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Coding a paper claim for Carer Payment (CP) for one care receiver or combined care receivers under 16 009-04050030

Before starting this process, staff must read the Operational Message.



Contact details

Centrelink Payments Support Team (CPST)

Medical report results in cancellation of CA

This table contains scenarios, actions and outcomes for when a medical report for a paper claim for CP results in CA being cancelled.

Scenario

Action

Outcome

The care receiver has a recognised disability which is of a permanent nature but the condition(s) is not listed on the current medical report.

Carer claiming CP receives CA for the child or another carer receives CA for the child.

Clarify with the Treating Health Professional (THP) why the recognised disability was not listed on the latest report.

If not confirmed, check DOCs on the carer record, and if needed check the previous report to confirm the condition was correctly recorded.

Continue CA if the recognised disability is confirmed.

Refer to the Helpdesk if the recognised disability had been correctly recorded and the care receiver no longer has this condition.

The care receiver has a recognised disability which is not of a permanent nature and the condition(s) is not listed on the current medical report.

Carer claiming CP receives CA for the child.

Clarify with the THP why the recognised disability was not listed on the latest report.

If not confirmed, check DOCs on the carer record, and if needed check the previous report to confirm the condition was correctly recorded.

Continue CA if the recognised disability is confirmed.

Otherwise, cancel CA.

The care receiver has a recognised disability which is not of a permanent nature and the condition(s) is not listed on the current medical report.

Another carer receives CA for the child.

Clarify with the THP why the recognised disability was not listed on the latest report.

If not confirmed, check DOCs on the carer record, and if needed check the previous report to confirm the condition was correctly recorded.

Continue CA if the recognised disability is confirmed.

Otherwise, conduct a medical review.

The care receiver does not have a recognised disability.

Carer claiming CP receives CA for the child.

Make sure all permanent conditions have been covered on the latest medical report.

Cancel CA.

The care receiver does not have a recognised disability.

Another carer receives CA for the child.

Make sure all permanent conditions have been covered on the latest medical report.

Conduct a medical review.