Fast-Tracking Disability Support Pension Claims for People With Profound Disability Or Terminal Illness

From 1 July 2010, Disability Support Pension assessments were simplified to fast-track more claimants who are clearly or manifestly eligible due to a terminal illness or profound disability.

The new process will help prevent more of these DSP claimants being unnecessarily referred for a Job Capacity Assessment and provide them with financial assistance more quickly.

Under the new arrangements, Centrelink will check the claimant's medical report to see whether the person can be granted on the basis of diagnosis alone. The two lists below assist in this process. List one provides the names of conditions which mean a claimant is eligible on the basis of diagnosis. List two provides the names of conditions which require further investigation, as DSP may be able to be granted without a Job Capacity Assessment.

In cases where the prognosis is unclear, Centrelink will contact the claimant's treating doctor and/or the new Centrelink Health Professional Advice Unit to discuss the person's condition, treatment regime and likely prognosis.

List of medical conditions which may be fast-tracked for the Disability Support Pension

List 1
A manifest grant of DSP is able to be made when a claimant is diagnosed with one or more of the following conditions (on list 1).

Letter Condition Manifest Category
A Amyotrophic Lateral Sclerosis (ALS) Nursing home level care
Angelman Syndrome Nursing home level care
C Creutzfeldt-Jacob Disease (CJD) - Adult Nursing home level care
G Gallbladder cancer Terminal illness
Gioblastoma Multiforme (brain tumour) Terminal illness
L Lesch-Nyhan Syndrome (LNS) Nursing home level care
Liver cancer (primary cancer) Terminal illness
M Mantle cell lymphoma (MCL) Terminal illness
MPS III (San Filippo Syndrome) Nursing home level care
MPS VII (Sly Syndrome) Nursing home level care
P Patau Syndrome (Trisomy 13) Nursing home level care
Peritoneal Mesothelioma Terminal illness
Plural Mesothelioma Terminal illness
Prader-Willi Syndrome Intellectual disability
S Sjogren-Larsson Syndrome Intellectual disability
Small cell cancer of the large intestine Terminal illness
Small cell cancer of the ovary Terminal illness
Small cell cancer of the prostate Terminal illness
Small cell cancer of the uterus Terminal illness
Small cell lung cancer Terminal illness

List 2
A manifest grant of DSP is able to be made when a claimant:

  • is diagnosed with one or more of the following conditions on list 2, AND
  • the additional action in the table is undertaken, AND
  • it provides evidence that the claimant is clearly qualified for DSP.
Letter Condition Additional
Action Key
(see table below)
A Acute leukaemia 1
Adrenal cancer 2
Anaplastic adrenal cancer 2
Astrocytoma Grade III 3
Astrocytoma Grade IV 3
Ataxia Telangiectasia 1
B Bladder cancer 2
Bone cancer 2
Breast cancer 2
C CHARGE Syndrome 4
Chronic Myelogenous Leukaemia (CML) Blast Phase 5
Chronic Obstructive Pulmonary Disease (COPD) 6
Cockayne Syndrome (Types I, II, III) 1
Coffin Lowry Syndrome 1
Cornelia De Lange Syndrome 4
Cri Du Chat Syndrome 4
Cystic Fibrosis 6
D Dementia 1
Duchenne Muscular Dystrophy 1
F Fragile X Syndrome (Adult) 4
Friedreich's Ataxia (FRDA) 1
H Head and neck cancers 2
I Idiopathic Pulmonary Fibrosis 6
Inflammatory Breast Cancer (IBC) 1
K Kakubi Syndrome 4
Kidney cancer 2
L Large intestine cancer 2
M Machado-Joseph Disease
(aka Spinocerebellar Ataxia Type 3)
1
MPS I (Hurler Syndrome) 4
MPS II (Hunter Syndrome) 4
MPS IV (Morquio Syndrome, MPS I IVA) 1
MPS VI (Maroteaux-Lamy Syndrome) 1
Multiple System Atrophy 1
N Neck and head cancers 2
Non-small Cell Lung Cancer 2
O Ornithine Transcarbamylase (OTC) Deficiency 1
Ovarian cancer 2
P Pancreatic cancer 1
Pelizaeus-Merzbacher Disease 1
Primary Lateral Sclerosis 1
Primary Pulmonary Hypertension 6
R Rett (RTT) Syndrome 1
S Salivary tumours 1
Seckel Syndrome 4
Small intestine cancer 2
Smith-Magenis Syndrome 4
Steele-Richardson-Olszewski diseases (aka progressive supranuclear palsy) 7
Stomach cancer 2
T Thyroid cancer 1
U Ureter cancer 2

Key
The table below is the additional action key. The follow up action is to ascertain information on the prognosis or severity/progression of the condition so that a decision can be made whether a manifest grant is appropriate.

Action Explanation Manifest grants category where follow-up action indicates that manifest grant is appropriate
Action Explanation Manifest grants category where follow-up action indicates that manifest grant is appropriate
1 Establish prognosis and/or level of care required as prognosis can vary and/or the condition is progressive.

Could be either:
Requires nursing home level care or terminal illness.

Cancer type conditions would be coded as terminal illnesses where prognosis indicates life expectancy of less than 2 years.

For other conditions listed under this follow-up action reason, generally the follow-up is whether the condition has progressed to a stage where nursing home level care is required.

2 Confirm the associated grade/stage/phase is with distant metastases or inoperable, unresectable or recurrent. Terminal illness.
3 Confirm the associated grade is Grade III or Grade IV. Terminal illness.
4 Establish prognosis and/or level of care required as prognosis can vary and investigate whether there is an existing IQ score.

Could be either:
Requires nursing home level care or intellectual disability.

It will depend on additional information obtained.

If IQ score indicates manifest eligibility, use this.

5 Confirm the associated phase is Blast Phase. Terminal illness.
6 Confirm the claimant is receiving domiciliary oxygen therapy. Requires nursing home level care.
7 Confirm the likely prognosis of the progressive condition including impact of dementia. Requires nursing home level care.

 

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