. Staff can only select one Guardian/ Parent to reissue the notification to

Name

Name of the person the notification is going to.

Address

Address details where the notification will be sent.

If no address details are recorded, this can mean the Contact type is myGov. If this is the case, the customer will get the notification reissue in their myGov inbox.

Name

Description

Agency data tab

This tab:

• shows the original information transmitted to Medicare from Centrelink or Department of Veterans' Affairs (DVA)
• shows all eligible children/teenagers. If they are in receipt of the payment directly, only the child/teenager details will show on this tab
• helps staff match records that the system could not automatically match
• will only show for staff with the relevant access

Comments tab

Staff use the Comments tab:

• only in the Amend Consumer Details tab
• to record all customer interactions. This includes sending correspondence.

The Recorded Comments table shows comments that:

• are without end dates, or
• have end dates in the future

History tab

This shows a history of all the interactions.

Staff can filter the details by selecting an event type.

This tab will show 'No history record to display' when no history exists.

Edit button

The Edit button is at the bottom of the Inquire CDBS Details screen.

Staff use this swap to the Amend CDBS Details screen to update a customer's CDBS.

When staff select Edit 2 options will show, and they can select:

• Yes, to swap from Inquire CDBS Details screen to Amend CDBS Details screen, or
• No, to stay on the Inquire CDBS Details screen

Item

Example

1

A patient has their first service in 2025. This means:

• year one of their 2 year eligibility is 2025
• because the benefit cap amount in 2024 is $1,132, this amount will apply across 2025 and 2026, if eligibility is maintained in 2026

2

If a patient had their first service in 2024, this means:

• year 1 of their 2 year eligibility is 2024
• the 2024 benefit cap amount of $1,095 is applied across 2024 and 2025, assuming eligibility is maintained in 2025