Suspension from the Lifetime Support Scheme (LSS) refers to a period where your participation in the LSS has been put on hold. This means the Lifetime Support Authority (LSA) will stop funding for treatment, care and support expenses during your suspension period.
Where possible, your Service Planner will advise of your suspension by phone. In all cases, confirmation will be provided in writing.
If you do not follow to the conditions outlined in the LSS Rules then we are able to suspend you from the LSS.
An example of this is refusing or avoiding further medical or other assessments relating to your treatment, care and support provisions.
The LSS Rules require that:
- you be assessed at certain points of your rehabilitation as your needs may change over time
- interim participants be assessed to determine if they are eligible for lifetime participation.
It is critical future assessments are completed as this maximises your rehabilitation journey and quality of life.
We will no longer fund any forms of treatment, care or support expenses during your suspension period.
If your suspension is lifted, you are unable to recover any of the costs incurred by you during your suspension period for any forms of treatment, care or support that would have previously been funded by us.
Your suspension will only end, if and when, you have completed the medical and/or other assessments requested by your Service Planner that led to your suspension.
Your suspension will last as long as you refuse to undergo the requested medical and/or other assessments requested by us.
The maximum period for interim participation is 3 years from the date you are accepted into the LSS and this includes any periods of suspension.
Children who are under 6 with a brain injury or the lifetime impact of their impairment is not clear are exempt from this timeframe.
If your interim participation reaches 3 years and you have not followed the conditions outlined in the LSS Rules, you will be transitioned out of the LSS permanently.
If you disagree with a decision about your eligibility, you are eligible to lodge a dispute with us. Further information is outlined in the Resolving Disputes about Treatment, Care and Support Needs Information Sheet and the Reassessment and Disputes section.