Cancellation and rejection codes for Essential Medical Equipment Payment (EMEP) 008-01040060

Essential Medical Equipment Payment (EMEP) can be rejected or cancelled at the claimant, claim, equipment user, or medical equipment level. This is because a customer can claim EMEP for multiple equipment users (as a carer and equipment user), and for more than 1 item of medical equipment or medically required heating/cooling being used at their current residence.

The system service reason is MEP.

EMEP is an annual lump sum payment. When an initial EMEP is granted, a subsequent EMEP will be paid each year on the anniversary date of the original claim, provided that there is no change in circumstances. If EMEP is current, this means at least 1 anniversary date is set up. A customer can claim EMEP for multiple equipment users.

If a customer’s claim for EMEP is rejected due to a specific equipment user, item of medical equipment or medically required heating/cooling not meeting the eligibility requirements, the customer may still be granted EMEP in relation to a different item of medical heating/cooling, equipment, or equipment user.

If a customer is receiving multiple payments for EMEP, they may remain current on EMEP even if a specific equipment user no longer qualifies the customer for an EMEP, or if an item of medical equipment or medically required heating/cooling is no longer used.

Specific codes are used when a decision is recorded on a customer's record to assess their claim, or to cancel their payment. A description of the code is used in correspondence with customers when explaining the reason for cancellation or rejection.

Customers can request a review of the decision to reject or cancel EMEP. EMEP is paid under social security law.

EMEP can be restored if it has been cancelled incorrectly.

The Process page contains a list of cancellation and rejection codes for EMEP and protocols for restoring EMEP if it is cancelled.