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50.13 End Date in PMKeyS
Ongoing payment of incapacity benefits is tied to the ongoing provision of medical certification (discussed above). Without such certification, there is no basis on which to pay incapacity benefits.
DVA policy is that all clients should have an end date entered into the incapacity payment system (PMKeyS). The end date should not be beyond the end of the certified period of incapacity (be that a medical certificate described above or more detailed specialist medical advice, SMR advised end date, recommended review date, rehabilitation plan end date or their Age Pension Age, whichever comes first).
A task can be manually set in Defcare by the delegate to flag the end date in PMKeyS to the “Responsible Officer” (the incapacity delegate) four weeks in advance. This is intended to allow the incapacity delegate to determine:
- whether to contact the client (in writing or by phone) and place the onus on the client to provide further medical certification in time to continue payments. In this case, the incapacity delegate should exercise a judgement if necessary to extend the period in PMKeyS in anticipation of certification being provided too late to meet pay cut off date. This should be for a limited period only (e.g. one pay period). Note if certification is not ultimately forthcoming then any money paid without cover is an overpayment to be recovered; and
- whether the onus is on DVA to obtain further certification (e.g. for a chronically incapacitated client) or whether DVA will arrange an SMR rather than rely on a certificate provided by the client. In this case, the incapacity delegate should exercise a judgement if necessary to extend the period in PMKeyS in anticipation of receipt of the SMR report being provided too late to meet pay cut off date.