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Carer or care receiver is absent from care for Carer Payment (CP) and/or Carer Allowance (CA) 009-25112618




Determining absence type

On this page:

Identifying the absence

Hospitalisation

Respite

Portability

Prison or psychiatric confinement

Actioning Manual Follow up (MFU) for caring absences

Absences exceeding 63 days

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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Step

Action

1

What is the type of absence action?
  • Actioning a Manual Follow up (MFU):
    • CDA/MFU - 14 day warning, or
    • CAR/AAP - Respite/Hospital Bank Exceeded
    • Respite Care or Carer Portability Review, see Table 6 > Step 1
  • Customer has contacted or notified of an absence, go to Step 2
  • Change to an existing absence previously coded, go to Step 2

2

Who has contacted?

Only accept information from the owner of the record, or an appropriate nominee. See Accepting information from and disclosing information to a care receiver or third party.

  • Carer or Nominee, go to Step 3
    Note: customer must be a Correspondence Nominee (NOC) or both a Correspondence and Payment Nominee (NOB). They cannot be a Payment Nominee (NOP) only
  • Care Receiver - no updates to absences can be made unless they are a Nominee (NOC/NOB). See Accepting information from and disclosing information to a care receiver or third party
    If the care receiver is contacting to advise that they are going overseas, check to see if the Portability Script - Departures and Returns needs to be run on their record. Procedure ends here
  • Other/third party - no updates to absences can be made or information provided unless they are a Nominee (NOC/NOB). Procedure ends here

3

What type of absence is the enquiry about?

Hospitalisation


Table 2: This table helps staff determine if hospitalisation provisions apply to the carer for the care receiver.

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Step

Action

1

Care receiver is/was in hospital

For 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.

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.

  • Yes, go to Step 3
  • No, this does not meet the requirements for hospitalisation, and the absence is considered respite. See Table 3

3

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).

4

Is the care receiver in palliative care in hospital or another appropriate residence?

Palliative care services can be provided in:

  • the home of the patient
  • community based settings like nursing homes
  • palliative care units, or
  • hospitals

When provided in the home, hospitalisation provisions are not required as it is not an absence.

  • Yes:
    • in hospital:
      - adult care receivers, go to Step 5
      - child care receivers, go to Step 6
    • other appropriate residence. Hospitalisation provisions do not apply, consider respite. See Table 3
  • No, care receiver is in the home. Hospitalisation provisions are not required to be coded. Procedure ends here

5

For adult care receivers check the record

For:

  • Days available: go to the Temporary cessation of care summary (ABCE) screen to see the available hospitalisation days
  • Relationship Status - Partnered
  • A higher rate of CP may be payable if separated from their partner for more than 14 days. For further information, go to Step 6

Check to see if assessed under:

  • Lower Adult Disability Assessment Tool (ADAT) for CP. This can be checked by the scores on ADAS. THP will be less than 10
  • Shared care (CA), check the percentage of care on CDCR. For further information, see Shared care for Carer Allowance (CA)
  • CP Ex wife's pension (XWP). Check Benefit Status for CAR/CUR-XWP

Is the carer being paid CP (XWP)?

  • Yes, Temporary cessation of care (respite and hospitalisation) rules do not apply to CP (XWP). However, they still apply to CA and need to be recorded
    • For the CP component, procedure ends here
    • For the CA component, go to Step 6
  • No, go to Step 6

6

Length of stay in hospital

An 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?

  • Less than 24 hours, this is not counted as an absence, no coding is required. Procedure ends here
  • More than 24 hours, and:
    • for a child care receiver or within the available hospitalisation balance, see Table 1 on the Recording the absence tab
    • for an adult care receiver and will exceed the available hospitalisation balance, see Table 7

Respite


Table 3: This table helps with determining the type of respite and length of absence.

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Step

Action

1

Type of absence

Is the absence a one-off temporary, regular, or permanent absence?

2

Care receiver in care awaiting placement

If 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?

  • Yes, and:
    • Additional care and attention is being provided on a regular and ongoing basis, hospitalisation provisions for CP and CA should be applied. See Table 1 on the Recording the absence tab
    • Additional care and attention are not being provided or is not being provided on a regular and ongoing basis, respite provisions apply
  • No, care receiver will not be returning home, see Care receiver permanently enters or temporarily/permanently leaves an institution

3

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.

4

Review the record to understand the available balances and qualification criteria
  • Respite days available. Go to the Temporary cessation of care summary (ABCE) screen to see the available respite/hospitalisation days
  • Relationship status - partnered/single
  • Type of care arrangement, e.g. shared, multiple, exchanged or XWP

5

Determine if respite coding is required

Assess 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:

  • Multiple care - CP: Absence may need to be recorded against one or multiple care receivers
  • Shared care - CA: If the care receiver is a child, or a co-resident adult, and the care receiver is in the care of one of the carers as part of a regular shared care arrangement, respite for CA should not be recorded
    In the case of a non-co-resident carer, respite has not occurred if the daily care and attention continues to be provided by another person who does not live with the care receiver
    If the care receiver is not cared for by the above scenarios, and is being provided care by another person, then code respite against the person who normally provides care
  • Shared care - CP: There are no shared care provisions. The time the care receiver spends with the other carer is considered an absence for the CP carer
  • More than one carer - CP: See Carer Payment (CP) for 2 or more carers in respect of the same care receiver. Code the absence for the carer who has contacted. If the other carer will also be absent, they will need to contact to report their absence
  • Lower ADAT - CP: The carer has only one allocation of respite care days, and an absence by either the adult care receiver or the child is counted as an absence for the carer. If the child is absent, absences must be recorded on both the care receiver's record (if they receive CA for their child) and the record of the CP carer
  • Ex-wife CP XWP: Respite and hospitalisation rules do not apply to CP (XWP) and no absence needs to be recorded. However, if receiving CA, the absence must be recorded
  • Combined care - CP and or CA (auto): As there is only one allocation of 63 days for respite, any absence from caring for a child care receiver is recorded and reduces the 63 day allocation. If 2 or more children are absent, the absence is to be coded for each child
  • CA HCC only: There are no respite provisions for CA HCC only. If the absence results in the carer not providing daily care, consider cancelling the card. See Concession cards and information

Is respite required to be coded?

6

How long is the absence?
  • Less than a day (24 hours) is not considered respite. Procedure ends here
    Note: if the carer is constantly away for short periods, multiple times a week, consider if constant care is being met for CP
  • One day (24 hours) or more, note the dates it starts and ends. Only record the dates the carer is away for the full day
  • Go to Step 7

7

Determine what respite is required
  • RSP (Respite) - This is the standard respite coding and applies to Carer Payment (CP), Carer Allowance (CA), or CP and CA
  • CWP (Child with Partner (CP only)) - This if for CP only respite where the care receiver is in the care for the other parent or carer and the respite is not relevant to CA but is relevant to CP
  • ETT (Education, Training and Treatment) - Respite to be coded for both CP and CA, and absences reduce the allowed 63 days. Rules for ETT once a carer exceeds 63 days apply only to child care receivers for CA. They do not apply to CP.
    Check with the carer whether the child will receive any form of ETT during this period. Using ETT provisions will allow a pro-rata rate of payment or a continuation of the CA Health Care Card (HCC) for up to 13 weeks absence once the 63 days of respite has been used
  • RCP (Respite for Carer Payment (CP) only) 100 hours only - This should only be used when respite days are offsetting excess work hours for carers to remain on payment. These respite days do not apply to CA. See Carer Payment (CP) and Carer Allowance (CA) carer undertakes paid employment, self employment, voluntary work, education or training activities

Go to Step 8.

8

Determine if absence exceeds available balance

Take note of the dates provided and the available absence days to determine if the absence will exceed the allowable limit.

Will it exceed the allowable limit?


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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Step

Action

1

Who is travelling?
  • The carer or care receiver only, go to Step 2
  • Both the carer and care receiver. If the carer is overseas with the care receiver, respite is not required to be coded unless the carer temporarily ceases caring for the care receiver whilst overseas:

2

Check the respite balance

Check 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:

  • Carer travelling overseas without care receiver, go to Step 3
  • Care receiver travelling overseas without carer, go to Step 5

3

Carer travelling without care receiver

The Portability Script must be run to record the travel details before coding respite. If the Portability Script has:

  • been run, continue with this process to code respite
  • not been run, run the Portability Script, then continue with this process

How long will the customer be overseas for?

  • Less than 6 weeks (under 42 days), see Table 1 on the Recording the absence tab
  • More than 6 weeks (42 days or more), go to Step 4

4

Carer overseas for 42 days of more - system limitation

There 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:

  • start date equal to the day after departure, and
  • end date equal to the end of the limited portability period

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.

  • If the carer does not have 41 days respite period available, see Table 7
  • Take note for coding the absence, see Table 1 on the Recording the absence tab

5

Care receiver travelling without carer

Carer contacts:

  • If the care receiver is on payment, check if the carer is nominee/PPE:
    • Carer is a nominee/PPE, run the Portability Script on the care receiver's record to record the details of travel
    • Carer is not a nominee/PPE, do not run the Portability Script on the care receiver's record. This can only be done if the care receiver calls to advise of the overseas travel

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:

  • they are going overseas - run the Portability Script on the care receiver's record to record the details of travel
    In the Portability Script when the Consequential Actions screen shows, select 'Respite Care or Portability review'. This generates a MFU on the Activity List (AL) screen for action
    Trained staff must complete the review with the customer after finalising the Portability Script. All other staff must add keyword ACTCAR to the activity using the Activity Details (AY) screen so the activity can be allocated to skilled staff to complete
  • the carer is going overseas - updates to the carer's record can only be made if the care receiver is a nominee/PPE. The carer needs to advise about the travel. Procedure ends here

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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Step

Action

1

Carer or care receiver going into prison or psychiatric confinement

The 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:

  • Prison or psychiatric confinement charged with committing an offence, go to Step 2
  • Psychiatric confinement not charged with committing an offence, go to Step 4

2

Check the carer's record for a Prison Admission DOC

Is there a DOC on the record?

  • Yes, there is a DOC on record and the customer is suspended/cancelled. No further action. Procedure ends here
  • No, there is not a DOC on record and the carer:
    • is still current. Contact Face to Face Incarcerated Customer Support team
    • has entered Psychiatric confinement, go to Step 3

3

Determine the nature of the absence

Is the absence due to the carer committing an offence?

  • Yes, the carer is in prison or psychiatric confinement due to being charged with an offence. This is not respite:
    • Staff undertaking Compliance intervention processes and F2F Incarcerated Customer Service teams, see Table 4 in Cancellation or suspension of Carer Payment (CP) and Carer Allowance (CA)
    • For all other staff, where the carer is still current, check the Correctional Facilities page to locate the relevant F2F Incarcerated Customer Servicing Team and send an email to request follow-up and suspension of payments
      The email must contain:
      - the customer's name
      - the customer’s Reference Number (CRN)
      - the date they entered prison or psychiatric confinement, and
      - any other relevant information
      Procedure ends here
  • No, not in relation to an offence. Go to Step 4

4

Check the record

For:

  • Available respite days, go to the ABCE screen to see the available respite days
  • Partnered

Consider how long the absence is for.

  • For carer:
    • Expecting/not expecting to return to providing care
    • Ability to provide care/constant care on return
  • For care receiver:
    • Returning/not returning to the care of care receiver

Is coding of respite required?


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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Step

Action

1

Absence expiry MFU on Activity List (AL) screen

Types of MFU's:

  • CDA/MFU - 14 day warning
  • CAR/AAP - Respite/Hospitalisation Bank Exceeded
  • Respite Care or Carer Portability Review

If there is an absence expiry MFU with Activity notes indicating respite or hospitalisation respite will exceed and payment will cancel:

  • Review the respite circumstances. Check if:
    • there is a DOC on the Document List (DL) screen for notes about any discussions with the carer about the end of respite or hospitalisation allowance
    • any further action is required or if the MFU has been actioned

If there is no DOC or no evidence the MFU has been actioned:

Was contact successful?

  • Yes, go to Step 2
  • No:
    • DOC the record with contact attempts and what is needed to be discussed with the customer. Place the activity on hold (do not hold to user (HTU)) for follow up in a few days. This removes the work item from Service Officer's inbox. Do not close the MFU activity
    • contact was not required, finalise the MFU activity
    • procedure ends here

2

Discuss with carer

Discuss the following with the carer:

  • Is the absence temporary or permanent?
  • Are there any changes to the end date of the absence?
  • Are there any special circumstances that have led to the respite exceeding 63 days?
  • Eligibility for the extended suspension period instead of cancellation of payments

Is the absence correct?

3

Correct the absence details

Update the absence details by correcting the previous coding on the Temporary Cessation of Care Summary (ABSN):

  • Select the entry that needs updating
  • Correct the date(s)
  • Select Update and
  • Finalise the activity

Will the customer still exceed 63 days?

  • Yes, see Table 7
  • No, DOC details of the update. Procedure ends here

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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Step

Action

1

What type of absence will exceed?

2

ETT absence that exceeds the available balance
  • Carers whose children are absent from home for ETT and who have used their 63 days of respite do not lose qualification but are only payable for the period that the child is in their care. As the care receiver is expected to return to care, the carer remains qualified but on 'nil rate' and will retain eligibility for the CA HCC for 13 weeks
  • If the child is in the carer's care some part of each fortnight, payment eligibility will be maintained on a fortnightly basis. For example, if the child is at school Monday to Friday but returns home on weekends
  • Service Officers code the 24 hour periods midnight to midnight out of care
  • The carer must be advised of the reporting and notification obligations. This includes notifying changes to the expected date of return to care

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.

3

Respite exceeds 63 days

Where 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.

4

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?

  • Yes, refer to Level 2 Help Desk. Procedure ends here
  • No, go to Step 5

5

Is it a hospitalisation absence?
  • Yes: once the customer has exhausted their allocation, the system automatically applies any available respite (RSP) days where available. When these have been used, payments automatically cancel due to respite. Go to Step 7
  • No, go to Step 6

6

Special circumstances to extend more than 63 days

Approval 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:

  • extensions to respite, or
  • they have been contacted as a part of a review of their respite:
    • Obtain from the customer the reason for the extension request
    • Request if evidence can be provided including form overseas (Language/Translation can be requested)
    • Establish if a definite period of end of absence or estimated
    • Establish if care is to be re-established after absence

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?

  • Yes, special circumstances may apply:
    • approval required
      - Submit a 'Direct Referral to SSO'. For further information, see the Resources page
      - Create a DOC to note a Direct Referral to SSO has been made, including a brief outline of the reasons requesting to extend the respite, including dates the care receiver will return to care. Procedure ends here for referring Service Officer. For SSO, see Table 1 on the Recording the absence tab
    • approval outcome received, see Table 1 on the Recording the absence tab
  • No, payment will automatically cancel once the 63 days is reached. The customer may be eligible to enter the extended suspension period for up to 6 months instead of cancelling, go to Step 7

7

Assess eligibility for extended suspension period

A carer is considered eligible for an extended suspension period if the carer:

  • would have been cancelled because of exceeding respite days
  • resides in Australia, and
  • remains eligible for all other reasons

Discuss with the carer their eligibility for an extended suspension period of six months. Tell the carer:

  • they will retain eligibility for their Pensioner Concession Card (PCC)
  • they need to advise Services Australia when they have returned to providing care. Their record will be assessed, and may have their payment restored

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.

  • If the carer is eligible and they want to access the extended suspension period, see Table 1 on the Recording the absence tab
  • If the carer is not eligible for an absence extension or the extended suspension period or does not want to access the extended suspension period, tell the carer:
    • their payment will cancel at the end of the 63 days
    • they will need to claim another payment or reclaim if they return to providing care and meet eligibility for CP. To find the cancellation date, go to the ABCE screen and select care receiver from the Care Receiver Summary (CRS) screen

See Table 1 on the Recording the absence tab.