Early Intervention Physiotherapy Framework fees

Effective 1 July 2023

The TAC has extended the funding of temporary telehealth services previously scheduled to end on 30 September 2020 until further notice, giving clients the ongoing convenience and flexibility of accessing health services from home.

For EIPF physiotherapy services provided or or after 1 July 2023
Service Description	TAC Item Number	Maximum Payment Rate
Initial Consultation: History, examination and treatment of new patient
Initial Consultation: < 7 months from date of injury	EPA100	$121.08
Initial Consultation: < 7 months from date of injury (Telehealth)	EPA100T	$121.08
Initial Consultation: > 7 months from date of injury	EPB100	$83.52
Initial Consultation: > 7 months from date of injury (Telehealth)	EPB100T	$83.52
Standard Consultation
Standard Consultation: < 7 months from date of injury	EPA102	$79.92
Standard Consultation: < 7 months from date of injury (Telehealth)	EPA102T	$79.92
Standard Consultation: > 7 months from date of injury	EPB102	$63.64
Standard Consultation: > 7 months from date of injury (Telehealth)	EPB102T	$63.64
Post-operative consultation: Eligible surgical procedures only - see guidance material for details; can be billed for a maximum of 3 months from first treatment following eligible surgery; Can only be billed within 30 months of the date of injury.
Post-operative Consultation: max. 3 months of treatment	EIP001	$79.92
Extended Consultation: Prior approval required - refer to the policy for eligibility criteria
Extended Consultation (31-40 mins) : < 9 months from first community treatment	EPA107	$106.55
Extended Consultation (31-40 mins) : < 9 months from first community treatment (Telehealth)	EPA107T	$106.55
Extended Consultation (31-40 mins) : > 9 months from first community treatment	EPB107	$79.61
Extended Consultation (31-40 mins) : > 9 months from first community treatment (Telehealth)	EPB107T	$79.61
Extended Consultation (+40 mins) : < 9 months from first community treatment	EPA108	$133.21
Extended Consultation (+40 mins) : < 9 months from first community treatment (Telehealth)	EPA108T	$133.21
Extended Consultation (+40 mins) : > 9 months from first community treatment	EPB108	$127.16
Extended Consultation (+40 mins) : > 9 months from first community treatment (Telehealth)	EPB108T	$127.16
Travel: Prior approval required - refer to the policy for eligibility criteria. Cannot be billed where the service rate includes travel
Melbourne Metropolitan	EPA131	$2.72 per km
Regional / Rural	EPA132	$1.84 per km
Hydrotherapy & Group Consultations: Hydrotherapy rates include travel
Individual Hydrotherapy Consultation	PH602R	$63.64
Group Hydrotherapy Consultation: Two or more patients	PH602G	$38.62
Group Consultation: Maximum 6 patients receiving constant overall supervision and intermittent individual attention from a physiotherapist	PY602G	$38.62
Assessment & review: Assessment and reviews include travel
Workplace Assessment and report #	WPA101*#	$184.95 per hour (max $554.85)
Workplace Assessment and report (Telehealth) #	WPA101T*#	$184.95 per hour (max $554.85)
Home/Equipment Inspection & Report #	PY620H*#	$139.90
Completion of Allied Health Treatment and Recovery Plan (at TAC request)	PY630R*	$78.22
Attendance by treating physiotherapist at meeting where the patient is present, at the request of the TAC #	PY625H*#	$139.90

# Billed as an hourly rate inclusive of travel

For EIPF physiotherapy services provided between 1 July 2022 and 30 June 2023
Service Description	TAC Item Number	Maximum Payment Rate
Initial Consultation: History, examination and treatment of new patient
Initial Consultation: < 7 months from date of injury	EPA100	$112.12
Initial Consultation: < 7 months from date of injury (Telehealth)	EPA100T	$112.12
Initial Consultation: > 7 months from date of injury	EPB100	$77.34
Initial Consultation: > 7 months from date of injury (Telehealth)	EPB100T	$77.34
Standard Consultation
Standard Consultation: < 7 months from date of injury	EPA102	$74.01
Standard Consultation: < 7 months from date of injury (Telehealth)	EPA102T	$74.01
Standard Consultation: > 7 months from date of injury	EPB102	$58.93
Standard Consultation: > 7 months from date of injury (Telehealth)	EPB102T	$58.93
Post-operative consultation: Eligible surgical procedures only - see guidance material for details; can be billed for a maximum of 3 months from first treatment following eligible surgery; Can only be billed within 30 months of the date of injury.
Post-operative Consultation: max. 3 months of treatment	EIP001	$74.01
Extended Consultation: Prior approval required - refer to the policy for eligibility criteria
Extended Consultation (31-40 mins) : < 9 months from first community treatment	EPA107	$98.67
Extended Consultation (31-40 mins) : < 9 months from first community treatment (Telehealth)	EPA107T	$98.67
Extended Consultation (31-40 mins) : > 9 months from first community treatment	EPB107	$73.72
Extended Consultation (31-40 mins) : > 9 months from first community treatment (Telehealth)	EPB107T	$73.72
Extended Consultation (+40 mins) : < 9 months from first community treatment	EPA108	$123.35
Extended Consultation (+40 mins) : < 9 months from first community treatment (Telehealth)	EPA108T	$123.35
Extended Consultation (+40 mins) : > 9 months from first community treatment	EPB108	$117.75
Extended Consultation (+40 mins) : > 9 months from first community treatment (Telehealth)	EPB108T	$117.75
Travel: Prior approval required - refer to the policy for eligibility criteria. Cannot be billed where the service rate includes travel
Melbourne Metropolitan	EPA131	$2.72 per km
Regional / Rural	EPA132	$1.84 per km
Hydrotherapy & Group Consultations: Hydrotherapy rates include travel
Individual Hydrotherapy Consultation	PH602R	$58.93
Group Hydrotherapy Consultation: Two or more patients	PH602G	$35.76
Group Consultation: Maximum 6 patients receiving constant overall supervision and intermittent individual attention from a physiotherapist	PY602G	$35.76
Assessment & review: Assessment and reviews include travel
Workplace Assessment and report #	WPA101*#	$171.27 per hour (max $513.81)
Workplace Assessment and report (Telehealth) #	WPA101T*#	$171.27 per hour (max $513.81)
Home/Equipment Inspection & Report #	PY620H*#	$129.55
Completion of Allied Health Treatment and Recovery Plan (at TAC request)	PY630R*	$72.43
Attendance by treating physiotherapist at meeting where the patient is present, at the request of the TAC #	PY625H*#	$129.55

# Billed as an hourly rate inclusive of travel

For EIPF physiotherapy services provided or or after 1 July 2023
Service Description	TAC Item Number	Maximum Payment Rate
Initial Consultation: History, examination and treatment of new patient
Initial Consultation: < 7 months from date of injury	EPA100	$121.08
Initial Consultation: < 7 months from date of injury (Telehealth)	EPA100T	$121.08
Initial Consultation: > 7 months from date of injury	EPB100	$83.52
Initial Consultation: > 7 months from date of injury (Telehealth)	EPB100T	$83.52
Standard Consultation
Standard Consultation: < 7 months from date of injury	EPA102	$79.92
Standard Consultation: < 7 months from date of injury (Telehealth)	EPA102T	$79.92
Standard Consultation: > 7 months from date of injury	EPB102	$63.64
Standard Consultation: > 7 months from date of injury (Telehealth)	EPB102T	$63.64
Post-operative consultation: Eligible surgical procedures only - see guidance material for details; can be billed for a maximum of 3 months from first treatment following eligible surgery; Can only be billed within 30 months of the date of injury.
Post-operative Consultation: max. 3 months of treatment	EIP001	$79.92
Extended Consultation: Prior approval required - refer to the policy for eligibility criteria
Extended Consultation (31-40 mins) : < 9 months from first community treatment	EPA107	$106.55
Extended Consultation (31-40 mins) : < 9 months from first community treatment (Telehealth)	EPA107T	$106.55
Extended Consultation (31-40 mins) : > 9 months from first community treatment	EPB107	$79.61
Extended Consultation (31-40 mins) : > 9 months from first community treatment (Telehealth)	EPB107T	$79.61
Extended Consultation (+40 mins) : < 9 months from first community treatment	EPA108	$133.21
Extended Consultation (+40 mins) : < 9 months from first community treatment (Telehealth)	EPA108T	$133.21
Extended Consultation (+40 mins) : > 9 months from first community treatment	EPB108	$127.16
Extended Consultation (+40 mins) : > 9 months from first community treatment (Telehealth)	EPB108T	$127.16
Travel: Prior approval required - refer to the policy for eligibility criteria. Cannot be billed where the service rate includes travel
Melbourne Metropolitan	EPA131	$2.72 per km
Regional / Rural	EPA132	$1.84 per km
Hydrotherapy & Group Consultations: Hydrotherapy rates include travel
Individual Hydrotherapy Consultation	PH602R	$63.64
Group Hydrotherapy Consultation: Two or more patients	PH602G	$38.62
Group Consultation: Maximum 6 patients receiving constant overall supervision and intermittent individual attention from a physiotherapist	PY602G	$38.62
Assessment & review: Assessment and reviews include travel
Workplace Assessment and report #	WPA101*#	$184.95 per hour (max $554.85)
Workplace Assessment and report (Telehealth) #	WPA101T*#	$184.95 per hour (max $554.85)
Home/Equipment Inspection & Report #	PY620H*#	$139.90
Completion of Allied Health Treatment and Recovery Plan (at TAC request)	PY630R*	$78.22
Attendance by treating physiotherapist at meeting where the patient is present, at the request of the TAC #	PY625H*#	$139.90

# Billed as an hourly rate inclusive of travel

For EIPF physiotherapy services provided between 1 July 2022 and 30 June 2023
Service Description	TAC Item Number	Maximum Payment Rate
Initial Consultation: History, examination and treatment of new patient
Initial Consultation: < 7 months from date of injury	EPA100	$112.12
Initial Consultation: < 7 months from date of injury (Telehealth)	EPA100T	$112.12
Initial Consultation: > 7 months from date of injury	EPB100	$77.34
Initial Consultation: > 7 months from date of injury (Telehealth)	EPB100T	$77.34
Standard Consultation
Standard Consultation: < 7 months from date of injury	EPA102	$74.01
Standard Consultation: < 7 months from date of injury (Telehealth)	EPA102T	$74.01
Standard Consultation: > 7 months from date of injury	EPB102	$58.93
Standard Consultation: > 7 months from date of injury (Telehealth)	EPB102T	$58.93
Post-operative consultation: Eligible surgical procedures only - see guidance material for details; can be billed for a maximum of 3 months from first treatment following eligible surgery; Can only be billed within 30 months of the date of injury.
Post-operative Consultation: max. 3 months of treatment	EIP001	$74.01
Extended Consultation: Prior approval required - refer to the policy for eligibility criteria
Extended Consultation (31-40 mins) : < 9 months from first community treatment	EPA107	$98.67
Extended Consultation (31-40 mins) : < 9 months from first community treatment (Telehealth)	EPA107T	$98.67
Extended Consultation (31-40 mins) : > 9 months from first community treatment	EPB107	$73.72
Extended Consultation (31-40 mins) : > 9 months from first community treatment (Telehealth)	EPB107T	$73.72
Extended Consultation (+40 mins) : < 9 months from first community treatment	EPA108	$123.35
Extended Consultation (+40 mins) : < 9 months from first community treatment (Telehealth)	EPA108T	$123.35
Extended Consultation (+40 mins) : > 9 months from first community treatment	EPB108	$117.75
Extended Consultation (+40 mins) : > 9 months from first community treatment (Telehealth)	EPB108T	$117.75
Travel: Prior approval required - refer to the policy for eligibility criteria. Cannot be billed where the service rate includes travel
Melbourne Metropolitan	EPA131	$2.72 per km
Regional / Rural	EPA132	$1.84 per km
Hydrotherapy & Group Consultations: Hydrotherapy rates include travel
Individual Hydrotherapy Consultation	PH602R	$58.93
Group Hydrotherapy Consultation: Two or more patients	PH602G	$35.76
Group Consultation: Maximum 6 patients receiving constant overall supervision and intermittent individual attention from a physiotherapist	PY602G	$35.76
Assessment & review: Assessment and reviews include travel
Workplace Assessment and report #	WPA101*#	$171.27 per hour (max $513.81)
Workplace Assessment and report (Telehealth) #	WPA101T*#	$171.27 per hour (max $513.81)
Home/Equipment Inspection & Report #	PY620H*#	$129.55
Completion of Allied Health Treatment and Recovery Plan (at TAC request)	PY630R*	$72.43
Attendance by treating physiotherapist at meeting where the patient is present, at the request of the TAC #	PY625H*#	$129.55

# Billed as an hourly rate inclusive of travel

GST

If your business entity is not registered for GST, then you must only claim the lower of the rates provided at each item number. This is the "Maximum Payment rate - Non registered for GST". A business entity not registered for GST:

Is not legally permitted to charge GST; and
Should indicate on all invoices submitted your status as 'not registered for GST'

A business entity that is registered for GST should claim the higher rates provided at each item number. This is the "Maximum Payment Rate - Registered for GST". Where TAC believes an item is a taxable supply, an allowance for GST has been factored into the payment rate. You should not markup GST on the Maximum Payment Rate quoted for a GST registered entity.