12.7.2.8 Chapter 25: 7-step example calculation
Chapter 25: 7-step example calculation
Chapter 25 of GARP M provides the 7-step formula for determining transitional permanent impairment claims for veterans with accepted conditions under the MRCA as well as the VEA and / or the DRCA.
MRCA appeal rights
A review on it’s own motion may impact the avenues of appeal and the appeal period for the client regarding that decision.
Section 322 of the MRCA states that if more than 12 months have passed since a determination was made and the client has not exercised their appeal rights under the Act, there is no open appeal pathway, and the matter is considered finally determined.
Letters
MRCA section 347 must be mentioned on review own motion determination letters.
Permanent Impairment
Section 347 of the MRCA allows a delegate who did not make the original MRCA permanent impairment determination to vary, revoke or confirm that determination based on the merits of the claim.
Initial Liability
Section 347 of the MRCA does not specify a timeframe for when an initial liability decision can be varied or revoked.
Initial liability decisions under the MRCA may be varied or revoked to:
Notional Assessment Examples
The following scenarios show a notional assessment calculation:
Scenario 1: DRCA PI lump sum of $48,282.52 in respect of Posttraumatic stress disorder.
Posttraumatic stress disorder is under the VEA WEF 18/06/2023
DCP currently paid at 100% WEF 18/06/2023.
Types of clearances
VEA offsetting delegates process clearances for the following types of compensation:
Initial liability
Examples of review own motion under the DRCA include:
varying diagnosis
revoking liability for condition(s) accepted under the DRCA as period of service not covered under the Act
accepting condition under the DRCA
changing Standard of Proof the condition was accepted under.