1.1.P.190 Periodic reviews (CA, CP)

Definition

For the purposes of CA and CP, periodic reviews are reviews of the eligibility requirement that the care receiver receives care and attention on a daily basis (CA) or constant care (CP) because of the disability.

CA income test

In addition to the below periodic reviews all CA and/or the CA (child) HCC only recipients must satisfy the annual CA income test to remain qualified. An annual CA income test of $250,000 per annum applies to all CA and CA (child) HCC only recipients. ATO income data can be used to review recipient's income. Carers with an annual ATI of less than $250,000 (3.6.7.32) will remain qualified if they continue to meet the other CA and/or CA (child) HCC eligibility requirements.

Periodic review categories (CA (child))

Periodic review categories for CA (child) are:

  • medical age milestone review of care receivers who have a recognised disability for review purposes only (6.2.5.120), and
  • carer circumstance review.

Note: Recipients who qualify for CA (child) because the child has a recognised disability (6.2.5.130) are exempt from care load or medical age milestone review until the child turns 16 years of age (unless otherwise specified).

Medical age milestone reviews

Medical age milestone reviews are conducted to ensure there is a continued entitlement to CA (child) and/or CA HCC (child) only. They are conducted at:

  • 4 years 8 months,
  • 10 years, and
  • 13 years.

Periodic review categories (CA (adult))

The periodic review categories for CA (adult) (6.2.5.140) and CP (adult) (6.2.5.50) are:

  • a carer circumstances review conducted by telephone every 2 years to ensure care is still required and being provided by the person to the same care receiver who has an ADAT score of more than 40 and their condition is permanent and not improving, and
  • a full review conducted every 2 years, this includes a medical assessment using the ADAT and a carer circumstance review where the care receiver has a disability or medical condition that is not permanent, or may improve and/or the care receiver achieves an ADAT score of less than 40.

When a care receiver qualifies a carer under the care receiver income and assets test, an annual review is generated for a delegate to review the care receiver's income and assets.

Policy reference: SS Guide 6.2.5 Disability & Carer Reviews

Last reviewed: 20 September 2018