Carer Adjustment Payment - Questions and Answers
- What is the Carer Adjustment Payment?
- Who may be eligible for CAP?
- Where to Claim this assistance?
- What is a 'catastrophic event'?
- Why is CAP restricted to the adjustment period following a catastrophic event?
- How old can the child I care for be?
- What constitutes significant care requirements?
- Are there specific medical criteria?
- Must I apply for Carer Payment (child) to be eligible for CAP?
- Can I be in receipt of another income support payment?
- What is meant by very strong financial need?
- Can I claim if I share care of the child?
- Are there any other restrictions I should know?
- How do I apply?
- How long will my claim take to process?
- Who will make the decision?
- How much can I get from the CAP?
- Can I request a review of the decision?
- Can I retest my eligibility at a later date?
The Carer Adjustment Payment (CAP) is an ex gratia payment scheme providing one off financial assistance of up to $10,000 to families in exceptional circumstance who do not qualify for any Government income support payments.
The Carer Adjustment Payment scheme is intended to assist families to adjust following a catastrophic event where a child aged under 7 years is diagnosed with a severe disability or severe medical condition. The event must have caused an adjustment in the care arrangements that cause the family financial hardship that can be assisted by a one-off ex-gratia grant.
Examples of catastrophic events may include (but are not limited to);
- diagnosis of a severe medical condition such as childhood cancer
- childhood stroke
- car accident
- near drowning, or
- other type of accident
From 1 July 2012, the CAP became an ongoing payment.
Families will be able to apply for assistance through the CAP where, following a catastrophic event, all of the following criteria are met:
- the child, aged under 7 years, is diagnosed with a severe disability or severe medical condition; and
- the child has significant care requirements –that is, requires full-time care from the carer for a minimum of two months following the catastrophic event; and
- the child's carer is eligible for and receiving Carer Allowance in respect of the child; and
- the carer is not eligible for and receiving Carer Payment; and
- the carer and their partner are not eligible for an income support payment; and
- the carer is able to demonstrate a very strong need for financial support during the adjustment period after the catastrophic event; and
- the claim is lodged within 2 years from the date of diagnosis of a severe disability or severe medical condition following the catastrophic event.
Your claim for CAP must be lodged with the Australian Government Department of Human Services (Centrelink) within 2 years from the date of diagnosis of a severe disability or severe medical condition following the catastrophic event.
Catastrophic events may include, but are not limited to, diagnosis of a severe medical condition such as childhood cancer, childhood stroke or a car accident, fire, fall, poisoning, near drowning or other type of accident.
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The CAP is intended to assist families to adjust to changed or sudden caring requirements immediately following a catastrophic event. The adjustment period is generally the period of change from the previous caring arrangements for the child to the new caring regime following a catastrophic event. The scheme is not designed to pay for ongoing, regular care requirements or for catastrophic events that occurred some time ago.
A requirement of the CAP is that the child being cared for is aged under 7 years when the catastrophic event occurs.
To indicate significant care a child would generally require continuous and intensive personal care and attention from the carer, in their own home or in hospital, for a minimum period of 2 months after the catastrophic event. There is no maximum time frame. As a guide the care would generally be provided for a significant period every day, that is, the equivalent of a full working day. The care required for the child would generally go beyond that required for a child of a similar age not suffering from a disability, medical condition or illness.
No. Every application for the CAP is considered on a case-by-case basis. The diagnosis of a specific, disability or medical condition, including congenital conditions, will not automatically preclude or guarantee eligibility for a CAP.
You must test your eligibility for income support payments if you are not already in receipt of an income support payment (see question 10).
If you are eligible for an income support payment you are not eligible for a CAP. This is because customers receiving income support payments are considered to need, and already have access to, ongoing financial assistance and other benefits, such as a concession card.
If your declared income and/or assets (carer and partner) is/are clearly above the prescribed income support payment limits, then for the purposes of CAP, you will be considered to meet the criterion that you are ineligible for any other income support payment.
No. To be eligible for the CAP, neither you nor your partner can be receiving an income support payment.
If you or your partner is eligible for, and receiving an income support payment such as Carer Payment, Parenting Payment, Disability Support Pension, Age Pension, Service Pension and Newstart Allowance, note - this list is not exhaustive, you already have access to ongoing financial assistance and other benefits, such as a concession card.
Income support payment is defined under section 23(1) of the Social Security Act 110101 and means a payment of:
- (a) a social security benefit; or
- (aa) a job search allowance; or
- (b) a social security pension; or
- (c) a youth training allowance; or
- (d) a service pension; or
- (e) income support supplement.
Information on income support payments administered by Centrelink is available through A Guide to Australian Government Payments.
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A requirement of the CAP is that you are able to demonstrate a very strong need for financial support during the adjustment period after the catastrophic event. Generally this would mean that the change in your caring requirements following the catastrophe has significantly diminished or exhausted your available funds and you have no alternative means of meeting financial commitments.
Families will need to present their case by setting out their circumstances and the ways in which the family needs extra support in response to a catastrophic event and that they are undergoing a significant adjustment on or after the time of the application.
This may include disruptions to things like your capacity to work and/or care arrangements for your child or other children and/or the caring costs associated with medical treatments and interventions.
As long as you are receiving Carer Allowance for the child concerned you can still claim for the CAP.
Where a person is qualified for a Carer Allowance Health Care Card, but they are not qualified for the actual Carer Allowance payment, they are not eligible for the CAP.
Standard residency requirements also apply to the CAP. The CAP is only payable to permanent residents of Australia. CAP claims must be lodged in Australia.
You can obtain a CAP claim form by phoning Centrelink on 13 2717, by downloading a form from the Centrelink website or from your local Centrelink Office. Completed claim forms can be lodged at your local Centrelink office.
The claim form needs to be completed by the carer who is in receipt of Carer Allowance for the child concerned.
If you provide all the necessary information when you lodge the claim, you should receive a response from Centrelink within 12 to 15 weeks of lodging.
All eligible applications will be considered by an independent panel of experts. The panel will make a recommendation to the Department of Social Services on whether or not you should receive a payment. The decision on CAP claims will be made by a senior officer in the Department of Social Services.
CAP is a one-off non taxable payment available to families in exceptional circumstances. The amount payable depends on the family’s individual circumstances. The amount available to any family is up to $10,000 for each child in a single catastrophic event.
A claimant can have the decision for their CAP application reviewed. A request for review should be provided to Centrelink in writing as soon as possible. A written request provides a claimant with an opportunity to clearly outline the reasons why they believe the decision to be incorrect and also to provide any further information and supporting documentation to be considered.
Please note: the Department of Social Services does not have the authority to overturn decisions where Government eligibility for the CAP is not met, such as age of child, customers claiming who are already receiving income support, etc.
Where a claim has been unsuccessful and there have been any changes in circumstances, i.e. another catastrophic event resulting in a new adjustment period, a claimant can retest their eligibility.