Experiences with the Medical Appeal Board (MAB) Process an exploration of how the Work and Income medical criteria decision review process is working

Consultations Unpacked Background Paper.

Friday 6 June 2014 12-1.30pm
Dunedin Community House

 a Dunedin Council of Social Services, Dunedin Community Law Centre &
Community Law Canterbury Community Forum

 

The MAB is the place to go to appeal a Work and Income decision made on medical criteria (such as eligibility for Supported Living Payment, Jobseeker Support and the Child Disability Allowance). The board is independent of Work and Income. The MAB has the power to change decisions made by Work and Income. It can either agree with the decision, or change the decision. There is no right of appeal against a decision of a Medical Appeal Board. This means it is very important that a case going to the MAB is well prepared, there is strong medical evidence to back up your case and if you need it, you have someone to support or represent you at the hearing.

The MAB is a decision making panel made up of three people. MAB members are appointed by MSD’s Chief Executive and are paid by MSD for their time taking part in hearings. MABs consist of three members* who are:

  • Doctors
  • People with expertise in rehabilitation, such as physiotherapists, occupational therapists, nurses, and psychologists.
  • Other people with the right expertise.

* The board members at your hearing must not have had any involvement in your case or treated you as a patient.

Concern has been expressed locally at the length of time it can take for an appeal to go through, and the composition of the board. While it is recognised that board membership does require people with the right expertise, some clients have indicated that the expertise is limited to specific areas of medicine and their case may fall outside of this area, other clients have expressed concern the board is not gender and culturally diverse.

The forum is interested in hearing local stories and experiences with the Medical Appeals Board so that we can look at ways of supporting beneficiaries who are taking medical appeals.

 Sources and links for further Information

 Work & Income New Zealand

 About medical appeals:

http://www.workandincome.govt.nz/community/health-and-disability-practitioners/about- medical-appeals.html

About the medical appeal board hearings:

http://www.workandincome.govt.nz/individuals/brochures/a-guide-to-medical-appeals-board- hearings.html