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 … |
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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.