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8.4.6 Any other relevant matter
What other matters may be relevant in considering a claim for attendant care services will be entirely dependent on the circumstances of a particular case. The most obvious example of any other relevant matter is any report obtained from a Community Nursing assessor or an Occupational Therapist in relation to what attendant care services are reasonably required due to the nature of the accepted service injury or condition.
Matters considered relevant also include whether the attendant care services are reasonably required for a particular period of time due to a change in circumstances. For example, if the client is in hospital or respite care temporarily, then they will not require assistance from DVA with personal care needs (grooming, bathing, feeding etc) as these should be provided by the facility they are in and not by a service provider in the person’s own home. If the client is on a rehabilitation plan, it is expected that the rehabilitation service provider will know when the person is in hospital or away from their home, and will advise the Rehabilitation Coordinator. If any invoices are presented by attendant care service providers they must be scrutinised carefully to ensure that payments are only made for attendant care when the client was in their own home and not in a facility.
If the client moves into palliative care or residential aged care on a permanent basis, then attendant care payments should be ceased from the date that they entered care on a permanent basis. If the person returns home, then their attendant care payments may be reactivated however, an assessment by an independent and qualified medical professional or rehabilitation service provider with specialist skills, such as a contracted Community Nursing Program Provider or Occupational Therapist with specific expertise may be required if the client's needs have changed as a result of their hospitalisation.