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For the purposes of CA, care and attention refers to the requirement that the carer provide at least some additional care and attention to a person because of a disability or severe medical condition that would not be required if they did not have a disability.
This care must be provided on a daily basis (1.1.D.10) in a private home that is the home of either the carer(s) and/or the care receiver.
The care and attention does NOT have to be substantial, but it:
It is important not to confuse this requirement with the additional qualification requirement for HCC only CA (child) that a child require substantially more care and attention (1.1.S.390) than another child of the same age without a disability.
A person who qualifies for CA CANNOT delegate the care and attention of the CA child or adult to others, except for:
Note: It is possible for a care receiver to be 'disabled' according to their CDAT or ADAT assessment, and NOT receive care and attention on a daily basis because of their disability. In these cases the claim must be rejected. A carer may be providing considerable additional care but that care is not necessarily required because of the disability.
Example: An older child may control their diabetes with self-administered medication. If the condition can be managed by the young person the parent/carer may not qualify for CA (child) if the child does not require extra care and attention because of the disability.
Explanation: Medical reviews will generally address cases in which a child becomes better able to cope with the impairment after the claim is granted, and no longer receives additional care.
Act reference: SSAct section 953 Qualification for carer allowance-caring for either 1 or 2 disabled children, section 954 Qualification for carer allowance-caring for a disabled adult, section 954A Qualification for carer allowance-caring for a disabled adult in a private home not shared by the adult and carer, section 1061ZK(2) Qualification for health care card
Policy reference: SS Guide 3.6.7 CA - Qualification & Payability, 3.6.7.45 Qualification for CA - Carer & Care Receiver not Co-resident
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Last reviewed: 1 July 2009
