Child Disability Allowance information for health practitioners

The Child Disability Allowance is paid to the principal carer of a dependent child or young person under the age of 18 years with a serious disability. It recognises the extra care and attention provided.

It isn't paid to cover costs associated with the child or young person's disability as these costs aren't in themselves a qualification for the Child Disability Allowance.

Information

The Child Disability Allowance isn't income or asset tested, and is a non-taxable allowance.

Care and attention

The child or young person must need constant care and attention, over and above the ordinary care and attention required by a child or young person of the same age.

Either the child or young person requires:

  • frequent attention from another person in connection with their bodily functions, or
  • substantially more attention and supervision than is normally required by a child of the same age and gender, or
  • regular supervision from another person to avoid substantial danger to themselves or others.
  • Disability Allowance

    The Disability Allowance differs from the Child Disability Allowance. The Disability Allowance is paid to reimburse ongoing disability-related expenses and is income tested; the Child Disability Allowance isn't.

    Some carers can receive both the Child Disability Allowance and the Disability Allowance for the child or young person.

  • Guidance on the severity of disability

    Examples of disorders that can vary in severity include:

    Asthma

    Jane is a 12 year old with severe asthma who needs reliever inhalers administered 2-4 times a day. She is too unwell to attend school several times each month, cannot play sport and has sudden asthma attacks requiring emergency hospital care 4–6 times a year. Jane's health condition creates significant family disruption.
    Jane is likely to qualify for the Child Disability Allowance.
    Suggested review period - 2 years.

    Mere is a 10 year old with asthma who needs a preventer inhaler administered twice a day. She infrequently gets wheezy, plays hockey, and has needed oral steroids from her GP once this year.
    Mere is unlikely to qualify for the Child Disability Allowance.

    Diabetes Mellitus

    Sarah is an 8 year old who has insulin dependent diabetes. She requires her parent to administer multiple injections each day, closely supervise and regulate her normal activities such as eating and exercise, and cope with frequent complications requiring medical intervention. As Sarah grows older she will learn to manage her diabetes.
    Sarah is likely to qualify for the Child Disability Allowance.
    Suggested review period - 5 years.

    Peter is an obese 14 year old with glucose intolerance. He is required to closely monitor his diet and avoid sweets and soft drinks. He currently has no other medical complications.
    Peter is unlikely to qualify for the Child Disability Allowance.

    Allergies

    Kiri is a 5 year old who has a severe allergy to dairy products. She has constant eczema to her face and trunk. When exposed to milk products she becomes wheezy and flushed. Her diet requires close monitoring and she has been hospitalised three times in the past year.
    Kiri is likely to qualify for the Child Disability Allowance.
    Suggested review period - 2 years.

    Stuart is a 12 year old who has had an anaphylactic reaction to a bee sting while playing in the school yard a year ago. He now carries an Epi-pen with him at all times. He wears a medic alert bracelet.
    Stuart is unlikely to qualify for the Child Disability Allowance.

    Dyslexia

    Emma is a 7 year old who has dyslexia which has impacted her ability to read, write, draw, spell and do maths. On further discussion it was identified that she had Developmental Dyspraxia. She has problems with fine motor skills, is generally clumsy, unable to toilet, dress herself, play safely without supervision and doesn't recognise obstacles or dangers.
    Emma is likely to qualify for Child Disability Allowance.
    Suggested review period – 5 years.

    Graham is a 9 year old who has moderately severe dyslexia. His spelling, writing, reading and maths skills are affected. He is receiving tutoring from SPELD for 1.5 hours a week. He enjoys playing sport. He is able to identify and avoid dangerous situations and take care of himself.
    Graham is unlikely to qualify for Child Disability Allowance.

  • Who should complete the medical certificate?

    The health practitioner who is involved in the ongoing medical care of the child or young person should complete the medical certificate.