Attendance Services for Accidents on or before 31 December 2004

Policy

The TAC can pay the reasonable costs of attendance services where required as a result of a transport accident injury under section 60 of the Transport Accident Act 1986 (the Act).

Background

Attendance services are provided to TAC clients assessed as requiring support in personal care, mobility, transfers, banking or shopping as a result of their transport accident injuries.

This policy must be read in conjunction with the following:

Definitions

In this policy attendance services is the provision of assistance to, or for, a person who requires support in personal car, mobility, transfers, banking or shopping tasks which a client would normally undertake themselves but are unable to carry out as a direct result of their transport accident injuries.

Guidelines

What can the TAC pay for in relation to attendance services?

The TAC can pay the reasonable costs of attendance services:

  • required as a result of a transport accident injury
  • that are reasonable, necessary or appropriate in the circumstances
  • where safe and effective
  • in accordance with the TAC's policies.

The TAC can pay the reasonable costs of a combination of domestic service, attendance and nursing benefits where clinically justified. The total number of hours for the combined approved services must not exceed 40 hours per week.

Who can provide attendance services?

Attendance services may be provided by an attendant care agency that meets the registration requirements for attendant care agencies.

What information does the TAC require to consider paying for attendance services?

The TAC requires that a discharging hospital submit a request outlining the client's:

  • specific support needs
  • the specific task the client is unable to perform
  • the projected recovery period that the client will continue to require services.

To expedite payment of accounts, the TAC encourages prior approval be sought by the client's treating practitioner. For more information regarding the relevant information regarding each service, please refer to:

When will the TAC respond to a request?

The TAC will respond to written treatment and service requests as set out in the TAC Service Charter.

To assist the TAC to make a decision regarding a request for attendance services, a request may be reviewed by the TAC Clinical Panel. The Clinical Panel may contact the requesting medical practitioner to seek further information and/or discuss the proposed treatment prior to making a recommendation to the TAC regarding the request. The TAC will respond to the request when they have received the Clinical Panel's recommendation.

What are the TAC's invoice requirements?

Please refer to the How to Invoice the TAC information page.

What fees are payable for attendance services?

Please refer to the Attendant Care fee schedule.

In relation to attendance services, what won't the TAC pay for?

The TAC will not pay for:

  • treatment or services for a person other than the client
  • treatment or services not authorised by the TAC under the Transport Accident Act 1986
  • treatment or services subcontracted to, or provided by a non-registered provider
  • fees associated with cancellation or non attendance
  • treatment or services provided outside the Commonwealth of Australia
  • treatment or services provided by telephone or other non face to face mediums
  • telephone calls and telephone consultations between providers and clients, and between other providers, including hospitals
  • treatment or services provided more than once on the same day to the same client
  • treatment or services provided more than two years prior to the request for funding except where the request for payment is made within three years of the transport accident.  Refer to the Time Limit to Apply for the Payment of Medical and Like Expenses Policy.

Attendant Care

Attendant Care

Attendant Care - IRQS (Independently Reviewed against Quality Standards)


Attendant
Care

Effective 3 July 2017

Service Description TAC Item Number 3/7/2017
Maximum
Payment
Rate
4/7/2016
Maximum Payment
Rate
6/7/2015
Maximum Payment
Rate
Attendant Care per hour - including Personal Care, Community Access Support and Therapy Support AT0020 $43.10$41.69$40.17
Post Acute Care (per hour) AT0020 $43.10$41.69$40.17
Carer Training (per hour) AT0015 $43.10$41.69$40.17
Inactive overnight Support (8 hour shift inclusive of one hour active) † AT0025 $114.41$110.67$106.64
Program Establishment ††      AT0005 $1,169.30$1,131.07$1,089.87
Approved Travel Costs (per km) AT0010 $0.76$0.76$0.76
Daily Support: Standard AT0020 $469.07$453.73$437.20
Daily Support: Complex AT0020 $607.86$587.99$566.57


Attendant
Care - IRQS*

* For further information regarding Attendant Care - IRQS (Independently Reviewed against Quality Standards), please refer to the registration criteria at www.tac.vic.gov.au

Effective 3 July 2017

Service Description TAC Item
Number
3/7/2017
Maximum
Payment
Rate
4/7/2016
Maximum
Payment
Rate
Personal Care (per hour) AT0020 $46.73$45.20
Community Access (per hour) AT0020 $46.73$45.20
Therapy Support (per hour)AT0020$46.73$45.20
Post Acute Care (per hour)AT0020 $46.73$45.20
TAC Client Specific Training (per hour) AT0015 $46.73 $45.20
Shared Care Service (per staff person)AT0020$69.56 $67.29
Overnight Care (8 hour shift inclusive of one hour active) † AT0025 $122.97$118.95
Active Overnight Care (per hour)AT0020 $46.73$45.20
Care on a public holidayAT0020 $105.68$102.23
Shared Care on a public holiday (per staff person)AT0020 $114.98$111.22
Program Establishment Fee†† AT0005 $1,227.61$1,187.47
Approved Travel (per km) AT0010 $0.76$0.76
Standard Daily Support (per 24 hour shift) AT0020 $487.45$471.51
Public Holiday Rate Standard Daily SupportAT0020 $825.63$798.64
Complex Daily Support (per 24 hour shift) AT0020 $633.03$612.33
Public Holiday Rate Complex Daily SupportAT0020 $1077.55$1,042.32

For inactive overnight support where more than one hour and up to four hours of active care are provided, the additional hours are to be billed at the attendant care hourly rate (AT0020).

For example, where three hours of active care are provided, bill for AT0025 as well as 2 x AT0020.

If more than four hours of active care are provided, active overnight support is to be billed, at eight times the attendant care hourly rate, i.e: 8 x AT0020

†† Program Establishment Fee may be approved to the Service Provider when providing the TAC Client with 4 hours or more of Services per Billing Period, for a period of more than three consecutive months and is to assist with; Recruitment of new Personnel, Development of a Care Plan and Training Plan, as well as Compliance with OHS site audit requirements. This is a one off payment for the Service Provider to ensure the establishment of a quality care program on behalf of the TAC Client.


View Post Acute Support/Attendance Services declaration

Post Acute Support/Attendance Services declaration

Summary:

Our attendant care providers support clients to achieve their independence goals in daily living activities, therapy support, personal and domestic skills retraining and community access skills.