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1.1.M.100 Medical evidence (DSP, SA, CP, Partial capacity to work)

Definition: DSP, SA & partial capacity to work

For the purposes of DSP, SA and determining partial capacity to work (1.1.P.56), medical evidence is corroborating evidence that provides information about a person's medical condition(s) (1.1.M.90) and resulting impact. This documentation may include a report from the person's treating doctor, reports from medical specialists confirming diagnosis of conditions, reports from health professionals (1.1.H.50) including allied health professionals confirming the functional impairment, results of diagnostic tests or other assessments undertaken or other supporting letters or reports.

 

Diagnosis of a medical condition that may qualify a person for DSP can only be provided by an appropriately qualified medical practitioner (with limited exceptions, e.g. intellectual function). For some impairments, supporting evidence of the diagnosis is required. The Impairment Tables (1.1.I.10) set out when this supporting evidence is required, for example mental health function, hearing function and visual function.

Explanation: The primary source of corroborating evidence is a report from the person's treating doctor. Other documentation mentioned above would be used to supplement information provided by the treating doctor (1.1.T.160) or other medical practitioners.

 

Act reference: SSAct section 94 Qualification for DSP-continuing inability to work, section 666(1) Qualification for SA, section 16B Partial capacity to work

Social Security (Tables for the Assessment of Work-related Impairment for Disability Support Pension) Determination 2011

Policy reference: SS Guide 3.6.2.10 Medical & Other Evidence for DSP, 3.6.5 SA - Qualification & Payability, 1.1.P.56 Partial capacity to work (NSA, YA (job seeker), PP & SpB (NVH)), 3.6.3 Guidelines to the Tables for the Assessment of Work-related Impairment for DSP

 

Definition: CP (child)

For the purposes of CP (child), under the extension of short term (1.1.S.172) or episodic care (1.1.E.132) provisions, medical evidence is a certificate from a THP which confirms that due to the care receiver's disability or medical condition (which must be the same or related to the original disability or condition) they need a further period of personal care which continues beyond the period initially advised.

 

Act reference: SSAct section 197H Qualification-extension of short term or episodic care, section 197J Qualification following qualification for short term or episodic care

Policy reference: 3.6.4.10 Qualification for CP

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Last reviewed: 20 March 2012


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Last Edited: 29/10/2013 4:33:56 PM


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