Reassessment of Carers Allowance (CA) (child) Health Care Card (HCC) only entitlement to payment level CA 009-03040040
This document explains the process required to reassess a carer receiving a CA Health Care Card HCC only to receiving payment level Carer Allowance (CA). This process can only be undertaken by Carers Processing Service staff as it includes coding information from forms provided by the carer.
Changing CA (child) HCC only to payment level CA payment entitlement
Step |
Action |
1 |
Carer receiving CA (child) HCC only contacts about payment level CA (including lodging only a medical report) + Read more ... Confirm with the carer if they are contacting about the child for whom they receive CA (child) HCC only, and not another child in their care. Ask the carer whether there has been a change in circumstances or another condition diagnosed for the child care receiver. For example:
If the contact is about:
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2 |
Check the carer's record + Read more ... Service Officers who are not Carer Processing staff must:
Carer Processing staff must check the carer's record. If the carer is receiving CA (child) HCC only for the child, and:
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3 |
CA (child) HCC only requires form(s) for a reassessment + Read more ... Check these screens:
The CDAS and CLS screens determine:
If the THP score is:
Where the carer requests a reassessment of CA (child) HCC only for payment level CA, issue the required form(s) to the carer via the Mail Forms guided procedure:
Once the form(s) have been returned, go to Step 5. |
4 |
Medical Report and/or Care Needs Assessment received + Read more ... Check the carer's record. Ensure the carer has provided all the information required to reassess CA (child) HCC only for eligibility to payment level CA. Note: when an appropriate document is scanned to a customer's record (for example, SA394), the system may automatically create a new claim activity/SOA from this scanned document. This new claim activity is to be cancelled to allow the reassessment of the CA (child) HCC only to occur. If
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5 |
Processing the reassessment + Read more ... In the carer's record (or care receivers record if they have their own), go to the Care Receiver Summary (CRS) screen and 'S'elect the relevant care receiver:
To grant payment level CA (child), the THP score from the medical report must be greater than 0 and the CNA requires a score of 85 or greater. Does the carer now qualify for payment level CA?
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6 |
Determine the date the carer qualified for payment level CA + Read more ... The date of effect will be the date of the original decision if a carer:
Example: a child care receiver has been diagnosed with a new condition and the carer contacts the agency on 2 June to notify the change in circumstance. Review forms are sent to the carer, and the carer lodges the review forms on 15 June. On 2 August, a determination is made that the carer does not qualify for payment level CA. On the same day, the delegate contacts the carer by phone to notify of the outcome. The carer applies for a formal review of the decision, another Medical Report is sent to the carer. The carer lodges the Medical Report on 20 August. A determination is made on 28 August that the carer qualifies for payment of CA. The start date or date of effect for payment of CA would be 2 June as the carer applied for a formal review within 13 weeks after being advised of the outcome. The date of effect of the favourable determination is the date of effect of the original decision. |
7 |
Care Receiver Benefit Action (CJBA) screen + Read more ... On the CJBA screen, key:
Press [Enter] and finalise the activity on the Assessment Results (AR) screen. |
8 |
Document the decision + Read more ... Record all details of the reassessment on a DOC in the carer's record. The DOC should contain details of the decision and the Act reference. If there is no change to the carers' entitlement to CA (child) HCC only no letter will be sent to the carer. Service Officers must make genuine attempts to contact the carer to advise of the decision. |