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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 circumstances 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 following table shows when reviews are set.

If the care receiver…

Then…

has a disability or medical condition that is:

- permanent and not improving, AND

- the care receiver achieves an ADAT score of 40 or more,

a full review is not required, however, a circumstances review will be conducted by phone every 2 years to ensure that the person still provides care and attention on a daily basis to the same care receiver.

has a disability or medical condition that is:

- not permanent, OR

- may improve, AND/OR

- the care receiver achieves an ADAT score of less than 40,

a full review, including a medical assessment using the ADAT must be conducted every 2 years to establish that the care receiver's care needs continue to qualify the person for payment and that they continue to provide care and attention on a daily basis to the care receiver.

 

Where the care receiver also qualifies their carer for CP, both payments should be reviewed at the same time.

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Last reviewed: 9 February 2012


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Last Edited: 05/03/2012 10:41:36 AM


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