188.8.131.52 CA - Reviews (Adult with a Disability)
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:
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.