1.1.C.20 Care receiver (CP)
Definition
For the purposes of CP, a care receiver is an adult with a physical, intellectual or psychiatric disability; or a dependent child of a disabled adult; or a child with a severe disability, severe medical condition, disability or medical condition; or a child with a terminal condition in respect of whom a carer qualifies for CP for caring for the adult or child. There are 6 types of care receivers:
- a higher ADAT score adult (1.1.H.63), OR
- a lower ADAT score adult (1.1.L.130), OR
- the dependent child (1.1.D.70) of a lower ADAT score adult, OR
- a child with a severe disability (1.1.S.133) or severe medical condition (1.1.S.130), OR
- a child with a disability (1.1.D.160) or medical condition (1.1.M.90), OR
- a child with a terminal condition (1.1.T.86)
in respect of whom a carer qualifies for CP.
Policy reference: SS Guide 3.6.4.10 Qualification for CP
Higher ADAT score adult
A person meets the definition of a care receiver if the person:
- requires constant care (1.1.C.310), AND
- (if only one person is caring for them) is assessed and rated using the ADAT and given a score of at least 25, being a score calculated on the basis of a total professional questionnaire score of at least 10, OR
- (if more than one person is caring for them) is assessed and rated using the ADAT and given a score of at least 80, being a score calculated on the basis of a total professional questionnaire score of at least 32, AND
- is aged 16 years or more, AND
- is an Australian resident, AND
- is an income support recipient, or would be but for residence requirements, OR
- is not receiving a social security pension or benefit or DVA pension or income supplement, AND
- passes the care receiver income and assets test (or has an exemption from the assets test).
Act reference: SSAct section 7(2) An Australian resident is a person who …, section 197(1)-'disabled adult', section 197(1)-'higher ADAT score adult', section 198 Qualification-disabled adult or disabled adult and dependent child, section 198A Income test, section 198D Assets test
Lower ADAT score adult
A person meets the definition of a care receiver if the person:
- requires constant care, AND
- is assessed and rated using the ADAT and given a score of at least 20, being a score calculated on the basis of a total professional questionnaire score of at least 8, AND
- is aged 16 years of age or more, AND
- is an Australian resident, AND
- is an income support recipient, or would be but for residence requirements, AND
- is not receiving a social security pension or benefit or DVA pension or income supplement, AND
- passes the care receiver income and assets test (or has an exemption from the assets test).
Act reference: SSAct section 7(2) An Australian resident is a person who …, section 197(1)-'disabled adult', section 197(1)-'lower ADAT score adult', section 197D Qualification-disabled adult and one or more children each with a disability or medical condition, section 198(2)(d) Qualification-disabled adult or disabled adult and dependent child, section 198A Income test, section 198D Assets test
Dependent child of a lower ADAT score adult
A dependent child of a lower ADAT score adult meets the definition of a care receiver if the dependent child is:
- under 6 years of age, OR
- if aged 6 or more but under 16 years of age, is a CA (child) (1.1.C.90), AND
- the carer supervises the care of the child.
Act reference: SSAct section 5(1)-'dependent child'
Child with a severe disability or severe medical condition
A child meets the definition of a care receiver if the child:
- has a severe disability or severe medical condition, AND
- is under the age of 16 years, AND
- is an Australian resident, AND
- requires constant care, AND
- passes the care receiver income and assets tests (or has an exemption from the assets test), AND
- the care provided by the carer for the child has been given a qualifying rating of intense under the DCLA (Child), AND
- a THP (1.1.T.170) has certified in writing that because of the disability or condition, the child will need personal care of a specified number of carers, AND
- the provision of that care by the carer/s will severely restrict their capacity to undertake paid employment.
Act reference: SSAct section 197B Qualification-child with a severe disability or severe medical condition, section 197F Qualification-exchanged care of children, section 197G Qualification-short term or episodic care of children, section 197H Qualification-extension of short term or episodic care, section 198A Income test, section 198D Assets test
Child with a disability or medical condition
A child meets the definition of a care receiver if the child:
- has a disability or medical condition, AND
- is under the age of 16 years, AND
- is an Australian resident, AND
- requires constant care, AND
- passes the care receiver income and assets tests (or has an exemption from the assets test), AND
- the care provided by the carer for the child and one or more other children with a disability or medical condition, or a disabled adult, has been given a qualifying rating of intense under the DCLA (Child), AND
- a THP has certified in writing that, because of the disability or condition, the child will need personal care of a specified number of carers, AND
- the provision of that care by the carer/s will severely restrict their capacity to undertake paid employment.
Note: A child care receiver who qualifies a carer for CP before they turn 16 years of age continues to meet the definition of a child care receiver until the later of the following:
- they turn 16 years and 3 months of age, OR
- where all CP (child) to CP (adult) transfer documentation is submitted on or before the day the child turns 16 years, until the ADAT assessment is completed.
Act reference: SSAct section 197C Qualification-2 or more children with a disability or medical condition, section 197D Qualification-disabled adult and one or more children each with a disability or medical condition, section 197F Qualification-exchanged care of children, section 197G Qualification-short term or episodic care of children, section 197H Qualification-extension of short term or episodic care, section 198A Income test, section 198D Assets test, section 197K Remaining qualified after child turns 16
Policy reference: SS Guide 3.6.4.34 CP (child) to CP (adult) transfer process
Child with a terminal condition
A child meets the definition of a care receiver if the child:
- has a terminal condition, AND
- is under the age of 16 years at the time that CP is claimed, AND
- requires personal care for the remainder of their life, AND
- is an Australian resident, AND
- meets the care receiver income and assets test, AND
- a medical practitioner has certified that the average life expectancy for a child with the same or a similar condition is not substantially longer than 24 months, and that personal care is required to be provided by a specified number of carers.
Note: A child care receiver who qualifies a carer for CP under terminal provisions before they turn 16 years of age continues to meet the definition of a child care receiver until the later of the following:
- they turn 18 years of age, OR
- where all CP (child) to CP (adult) transfer documentation is submitted on or before the day the child turns 18 years, until the ADAT assessment is completed.