Current rates effective 1 January 2025

Guidance and Appeals Panel (GAP)

The GAP provides a second tier of review within the Administrative Review Tribunal (ART) that has scope to examine significant or systemic issues, in certain cases.

Cases may be referred to the GAP under Part 5 of the ART Act where:

Guidance and Appeals Panel (GAP)

The GAP provides a second tier of review within the Administrative Review Tribunal (ART) that has scope to examine significant or systemic issues, in certain cases.

Cases may be referred to the GAP under Part 5 of the ART Act where: 

Current RMA Instruments:

Current RMA Instruments

Should I check the client’s claims status and history?

No.

Can the CBD determination letter still be used if a delegate finalises the claim?

Where QA finds that a CSO has incorrectly quality checked a determined CBDM claim the QA error is advised to the Team Leader of the CSO team. It is then referred to the SD mailbox.

Senior delegates should: 

When a completed NA Questionnaire is received for a CBDM claim, CBDM processing staff open any relevant benefits, such as Permanent Impairment (PI), Household Services (HHS), etc. 

NAs for failed claims are allocated to the same holding bay or Delegate as the failed CBDM claim. 

The process for quality checks for determined CBDM claims and failed CBDM claims for restricted clients is the same as non-restricted clients. The claims are allocated to applicable staff with Privacy Protected Client access.