An application for domiciliary care allowance (DCA) was received on the 1st December 2009 from the person in question. This application was referred to one of the Department's Medical Assessors who found that her child was not medically eligible for DCA. A letter issued to the person in question on the 25th January 2010 where she was advised of the decision to refuse DCA. In the case of an application which is refused on medical grounds, the applicant may submit additional information and/or ask for the case to be reviewed or they may appeal the decision directly to the Social Welfare Appeals Office within 21 days. In this case no additional medical information has been submitted or no appeal has been registered by the Social Welfare Appeals Office.