6.2.5.140 CA - Reviews (Adult with a Disability)

Summary

This topic covers reviews of a person in receipt of CA (adult) to determine their continued eligibility for payment. There are 2 forms of review:

  • a full review including medical assessment of the care receiver and the confirmation of the care situation, and
  • a circumstance review to determine that care is still required by the care receiver and still being provided by the person.

Medical review of adult with a disability

The table below determines the type of review required.

If the care receiver… Then…

has a disability or medical condition that meets all of the following conditions:

  • achieves an ADAT score of 40 or more,
  • a THP has assessed the condition as permanent and not improving.

a full review (including a new ADAT) is not required.

However, a carer circumstance review may be conducted by phone to ensure that the person continues to meet the non-medical qualifications for CA.

has a disability or medical condition that does not meet all the conditions listed above. the carer may be subject to a full review including a medical assessment using the ADAT.

Note: Where the care receiver also qualifies their carer for CP, both payments should be reviewed at the same time.

Last reviewed: 4 January 2016