Carer or care receiver is absent from care for Carer Payment (CP) and/or Carer Allowance (CA) 009-25112618
Determining absence type
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Prison or psychiatric confinement
Actioning Manual Follow up (MFU) for caring absences
Identifying the absence
Table 1: This table helps staff identify the type of absence and the action(s) required to help the customer.
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Hospitalisation
Table 2: This table helps staff determine if hospitalisation provisions apply to the carer for the care receiver.
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Care receiver is/was in hospitalFor child/ren there is no limit on hospitalisation absences for CP and CA. Note: carers of hospitalised children will be reviewed every 84 days (12 weeks) of continuous hospitalisation. The carer must be advised to notify Centrelink within 14 days of the care receiver returning home or leaving hospital. Adult care receivers can access up to 63 days of hospitalisation per calendar year. If they exceed 63 days, the carer may be able to access any unused respite days. Go to Step 2. | |
Is the carer still providing care each day to the care receiver while in hospital?This means they are helping with the daily care of the care receiver by helping with things like grooming, dressing, eating each day, not just visiting.
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Is the care receiver expected to return to care in their usual residence on discharge from the hospital?Carer Payment (CP) and Carer Allowance (CA) can only be paid when care is provided in the appropriate residence. The location requirements differ between payments, see Eligibility for Carer Payment (CP) and/or Carer Allowance (CA).
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Is the care receiver in palliative care in hospital or another appropriate residence?Palliative care services can be provided in:
When provided in the home, hospitalisation provisions are not required as it is not an absence.
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For adult care receivers check the recordFor:
Check to see if assessed under:
Is the carer being paid CP (XWP)?
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Length of stay in hospitalAn absence is a 24 hour period from midnight to midnight. If the customer is unsure of the length of stay, ask them to provide an estimate of time in hospital. Once they have the exact dates, they can contact again to confirm or update. For members of a couple when an absence is for 14 days or more and due to accessing approved respite, the couple may be assessed as a respite care couple and entitled to the single rate of payment. See Customer is separated from their partner - temporarily or due to respite care. If the absence is likely to continue indefinitely the couple may be considered an illness separated couple and paid the single rate of payment. See Assessment of circumstances for a couple separated due to illness. Note: if the customer uses their allocation of hospital days and the care receiver is still in hospital, the system will then apply any unused respite days before cancelling payments. How long is the absence for?
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Respite
Table 3: This table helps with determining the type of respite and length of absence.
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Type of absenceIs the absence a one-off temporary, regular, or permanent absence?
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Care receiver in care awaiting placementIf the care receiver is in care awaiting placement it is most likely that the absence from the carer is permanent. Clarify with the carer whether the care receiver is likely to return home and if so, will the carer provide additional care and attention on a regular and ongoing basis. Is the care receiver likely to return home?
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Who is absent?To determine the correct type of respite coding, check whether the Carer or the Care Receiver is absent. If there is more than one care receiver check which one(s) is absent. | |
Review the record to understand the available balances and qualification criteria
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Determine if respite coding is requiredAssess the absence and how it relates to the carer's CP and/or CA. If the carer receives both CP and CA, the carer may only require respite for one of their payments, both, or none. If assessed under:
Is respite required to be coded?
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How long is the absence?
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Determine what respite is required
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Portability
Table 4: This table helps staff to decide whether respite is required to be coded when a carer or carer receiver go overseas.
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Who is travelling?
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Check the respite balanceCheck available respite balance. This helps when discussing the portability and respite and the effect on the customer's payments. In the carer's record, go to the Temporary cessation of care summary (ABCE) screen. The available balance will show. For:
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Carer travelling without care receiverThe Portability Script must be run to record the travel details before coding respite. If the Portability Script has:
How long will the customer be overseas for?
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Carer overseas for 42 days of more - system limitationThere is a current system limitation when the carer goes overseas without the care receiver - the system continues to count respite after portability has ended. Where the carer's payments will suspend after 42 days, the respite end date should reflect only 41 days if care is provided on the day of departure and respite will commence from the following day. Code respite with:
Therefore, the respite period will be 41 days provided the carer has this number available. For help on the interaction between Portability and respite and correct recording procedures, see Carer Allowance (CA) and Carer Payment (CP) interaction of portability and temporary cessation of care (respite) rules. | |
Care receiver travelling without carerCarer contacts:
The carer will need to use respite for the time away from the care receiver. See Table 1 on the Recording the absence tab. Care receiver contacts to advise:
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Prison or psychiatric confinement
Table 5: This table helps staff determine if an absence coding is needed due to the carer or care receiver going into prison or psychiatric confinement.
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Carer or care receiver going into prison or psychiatric confinementThe type of absence for the carer or care receiver going into psychiatric confinement will depend on if they have been charged with committing an offence or not. Care needs to be taken to make sure the correct respite/hospitalisation is coded. Carer or care receiver has entered:
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Check the carer's record for a Prison Admission DOCIs there a DOC on the record?
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Determine the nature of the absenceIs the absence due to the carer committing an offence?
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Check the recordFor:
Consider how long the absence is for.
Is coding of respite required?
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Actioning Manual Follow up (MFU) for caring absences
Table 6: This table helps with the required steps to action a MFU for caring absences.
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Absence expiry MFU on Activity List (AL) screenTypes of MFU's:
If there is an absence expiry MFU with Activity notes indicating respite or hospitalisation respite will exceed and payment will cancel:
If there is no DOC or no evidence the MFU has been actioned:
Was contact successful?
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Discuss with carerDiscuss the following with the carer:
Is the absence correct?
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Correct the absence detailsUpdate the absence details by correcting the previous coding on the Temporary Cessation of Care Summary (ABSN):
Will the customer still exceed 63 days?
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Absences exceeding 63 days
Table 7: This table helps staff with the options available to carers when an absence exceeds 63 days.
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What type of absence will exceed?
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ETT absence that exceeds the available balance
CA (manual) care receivers While the care receiver is absent due to ETT, the system will maintain the carer's 'current' status for up to 13 weeks at a 'nil rate' of payment. A letter is sent to the carer advising that the payment has ceased, but the HCC will remain valid for up to 13 weeks. This letter will ask the carer to notify when the child returns to care or if they are not going to return to care. A reminder letter will be sent at 10 weeks of 'nil rate' payment (if 1 January does not occur before the expiry of the 13 week period) notifying the carer that CA and the child's CA HCC will cancel at the end of the 13 weeks unless they notify of a return to care. CA (auto) care receivers Carers granted CA automatically because they have been granted CP are generally subject to the same ETT provisions which are applied to CA (manual) carers. However, when the CP child is cancelled/suspended, the CA (auto) will cancel/suspend immediately upon loss of CP (child) eligibility, instead of staying current for 13 weeks at 'nil rate'. A letter will be sent advising of the cancellation. See Table 1 on the Recording the absence tab. CA Health Care Card Only care receivers HCC only care receivers who have used their 63 days of respite retain eligibility for the HCC for up to 13 weeks of an ETT absence. A letter is sent advising of the cancellation. Notification of earlier return to care If, within the allowable 13 week period, the carer notifies that the child care receiver will return to care earlier than expected, CA will be paid from the return to care date. An absence following a return to care restarts the 13 week nil rate period. Still current on 1 January If the carer is still current on 1 January, the new allocation of 63 respite days for the calendar year will return them to payment. It is possible for a new 13 week period to start after the new allocation of respite days has been fully used. See Table 1 on the Recording the absence tab. | |
Respite exceeds 63 daysWhere the total period of temporary respite is more than 63 days over a calendar year, payment may continue if there is a special reason. The decision to continue payment is only made if the reason for ceasing care was outside the control of the carer and consistent with the need for, and provision of, personal care and attention. | |
Were any absences from before the grant date or a previous care receiver?Due to current system limitations, when there is a change in care receiver(s), the system will not allocate 63 respite days to the new care receiver. Instead, the previous care receiver's respite balance is (incorrectly) transferred to the new care receiver. These cases must be referred to the Carers Level 2 Policy Help Desk via the Online Query Form. The Resources page contains a link to the Level 2 Carer Help Desk - Online Query Form and examples of change in care effecting respite balance. Are there any absences from before the grant date or a previous care receiver?
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Is it a hospitalisation absence?
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Special circumstances to extend more than 63 daysApproval to extend respite more than 63 days is determined by an APS5/6 level officer. Respite provisions used in an emergency, such as fire or floods etc will meet the criteria of special circumstances. Consider if circumstances are an indicator of vulnerability and if other actions may need to be taken. See Identifying customer vulnerability and risk issues. When a carer contacts to enquire about either:
Once this information has been documented/scanned submit a 'Direct Referral to SSO'. The Resources page contains link and completed an Escalation to SSO Fast Note. Are there any special circumstances that apply to support an extension of respite days?
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Assess eligibility for extended suspension periodA carer is considered eligible for an extended suspension period if the carer:
Discuss with the carer their eligibility for an extended suspension period of six months. Tell the carer:
Note: the extended suspension period applies to CP only. If customer is in receipt of CA, CA will cancel when respite exceeds 63 days unless an extension is approved under special circumstances.
See Table 1 on the Recording the absence tab. |