6.2.4.10 PP reviews
Summary
This topic explains the reviews for PPS (1.1.P.51) and PPP (1.1.P.50). These are designed to ensure that recipients receive their correct entitlements and to minimise the possibility of inaccurate payments and fraud.
PP reviews
A review of a recipient's PP is conducted if they experience a change in circumstances which may impact their entitlements. Reviews may be initiated on the basis of information from one of the following sources:
- the recipient or someone on their behalf
- external data received from third parties (for example, through data-matching)
- internal data, such as accelerated claimant matching and service profiling (6.5), or
- public information (tip-offs).
Reviews or interviews may be conducted in addition to some of the compliance interventions identified above.
Policy reference: SS Guide 6.1.2 Change in Circumstance Reviews, 6.5 Profiling reviews, 3.11.2 Job Plans
Payment during review period
PP is generally continued while a review is in progress. Payment is suspended if a recipient fails to comply with a notice requesting additional information. If a recipient:
- requests a review of the suspension decision within 13 weeks of the notice of suspension, then
- payment can be restored without a break in payment, provided
- the review is completed, and
- PP would otherwise have been payable during the suspension period.
Policy reference: SS Guide 6.8 Payment pending review