Treatment and care assessor’s determination—review
61 Treatment and care assessor’s determination—review
The LTCS commissioner or a participant in the LTCS scheme may refer a determination (the original determination) by a treatment and care assessor about the participant’s treatment and care needs to a treatment and care review panel for review.
The determination must be referred for review within 28 days after the day the certificate of the determination is given to the LTCS commissioner and the participant under section 60.
The determination may be referred for review on the following grounds only:
that additional relevant information about the participant’s treatment and care needs that was unavailable or could not reasonably have been obtained when the assessor made the determination, and that is capable of having a material effect on the determination, has become available;
the treatment and care assessor’s determination was not made in accordance with the LTCS guidelines;
the treatment and care assessor’s determination is demonstrably incorrect in a material respect.
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