If you get Disability Support Pension, we may review your medical eligibility. This is to make sure you’re still getting the right support.
What are medical risk based reviews
Medical risk based reviews make sure:
- you’re getting the right support for your situation
- we have up to date details about your medical conditions
Health professionals use Impairment Tables to assess how your condition affects your ability to work. They use the latest tables from 1 January 2012. Read more about the Impairment Tables on the Department of Social Services website.
Who we review
We may complete a medical risk based review if you:
- started to get DSP more than 2 years ago, and
- haven’t had a medical review in the past 2 years
Who's exempt from a review
You'll be exempt from a review if you:
- are 60 or older
- started to get DSP or have had a medical review within the past 2 years
- work in a Australian Disability Enterprise
- work under the Supported Wage System, or
- get paid under an International Agreement and live permanently overseas
We’ll also exempt you from review if you’re eligible for DSP under current manifest rules.
You meet these rules if you:
- are permanently blind
- have a terminal illness with a life expectancy of less than 2 years
- have an intellectual disability with an IQ of less than 70, or
- need nursing home level care
What you need to do
If selected for review, we’ll write to you.
You’ll need to:
- read about the types of medical evidence you need to provide
- provide current medical evidence about how your disability or medical condition affects you
- return the barcoded letter we sent you with your medical evidence
You can also complete and return the Consent to disclose medical information form. You can give your treating health professionals permission to give us details about your disability or medical condition. This may help us understand your condition. This is voluntary.
If you chose to do this, complete and return the Consent to disclose medical information form.
You have 21 calendar days to give us this information. Your DSP may stop if you don’t give us the information before that date. If you can’t provide the information, call our DSP Medical Eligibility Reviews phone line on 1800 930 934. You need to call us before the due date.
We’ll talk to you or your nominee about:
- your individual circumstances
- options to complete your review
- more time to provide your current medical evidence if you need it
You may also need to:
What happens after the review
We’ll contact you with the outcome of your review and explain the decision.
If you remain medically eligible for DSP, you’ll continue to get your usual payments.
If you’re no longer medically eligible for DSP, you may be eligible for other support.
You’ll continue to get DSP for 6 weeks after we tell you that you’re no longer medically eligible for DSP. After this time, your DSP payments will stop.
To help you move to another payment, we’ll discuss payment options available to you. We’ll also help you apply for payments that suit your needs.
Call our DSP Medical Eligibility Reviews phone line 1800 930 934 if you'd like:
- to discuss other support options, or
- help transitioning to another payment
To find out more about other payments go to our payment and service finder.
How to request a review of the decision
You can ask for a review by an independent Authorised Review Officer if you think the decision is wrong.
You should ask for a review within 13 weeks from the date we tell you about the decision in writing.
If you make a request after 13 weeks we may be able to change the decision. If this is the case you may only get DSP from the date you requested the review.
If you have questions or need help call our DSP Medical Eligibility Review phone line 1800 930 934.
Watch our video on Medical Risk Based Review to find out more about the review process.