Recognised disability medical reviews for Carer Allowance (CA) (child) 009-08040010

If contact is about:

• Severe Multiple and Physical Disability including Seizures (SMS) reviews, go to Step 2
• re-issuing the forms, go to Step 5
• checking and processing the forms, see Step 1 in Table 2
• recognised disabilities of a temporary nature or non-ongoing, see Step 3 in Table 2

Reviews will be carried out for carer customers receiving CA. Customers receiving Carer Payment (CP) will not be reviewed.

The SMS MFU will mature on the Activity List (AL) screen. Search the Activity Search (AYS) screen to locate the activity.

• Activity, key CRA/AAC
• Review Reason Code, key Med Cond of SMS - 6 mths
• Keywords, key * REVIEW

The Service Officer will be required to contact the customer to check if any circumstances have changed and whether they wish to be assessed for payment under the new Disability Care Load Assessment Determination (DCLAD) (2010).

Issue the letter and forms for the DCLAD (2010) assessment:

• Review of Carer Allowance - Care Needs Assessment (for a child under 16 years) (SA420)
• Review of Carer Allowance - Medical Report including functional assessment (for a child under 16 years) (SA403)

Code an MFU to check the forms are returned in 21 days.

When the medical review forms are returned, go to Step 1 in Table 2.

Have the forms been returned?

• Yes, go to Step 1 in Table 2
• No, send a reminder letter and re-issue the forms. Set a further MFU for another 21 days

Have the forms been returned?

• Yes, go to Step 1 in Table 2
• No, suspend the customer's CP and/or CA using suspension code 'FRC'. See Cancellation and suspension of Carer Payment (CP) and/or Carer Allowance (CA)

If the customer has not received the forms, or has lost them, it may be necessary to re-issue them.

The printable versions of the forms are:

• Review of Carer Allowance - Care Needs Assessment (for a child under 16 years) (SA423), and
• Review of Carer Allowance - Medical Report including functional assessment (for a child under 16 years) (SA429)

If necessary, re-issue the forms:

use the Mail Forms workflow, or

manually to customer

When review forms are returned, go to Step 1 in Table 2.

If the customer is lodging forms at the service centre, check that both parts of the review have been lodged:

• Review of Carer Allowance - Care Needs Assessment (for a child under 16 years) (SA420) or SA423 if manually issued
• Review of Carer Allowance - Medical Report including functional assessment (for a child under 16 years) (SA403) or SA429 if manually issued

Check the forms are completed and signed.

Register the returned review on the system to prevent the next auto-action (for example, reminder, suspension, cancellation).

To register the return of the medical review:

If the carer is lodging forms at the service centre, scan the review forms. Check the review has been removed from the Future Activity List (FAL) screen on either the care receiver's and/or carer's records to prevent possible suspension/cancellation. If not, mature the review on FAL screen manually. Procedure ends here.

If a carer calls as a result of receiving a medical review reminder and the medical review can be found scanned onto the carer's record, telephony staff can mature the review from the Future Activity List (FAL) screen if it has not been removed from the FAL screen already. Procedure ends here.

For Processing Service staff, go to Step 3.

Check the CDMD screen. If the care receiver has:

• chronic respiratory disease requiring home oxygen, go to Step 4
• a condition where the child is dependent for his or her health on an external apparatus/machine called a ventilator to assist with breathing, either on a continuous or intermittent basis, go to Step 5
• a gastroenterological condition or other medical condition requiring total parenteral nutrition for an extended period, with medical treatment and medical supervision required for at least 12 months, go to Step 6
• any other condition, go to Step 7

Does the care receiver still require home oxygen?

• Yes, the care receiver still has a recognised disability and the carer retains entitlement to CA. Go to Step 7
• No, the care receiver no longer has a recognised disability. Ensure the Care Needs Assessment (CNA) has been returned. Entitlement to CA will be determined under the DCLAD (2010). Go to Step 7

Is the care receiver still in hospital and dependent for his or her health on an external apparatus/machine called a ventilator to assist with breathing, either on a continuous or intermittent basis?

• Yes, the care receiver still has a recognised disability and the carer retains entitlement to CA. Go to Step 7
• No, the care receiver no longer has a recognised disability. Ensure the CNA has been returned. Entitlement to CA will be determined under the DCLAD (2010). Go to Step 7

Does the care receiver still require total parenteral nutrition for an extended period, with medical treatment and medical supervision?

• Yes, the care receiver still has a recognised disability and the carer retains entitlement to CA. Go to Step 7
• No, the care receiver no longer has a recognised disability. Ensure the CNA has been returned. Entitlement to CA will be determined under the DCLAD (2010). Go to Step 7

Process forms, and:

• complete any updates of circumstances
• calculate the DCLAD (2010)
• finalise the review by completing the CDRV screen. Payment will be assessed based on the DCLAD (2010) and customer informed of outcome

Payment will be:

• cancelled if medical review details are not updated
• assessed based on the DCLAD (2010) and customer informed of outcome