Reassessment of CA Health Care Card (HCC) only entitlement to payment level Carer Allowance (CA) for a child 009-03040040

A CA HCC only carer may:

• contact Services Australia at any time to query their eligibility for payment level CA
• may become eligible for payment level CA due to:
• a change in the medical condition of the child care receiver, or
• a reclassification of a child's disability, or
• becoming eligible for Carer Payment (CP) child, as CA (auto) is automatically available to all recipients of CP (child)

The carer does not need to complete a new claim to be assessed for payment level CA when they are CA HCC only current for the same child.

Carers who are CA HCC only are reviewed at developmental milestones with the existing Child Medical Reviews.

CP (XWP) carers may have a CA HCC only for a child care receiver in addition to payment level CA for other care receivers. If a CP (XWP) carer's only or last payment level CA is suspended or cancelled or changed to CA HCC only, CP (XWP) will automatically be cancelled.

For more details, see Transfer from Wife Pension (WP) to Carer Payment (CP).

If the carer submits a new claim for payment level CA when they are current CA HCC only, the claim is not to be rejected. The information provided within the new claim is used for the reassessment from CA HCC only to payment level CA.

Following reassessment, if a carer does not qualify for payment level CA but remains entitled to CA HCC only, the Service Officer must make an outbound call to the carer to advise of the decision.

If the carer does not return any forms that are subsequently issued, a DOC should be created on the record but the CA HCC only should not be cancelled 'Failed to Reply to Correspondence (FRC)'.

When a carer notifies of a change in circumstances or a change is identified, qualification for payment cannot be backdated beyond the date the notification was received.

The date of effect will be the date of the original decision if a carer:

• contacts within 13 weeks of being notified of the decision made (for example, CA HCC only grant)
• provides additional information to be used to review the decision, and
• is subsequently eligible for payment level CA

When a carer applies for a formal review of a decision to grant CA HCC only, and the outcome is entitlement to payment level CA, the date of effect of the favourable determination will depend upon when the carer applied for the formal review.