5.8 Interim Permanent Impairment Compensation

In accordance with section 75 of the MRCA, interim permanent impairment compensation may be paid to a veteran when the delegate is satisfied:

  • the impairment is permanent, however

  • the final degree of impairment cannot be determined due to one or more conditions not being stable, and

  • the degree of impairment constitutes at least the number of impairment points required for compensation to be payable under sections 68 or 71.

“Stable” means: the condition is unlikely to improve to any major degree. This should not be judged based on possible improvement in impairment ratings.

Many conditions will have periods where symptoms may be more, or less, severe, including fluctuations of symptoms or ‘spikes’ as part of their normal manifestation. This is not necessarily a reflection of the condition’s stability status for compensation purposes, and delegates should refer to the relevant medical evidence in each specific case to determine whether a condition is stable.

Note: for an interim to be paid, the first consideration for the delegate is whether the impairment is permanent. If the veteran is undertaking rehabilitative treatment for an impairment and the delegate is unable to determine the impairment is permanent, an interim is not appropriate. The only exception is in relation to the following five mental health conditions:

  • Posttraumatic Stress Disorder (PTSD)

  • Depressive disorder

  • Anxiety disorder

  • Substance use disorder

  • Alcohol use disorder

For more information regarding impairments that are not permanent, please see Chapter 5.3.4 of the MRCA PI Manual.

 

Mental health conditions

For clients with any of the following mental health conditions with at least 10 points under chapter 4 of GARP M, who are engaged with, but have not yet completed, rehabilitative treatment or have completed rehabilitative treatment but the conditions are not yet stable, an interim permanent impairment determination should be considered:

  • PTSD

  • Depressive disorder

  • Anxiety disorder

  • Substance use disorder

  • Alcohol use disorder

As part of the interim determination, the delegate may allocate at least 10 impairment points for the emotional and behavioural assessment under chapter 4 of GARP M. This policy acknowledges that, in relation to the five named mental health conditions, there will likely be a degree of permanent impairment, even after the client undertakes reasonable rehabilitative treatment and the conditions stabilise.

In applying this policy, the delegate is considering the nature of the mental health condition as part of ‘any other relevant matters’ at subsection 73(d) of the MRCA, to determine that a permanent impairment will likely remain, even after rehabilitative treatment has been completed and the condition stabilises.

Though the final degree of permanent impairment cannot be determined until all reasonable rehabilitative treatment is undertaken and the mental health condition(s) stabilises, inclusion of at least 10 points in the assessment for the mental health conditions ensures clients can receive interim financial recognition and compensation for their mental health condition(s), while they engage in treatment to improve health and wellbeing outcomes and their conditions stabilise.

Note: For the final degree of permanent impairment to be determined, the delegate will still need to consider whether any additional impairment rating higher than the 10 points (allocated in the interim determination) is permanent. This requires, amongst other things, the delegate to consider whether reasonable rehabilitative treatment has been undertaken for the additional impairment and the condition has stabilised. 

Please refer to Chapter 5.8.1 for more information.

Source URL: https://clik.dva.gov.au/military-compensation-mrca-manuals-and-resources-library/policy-manual/ch-5-permanent-impairment/58-interim-permanent-impairment-compensation

Last amended

5.8.1 Eligibility criteria for interim permanent impairment payments

In accordance with section 75 of the MRCA, interim permanent impairment compensation may be paid to a veteran when the delegate is satisfied:

  • the impairment is permanent, however

  • the final degree of impairment cannot be determined due to one or more conditions not being stable, and

  • the degree of impairment constitutes at least the number of impairment points required for compensation to be payable under sections 68 or 71.

“Stable” means: the condition is unlikely to improve to any major degree. This should not be judged based on possible improvement in impairment ratings.

Many conditions will have periods where symptoms may be more, or less, severe, including fluctuations of symptoms or ‘spikes’ as part of their normal manifestation. This is not necessarily a reflection of the condition’s stability status for compensation purposes, and delegates should refer to the relevant medical evidence in each specific case to determine whether a condition is stable.

Note: for an interim to be paid, the first consideration for the delegate is whether the impairment is permanent. If the veteran is undertaking rehabilitative treatment for an impairment and the delegate is unable to determine the impairment is permanent, an interim is not appropriate. The only exception is in relation to the following five mental health conditions:

  • Posttraumatic Stress Disorder (PTSD)

  • Depressive disorder

  • Anxiety disorder

  • Substance use disorder

  • Alcohol use disorder

For more information regarding impairments that are not permanent, please see Chapter 5.3.4 of the MRCA PI Manual.

 

Mental health conditions

For clients with any of the following mental health conditions with at least 10 points under chapter 4 of GARP M, who are engaged with, but have not yet completed, rehabilitative treatment or have completed rehabilitative treatment but the conditions are not yet stable, an interim permanent impairment determination should be considered:

  • PTSD

  • Depressive disorder

  • Anxiety disorder

  • Substance use disorder

  • Alcohol use disorder

As part of the interim determination, the delegate may allocate at least 10 impairment points for the emotional and behavioural assessment under chapter 4 of GARP M. This policy acknowledges that, in relation to the five named mental health conditions, there will likely be a degree of permanent impairment, even after the client undertakes reasonable rehabilitative treatment and the conditions stabilise.

In applying this policy, the delegate is considering the nature of the mental health condition as part of ‘any other relevant matters’ at subsection 73(d) of the MRCA, to determine that a permanent impairment will likely remain, even after rehabilitative treatment has been completed and the condition stabilises.

Though the final degree of permanent impairment cannot be determined until all reasonable rehabilitative treatment is undertaken and the mental health condition(s) stabilises, inclusion of at least 10 points in the assessment for the mental health conditions ensures clients can receive interim financial recognition and compensation for their mental health condition(s), while they engage in treatment to improve health and wellbeing outcomes and their conditions stabilise.

Note: For the final degree of permanent impairment to be determined, the delegate will still need to consider whether any additional impairment rating higher than the 10 points (allocated in the interim determination) is permanent. This requires, amongst other things, the delegate to consider whether reasonable rehabilitative treatment has been undertaken for the additional impairment and the condition has stabilised. 

Please refer to Chapter 5.8.1 for more information.

Source URL: https://clik.dva.gov.au/military-compensation-mrca-manuals-and-resources-library/policy-manual/ch-5-permanent-impairment/58-interim-permanent-impairment-compensation/581-eligibility-criteria-interim-permanent-impairment-payments

Last amended

5.8.2 Number of impairment points required for interim PI to be payable

In accordance with section 75 of the MRCA, interim permanent impairment compensation may be paid to a veteran when the delegate is satisfied:

  • the impairment is permanent, however

  • the final degree of impairment cannot be determined due to one or more conditions not being stable, and

  • the degree of impairment constitutes at least the number of impairment points required for compensation to be payable under sections 68 or 71.

“Stable” means: the condition is unlikely to improve to any major degree. This should not be judged based on possible improvement in impairment ratings.

Many conditions will have periods where symptoms may be more, or less, severe, including fluctuations of symptoms or ‘spikes’ as part of their normal manifestation. This is not necessarily a reflection of the condition’s stability status for compensation purposes, and delegates should refer to the relevant medical evidence in each specific case to determine whether a condition is stable.

Note: for an interim to be paid, the first consideration for the delegate is whether the impairment is permanent. If the veteran is undertaking rehabilitative treatment for an impairment and the delegate is unable to determine the impairment is permanent, an interim is not appropriate. The only exception is in relation to the following five mental health conditions:

  • Posttraumatic Stress Disorder (PTSD)

  • Depressive disorder

  • Anxiety disorder

  • Substance use disorder

  • Alcohol use disorder

For more information regarding impairments that are not permanent, please see Chapter 5.3.4 of the MRCA PI Manual.

 

Mental health conditions

For clients with any of the following mental health conditions with at least 10 points under chapter 4 of GARP M, who are engaged with, but have not yet completed, rehabilitative treatment or have completed rehabilitative treatment but the conditions are not yet stable, an interim permanent impairment determination should be considered:

  • PTSD

  • Depressive disorder

  • Anxiety disorder

  • Substance use disorder

  • Alcohol use disorder

As part of the interim determination, the delegate may allocate at least 10 impairment points for the emotional and behavioural assessment under chapter 4 of GARP M. This policy acknowledges that, in relation to the five named mental health conditions, there will likely be a degree of permanent impairment, even after the client undertakes reasonable rehabilitative treatment and the conditions stabilise.

In applying this policy, the delegate is considering the nature of the mental health condition as part of ‘any other relevant matters’ at subsection 73(d) of the MRCA, to determine that a permanent impairment will likely remain, even after rehabilitative treatment has been completed and the condition stabilises.

Though the final degree of permanent impairment cannot be determined until all reasonable rehabilitative treatment is undertaken and the mental health condition(s) stabilises, inclusion of at least 10 points in the assessment for the mental health conditions ensures clients can receive interim financial recognition and compensation for their mental health condition(s), while they engage in treatment to improve health and wellbeing outcomes and their conditions stabilise.

Note: For the final degree of permanent impairment to be determined, the delegate will still need to consider whether any additional impairment rating higher than the 10 points (allocated in the interim determination) is permanent. This requires, amongst other things, the delegate to consider whether reasonable rehabilitative treatment has been undertaken for the additional impairment and the condition has stabilised. 

Please refer to Chapter 5.8.1 for more information.

Source URL: https://clik.dva.gov.au/military-compensation-mrca-manuals-and-resources-library/policy-manual/ch-5-permanent-impairment/58-interim-permanent-impairment-compensation/582-number-impairment-points-required-interim-pi-be-payable

Last amended

5.8.3 Amount of interim permanent impairment payable

In accordance with section 75 of the MRCA, interim permanent impairment compensation may be paid to a veteran when the delegate is satisfied:

  • the impairment is permanent, however

  • the final degree of impairment cannot be determined due to one or more conditions not being stable, and

  • the degree of impairment constitutes at least the number of impairment points required for compensation to be payable under sections 68 or 71.

“Stable” means: the condition is unlikely to improve to any major degree. This should not be judged based on possible improvement in impairment ratings.

Many conditions will have periods where symptoms may be more, or less, severe, including fluctuations of symptoms or ‘spikes’ as part of their normal manifestation. This is not necessarily a reflection of the condition’s stability status for compensation purposes, and delegates should refer to the relevant medical evidence in each specific case to determine whether a condition is stable.

Note: for an interim to be paid, the first consideration for the delegate is whether the impairment is permanent. If the veteran is undertaking rehabilitative treatment for an impairment and the delegate is unable to determine the impairment is permanent, an interim is not appropriate. The only exception is in relation to the following five mental health conditions:

  • Posttraumatic Stress Disorder (PTSD)

  • Depressive disorder

  • Anxiety disorder

  • Substance use disorder

  • Alcohol use disorder

For more information regarding impairments that are not permanent, please see Chapter 5.3.4 of the MRCA PI Manual.

 

Mental health conditions

For clients with any of the following mental health conditions with at least 10 points under chapter 4 of GARP M, who are engaged with, but have not yet completed, rehabilitative treatment or have completed rehabilitative treatment but the conditions are not yet stable, an interim permanent impairment determination should be considered:

  • PTSD

  • Depressive disorder

  • Anxiety disorder

  • Substance use disorder

  • Alcohol use disorder

As part of the interim determination, the delegate may allocate at least 10 impairment points for the emotional and behavioural assessment under chapter 4 of GARP M. This policy acknowledges that, in relation to the five named mental health conditions, there will likely be a degree of permanent impairment, even after the client undertakes reasonable rehabilitative treatment and the conditions stabilise.

In applying this policy, the delegate is considering the nature of the mental health condition as part of ‘any other relevant matters’ at subsection 73(d) of the MRCA, to determine that a permanent impairment will likely remain, even after rehabilitative treatment has been completed and the condition stabilises.

Though the final degree of permanent impairment cannot be determined until all reasonable rehabilitative treatment is undertaken and the mental health condition(s) stabilises, inclusion of at least 10 points in the assessment for the mental health conditions ensures clients can receive interim financial recognition and compensation for their mental health condition(s), while they engage in treatment to improve health and wellbeing outcomes and their conditions stabilise.

Note: For the final degree of permanent impairment to be determined, the delegate will still need to consider whether any additional impairment rating higher than the 10 points (allocated in the interim determination) is permanent. This requires, amongst other things, the delegate to consider whether reasonable rehabilitative treatment has been undertaken for the additional impairment and the condition has stabilised. 

Please refer to Chapter 5.8.1 for more information.

Source URL: https://clik.dva.gov.au/military-compensation-mrca-manuals-and-resources-library/policy-manual/ch-5-permanent-impairment/58-interim-permanent-impairment-compensation/583-amount-interim-permanent-impairment-payable

Last amended

5.8.4 Determination of lifestyle rating where interim PI is payable

In accordance with section 75 of the MRCA, interim permanent impairment compensation may be paid to a veteran when the delegate is satisfied:

  • the impairment is permanent, however

  • the final degree of impairment cannot be determined due to one or more conditions not being stable, and

  • the degree of impairment constitutes at least the number of impairment points required for compensation to be payable under sections 68 or 71.

“Stable” means: the condition is unlikely to improve to any major degree. This should not be judged based on possible improvement in impairment ratings.

Many conditions will have periods where symptoms may be more, or less, severe, including fluctuations of symptoms or ‘spikes’ as part of their normal manifestation. This is not necessarily a reflection of the condition’s stability status for compensation purposes, and delegates should refer to the relevant medical evidence in each specific case to determine whether a condition is stable.

Note: for an interim to be paid, the first consideration for the delegate is whether the impairment is permanent. If the veteran is undertaking rehabilitative treatment for an impairment and the delegate is unable to determine the impairment is permanent, an interim is not appropriate. The only exception is in relation to the following five mental health conditions:

  • Posttraumatic Stress Disorder (PTSD)

  • Depressive disorder

  • Anxiety disorder

  • Substance use disorder

  • Alcohol use disorder

For more information regarding impairments that are not permanent, please see Chapter 5.3.4 of the MRCA PI Manual.

 

Mental health conditions

For clients with any of the following mental health conditions with at least 10 points under chapter 4 of GARP M, who are engaged with, but have not yet completed, rehabilitative treatment or have completed rehabilitative treatment but the conditions are not yet stable, an interim permanent impairment determination should be considered:

  • PTSD

  • Depressive disorder

  • Anxiety disorder

  • Substance use disorder

  • Alcohol use disorder

As part of the interim determination, the delegate may allocate at least 10 impairment points for the emotional and behavioural assessment under chapter 4 of GARP M. This policy acknowledges that, in relation to the five named mental health conditions, there will likely be a degree of permanent impairment, even after the client undertakes reasonable rehabilitative treatment and the conditions stabilise.

In applying this policy, the delegate is considering the nature of the mental health condition as part of ‘any other relevant matters’ at subsection 73(d) of the MRCA, to determine that a permanent impairment will likely remain, even after rehabilitative treatment has been completed and the condition stabilises.

Though the final degree of permanent impairment cannot be determined until all reasonable rehabilitative treatment is undertaken and the mental health condition(s) stabilises, inclusion of at least 10 points in the assessment for the mental health conditions ensures clients can receive interim financial recognition and compensation for their mental health condition(s), while they engage in treatment to improve health and wellbeing outcomes and their conditions stabilise.

Note: For the final degree of permanent impairment to be determined, the delegate will still need to consider whether any additional impairment rating higher than the 10 points (allocated in the interim determination) is permanent. This requires, amongst other things, the delegate to consider whether reasonable rehabilitative treatment has been undertaken for the additional impairment and the condition has stabilised. 

Please refer to Chapter 5.8.1 for more information.

Source URL: https://clik.dva.gov.au/military-compensation-mrca-manuals-and-resources-library/policy-manual/ch-5-permanent-impairment/58-interim-permanent-impairment-compensation/584-determination-lifestyle-rating-where-interim-pi-payable

Last amended

5.8.5 Interim before 1 July 2026 is finalised after 1 July 2026

In accordance with section 75 of the MRCA, interim permanent impairment compensation may be paid to a veteran when the delegate is satisfied:

  • the impairment is permanent, however

  • the final degree of impairment cannot be determined due to one or more conditions not being stable, and

  • the degree of impairment constitutes at least the number of impairment points required for compensation to be payable under sections 68 or 71.

“Stable” means: the condition is unlikely to improve to any major degree. This should not be judged based on possible improvement in impairment ratings.

Many conditions will have periods where symptoms may be more, or less, severe, including fluctuations of symptoms or ‘spikes’ as part of their normal manifestation. This is not necessarily a reflection of the condition’s stability status for compensation purposes, and delegates should refer to the relevant medical evidence in each specific case to determine whether a condition is stable.

Note: for an interim to be paid, the first consideration for the delegate is whether the impairment is permanent. If the veteran is undertaking rehabilitative treatment for an impairment and the delegate is unable to determine the impairment is permanent, an interim is not appropriate. The only exception is in relation to the following five mental health conditions:

  • Posttraumatic Stress Disorder (PTSD)

  • Depressive disorder

  • Anxiety disorder

  • Substance use disorder

  • Alcohol use disorder

For more information regarding impairments that are not permanent, please see Chapter 5.3.4 of the MRCA PI Manual.

 

Mental health conditions

For clients with any of the following mental health conditions with at least 10 points under chapter 4 of GARP M, who are engaged with, but have not yet completed, rehabilitative treatment or have completed rehabilitative treatment but the conditions are not yet stable, an interim permanent impairment determination should be considered:

  • PTSD

  • Depressive disorder

  • Anxiety disorder

  • Substance use disorder

  • Alcohol use disorder

As part of the interim determination, the delegate may allocate at least 10 impairment points for the emotional and behavioural assessment under chapter 4 of GARP M. This policy acknowledges that, in relation to the five named mental health conditions, there will likely be a degree of permanent impairment, even after the client undertakes reasonable rehabilitative treatment and the conditions stabilise.

In applying this policy, the delegate is considering the nature of the mental health condition as part of ‘any other relevant matters’ at subsection 73(d) of the MRCA, to determine that a permanent impairment will likely remain, even after rehabilitative treatment has been completed and the condition stabilises.

Though the final degree of permanent impairment cannot be determined until all reasonable rehabilitative treatment is undertaken and the mental health condition(s) stabilises, inclusion of at least 10 points in the assessment for the mental health conditions ensures clients can receive interim financial recognition and compensation for their mental health condition(s), while they engage in treatment to improve health and wellbeing outcomes and their conditions stabilise.

Note: For the final degree of permanent impairment to be determined, the delegate will still need to consider whether any additional impairment rating higher than the 10 points (allocated in the interim determination) is permanent. This requires, amongst other things, the delegate to consider whether reasonable rehabilitative treatment has been undertaken for the additional impairment and the condition has stabilised. 

Please refer to Chapter 5.8.1 for more information.

Source URL: https://clik.dva.gov.au/military-compensation-mrca-manuals-and-resources-library/policy-manual/ch-5-permanent-impairment/58-interim-permanent-impairment-compensation/585-examples

Last amended

5.8.6 Recalculation of whole PI payment when interim condition stabilised

In accordance with section 75 of the MRCA, interim permanent impairment compensation may be paid to a veteran when the delegate is satisfied:

  • the impairment is permanent, however

  • the final degree of impairment cannot be determined due to one or more conditions not being stable, and

  • the degree of impairment constitutes at least the number of impairment points required for compensation to be payable under sections 68 or 71.

“Stable” means: the condition is unlikely to improve to any major degree. This should not be judged based on possible improvement in impairment ratings.

Many conditions will have periods where symptoms may be more, or less, severe, including fluctuations of symptoms or ‘spikes’ as part of their normal manifestation. This is not necessarily a reflection of the condition’s stability status for compensation purposes, and delegates should refer to the relevant medical evidence in each specific case to determine whether a condition is stable.

Note: for an interim to be paid, the first consideration for the delegate is whether the impairment is permanent. If the veteran is undertaking rehabilitative treatment for an impairment and the delegate is unable to determine the impairment is permanent, an interim is not appropriate. The only exception is in relation to the following five mental health conditions:

  • Posttraumatic Stress Disorder (PTSD)

  • Depressive disorder

  • Anxiety disorder

  • Substance use disorder

  • Alcohol use disorder

For more information regarding impairments that are not permanent, please see Chapter 5.3.4 of the MRCA PI Manual.

 

Mental health conditions

For clients with any of the following mental health conditions with at least 10 points under chapter 4 of GARP M, who are engaged with, but have not yet completed, rehabilitative treatment or have completed rehabilitative treatment but the conditions are not yet stable, an interim permanent impairment determination should be considered:

  • PTSD

  • Depressive disorder

  • Anxiety disorder

  • Substance use disorder

  • Alcohol use disorder

As part of the interim determination, the delegate may allocate at least 10 impairment points for the emotional and behavioural assessment under chapter 4 of GARP M. This policy acknowledges that, in relation to the five named mental health conditions, there will likely be a degree of permanent impairment, even after the client undertakes reasonable rehabilitative treatment and the conditions stabilise.

In applying this policy, the delegate is considering the nature of the mental health condition as part of ‘any other relevant matters’ at subsection 73(d) of the MRCA, to determine that a permanent impairment will likely remain, even after rehabilitative treatment has been completed and the condition stabilises.

Though the final degree of permanent impairment cannot be determined until all reasonable rehabilitative treatment is undertaken and the mental health condition(s) stabilises, inclusion of at least 10 points in the assessment for the mental health conditions ensures clients can receive interim financial recognition and compensation for their mental health condition(s), while they engage in treatment to improve health and wellbeing outcomes and their conditions stabilise.

Note: For the final degree of permanent impairment to be determined, the delegate will still need to consider whether any additional impairment rating higher than the 10 points (allocated in the interim determination) is permanent. This requires, amongst other things, the delegate to consider whether reasonable rehabilitative treatment has been undertaken for the additional impairment and the condition has stabilised. 

Please refer to Chapter 5.8.1 for more information.

Source URL: https://clik.dva.gov.au/military-compensation-mrca-manuals-and-resources-library/policy-manual/ch-5-permanent-impairment/58-interim-permanent-impairment-compensation/586-recalculation-whole-pi-payment-when-interim-condition-stabilised

Last amended

5.8.7 Offering Interim Payments

In accordance with section 75 of the MRCA, interim permanent impairment compensation may be paid to a veteran when the delegate is satisfied:

  • the impairment is permanent, however

  • the final degree of impairment cannot be determined due to one or more conditions not being stable, and

  • the degree of impairment constitutes at least the number of impairment points required for compensation to be payable under sections 68 or 71.

“Stable” means: the condition is unlikely to improve to any major degree. This should not be judged based on possible improvement in impairment ratings.

Many conditions will have periods where symptoms may be more, or less, severe, including fluctuations of symptoms or ‘spikes’ as part of their normal manifestation. This is not necessarily a reflection of the condition’s stability status for compensation purposes, and delegates should refer to the relevant medical evidence in each specific case to determine whether a condition is stable.

Note: for an interim to be paid, the first consideration for the delegate is whether the impairment is permanent. If the veteran is undertaking rehabilitative treatment for an impairment and the delegate is unable to determine the impairment is permanent, an interim is not appropriate. The only exception is in relation to the following five mental health conditions:

  • Posttraumatic Stress Disorder (PTSD)

  • Depressive disorder

  • Anxiety disorder

  • Substance use disorder

  • Alcohol use disorder

For more information regarding impairments that are not permanent, please see Chapter 5.3.4 of the MRCA PI Manual.

 

Mental health conditions

For clients with any of the following mental health conditions with at least 10 points under chapter 4 of GARP M, who are engaged with, but have not yet completed, rehabilitative treatment or have completed rehabilitative treatment but the conditions are not yet stable, an interim permanent impairment determination should be considered:

  • PTSD

  • Depressive disorder

  • Anxiety disorder

  • Substance use disorder

  • Alcohol use disorder

As part of the interim determination, the delegate may allocate at least 10 impairment points for the emotional and behavioural assessment under chapter 4 of GARP M. This policy acknowledges that, in relation to the five named mental health conditions, there will likely be a degree of permanent impairment, even after the client undertakes reasonable rehabilitative treatment and the conditions stabilise.

In applying this policy, the delegate is considering the nature of the mental health condition as part of ‘any other relevant matters’ at subsection 73(d) of the MRCA, to determine that a permanent impairment will likely remain, even after rehabilitative treatment has been completed and the condition stabilises.

Though the final degree of permanent impairment cannot be determined until all reasonable rehabilitative treatment is undertaken and the mental health condition(s) stabilises, inclusion of at least 10 points in the assessment for the mental health conditions ensures clients can receive interim financial recognition and compensation for their mental health condition(s), while they engage in treatment to improve health and wellbeing outcomes and their conditions stabilise.

Note: For the final degree of permanent impairment to be determined, the delegate will still need to consider whether any additional impairment rating higher than the 10 points (allocated in the interim determination) is permanent. This requires, amongst other things, the delegate to consider whether reasonable rehabilitative treatment has been undertaken for the additional impairment and the condition has stabilised. 

Please refer to Chapter 5.8.1 for more information.

Source URL: https://clik.dva.gov.au/military-compensation-mrca-manuals-and-resources-library/policy-manual/ch-5-permanent-impairment/58-interim-permanent-impairment-compensation/587-offering-interim-payments

Last amended

5.8.8 Worked Examples of Multiple Interim Payments - prior to 1 July 2013

In accordance with section 75 of the MRCA, interim permanent impairment compensation may be paid to a veteran when the delegate is satisfied:

  • the impairment is permanent, however

  • the final degree of impairment cannot be determined due to one or more conditions not being stable, and

  • the degree of impairment constitutes at least the number of impairment points required for compensation to be payable under sections 68 or 71.

“Stable” means: the condition is unlikely to improve to any major degree. This should not be judged based on possible improvement in impairment ratings.

Many conditions will have periods where symptoms may be more, or less, severe, including fluctuations of symptoms or ‘spikes’ as part of their normal manifestation. This is not necessarily a reflection of the condition’s stability status for compensation purposes, and delegates should refer to the relevant medical evidence in each specific case to determine whether a condition is stable.

Note: for an interim to be paid, the first consideration for the delegate is whether the impairment is permanent. If the veteran is undertaking rehabilitative treatment for an impairment and the delegate is unable to determine the impairment is permanent, an interim is not appropriate. The only exception is in relation to the following five mental health conditions:

  • Posttraumatic Stress Disorder (PTSD)

  • Depressive disorder

  • Anxiety disorder

  • Substance use disorder

  • Alcohol use disorder

For more information regarding impairments that are not permanent, please see Chapter 5.3.4 of the MRCA PI Manual.

 

Mental health conditions

For clients with any of the following mental health conditions with at least 10 points under chapter 4 of GARP M, who are engaged with, but have not yet completed, rehabilitative treatment or have completed rehabilitative treatment but the conditions are not yet stable, an interim permanent impairment determination should be considered:

  • PTSD

  • Depressive disorder

  • Anxiety disorder

  • Substance use disorder

  • Alcohol use disorder

As part of the interim determination, the delegate may allocate at least 10 impairment points for the emotional and behavioural assessment under chapter 4 of GARP M. This policy acknowledges that, in relation to the five named mental health conditions, there will likely be a degree of permanent impairment, even after the client undertakes reasonable rehabilitative treatment and the conditions stabilise.

In applying this policy, the delegate is considering the nature of the mental health condition as part of ‘any other relevant matters’ at subsection 73(d) of the MRCA, to determine that a permanent impairment will likely remain, even after rehabilitative treatment has been completed and the condition stabilises.

Though the final degree of permanent impairment cannot be determined until all reasonable rehabilitative treatment is undertaken and the mental health condition(s) stabilises, inclusion of at least 10 points in the assessment for the mental health conditions ensures clients can receive interim financial recognition and compensation for their mental health condition(s), while they engage in treatment to improve health and wellbeing outcomes and their conditions stabilise.

Note: For the final degree of permanent impairment to be determined, the delegate will still need to consider whether any additional impairment rating higher than the 10 points (allocated in the interim determination) is permanent. This requires, amongst other things, the delegate to consider whether reasonable rehabilitative treatment has been undertaken for the additional impairment and the condition has stabilised. 

Please refer to Chapter 5.8.1 for more information.

Source URL: https://clik.dva.gov.au/military-compensation-mrca-manuals-and-resources-library/policy-manual/ch-5-permanent-impairment/58-interim-permanent-impairment-compensation/588-worked-examples-multiple-interim-payments-prior-1-july-2013

Last amended

5.8.8.1 Date of effect for interim payments – multiple conditions

In accordance with section 75 of the MRCA, interim permanent impairment compensation may be paid to a veteran when the delegate is satisfied:

  • the impairment is permanent, however

  • the final degree of impairment cannot be determined due to one or more conditions not being stable, and

  • the degree of impairment constitutes at least the number of impairment points required for compensation to be payable under sections 68 or 71.

“Stable” means: the condition is unlikely to improve to any major degree. This should not be judged based on possible improvement in impairment ratings.

Many conditions will have periods where symptoms may be more, or less, severe, including fluctuations of symptoms or ‘spikes’ as part of their normal manifestation. This is not necessarily a reflection of the condition’s stability status for compensation purposes, and delegates should refer to the relevant medical evidence in each specific case to determine whether a condition is stable.

Note: for an interim to be paid, the first consideration for the delegate is whether the impairment is permanent. If the veteran is undertaking rehabilitative treatment for an impairment and the delegate is unable to determine the impairment is permanent, an interim is not appropriate. The only exception is in relation to the following five mental health conditions:

  • Posttraumatic Stress Disorder (PTSD)

  • Depressive disorder

  • Anxiety disorder

  • Substance use disorder

  • Alcohol use disorder

For more information regarding impairments that are not permanent, please see Chapter 5.3.4 of the MRCA PI Manual.

 

Mental health conditions

For clients with any of the following mental health conditions with at least 10 points under chapter 4 of GARP M, who are engaged with, but have not yet completed, rehabilitative treatment or have completed rehabilitative treatment but the conditions are not yet stable, an interim permanent impairment determination should be considered:

  • PTSD

  • Depressive disorder

  • Anxiety disorder

  • Substance use disorder

  • Alcohol use disorder

As part of the interim determination, the delegate may allocate at least 10 impairment points for the emotional and behavioural assessment under chapter 4 of GARP M. This policy acknowledges that, in relation to the five named mental health conditions, there will likely be a degree of permanent impairment, even after the client undertakes reasonable rehabilitative treatment and the conditions stabilise.

In applying this policy, the delegate is considering the nature of the mental health condition as part of ‘any other relevant matters’ at subsection 73(d) of the MRCA, to determine that a permanent impairment will likely remain, even after rehabilitative treatment has been completed and the condition stabilises.

Though the final degree of permanent impairment cannot be determined until all reasonable rehabilitative treatment is undertaken and the mental health condition(s) stabilises, inclusion of at least 10 points in the assessment for the mental health conditions ensures clients can receive interim financial recognition and compensation for their mental health condition(s), while they engage in treatment to improve health and wellbeing outcomes and their conditions stabilise.

Note: For the final degree of permanent impairment to be determined, the delegate will still need to consider whether any additional impairment rating higher than the 10 points (allocated in the interim determination) is permanent. This requires, amongst other things, the delegate to consider whether reasonable rehabilitative treatment has been undertaken for the additional impairment and the condition has stabilised. 

Please refer to Chapter 5.8.1 for more information.

Source URL: https://clik.dva.gov.au/node/86843