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Publication - Publication

Pension Age Disability Payment decision making guide

Published
7 Aug 2025
Topic
Pension Age Disability Payment
Rules for Renal Dialysis

Dialysis and other needs

An individual receiving renal dialysis who also has other needs due to a different disability or health condition is entitled to the lower rate of PADP in either of these circumstances:

  • they satisfy the daytime condition through the rules for renal dialysis, and their other needs also satisfy the daytime condition or
  • they satisfy the night-time condition through the rules for renal dialysis, and their other needs also satisfy the night-time condition.

An individual receiving renal dialysis who also has other needs due to a different disability or health condition is entitled to the higher rate of PADP in either of these circumstances:

  • they satisfy the daytime condition through the rules for renal dialysis, but also satisfy the night-time condition due to their other needs or
  • they satisfy the night-time condition through the rules for renal dialysis, but also satisfy the daytime condition due to their other needs.

A case manager may need further input on the impact of other disabilities or health conditions on an individual who is receiving renal dialysis. In these circumstances, a case manager should seek advice from a practitioner through a case discussion.

Example: an individual has other needs in addition to renal dialysis but is still entitled to the lower rate of PADP

George is 72 years old and receives renal dialysis during the day, which satisfies the daytime condition for PADP.

George also has diabetes. He requires frequent attention during the day to help manage his condition, as he is unable to administer insulin or monitor his blood sugar levels independently. Due to his condition, George requires frequent use of the toilet, and needs help to get to the bathroom. George often experiences hypoglycaemia, meaning he has low blood sugar levels. He requires his partner to give him something to eat or drink. George regularly becomes dizzy and disorientated. Therefore, his partner tends to supervise him to avoid injury. George’s partner has to provide reassurance to George when his symptoms improve. The case manager determines that George satisfies the lower rate of PADP. This is because George has:

  • satisfied the daytime condition under the rules for renal dialysis
  • satisfied the daytime condition as he requires frequent attention and continual supervision throughout the day.

Example: an individual has other needs in addition to renal dialysis and is entitled to the higher rate of PADP

Andrea is 68 years old and receives renal dialysis during her household bedtime. Andrea’s dialysis has satisfied the night-time condition.

Andrea also has Huntington’s disease. During the day, Andrea has difficulty concentrating and often has periods of memory lapses. She tends to stumble often, and regularly experiences tremors. Andrea’s symptoms cause her to struggle with safety when reaching the bathroom, and she often feels disorientated when bathing. Andrea’s husband needs to watch her closely due to this.

The case manager determines that Andrea is entitled to the higher rate of PADP. This is because Andrea has:

  • satisfied the night-time condition under the rules for renal dialysis
  • satisfied the daytime condition as she requires continual supervision throughout the day.
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