Domiciliary care allowance is a monthly payment to a parent or guardian in respect of a child aged under 16 who has a severe disability and requires care and attention substantially over and above that usually needed by a child of the same age. This care and attention must be given by another person, effectively full-time, so that the child can deal with the activities of daily living. The child must be likely to require this level of care and attention for at least 12 months.
The number of applications for domiciliary care allowance received by my Department increased from 8,609 in 2018 to 8,719 in 2019. There was a slight reduction in the number received in 2020, most likely due to the Covid-19 pandemic, when 7,289 applications were received. However, the numbers increased substantially in 2021 to 9,131. Last year, the number of new applications surpassed the 10,000 mark for the first time, when 10,524 were received. The number of domiciliary care allowance applications that were disallowed at the initial decision stage in 2018 was 2,225, and in 2019 it was 2,875. In 2020, 2,639 applications were disallowed, and in 2021, this figure was 2,478. Last year, 3,948 applications were disallowed at initial decision stage. It should be noted that some of these applications would have gone on to be awarded on review where further medical evidence was received, or on appeal to the Social Welfare Appeals Office.
As domiciliary care allowance is not means-tested and does not require PRSI contributions, the main reason that a customer would not qualify for the payment is that the child does not satisfy the medical criteria. A very small number of applications may be disallowed where the habitual residency condition is not satisfied, where the child is in full-time residential care, or where an application is not fully completed. Applicants are advised to provide as much detail as possible at application stage, including any additional information or documentary evidence that is relevant, medical or otherwise, to ensure that all information is available for consideration in the decision and assessment process.