{"id":"F2010L01874","name":"Disability Care Load Assessment (Child) Determination 2010","slug":"disability-care-load-assessment-child-determination-2010","collection":"legislative_instrument","jurisdiction":"commonwealth","status":"repealed","isInForce":false,"actNumber":null,"makingDate":null,"administeringDepartment":null,"currentVersion":{"id":124264,"registerId":"commonwealth-F2010L01874-current","compilationNumber":null,"startDate":"2026-04-03","status":"Repealed","reasons":null,"registeredAt":null},"sections":[{"sectionNumber":"Domain A — Behaviour 1","sectionType":"schedule","heading":"Domain A — Behaviour 1","content":"## Domain A — Behaviour 1\n\n For each question, the claimant must tick only the response code that best describes how well the child in care usually manages.\n\nQuestion 1:\n\n| The child’s ability to do everyday things (e.g. eating, bathing, talking, walking and mixing with other people etc) is: | |\n| --------------------------------------------------------------------------------------------------------------------------------------- | --- |\n| Improving over time (i.e. the child is likely to require less help in the future) |  |\n| Becoming worse over time (i.e. the child is likely to require more help in the future) |  |\n| Relatively stable (i.e. the child is likely to require the same level of help in the future) |  |\n| Fluctuating or episodic (i.e. the child’s condition and ability to do everyday things goes up and down from day to day or week to week) |  |\n| Unsure |  |\n\nQuestion 2:\n\nSettling down to sleep at night\n\n(e.g. repeated efforts needed to get the child to go to sleep at night)\n\n| The child never has difficulty settling down to sleep at night |  |\n| -------------------------------------------------------------------------------------------------- | --- |\n| The child sometimes has difficulty settling down to sleep at night (e.g. one or two nights a week) |  |\n| The child often has difficulty settling down to sleep at night (e.g. more than two nights a week) |  |\n| The child always has difficulty settling down to sleep at night (e.g. every night) |  |\n\nQuestion 3:\n\nDisrupted sleep at night\n\n(e.g. waking up many times during the night, awake for long periods during the night, or having nightmares)\n\n| The child never has disrupted sleep at night |  |\n| -------------------------------------------------------------------------------- | --- |\n| The child sometimes has disrupted sleep at night (e.g. one or two nights a week) |  |\n| The child often has disrupted sleep at night (e.g. more than two nights a week) |  |\n| The child always has disrupted sleep at night (e.g. every night) |  |\n\nQuestion 4:\n\nIrritable behaviour\n\n(e.g. crying all the time, not able to be calmed down, or for an older child, continually agitated, prone to angry outbursts)\n\n| The child never has irritable behaviour |  |\n| ------------------------------------------------------------------------- | --- |\n| The child sometimes has irritable behaviour (e.g. one or two days a week) |  |\n| The child often has irritable behaviour (e.g. more than two days a week) |  |\n| The child always has irritable behaviour (e.g. every day) |  |\n\nQuestion 5:\n\nSpeaking and Communicating\n\n(i.e. speaking and communicating everyday needs)\n\n| The child’s speech and communication is appropriate for their age (e.g. the child can speak and communicate their everyday needs in the same way as other children of the same age. For young babies this may include crying when hungry, smiling or babbling.) |  |\n| --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | --- |\n| The child has difficulty speaking or communicating their needs in other ways (e.g. speech is unclear and can only be understood by people who know the child very well or the child is aged over 4 years and can only say or sign a few words) |  |\n| The child uses other ways to communicate (e.g. sign language, picture board, electronic communicator, gestures, pointing) |  |\n| The child cannot talk or communicate their needs effectively in any way |  |\n\nQuestion 6:\n\nUnderstanding speech\n\n(i.e. the child understanding what you say to him or her)\n\n| The child is able to understand everything that I would expect for a child of this age |  |\n| -------------------------------------------------------------------------------------------------------------------------------------------------------------------- | --- |\n| The child sometimes needs me to speak more simply, repeat things or give reminders (e.g. once or twice a day) |  |\n| The child often needs me to speak more simply, repeat things or give reminders (e.g. the child has a lot of difficulty understanding what I say several times a day) |  |\n| The child cannot understand most things I say (e.g. the child does not appear to understand simple instructions or questions such as ‘do you want a drink?’) |  |\n\nQuestion 7:\n\nPlaying and mixing with other children\n\n| The child plays and mixes with other children as expected for a child of his/her age |  |\n| -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | --- |\n| The child sometimes needs help to play and mix appropriately with other children (e.g. once or twice a week) |  |\n| The child often needs help to play and mix appropriately with other children (e.g. several times a week) |  |\n| The child cannot play or mix with other children at all (e.g. the child has extreme behaviour problems or the child cannot play with other children because of a severe disability or medical condition) |  |\n\nQuestion 8:\n\nIs the child aged under 3 years?\n\n| No |  | Go to next question. |\n| --- | --- | -------------------- |\n| Yes |  | Go to question 21. |","sortOrder":0},{"sectionNumber":"Domain B — Behaviour 2","sectionType":"schedule","heading":"Domain B — Behaviour 2","content":"## Domain B — Behaviour 2\n\n| 9: Questions 10 to 20 ask you about the child’s behaviour (e.g. running away, aggressive behaviours, self‑harming behaviours, extreme anxiety or withdrawal). For each question, please select the response that best describes the child’s behaviour and the effect that this behaviour has on you during the day and the night. |\n| --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |\n\nQuestion 10:\n\nDoes the child have severe behaviour difficulties?\n\n| No |  | Go to question 21. |\n| -------- | --- | ------------------- |\n| Yes |  | Go to next question |\n| Not sure |  | Go to next question |\n\nQuestion 11:\n\n| The child wanders, escapes or runs away from home, school or community settings. | |\n| ---------------------------------------------------------------------------------------------------------- | --- |\n| Never (The child never has this behaviour) |  |\n| Sometimes (e.g. the child sometimes wanders or runs away but not every week) |  |\n| Often (e.g. the child would wander or run away at least once a week if not closely supervised) |  |\n| Always (e.g. the child continually wanders or runs away unless hand is held or doors and gates are locked) |  |\n\nQuestion 12:\n\n| The child shouts, screams at or threatens other people or makes so much noise that other people become alarmed. | |\n| --------------------------------------------------------------------------------------------------------------- | --- |\n| Never (The child never has this behaviour) |  |\n| Sometimes (The child sometimes has this behaviour, but not every week) |  |\n| Often (The child often has this behaviour e.g. at least once a week) |  |\n| Always (The child has this behaviour all the time e.g. every day) |  |\n\nQuestion 13:\n\n| The child becomes physically aggressive and harms others by hitting, pushing, kicking, biting or throwing objects. | |\n| ------------------------------------------------------------------------------------------------------------------ | --- |\n| Never (The child never has this behaviour) |  |\n| Sometimes (The child sometimes has this behaviour, but not every week) |  |\n| Often (The child often has this behaviour e.g. at least once a week) |  |\n| Always (The child has this behaviour all the time e.g. every day) |  |\n\nQuestion 14:\n\n| The child gets extremely upset for little or no apparent reason (e.g. the child has episodes of intense crying or screaming and is very difficult to calm down). | |\n| ---------------------------------------------------------------------------------------------------------------------------------------------------------------- | --- |\n| Never (The child never has this behaviour) |  |\n| Sometimes (The child sometimes has this behaviour, but not every week) |  |\n| Often (The child often has this behaviour e.g. at least once a week) |  |\n| Always (The child has this behaviour all the time e.g. every day) |  |\n\nQuestion 15:\n\n| The child gets extremely anxious, fearful or becomes emotionally withdrawn. | |\n| --------------------------------------------------------------------------- | --- |\n| Never (The child never has this behaviour) |  |\n| Sometimes (The child sometimes has this behaviour, but not every week) |  |\n| Often (The child often has this behaviour e.g. at least once a week) |  |\n| Always (The child has this behaviour all the time e.g. every day) |  |\n\nQuestion 16:\n\n| The child has very strange behaviours such as unusual routines, repetitive or obsessive behaviours, hearing voices or seeing things that are not there. | |\n| ------------------------------------------------------------------------------------------------------------------------------------------------------- | --- |\n| Never (The child never has this behaviour) |  |\n| Sometimes (The child sometimes has this behaviour, but not every week) |  |\n| Often (The child often has this behaviour e.g. at least once a week) |  |\n| Always (The child has this behaviour all the time e.g. every day) |  |\n\nQuestion 17:\n\n| The child displays high‑risk behaviour that causes a danger to himself/herself or to others, including family members. The child requires supervision and actions such as locking away household items that would not normally have to be locked away, preventing the child from running into traffic, etc. | |\n| ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | --- |\n| Never (The child never has this behaviour) |  |\n| Sometimes (The child sometimes has this behaviour, but not every week) |  |\n| Often (The child often has this behaviour e.g. at least once a week) |  |\n| Always (The child has this behaviour all the time e.g. every day) |  |\n\nQuestion 18:\n\n| The child behaves in ways that result in injury to himself/herself. This may include head‑banging, hand‑biting or other self harming behaviours. | |\n| ------------------------------------------------------------------------------------------------------------------------------------------------ | --- |\n| Never (The child never has this behaviour) |  |\n| Sometimes (The child sometimes has this behaviour, but not every week) |  |\n| Often (The child often has this behaviour e.g. at least once a week) |  |\n| Always (The child has this behaviour all the time e.g. every day) |  |\n\nQuestion 19:\n\n| The child has displayed suicidal behaviours (e.g. the child has suicidal thoughts and has planned or attempted suicide). | |\n| ----------------------------------------------------------------------------------------------------------------------------------------------------------------- | --- |\n| Never (The child has never displayed suicidal thoughts or behaviours) |  |\n| Sometimes (The child has displayed suicidal behaviours once or twice in the past two years) |  |\n| Often (The child has displayed suicidal behaviours more than twice in the past two years) |  |\n| Always (The child is continually displaying suicidal thoughts or behaviours e.g. suicidal thoughts every week and several suicide attempts in the past two years) |  |\n\nQuestion 20:\n\n| The child does or says things that are sexually inappropriate. | |\n| ---------------------------------------------------------------------- | --- |\n| Never (The child never has this behaviour) |  |\n| Sometimes (The child sometimes has this behaviour, but not every week) |  |\n| Often (The child often has this behaviour e.g. at least once a week) |  |\n| Always (The child has this behaviour all the time e.g. every day) |  |","sortOrder":1},{"sectionNumber":"Domain C ‑ Functional Abilities","sectionType":"schedule","heading":"Domain C ‑ Functional Abilities","content":"## Domain C ‑ Functional Abilities\n\nQuestion 21:\n\nDoes the child have more problems and need more help doing everyday tasks (e.g. eating, grooming, bathing, using the toilet, walking) than other children of the same age?\n\n| No |  | Go to question 39. |\n| -------- | --- | ------------------- |\n| Yes |  | Go to next question |\n| Not sure |  | Go to next question |\n\nQuestion 22:\n\nIs the child aged under 12 months?\n\n| No |  | Go to next question. |\n| --- | --- | -------------------- |\n| Yes |  | Go to question 39. |\n\nInstructions for Domain C:\n\n23: Please read this before answering the following questions\n\n| Questions 24 to 38 ask you to rate the child’s ability to perform a number of different tasks. You must answer all of these questions.For each question, select the response that best describes the child’s ability.Please base your responses on what the child does when using any aids, appliances or home modifications that assist with the care of the child.If the child has a condition that changes from day to day, please base your answers on the child’s usual ability i.e. what the child is able to do most of the time.Help includes supervision, prompting, reminding or training required as well as physical help.The child’s age will be taken into account when assessing your responses. |\n| --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |","sortOrder":2},{"sectionNumber":"Domain C — Functional abilities — subdom","sectionType":"schedule","heading":"Domain C — Functional abilities — subdomain 1","content":"## Domain C — Functional abilities — subdomain 1\n\nQuestion 24:\n\n| Does the child feed himself or herself once food is prepared? | |\n| ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | --- |\n| The child feeds himself/herself with no help (e.g. the child needs no help from me) |  |\n| The child needs a little help (e.g. prompting, reminding or a small amount of physical help) |  |\n| The child needs a lot of help (e.g. a lot of physical help) |  |\n| The child is completely dependent on me to feed him/her (e.g. I have to hold the child’s bottle, spoon feed the child or feed the child through a naso‑gastric feeding tube, gastrostomy or Percutaneous Endoscopic Gastrostomy (P.E.G.)) |  |\n\nQuestion 25:\n\n| Does the child do everyday grooming tasks (e.g. brush teeth, brush/comb hair, wash and rinse hands and face)? | |\n| ------------------------------------------------------------------------------------------------------------- | --- |\n| The child grooms himself/herself with no help (e.g. the child needs no help from me) |  |\n| The child needs a little help (e.g. prompting, reminding or a small amount of physical help) |  |\n| The child needs a lot of help (e.g. a lot of physical help) |  |\n| The child is completely dependent on me to do his/her grooming |  |\n\nQuestion 26:\n\n| Does the child wash himself/herself from the neck down (except for his/her back) in the bath, shower or sponge/bed bath? | |\n| ------------------------------------------------------------------------------------------------------------------------ | --- |\n| The child washes himself/herself with no help (e.g. the child needs no help from me) |  |\n| The child needs a little help (e.g. prompting, reminding or a small amount of physical help) |  |\n| The child needs a lot of help (e.g. a lot of physical help) |  |\n| The child is completely dependent and needs me to wash him/her |  |\n\nQuestion 27:\n\n| Does the child dress himself/herself from the waist up (e.g. putting on singlets, t‑shirts, jumpers, jackets)? | |\n| -------------------------------------------------------------------------------------------------------------- | --- |\n| The child dresses himself/herself from the waist up with no help (e.g. the child needs no help from me) |  |\n| The child needs a little help (e.g. prompting, reminding or a small amount of physical help) |  |\n| The child needs a lot of help (e.g. a lot of physical help) |  |\n| The child is completely dependent and needs me to dress him/her |  |","sortOrder":3},{"sectionNumber":"Domain C: Functional abilities — everyda","sectionType":"schedule","heading":"Domain C: Functional abilities — everyday tasks","content":"## Domain C: Functional abilities – everyday tasks\n\nQuestion 28:\n\n| Does the child dress himself/herself from the waist down (e.g. putting on underpants, skirts/pants/trousers, socks, shoes)? | |\n| --------------------------------------------------------------------------------------------------------------------------- | --- |\n| The child dresses himself/herself with no help (e.g. the child needs no help from me) |  |\n| The child needs a little help (e.g. prompting, reminding or a small amount of physical help) |  |\n| The child needs a lot of help (e.g. a lot of physical help) |  |\n| The child is completely dependent and needs me to dress him/her |  |\n\nQuestion 29:\n\n| Does the child wipe himself/herself and adjust his/her clothing before and after using the toilet? | |\n| ---------------------------------------------------------------------------------------------------- | --- |\n| The child uses the toilet with no help (e.g. the child needs no help from me) |  |\n| The child needs a little help (e.g. prompting, reminding or a small amount of physical help) |  |\n| The child needs a lot of help (e.g. a lot of physical help) |  |\n| The child is completely dependent for toileting, or wears nappies or incontinence pads day and night |  |","sortOrder":4},{"sectionNumber":"Domain D ‑ Special care needs","sectionType":"schedule","heading":"Domain D ‑ Special care needs","content":"## Domain D ‑ Special care needs\n\nInstructions for special care needs questions\n\n39: Please read this before answering the following questions\n\n| Questions 40 to 56 ask you to indicate the child’s special care needs.If the child has a condition that changes from day to day, please base your answers on the child’s usual and ongoing needs. |\n| ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |","sortOrder":7},{"sectionNumber":"Domain D — Special care needs — subdomai","sectionType":"schedule","heading":"Domain D — Special care needs — subdomain 1","content":"## Domain D — Special care needs — subdomain 1\n\nQuestion 40:\n\nDoes the child use any of the following to help with breathing?\n\nPlease tick any that apply:\n\n| Tracheostomy (A tracheostomy is an opening made by a surgeon through the front of the child’s neck into the windpipe. A tracheostomy tube is used to keep the tracheostomy open) |  |\n| -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | --- |\n| Ventilator (A ventilator is a machine which breathes for the child and connects to the child’s airway – usually through a tube into the windpipe known as a tracheostomy tube) |  |\n| Oxygen (The child is regularly given extra oxygen to breathe from an oxygen cylinder at home as directed by a medical practitioner) |  |\n| CPAP/BiPAP (A CPAP or BiPAP machine helps to keep the child’s airway open by providing a flow of air at pressure, usually through a mask fitted firmly to the face) |  |\n| NO ‑ Go to next question |  |","sortOrder":8},{"sectionNumber":"Domain D: Special care needs (Cont.)","sectionType":"schedule","heading":"Domain D: Special care needs (Cont.)","content":"## Domain D: Special care needs (Cont.)\n\nQuestion 41:\n\nDoes the child receive dialysis (due to a kidney condition)?\n\n(Dialysis is the assisted removal of waste products from the body for people with kidney failure.)\n\n| No |  |\n| --- | --- |\n| Yes |  |\n\nQuestion 42:\n\nDo you provide Total Parenteral Nutrition (TPN) for the child?\n\n| TPN is a technique in which nutrients are given to a person through a tube directly into their veins, usually because they cannot digest regular food. |\n| ------------------------------------------------------------------------------------------------------------------------------------------------------ |\n\n| No |  |\n| --- | --- |\n| Yes |  |\n\nQuestion 43:\n\nDo you do postural drainage for the child?\n\n| Postural drainage means using positioning to help drain mucus from the child’s lungs and airways. This often includes physical techniques such as patting the child’s chest with cupped hands (percussion) to help clear the secretions. |\n| ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |\n\n| No |  | Go to next question |\n| --- | --- | --------------------------------------------------------------------- |\n| Yes |  | Please indicate how often you provide postural drainage for the child |\n\n| During the day | |\n| ----------------------------------- | --- |\n| Less than daily |  |\n| Once or twice a day |  |\n| Three or more times a day |  |\n| During the night (i.e. 10pm to 6am) |  |\n| Less than nightly |  |\n| Once a night |  |\n| Two or more times a night |  |\n\nQuestion 44:\n\nDo you clear the child’s airways through suctioning?\n\n| Suctioning is the use of a tube connected to equipment to remove mucus or saliva from the child’s mouth, throat or airway. |\n| -------------------------------------------------------------------------------------------------------------------------- |\n\n| No |  | Go to next question |\n| --- | --- | -------------------------------------------------------------- |\n| Yes |  | Please indicate how often you provide suctioning for the child |\n\n| During the day | |\n| ----------------------------------- | --- |\n| Less than daily |  |\n| Once or twice a day |  |\n| Three or more times a day |  |\n| During the night (i.e. 10pm to 6am) | |\n| Less than nightly |  |\n| Once a night |  |\n| Two or more times a night |  |\n\nQuestion 45:\n\nDo you physically assist or position the jaw of the child to help with chewing and/or swallowing?\n\n| No |  | Go to next question |\n| --- | --- | ------------------------------------------------------------------------------ |\n| Yes |  | Please indicate how often you physically assist with chewing and/or swallowing |\n\n| Less than daily |  |\n| ------------------------- | --- |\n| Once or twice a day |  |\n| Three or more times a day |  |\n\nQuestion 46:\n\nDo you Percutaneous Endoscopic Gastrostomy (P.E.G.) feed or use a feeding tube to feed the child?\n\n| When a child is P.E.G. fed they have a tube or button that goes directly into their stomach, and are fed through that tube. |\n| --------------------------------------------------------------------------------------------------------------------------- |\n\n| No |  | Go to next question |\n| --- | --- | --------------------------------------------------------------------------------------------------- |\n| Yes |  | Please indicate how often you P.E.G. feed or use a feeding tube for the child over a 24 hour period |\n\n| Less than daily |  |\n| ------------------------- | --- |\n| Once or twice a day |  |\n| Three or more times a day |  |\n\nQuestion 47:\n\nDo you provide physical assistance to turn or position the child because he/she is unable to do so independently?\n\n| No | | Go to next question |\n| --- | --- | --------------------------------------------------------------------------------------------- |\n| Yes | | Please indicate how often you physically assist the child to turn or position himself/herself |\n\n| During the day | |\n| ----------------------------------- | --- |\n| Less than daily |  |\n| Once or twice a day |  |\n| Three or more times a day |  |\n| During the night (i.e. 10pm to 6am) | |\n| Less than nightly |  |\n| Once a night |  |\n| Two or more times a night |  |\n\nQuestion 48:\n\nDo you manage any wounds and/or dressings for the child?\n\n| No |  | Go to next question |\n| --- | --- | ---------------------------------------------------------------------------------- |\n| Yes |  | Please indicate how much time you spend managing wounds or dressings for the child |\n\n| Less than 30 mins per day |  |\n| ------------------------- | --- |\n| 30‑60 mins per day |  |\n| 1‑2 hours per day |  |\n| More than 2 hours per day |  |\n\nQuestion 49:\n\nDo you give emergency medication or first aid for poorly controlled seizures?\n\n| No |  | Go to next question |\n| --- | --- | --------------------------------------------------------------------------------------------------- |\n| Yes |  | Please indicate how often you give emergency medication or first aid for poorly controlled seizures |\n\n| Less than monthly |  |\n| --------------------------- | --- |\n| Once or twice a month |  |\n| Three or more times a month |  |\n\nQuestion 50:\n\nDo you provide stoma care (e.g. colostomy, ileostomy) for the child?\n\n| A stoma is an opening in the abdominal wall and is used to enable waste materials from the intestines to empty into a pouch or bag. |\n| ----------------------------------------------------------------------------------------------------------------------------------- |\n\n| No |  | Go to next question |\n| --- | --- | ------------------------------------------------------------------------------------ |\n| Yes |  | Please indicate how often you provide stoma care for the child over a 24 hour period |\n\n| Less than daily |  |\n| ------------------------- | --- |\n| Once or twice a day |  |\n| Three or more times a day |  |","sortOrder":9},{"sectionNumber":"Functional domains — abilities","sectionType":"schedule","heading":"Functional domains — abilities","content":"## Functional domains — abilities\n\n- Please indicate the statement that describes child’s usual ability\n- If the child cannot do any of the skills listed in a question, tick the last box.\n- If the child’s ability is appropriate for the age of the child, tick the first box.\n- The child’s abilities include what he/she can do when using his/her aids, appliances of special equipment items.\n- Where the child’s disability or medical condition is episodic or is only apparent at certain times, the question should be answered for what the child is currently able to do most of the time.\n\n| | Question | Response Code |\n| --- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ------------- |\n| 1 | Receptive language skills (listening, reading and understanding) | |\n| | Child’s ability is age appropriate | M‑1l |\n| | Child understands adult speech or signed language of normal speed and complexity. Child demonstrates full understanding of why they are interacting with a health professional | M‑1j |\n| | Child can read and interpret a paragraph from the front page of a daily newspaper | M‑1i |\n| | Child can read a paragraph or page from a children’s story book appropriate for the child’s age group. Child can recall a list of three common objects 30 seconds after the list is read to them | M‑1h |\n| | Child understands and responds appropriately to simple questions such as ‘do you go to school?’ and ‘what is your favourite colour?’ | M‑1g |\n| | Child follows 2 step instructions such as ‘pick up the book and put it on the chair’. Child uses toys appropriately for their intended purpose in meaningful play | M‑1f |\n| | Child knows the difference between ‘big’ and ‘little’. Child can demonstrate what common objects are used for | M‑1e |\n| | Child recognises pictures of common objects, for example points appropriately when asked ‘where’s the dog?’ or ‘which one is the truck?’ | M‑1d |\n| | Child responds appropriately to very simple questions, for example points to, or looks at, mother when asked ‘where’s mummy?’. Child uses objects purposefully, for example to make a sound | M‑1c |\n| | Child responds to sound. Child tracks noise‑making objects | M‑1b |\n| | Child looks momentarily at speaker’s face | M‑1a |\n| | Child cannot do any of the things listed above | M‑1k |\n| 2 | Expressive language skills (talking or signing) | |\n| | Child’s ability is age appropriate | M‑2l |\n| | Child has almost a full adult vocabulary. Child can discuss and debate complex issues such as politics or religion with an adult | M‑2j |\n| | Child can describe his or her experiences in detail using complex sentences | M‑2i |\n| | Child can tell a complex story involving several characters. Child can write a short story | M‑2h |\n| | Child can write his or her own first name by handwriting or typing. Child can state his or her name and home address | M‑2g |\n| | Child talks or signs well and can use 6 or more words in a sentence. Child can describe an event, for example a visit to a special place | M‑2f |\n| | Child can say sentences with 3 to 4 words. People other than family members can understand the child’s speech | M‑2e |\n| | Child can clearly say or sign more than 20 words and can use 2 words in combination, for example ‘Daddy’s car’ | M‑2d |\n| | Child can say or sign 3 or more simple words, for example ‘mum’, ‘dad’, ‘drink’, ‘bed’ | M‑2c |\n| | Child smiles and babbles or makes purposeful sounds, for example to attract attention. Child demonstrates good eye contact | M‑2b |\n| | Child makes a vocal sound other than crying | M‑2a |\n| | Child cannot do any of the things listed above | M‑2k |\n| 3 | Feeding and mealtime skills | |\n| | Child’s ability is age appropriate | M‑3l |\n| | Child can use all cooking equipment and kitchen appliances, for example, a microwave oven, electric frypan, or mixer, without assistance | M‑3j |\n| | Child can follow a recipe and prepare a simple meal | M‑3i |\n| | Child can cook a simple snack, for example, toast | M‑3h |\n| | Child can prepare a simple uncooked snack, for example, a sandwich | M‑3g |\n| | Child can use a fork and spoon at mealtimes | M‑3f |\n| | Child can eat most solid foods if the food is cut up, for example, a raw apple | M‑3e |\n| | Child uses spoon well | M‑3d |\n| | Child can drink from a normal cup without help and can feed himself or herself with finger foods | M‑3c |\n| | Child can drink from a modified cup when the cup is held by an adult | M‑3b |\n| | Child can suck from a breast or baby’s feeding bottle | M‑3a |\n| | Child cannot do any of the things listed above | M‑3k |\n| 4 | Hygiene and grooming skills | |\n| | Child’s ability is age appropriate | M‑4k |\n| | Child can style own hair and clean and cut own finger and toe nails without assistance | M‑4i |\n| | Child can attend to basic hygiene, for example toileting, showering and brushing hair, without assistance | M‑4h |\n| | Child manages basic hygiene, for example toileting, showering and brushing hair, with little assistance | M‑4g |\n| | Child can wash hands and face and brush own teeth | M‑4f |\n| | Child is reliably toilet‑trained during the day and can manage own toileting with minimal assistance | M‑4e |\n| | Child can indicate toilet needs during the day but needs some assistance with clothing and wiping | M‑4d |\n| | Child is toilet‑timed during the day or is indicating toilet needs, for example asking for the toilet or potty even if it’s too late or telling parent that pants or nappy are wet | M‑4c |\n| | Child requires full assistance with toileting | M‑4b |\n| | Child cries when nappy is soiled or wet | M‑4a |\n| | Child cannot do any of the things listed above | M‑4j |\n| 5 | Dressing skills | |\n| | Child’s ability is age appropriate | M‑5l |\n| | Child can purchase and care for own clothing without assistance | M‑5j |\n| | Child can wash and iron own clothing if required to with little assistance | M‑5i |\n| | Child can choose own clothing appropriate to the weather and can dress and undress without any assistance | M‑5h |\n| | Child can do up buckles and untie shoelaces | M‑5g |\n| | Child can do up buttons and zippers | M‑5f |\n| | Child dresses and undresses himself or herself but needs assistance with buttons, laces or tight clothing | M‑5e |\n| | Child can undress with little assistance | M‑5d |\n| | Child tries to help with dressing | M‑5c |\n| | Child lifts arms to be picked up | M‑5b |\n| | Child snuggles in to an adult when cuddled | M‑5a |\n| | Child cannot do any of the things listed above | M‑5k |\n| 6 | Social and community skills | |\n| | Child’s ability is age appropriate | M‑6l |\n| | Child can use all major community facilities, for example shops, banks, doctors, with little assistance. Child has basic understanding of community laws and regulations | M‑6j |\n| | Child is able to undertake basic activities in the community, for example shopping, with little supervision | M‑6i |\n| | Child understands basic personal safety, for example how to cross the road and not to go with strangers. Child relates well to both children and adults | M‑6h |\n| | Child is aware of being left in the care of others, for example a school teacher or child care worker, without getting unduly upset. Child understands basic concepts of right and wrong | M‑6g |\n| | Child plays with other children and forms close friendships with other children. Child joins in simple games such as ‘chasey’ and ‘hide and seek’ but may not understand or follow rules of a game | M‑6f |\n| | Child takes turns in conversations, for example speaks and then listens. Child knows whether they are a boy or a girl | M‑6e |\n| | Child initiates contact with other people and involves other people in games or activities. Child is starting to cooperate in play with other children | M‑6d |\n| | Child responds to affection from familiar people. Child recognises the difference between strangers and familiar people | M‑6c |\n| | Child laughs and giggles when happy and cries when upset or angry. Child is interested in people and enjoys attention | M‑6b |\n| | Child smiles. Child settles when picked up and cuddled | M‑6a |\n| | Child cannot do any of the things listed above | M‑6k |\n| 7 | Mobility — fine motor | |\n| | Child’s ability is age appropriate | M‑7l |\n| | Child can use a variety of tools or hobby items with accuracy, for example for woodwork, sewing, painting or model building | M‑7j |\n| | Child can write clearly | M‑7i |\n| | Child can write all letters of the alphabet clearly | M‑7h |\n| | Child can hold a pencil and draw basic shapes such as squares and triangles. Child can clearly write his or her own first name | M‑7g |\n| | Child can manipulate smaller objects accurately, for example jigsaw puzzle pieces. Child can draw at least a head and body on a person stick figure style | M‑7f |\n| | Child can build a tower of 9 blocks. Child can copy a circle and a cross | M‑7e |\n| | Child can manipulate larger objects and toys, for example can push or pull toys, use posting box toys or build small tower of blocks. Child can copy a straight vertical line | M‑7d |\n| | Child can make purposeful movements with objects, for example bang on a drum or clap hands | M‑7c |\n| | Child grasps and releases objects such as rattle or feeding bottle | M‑7b |\n| | Child can grasp an adult finger but may need assistance to release it | M‑7a |\n| | Child cannot do any of the things listed above | M‑7k |\n| 8 | Mobility — gross motor | |\n| | Child’s ability is age appropriate | M‑8k |\n| | Child can hit a ball with a bat and can kick a ball with reasonable accuracy | M‑8i |\n| | Child can catch a small ball, for example a tennis ball. Child skips well or rides a two‑wheel bike | M‑8h |\n| | Child can jump and can hop on each leg. Child can bounce a ball and catch it | M‑8g |\n| | Child can run fast. Child can balance on 1 leg for 3 seconds. Child can hop on 1 leg | M‑8f |\n| | Child can balance briefly while standing on 1 leg. Child can pedal a tricycle | M‑8e |\n| | Child can walk and can run a few steps. Child can walk up and down steps | M‑8d |\n| | Child has even muscle tone and strength in all limbs. Child can pull himself or herself from floor to a standing position and may be able to stand independently | M‑8c |\n| | Child can independently move between prone and supine positions. Child can crawl or otherwise propel himself or herself along | M‑8b |\n| | Child can lift head when in prone position. Child makes random movements with arms and legs | M‑8a |\n| | Child cannot do any of the things listed above | M‑8j |","sortOrder":11},{"sectionNumber":"Functional domains — behaviour and needs","sectionType":"schedule","heading":"Functional domains — behaviour and needs","content":"## Functional domains — behaviour and needs\n\n For the functional domains numbered 9 and 10, the treating health professional must mark any statement that describes the child’s behaviours or special care needs in each functional domain. The response should be based on an assessment by the treating health professional and, if available, any clinical assessments and written reports on the child from other treating health professionals (if any) who have assessed the child. If the child is receiving prescribed medication, the response should be based on the child’s behaviours when the child is receiving the prescribed medication.\n\n> Note The treating health professional may mark more than 1 statement for each domain.\n\n| | Question | Response Code |\n| --- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ------------------------ |\n| 9 | Behaviour | |\n| | Child is consistently uncooperative and disruptive during treatment or assessment episodes | M‑9a |\n| | Child demonstrates self injurious behaviour such as head banging or hand biting and has injuries or signs of past injuries consistent with such behaviours | M‑9b |\n| | Child displays aggressive behaviour or violence towards other people or property in the treatment or assessment setting | M‑9c |\n| | Child persistently attempts to leave or abscond from the treatment or assessment setting | M‑9d |\n| | Child is extremely active and is unable to concentrate on a task for more than 30 seconds | M‑9e |\n| | Child displays obsessional repetitive behaviours, for example obsession with particular objects or twirling or spinning objects for extended periods of time | M‑9f |\n| 10 | Special care needs | |\n| | Child receives all food and fluids by nasogastric or gastrostomy tube or percutaneous enterogastric tube (PEG) | M‑10a |\n| | Child has a tracheostomyChild requires a ventilator to support respiration.Child requires regular oxygen therapy at home.Child requires a CPAP or BiPAP machine. | M‑10b1M‑10b2M‑10b3M‑10b4 |\n| | Child is aged over 4 years and is incontinent both day and night | M‑10c |\n| | Child is aged over 3 years and cannot stand without support | M‑10d |\n| | Child requires a wheelchair and requires assistance to propel the wheelchair | M‑10e |\n| | Child requires a wheelchair, quad sticks, prosthesis, crutches or walking frame but can move around with little assistance using the equipment | M‑10f |\n| | Child uses an electric wheelchair | M‑10g |\n| | Child requires urinary catheterisation several times each day | M‑10h |\n| | Child requires specialised equipment, prosthesis or technology to communicate, for example a computerised communicator, telephone typewriter (TTY), voice synthesiser, cochlear implant, hearing aids or adaptations to a standard computer | M‑10i |\n| | Child is over the age of 5 years and has persistent difficulties with memory, concentration, planning and organisation | M‑10j |\n| | Child has chronic and progressive suppurative lung disease for which ongoing daily airway clearance is provided or enzyme replacement therapy and nutritional supplements are required and provided on a daily basis | M‑10k |\n| | Child is receiving a course of chemotherapy or radiotherapy treatment for cancer | M‑10l |\n| | The child has poorly controlled seizures which frequently require emergency medication or first aid? | M‑10m |\n| | Child is assisted on a daily basis with at least 2 blood tests to measure blood glucose levels, injections and special dietary management and the child is not capable of determining medication levels, food intake or self‑administration of medication | M‑10n |\n| | Child has a severe eating disorder such as anorexia nervosa or bulimia. | M‑10o |","sortOrder":12},{"sectionNumber":"Step 1 Terminal phase [Note: this Step 1","sectionType":"schedule","heading":"Step 1 Terminal phase [Note: this Step 1 only relates to Carer Payment.]","content":"## Step 1 Terminal phase \\[Note: this Step 1 only relates to Carer Payment.\\]\n\nNo further steps need to be taken in the assessment of care load, if a medical practitioner has certified that:\n\n(a) a child has a terminal condition; and\n\n(b) the average life expectancy for a child with the same or similar condition is not substantially longer than 24 months.","sortOrder":13},{"sectionNumber":"Step 2 Domain A score","sectionType":"schedule","heading":"Step 2 Domain A score","content":"## Step 2 Domain A score\n\n(1) Calculate a score for each question in domain A of the ACL questionnaire as follows:\n\n(a) locate the value in column 3 of the following table that corresponds to the answer code for the question in column 2;\n\n(b) copy this value into column 4 of the table.\n\n(2) Calculate the total score for domain A by adding the scores in column 4 of the table.","sortOrder":14},{"sectionNumber":"Domain A — Behaviour I","sectionType":"schedule","heading":"Domain A — Behaviour I","content":"## Domain A — Behaviour I\n\n```html\n

Question number

Answer code

Value

Score

1

a

0

b

0

c

0

d

0

e

0

2

a

0

b

1

c

2

d

5

3

a

0

b

1

c

3

d

6

4

a

0

b

1

c

5

d

8

5

a

0

b

2

c

5

d

10

6

a

0

b

1

c

5

d

10

7

a

0

b

2

c

4

d

10

\n```","sortOrder":15},{"sectionNumber":"Step 3 Care load score for domain A","sectionType":"schedule","heading":"Step 3 Care load score for domain A","content":"## Step 3 Care load score for domain A\n\nCalculate the care load score for domain A as follows:\n\n(a) locate the score range in column 1 of the following table into which the total score for domain A fits;\n\n(b) the care load score is the corresponding conversion score in column 2 of the table.\n\n| Score range | Conversion score | Care load score |\n| ----------- | ---------------- | --------------- |\n| 0 to 4 | 0 | |\n| 5 to 16 | 10 | |\n| 17 to 30 | 20 | |\n| 31 or more | 40 | |","sortOrder":16},{"sectionNumber":"Step 4 Score for domain B","sectionType":"schedule","heading":"Step 4 Score for domain B","content":"## Step 4 Score for domain B\n\n(1) Calculate a score for each question in domain B of the ACL questionnaire as follows:\n\n(a) locate the value in column 3 of the following table that corresponds to the answer code for the question in column 2;\n\n(b) copy this value into column 4 of the table.\n\n(2) Calculate the total score for domain A by adding the scores in column 4 of the table.","sortOrder":17},{"sectionNumber":"Step 5 Care load score for domain B","sectionType":"schedule","heading":"Step 5 Care load score for domain B","content":"## Step 5 Care load score for domain B\n\nCalculate the care load score for domain B as follows:\n\n(a) locate the score range in column 1 of the table into which the total score for domain B fits;\n\n(b) the care load score is the corresponding conversion score in column 2 of the table.\n\n```html\n

Score range

Conversion score

Care load score

0 to 9

0

10 to 19

15

20 to 29

30

30 or more

85

\n```","sortOrder":18},{"sectionNumber":"Step 6 Score for subdomain C (1)","sectionType":"schedule","heading":"Step 6 Score for subdomain C (1)","content":"## Step 6 Score for subdomain C (1)\n\n(1) Calculate a score for each question in subdomain C (1) as follows:\n\n(a) locate the value in column 3 of the following table that corresponds to the answer code for the question in column 2;\n\n(b) copy this value into column 4 of the table.\n\n(2) Calculate the age‑adjusted score for each question as follows:\n\n(a) locate the score for the appropriate age category in the age adjustment table in step 13, and copy this score into column 5 of the following table;\n\n(b) divide the raw score in column 4 by the score in column 5.\n\n(3) Calculate the total score for subdomain C (1) by adding the age‑adjusted scores in column 6.\n\n> Note 1 The age‑adjusted score can never be less than zero.\n\n> Note 2 The lower the age adjusted total score, the greater the disparity between the functional ability expected of a child of that age and the child’s actual ability, and the higher the likelihood of care load for the carer.","sortOrder":19},{"sectionNumber":"Domain C — Functional abilities — self c","sectionType":"schedule","heading":"Domain C — Functional abilities — self care subdomain C (1)","content":"## Domain C — Functional abilities — self care subdomain C (1)\n\n```html\n

Question

Answer code

Raw value

Raw score

Score from age adjustment table

Age adjusted score

24

a

4

b

3

c

2

d

1

25

a

4

b

3

c

2

d

1

26

a

4

b

3

c

2

d

1

27

a

4

b

3

c

2

d

1

28

a

4

b

3

c

2

d

1

29

a

4

b

3

c

2

d

1

\n```","sortOrder":20},{"sectionNumber":"Step 7 Adjusted score for subdomain C (1","sectionType":"schedule","heading":"Step 7 Adjusted score for subdomain C (1)","content":"## Step 7 Adjusted score for subdomain C (1)\n\nCalculate the adjusted score for subdomain C (1) as follows:\n\n(a) locate the score range in column 1 of the following table into which the total score for subdomain C (1) fits;\n\n(b) the adjusted score is the corresponding conversion score in column 2 of the table.\n\n| Score range | Conversion score | Adjusted score |\n| ------------ | ---------------- | -------------- |\n| 0 to 2.20 | 40 | |\n| 2.21 to 4.04 | 20 | |\n| 4.05 to 100 | 0 | |","sortOrder":21},{"sectionNumber":"Step 8 Score for subdomain C (2)","sectionType":"schedule","heading":"Step 8 Score for subdomain C (2)","content":"## Step 8 Score for subdomain C (2)\n\n(1) Calculate a score for each question in subdomain C (2) as follows:\n\n(a) locate the value in column 3 of the following table that corresponds to the answer code for the question in column 2;\n\n(b) copy this value into column 4 of the table.\n\n(2) Calculate the age‑adjusted score for each question as follows:\n\n(a) locate the score for the appropriate age category in the age adjustment table in step 13, and copy this score into column 5 of the following table;\n\n(b) divide the raw score in column 4 by the score in column 5.\n\n(3) Calculate the total score for subdomain C (2) by adding the age‑adjusted scores in column 6.","sortOrder":22},{"sectionNumber":"Domain C— Functional abilities — self ca","sectionType":"schedule","heading":"Domain C— Functional abilities — self care subdomain C (2)","content":"## Domain C— Functional abilities — self care subdomain C (2)\n\n```html\n

Question

Answer code

Raw value

Raw score

Score from age adjustment table

Age adjusted score

30

a

4

b

3

c

2

d

1

31

a

4

b

3

c

2

d

1

\n```","sortOrder":23},{"sectionNumber":"Step 9 Adjusted score for subdomain C (2","sectionType":"schedule","heading":"Step 9 Adjusted score for subdomain C (2)","content":"## Step 9 Adjusted score for subdomain C (2)\n\nCalculate the adjusted score for subdomain C (2) as follows:\n\n(a) locate the score range in column 1 of the following table into which the total score for subdomain C (2) fits;\n\n(b) the adjusted score is the corresponding conversion score in column 2 of the table.\n\n```html\n

Score range

Conversion score

Adjusted score

0 to 0.73

60

0.74 to 1.34

40

1.35 to 100

0

\n```","sortOrder":24},{"sectionNumber":"Step 10 Score for subdomain C (3)","sectionType":"schedule","heading":"Step 10 Score for subdomain C (3)","content":"## Step 10 Score for subdomain C (3)\n\n(1) Calculate a score for each question in subdomain C (3) as follows:\n\n(a) locate the value in column 3 of the following table that corresponds to the answer code for the question in column 2;\n\n(b) copy this value into column 4 of the table.\n\n(2) Calculate the age‑adjusted score for each question as follows:\n\n(a) locate the score for the appropriate age category in the age adjustment table in step 13, and copy this score into column 5 of the following table;\n\n(b) divide the raw score in column 4 by the score in column 5.\n\n(3) Calculate the total score for subdomain C (3) by adding the age‑adjusted scores in column 6.","sortOrder":25},{"sectionNumber":"Domain C — Functional abilities — mobili","sectionType":"schedule","heading":"Domain C — Functional abilities — mobility subdomain C (3)","content":"## Domain C — Functional abilities — mobility subdomain C (3)\n\n```html\n

Question

Answer code

Raw value

Raw score

Score from age adjustment table

Age adjusted score

32

a

4

b

3

c

2

d

1

33

a

4

b

3

c

2

d

1

34

a

4

b

3

c

2

d

1

35

a

No score

b

No score

c

No score

d

No score

36

a

4

b

3

c

2

d

1

37

a

4

b

3

c

2

d

1

38

a

4

b

3

c

2

d

1

\n```","sortOrder":26},{"sectionNumber":"Step 11 Adjusted score for subdomain C (","sectionType":"schedule","heading":"Step 11 Adjusted score for subdomain C (3)","content":"## Step 11 Adjusted score for subdomain C (3)\n\nCalculate the adjusted score for subdomain C (3) as follows:\n\n(a) locate the score range in column 1 of the following table into which the total score for subdomain C (3) fits;\n\n(b) the adjusted score is the corresponding conversion score in column 2 of the table.\n\n```html\n

Score range

Conversion score

Adjusted score

0 to 2.20

30

2.21 to 4.04

15

4.05 to 100

0

\n```","sortOrder":27},{"sectionNumber":"Step 12 Total score for domain C","sectionType":"schedule","heading":"Step 12 Total score for domain C","content":"## Step 12 Total score for domain C\n\nCalculate the total score for domain C by adding the adjusted scores for subdomains C (1), (2) and (3).","sortOrder":28},{"sectionNumber":"Step 13 Care load score for domain C","sectionType":"schedule","heading":"Step 13 Care load score for domain C","content":"## Step 13 Care load score for domain C\n\nCalculate the care load score for domain C as follows:\n\n(a) Use the total score for Domain C as derived at Step 12 and locate it within an applicable score range in column 1 of the following table;\n\n(b) the care load score is the corresponding conversion score in column 2 of the table;\n\n(c) if the total score for domain C is 0, the care load score is 0.\n\n| Score range | Conversion score | Care load score |\n| ----------- | ---------------- | --------------- |\n| 1 to 20 | 20 | |\n| 30 to 55 | 40 | |\n| 60 to 75 | 60 | |\n| 80 to 130 | 85 | |","sortOrder":29},{"sectionNumber":"Age adjustment table","sectionType":"schedule","heading":"Age adjustment table","content":"## Age adjustment table\n\n| Age | 1 | 1 | 1 | 1 | 2 | 2 | 2 | 2 | 3 | 3 | 3 | 3 | 4 | 4 | 4 | 4 | 5 | 5 | 5 | 5 | 6 | 6 | 6 | 6 | 7 |\n| --------------------------------------- | ---------- | ---------- | ---------- | ---------- | ---------- | ---------- | ---------- | ---------- | ---------- | ---------- | ---------- | ---------- | ---------- | ---------- | ---------- | ---------- | ---------- | ---------- | ---------- | --------- | ---------- | ---------- | ---------- | ---------- | ------ |\n| Age grouping in Months | 12 to < 15 | 15 to < 18 | 18 to < 21 | 21 to < 24 | 24 to < 27 | 27 to < 30 | 30 to < 33 | 33 to < 36 | 36 to < 39 | 39 to < 42 | 42 to < 45 | 45 to < 48 | 48 to < 51 | 51 to < 54 | 54 to < 57 | 57 to < 60 | 60 to < 63 | 63 to < 66 | 66 to < 69 | 69to < 72 | 72 to < 75 | 75 to < 78 | 78 to < 81 | 81 to < 84 | > = 84 |\n| Q24 ‑ Eating | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 2 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 4 | 4 | 4 | 4 | 4 | 4 |\n| Q25 ‑ Grooming | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 2 | 2 | 2 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 4 | 4 |\n| Q26 ‑ Bathing | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 2 | 2 | 2 | 2 | 2 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 4 |\n| Q27 ‑ Dressing ‑ upper | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 2 | 2 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 4 | 4 | 4 |\n| Q28 ‑ Dressing ‑ lower | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 2 | 2 | 2 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 4 | 4 | 4 |\n| Q29 ‑ Toileting | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 4 | 4 | 4 | 4 |\n| Q30 ‑ Bladder | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 4 | 4 | 4 | 4 | 4 |\n| Q31 ‑ Bowel | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 3 | 3 | 3 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 |\n| Q32 ‑ Mobility Toilet | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 |\n| Q33 ‑ Mobility Chair/ Wheelchair | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 2 | 3 | 3 | 3 | 3 | 3 | 3 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 |\n| Q34 ‑ Mobility Bath/Shower | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 2 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 4 | 4 | 4 | 4 | 4 | 4 |\n| Q36 ‑ Mobility Walk/Whlchair (indoors) | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 2 | 3 | 3 | 3 | 3 | 3 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 |\n| Q37 ‑ Mobility Walk/Whlchair (outdoors) | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 2 | 3 | 3 | 3 | 3 | 3 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 |\n| Q38 ‑ Mobility Stairs | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 |\n\n> Note Questions 21, 22, 23 and 35 are excluded from this table as they are non‑scoring questions.","sortOrder":30},{"sectionNumber":"Step 14 Total score for subdomain D (1)","sectionType":"schedule","heading":"Step 14 Total score for subdomain D (1)","content":"## Step 14 Total score for subdomain D (1)\n\n(1) Calculate a score for each question in subdomain D (1) as follows:\n\n(a) locate the value in column 3 of the following table that corresponds to the answer code for the question in column 2;\n\n(b) copy this value into column 4 of the table.\n\n(2) Calculate the total score for subdomain D (1) by adding the scores in column 4.","sortOrder":31},{"sectionNumber":"Subdomain D (1) — Special care needs — i","sectionType":"schedule","heading":"Subdomain D (1) — Special care needs — interventions","content":"## Subdomain D (1) — Special care needs — interventions\n\n```html\n

Question

Answer

Value

Score

40

a

85

b

85

c

30

d

20

e

0

41

a

0

b

85

42

a

0

b

70

43

a

0

b

0

b.1

0

b.2

15

b.3

30

b.4

0

b.5

15

b.6

30

44

a

0

b

0

b.1

0

b.2

5

b.3

10

b.4

0

b.5

10

b.6

20

45

a

0

b

0

b.1

0

b.2

2

b.3

5

46

a

0

b

0

b.1

0

b.2

20

b.3

40

47

a

0

b

0

b.1

0

b.2

5

b.3

10

b.4

0

b.5

10

b.6

20

48

a

0

b

0

b.1

0

b.2

15

b.3

30

b.4

50

49

a

0

b

0

b.1

20

b.2

60

b.3

80

50

a

0

b

0

b.1

0

b.2

20

b.3

40

\n```","sortOrder":32},{"sectionNumber":"Step 15 Total score for subdomain D (2)","sectionType":"schedule","heading":"Step 15 Total score for subdomain D (2)","content":"## Step 15 Total score for subdomain D (2)\n\n(1) Calculate the score for each question in subdomain D (2) as follows:\n\n(a) copy the number of hours into column 3 of the following table;\n\n(b) locate the range of hours in column 4 of the table into which the number of hours fits;\n\n(c) the score is the corresponding final score in column 5 of the table.\n\n(2) Calculate the total score for subdomain D (2) by adding the final scores for the questions.","sortOrder":33},{"sectionNumber":"Subdomain D (2) — Special care needs — t","sectionType":"schedule","heading":"Subdomain D (2) — Special care needs — time","content":"## Subdomain D (2) — Special care needs — time\n\n```html\n

Question

Answer

Value

51

a

0

b

10

52

a

0

b

10

Question

Answer code

Time in Minutes

Time calculation

Final score

53

a

0

b

if 1 hour or less

0

if more than 1 hour

5

Question

Answer

Value

54

a

2

b

2

c

1

d

2

e

2

f

2

g

1

h

1

55

a

1

b

1

c

1

d

1

e

1

f

1

\n```","sortOrder":34},{"sectionNumber":"Step 16 Total score for domain D","sectionType":"schedule","heading":"Step 16 Total score for domain D","content":"## Step 16 Total score for domain D\n\nCalculate the total score for domain D by adding the total scores for subdomains D (1) and (2).","sortOrder":35},{"sectionNumber":"Step 17 Care load score for domain D","sectionType":"schedule","heading":"Step 17 Care load score for domain D","content":"## Step 17 Care load score for domain D\n\nThe care load score for domain D is the total score for domain D.","sortOrder":36},{"sectionNumber":"Step 18 ACL grand total","sectionType":"schedule","heading":"Step 18 ACL grand total","content":"## Step 18 ACL grand total\n\nCalculate the ACL grand total by adding the care load scores for domains A, B, C and D.","sortOrder":37},{"sectionNumber":"Step 19 Additional points for scoring of","sectionType":"schedule","heading":"Step 19 Additional points for scoring of ACL if Secretary is not satisfied","content":"## Step 19 Additional points for scoring of ACL if Secretary is not satisfied\n\nIf the Secretary is not satisfied that the completed ACL questionnaire is an accurate reflection of the child’s functional ability, behaviour and special care needs, the Secretary may amend the scores for any of the domains if a question is deemed to have been missed or misinterpreted.","sortOrder":38},{"sectionNumber":"Step 20 ACL adjusted grand total","sectionType":"schedule","heading":"Step 20 ACL adjusted grand total","content":"## Step 20 ACL adjusted grand total\n\nCalculate the ACL adjusted grand total by adding any extra points from the Secretary to the ACL grand total.\n\nPart 2 Scoring for professional questionnaire","sortOrder":39},{"sectionNumber":"Step 1 Chronological age","sectionType":"schedule","heading":"Step 1 Chronological age","content":"## Step 1 Chronological age\n\nCalculate the child’s chronological age at the date of completion of the questionnaire.","sortOrder":40},{"sectionNumber":"Step 2 Scores for functional domains 1, ","sectionType":"schedule","heading":"Step 2 Scores for functional domains 1, 2, 3, 5, 6 and 7","content":"## Step 2 Scores for functional domains 1, 2, 3, 5, 6 and 7\n\n(1) Calculate the child’s scores for functional domains 1, 2, 3, 5, 6 and 7 from the following table based on:\n\n(a) the child’s chronological age calculated in step 1; and\n\n(b) the child’s functional age, based on the responses marked in functional domains 1, 2, 3, 5, 6 and 7 in the questionnaire.\n\n(2) Record the scores in column 2 of the table in step 6.\n\n```html\n

Chronological age

Functional age

Birth
to <6 months

6 months to <1 year

1 year to <2 years

2 years to <3 years

3 years to <4 years

4 years to <6 years

6 years to <9 years

9 years to <12 years

12 years to <15 years

15 years or older

Birth to <6 months (response a)

0

+1

+2

+3

+4

+5

+6

+7

+8

+9

6 months to <1 year (response b)

‑1

0

+1

+2

+3

+4

+5

+6

+7

+8

1 year to <2 years (response c)

‑2

‑1

0

+1

+2

+3

+4

+5

+6

+7

2 years to <3 years (response d)

‑3

‑2

‑1

0

+1

+2

+3

+4

+5

+6

3 years to <4 years (response e)

‑4

‑3

‑2

‑1

0

+1

+2

+3

+4

+5

4 years to <6 years (response f)

‑5

‑4

‑3

‑2

‑1

0

+1

+2

+3

+4

6 years to <9 years (response g)

‑6

‑5

‑4

‑3

‑2

‑1

0

+1

+2

+3

9 years to <12 years (response h)

‑7

‑6

‑5

‑4

‑3

‑2

‑1

0

+1

+2

12 years to <15 years (response i)

‑8

‑7

‑6

‑5

‑4

‑3

‑2

‑1

0

+1

15 years or older (response j)

‑9

‑8

‑7

‑6

‑5

‑4

‑3

‑2

‑1

0

No skills demonstrated (response k)

+1

+2

+3

+4

+5

+6

+7

+8

+9

+10

Age appropriate (response l)

0

0

0

0

0

0

0

0

0

0

\n```","sortOrder":41},{"sectionNumber":"Step 3 Score for functional domain 4","sectionType":"schedule","heading":"Step 3 Score for functional domain 4","content":"## Step 3 Score for functional domain 4\n\n(1) Calculate the child’s score for functional domain 4 from the following table based on:\n\n(a) the child’s chronological age calculated in step 1; and\n\n(b) the child’s functional age, based on the response marked in functional domain 4.\n\n(2) Record the score in column 2 of the table in step 6.\n\n```html\n

Chronological age

Functional age

Birth to <1 year

1 year to <2 years

2 years to <3 years

3 years to <4 years

4 years to <6 years

6 years to <9 years

9 years to <12 years

12 years to <15 years

15 years or older

Birth to <1 year (response a)

0

+1

+2

+3

+4

+5

+6

+7

+8

1 year to <2 years (response b)

‑1

0

+1

+2

+3

+4

+5

+6

+7

2 years to <3 years (response c)

‑2

‑1

0

+1

+2

+3

+4

+5

+6

3 years to <4 years (response d)

‑3

‑2

‑1

0

+1

+2

+3

+4

+5

4 years to <6 years (response e)

‑4

‑3

‑2

‑1

0

+1

+2

+3

+4

6 years to <9 years (response f)

‑5

‑4

‑3

‑2

‑1

0

+1

+2

+3

9 years to <12 years (response g)

‑6

‑5

‑4

‑3

‑2

‑1

0

+1

+2

12 years to <15 years (response h)

‑7

‑6

‑5

‑4

‑3

‑2

‑1

0

+1

15 years or older
(response i)

‑8

‑7

‑6

‑5

‑4

‑3

‑2

‑1

0

No skills demonstrated (response j)

+1

+2

+3

+4

+5

+6

+7

+8

+9

Age appropriate (response k)

0

0

0

0

0

0

0

0

0

\n```","sortOrder":42},{"sectionNumber":"Step 4 Functional domain 8","sectionType":"schedule","heading":"Step 4 Functional domain 8","content":"## Step 4 Functional domain 8\n\n(1) Calculate the child’s score for functional domain 8 from the following table based on:\n\n(a) the child’s chronological age calculated in step 1; and\n\n(b) the child’s functional age, based on the response marked in functional domain 8.\n\n(2) Record the score in column 2 of the table in step 6.\n\n```html\n

Chronological age

Functional age

Birth
to <6 months

6 months to <1 year

1 year to <2 years

2 years to <3 years

3 years to <4 years

4 years to <6 years

6 years to <9 years

9 years to <12 years

12 years or older

Birth to <6 months (response a)

0

+1

+2

+3

+4

+5

+6

+7

+8

6 months to <1 year (response b)

‑1

0

+1

+2

+3

+4

+5

+6

+7

1 year to <2 years (response c)

‑2

‑1

0

+1

+2

+3

+4

+5

+6

2 years to <3 years (response d)

‑3

‑2

‑1

0

+1

+2

+3

+4

+5

3 years to <4 years (response e)

‑4

‑3

‑2

‑1

0

+1

+2

+3

+4

4 years to <6 years (response f)

‑5

‑4

‑3

‑2

‑1

0

+1

+2

+3

6 years to <9 years (response g)

‑6

‑5

‑4

‑3

‑2

‑1

0

+1

+2

9 years to <12 years (response h)

‑7

‑6

‑5

‑4

‑3

‑2

‑1

0

+1

12 years or older (response i)

‑8

‑7

‑6

‑5

‑4

‑3

‑2

‑1

0

No skills demonstrated (response j)

+1

+2

+3

+4

+5

+6

+7

+8

+9

Age appropriate (response k)

0

0

0

0

0

0

0

0

0

\n```","sortOrder":43},{"sectionNumber":"Step 5 Scores for functional domains 9 a","sectionType":"schedule","heading":"Step 5 Scores for functional domains 9 and 10","content":"## Step 5 Scores for functional domains 9 and 10\n\nCalculate the child’s scores for functional domains 9 and 10 by:\n\n(a) copying the responses for each functional domain in the questionnaire into the following table; and\n\n(b) allocating a score of +2 for each response marked M‑10k and M‑10l; and\n\n(c) allocating a score of +1 for all other responses marked; and\n\n(d) adding up the score for each functional domain.\n\n(2) Copy the scores into column 2 of the table in step 6.\n\n| Functional domain | | Score(allocate a score of 1 for each response marked) |\n| -------------------- | --- | ----------------------------------------------------- |\n| Functional domain 9 | | |\n| M‑9a | | |\n| M‑9b | | |\n| M‑9c | | |\n| M‑9d | | |\n| M‑9e | | |\n| M‑9f | | |\n| Total: | | |\n| Functional domain 10 | | |\n| M‑10a | | |\n| M‑10b | | |\n| M‑10c | | |\n| M‑10d | | |\n| M‑10e | | |\n| M‑10f | | |\n| M‑10g | | |\n| M‑10h | | |\n| M‑10i | | |\n| M‑10j | | |\n| M‑10k | | |\n| M‑10l | | |\n| M‑10m | | |\n| M‑10n | | |\n| M‑10o | | |\n| Total: | | |","sortOrder":44},{"sectionNumber":"Step 6 Interim treating health professio","sectionType":"schedule","heading":"Step 6 Interim treating health professional questionnaire score","content":"## Step 6 Interim treating health professional questionnaire score\n\n(1) Calculate the questionnaire weighting in column 3 of the following table by dividing each score in column 2 by 2.\n\n(2) Calculate the milestone weighted scores in column 4 for functional domains 1, 2, 3, 5, 6 and 7 by multiplying the score for each domain in column 3 by 10 and then dividing the result by 10.\n\n(3) Calculate the milestone weighted scores for functional domains 4 and 8 by multiplying the score for each domain in column 3 by 10 and then dividing the result by 9.\n\n(4) Calculate the self care score in column 5 by adding the scores in column 4 for functional domains 3, 4 and 5, and dividing the result by 3.\n\n(5) The raw scores in column 6 are the following:\n\n(a) the scores in column 4 for functional domains 1 and 2;\n\n(b) the self care skills score in column 5;\n\n(c) the scores in column 4 for functional domains 6, 7 and 8.\n\n(6) Calculate the functional weighting in column 7 by multiplying the score in column 6 for functional domain 1 by 1.2, and multiplying the score in column 6 for functional domain 10 by 2.\n\n(7) The total scores in column 8 are as follows:\n\n(a) the scores in column 7 for functional domains 1 and 10;\n\n(b) the scores in column 6 for the remaining functional domains.\n\n(8) Calculate the interim treating health professional questionnaire score by adding the total weighted scores in column 8 together.\n\n```html\n

Functional domain

Scores in steps 2 to 5

Questionnaire weighting

Milestone weighting

Self care skills score

Raw score for each domain

Functional weighting

Total weighted score

1

2

3

4

5

6

7

8

9

10

Interim treating health professional score

\n```","sortOrder":45},{"sectionNumber":"Step 7 Age amended treating health profe","sectionType":"schedule","heading":"Step 7 Age amended treating health professional score","content":"## Step 7 Age amended treating health professional score\n\nIf the child is 12 years or older, calculate an age amended treating health professional score by completing the following steps.\n\n| Treating health professional score | Score |\n| ------------------------------------------------------------------------------------------------------------------------ | ----- |\n| Interim treating health professional questionnaire total score from step 6: | |\n| If child is aged 12 years but less than 15 years, take 1 away from the interim treating health professional total score: | |\n| OR | |\n| If the child is aged 15 years or over, take 1.5 away from the interim treating health professional total score: | |\n| Age amended treating health professional total score: | |\n\n> Note If, after completing step 7, the age amended treating health professional total score is greater than 0, the child satisfies the criteria. Otherwise, continue to step 8.","sortOrder":46},{"sectionNumber":"Step 8 Age amended treating health profe","sectionType":"schedule","heading":"Step 8 Age amended treating health professional total score","content":"## Step 8 Age amended treating health professional total score\n\n(1) Calculate an age amended score using the following tables if:\n\n(a) the age amended treating health professional total score mentioned in the table in step 7 is less than or equal to 0; and\n\n(b) the child is between:\n\n(i) 5 years, 9 months of age and 6 years of age; or\n\n(ii) 8 years, 9 months of age and 9 years of age; or\n\n(iii) 11 years, 9 months of age and 12 years of age; or\n\n(iv) 14 years, 9 months of age and 15 years of age.\n\n(2) Copy the scores obtained from steps 2 to 5 into column 2 of the following table.\n\n(3) Calculate the new scores in column 3 of the table as follows:\n\n(a) if a score in column 2 is less than or equal to 0, calculate the corresponding score in column 3 by adding 1 to the score in column 2;\n\n(b) if a score in column 2 is greater than 0, copy the score into column 3.\n\n(4) Using the scores in column 3, repeat steps 6 and 7, and calculate the new age amended treating health professional total score.\n\n| Functional domain | Original scores from steps 2 to 5 | Calculation of new score | Recalculation of age amended treating health professional total score |\n| ----------------- | --------------------------------- | ------------------------ | --------------------------------------------------------------------- |\n| 1 | | | |\n| 2 | | | |\n| 3 | | | |\n| 4 | | | |\n| 5 | | | |\n| 6 | | | |\n| 7 | | | |\n| 8 | | | |","sortOrder":47},{"sectionNumber":"Step 9 Qualifying rating","sectionType":"schedule","heading":"Step 9 Qualifying rating","content":"## Step 9 Qualifying rating\n\nTo contribute to the qualifying rating, the age amended treating health professional total score must be greater than 0.\n\nSchedule 3 List of Recognised Disabilities\n\n(section 7))\n\nPart 1 Recognised Disabilities\n\n 1. Moderate to severe multiple disability or moderate to severe physical disability (including neurological disability) where the child is, or is likely to be, dependent for mobility indoors and outdoors from the age of 3 onwards.\n\nExample:\n\nA child who has cerebral palsy, lower limb deficiencies or spina bifida and is dependent on a stroller, wheelchair, crutches or walking frame.\n\n 2. Severe multiple or physical disability (including uncontrolled seizures) requiring constant care and attention where the child is less than 6 months of age.\n 3. Epilepsy (uncontrolled while on medication).\n 4. Chromosomal or syndromic conditions that are not specified elsewhere in this Part and where there is moderate or severe intellectual disability and/or multiple, major and permanent physical abnormalities as diagnosed by a paediatrician, paediatric subspecialist or clinical geneticist.\n 5. Neurometabolic degenerative conditions including lysosomal storage disorders where there is moderate or severe intellectual and/or moderate or severe physical disability and where the condition is diagnosed by a paediatrician, paediatric sub‑specialist or clinical geneticist.\n 6. Neurodegenerative disorders where there is moderate or severe intellectual and/or moderate or severe physical disability and where the condition is diagnosed by a paediatrician, paediatric sub‑specialist or clinical geneticist.\n 7. Any of the following neuromuscular conditions:\n\n(a) Duchenne (or Becker) muscular dystrophy;\n\n(b) Autosomal recessive muscular dystrophy;\n\n(c) Spinal muscular atrophy conditions (e.g. Werdnig‑Hoffman);\n\n(d) Friedreich’s ataxia.\n\n 8. Moderate, severe, or profound intellectual disability where IQ is less than 55, (including a child with a known syndrome).\n\n9. The following conditions:\n\n(a) Autism Spectrum Disorder when diagnosed by a psychiatrist, developmental paediatrician, or a registered psychologist experienced in the assessment of Pervasive Developmental Disorders and using the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5);\n\n(b) Autistic Disorder or Asperger’s Disorder (not including Pervasive Developmental Disorder not otherwise specified) when diagnosed by a psychiatrist, developmental paediatrician, or a registered psychologist experienced in the assessment of Pervasive Development Disorders and using the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).\n\n 10. The following conditions:\n\n(a) Childhood Disintegrative Disorder diagnosed by a psychiatrist using DSM-IV;\n\n(b) Major depression of childhood diagnosed by a psychiatrist using DSM‑IV or DSM-5;\n\n(c) Childhood schizophrenia diagnosed by a psychiatrist using DSM-IV or DSM-5.\n\n 11. Any of the following sensory impairments:\n\n(a) Bilateral blindness where:\n\n(i) visual acuity is less than or equal to 6/60 with corrected vision; or\n\n(ii) visual fields are reduced to a measured arc of less than 10 degrees;\n\n(b) Hearing loss ‑ a 45 decibels or greater hearing impairment in the better ear, based on a 4 frequency pure tone average (using 500, 1000, 2000 and 4000Hz);\n\n(c) Deaf‑blindness ‑ diagnosed by a specialist multidisciplinary team, including a professional audiological and opthalmological evaluation.\n\n 12. The following dermatological conditions:\n\n(a) Epidermolysis Bullosa Dystrophica;\n\n(b) The following types of Ectodermal Dysplasias:\n\n(i) Hypohidrotic ectodermal dysplasia (synonym: anhidrotic ectodermal dysplasia);\n\n(ii) Hay Wells syndrome (synonym: ankyloblepharon, ectodermal dysplasia and clefting \\[AEC\\] syndrome);\n\n> Note: These are specific terms and do not apply to other ectodermal dysplasia which may have some degree of reduced sweating.\n\n(c) The following severe congenital ichthyoses:\n\n(i) Lamellar ichthyosis;\n\n(ii) Harlequin ichthyosis;\n\n(iii) Sjogren Larsson syndrome;\n\n(iv) Netherton syndrome;\n\n(v) Severe congenital ichthyosiform erythroderma;\n\n(vi) Generalised bullous ichthyosis (synonym: bullous ichthyosiform erythroderma, epidermolytic hyperkeratosis).\n\n 13. Phenylketonuria (PKU).\n 14. Other inborn errors of metabolism not specified elsewhere in this Part that are treated by medically prescribed diet to prevent neurological disability and/or severe organ damage.\n 15. Cystic Fibrosis.\n 16. Moderate to severe Osteogenesis Imperfecta with two or more fractures per year and/or significant pain that significantly limits activities of daily living.\n 17. Down syndrome.\n 18. Fragile X syndrome.\n\nPart 2 Medical Conditions\n\n 1. Chronic or end stage organ failure where the child is receiving organ specific treatment and/or awaiting transplant.\n 2. HIV/AIDS where the child is symptomatic (in addition to having lymphadenopathy) and requires treatment with a three or more drug antiviral regimen.\n 3. Immunodeficiency where the child requires regular immunoglobin infusions.\n 4. The following Haematological/Oncological Conditions:\n\n(a) Leukaemia, Haemophagocytic Lymphohistiocytosis and other childhood malignancies where the child is undergoing chemotherapy, radiotherapy or palliative care;\n\n(b) Haemophilia with Factor VIII or Factor IX deficiency (less than 10%);\n\n(c) Thalassaemia or Haemoglobinopathy requiring chelation therapy;\n\n(d) Chronic Transfusion Dependent Anaemia requiring chelation therapy;\n\n(e) Langerhan Cell Histiocytosis: disseminated (multi‑organ) disease requiring chemotherapy for longer than 6 months;\n\n(f) Severe congenital Neutropenia (Kostman’s variant, dependent on Filgrastin).\n\n 5. The following Chronic Respiratory Conditions:\n\n(a) Chronic Respiratory Disease requiring home oxygen;\n\n(b) A condition where the child is dependent for his or her health on an external apparatus/machine called a ventilator to assist with breathing, either on a continuous or intermittent basis;\n\n(c) Long term tracheostomy where the child is cared for at home.\n\n 6. Severe atopic dermatitis which involves at least 75% of the body surface and which has required two or more hospitalisations of at least 5 days duration in the previous calendar year, and/or the use of immunosuppressive therapy.\n 7. Significant burn where more than 30% of body surface area is affected, or a lesser burn where there is significant impairment of function of the hands or feet or assistance is required with feeding or toileting to a greater degree than is age appropriate for the child.\n 8. Gastroenterological condition or other medical condition requiring total parenteral nutrition for an extended period, with medical treatment and medical supervision required for at least 12 months.\n 9. Final stage of Ulcerative Colitis where the condition is no longer responding to medical treatment and where a sub‑total colectomy and ileo‑rectal anastomosis with formation of a J‑pouch is required.\n 10. Polyarticular course Juvenile Arthritis requiring regular multi‑disciplinary therapy, including immunosuppressive medication.\n 11. Diabetes Mellitus Type 1.","sortOrder":48}],"analysis":{"kimi_summary":{"_metrics":{"model":"kimi-k2.5","source":"moonshot-realtime","completionTokens":2117},"content_quality":"ok","complexity_score":9,"scope_assessment":{"changed":false,"description":"The instrument maintains its original scope as a technical assessment methodology for childhood disability care load. It operates within the boundaries of the Social Security Act 1991, providing the detailed administrative rules necessary to implement carer payment eligibility without expanding into unrelated policy areas."},"complexity_factors":["20-step sequential calculation process in Part 1 (carer questionnaire) with mandatory conversion tables at each step","Age-adjustment matrices with monthly granularity for children aged 12-84 months, requiring division of raw scores by age-specific denominators","Four distinct scoring domains (A, B, C, D) with nested subdomains (C1, C2, C3) each using different mathematical conversion methods","Dual assessment methodology requiring cross-referencing between carer-reported data and treating health professional questionnaire (Part 2)","14-step professional assessment involving functional age vs chronological age comparison across 10 functional domains with weighted multipliers","Complex conditional logic and skip patterns (e.g., 'If No, go to Question 21; If Yes, go to next question')","Multiple lookup tables converting score ranges to care load scores (e.g., 'Score range 0-4 = Conversion score 0')","Schedule of Recognised Disabilities requiring diagnostic specificity (e.g., DSM-IV vs DSM-5 criteria for autism)"],"plain_english_summary":"This Determination establishes a detailed points-based test—using two questionnaires (carer and treating clinician)—to measure a child’s care needs across behaviour, functional abilities and high-level medical requirements. Services Australia uses the resulting care-load score to decide Carer Payment/Allowance eligibility and payment level. The test is complex and age‑adjusted, but includes shortcuts: terminal prognosis can fast-track eligibility, and a list of recognised conditions can meet medical criteria."}},"importantCases":[],"_links":{"self":"/api/acts/disability-care-load-assessment-child-determination-2010","history":"/api/acts/disability-care-load-assessment-child-determination-2010/history","analysis":"/api/acts/disability-care-load-assessment-child-determination-2010/analysis","conflicts":"/api/acts/disability-care-load-assessment-child-determination-2010/conflicts","importantCases":"/api/acts/disability-care-load-assessment-child-determination-2010/important-cases","documents":"/api/acts/disability-care-load-assessment-child-determination-2010/documents"}}