Deciding Supported Living Payment using existing assessments
For MSD to decide a client's eligibility to Supported Living Payment, the client needs to provide:
- a medical certificate from their registered medical practitioner, nurse practitioner or psychologist or
- suitable existing medical or disability assessments or
- an assessment from a designated health practitioner if they haven't provided sufficient medical information
For more information see:
- Health practitioners that can complete medical certificates and provide medical information
- Deciding Supported Living Payment from a medical certificate
MSD can consider granting Supported Living Payment from existing assessments if MSD is satisfied that the information contained in the report or in its records confirms the client meets the medical criteria for Supported Living Payment.
Deciding permanence and severity of client's illness or impairment
For MSD to grant Supported Living Payment, MSD needs to be satisfied from the information available that the client is:
- both permanently and severely restricted in their capacity for work because of a health condition, or an injury, or a disability, from an accident, or condition they have had since birth or
- totally blind
Note totally blind and legally blind are not the same.
If the information MSD has confirms the client meets the criteria, MSD can consider granting Supported Living Payment.
If MSD is not satisfied by the information provided that eligibility is clear, or thinks the client may be given simplified access to Supported Living Payment, seek advice from the Regional Health Advisor or Regional Disability Advisor [no link find out why] .
For more information see:
Who is most likely to have existing assessments?
Many clients will have been assessed by a range of registered health practitioners throughout the duration of their illness or disability.
Using the information already available can make the process of applying for Supported Living Payment easier for the client.
Situation | Types of Existing Assessments |
The client is totally blind | Specialist report from an ophthalmologist or optometrist |
The client is terminally ill | Specialist report (e.g. oncologist or palliative care physician). Written confirmation from client's registered medical practitioner, nurse practitioner or psychologist (where relevant) |
The client is deaf or hearing impaired | NASC report (Needs Assessment Service Co-ordination report) Specialist reports |
The client has severe physical disabilities (tetraplegia, paraplegia, spina bifida, cerebral palsy) | NASC report Specialist reports |
The client has long standing, severe ill health (chronic arthritis, stroke, chronic health failure, cystic fibrosis) | NASC report Specialist reports |
The client is 16 years or older and is applying for Supported Living Payment and is still at school or has recently left school | Special education reports Child Disability Allowance assessment Specialist report NASC report |
Types of existing assessments
The client might have 1 of the following existing assessments that MSD could use to decide their eligibility to Supported Living Payment:
- Assessment from client's medical specialist (e.g. ophthalmologist, optometrist, oncologist, cardiologist etc)
- NASC (Needs Assessment Service Co-ordination) assessment
- Special education assessment
- Ongoing Resourcing Schemes (ORS)
- Child Disability Allowance assessment
- Other types of assessment
These existing assessments are likely to be unformatted, in the form of letters or a written report and may not present advice in a way that allows MSD to easily decide medical eligibility for Supported Living Payment.
MSD should consider a range of factors when assessing a client's eligibility for Supported Living Payment, including:
- all the information available to MSD
- the age of the assessments
- if the client will need to be medically reassessed while on Supported Living Payment
- if the client needs help obtaining existing assessments
For more information see:
- Use all information available
- Age of assessment
- Medical reassessment for Supported Living Payment
- Helping your client obtain existing assessments
- Client consent to release of health or disability information [no link find out why]
Legislation
- Supported living payment: on ground of restricted work capacity or total blindness: requirements section 34-36 Social Security Act 2018
- Supported living payment: on ground of restricted work capacity or total blindness: medical examination section 37 Social Security Act 2018
