4.5.20.2 Reviews request
Once the Household help request: Worker declaration and Request form for household help services have been received Agents should review them and determine the worker’s eligibility in accordance with the Household help services policy. The documents should be consistent with other claim information on file, including:
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treating health practitioner reports
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independent medical examination reports
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any previous ADL Activities of daily living(OT Occupational therapy is a client-centred health profession concerned with promoting health and well being through occupation. The primary goal of occupational therapy is to enable people to participate in the activities of everyday life. Occupational therapists achieve this outcome by working with people and communities to enhance their ability to engage in the occupations they want to, need to or are expected to do or by modifying the occupation or the environment to better support their occupational engagement .) assessments
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current living situation (i.e other household members residing at premises)
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worker’s expected recovery timeframes
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adaptive equipment needs or requests
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file notes on ACCtion/case notes on Novus.
During this review the Agent should determine and/or assess the following:
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the necessity and reasonableness of the household help tasks requested
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the relationship of the injury or illness to the requested service
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whether the service is for the worker
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whether the worker undertook the requested tasks pre-injury
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the worker’s ability to undertake the tasks post injury
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the size of the worker’s home/garden at the time of the injury
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the worker’s family circumstances
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the reasonable contribution of family/household members
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when independence of household tasks and any assistance that may be required is expected
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liability for the household help tasks requested.