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5.8.1 Eligibility criteria for interim permanent impairment payments
An interim payment of permanent impairment (PI) compensation can be made under section 75 of the MRCA where:
- the person suffers an impairment as a result of one or more accepted conditions,
- the impairment is likely to continue indefinitely (i.e. is permanent),
- the impairment is not yet stable (i.e. likely to improve)
- It is anaticipated that compensation will be payable under section 68 or 71 (i.e. the conditon is expected to stabilise in the future),
- final assessment of the degree of impairment cannot currently be determined because one or more of the accepted conditions are not stable,
- an assessment of the degree of impairment upon stabilisation can be estimated and is at least the minumum threshold for payment.
Assessment for an interim payment will apply mainly in cases undergoing active treatment that is expected to result in significant improvement in the impairment. Whilst the final outcome of the treatment may not yet be known, permanent impairment points at the completion of treatment can be estimated.
It is important to obtain all of the relevant information required for the correct assessment of permanent impairment compensation up front to avoid having to seek a supplementary report. This will require asking specific questions of the assessing medical practitioner in the first instance. If this fails to provide the information required to determine an interim payment then efforts should be made to seek this information by requesting a follow-up supplementary report or by requesting clarification from a DVA Contracted Medical Adviser (CMA).
Information required would include (but not necessarily be limited to);
- Status of each of the assessed conditions for permanence and stability,
- Identification of current level of impairment,
- Identification of any current or scheduled treatment that is expected to improve the condition/s,
- If not stable, an estimated timeframe when treatment is expected to be complete and impairment is therefore expected to stabilise,
- An estimation of the final points for the condition/s at completion of treatment and/or stabilisation of condition.
It is important to note that for transition MRCA PI cases, it may be a MRCA or SRCA condition that is not yet stable resulting in an interim MRCA PI outcome. VEA conditioins do not need to be stable to result in a disabiltiy pension payment, therefore the stabiltiy of VEA accepted conditions in a transition MRCA PI case is not relevant.