Community Access

In this policy, Community Access includes Community Group Programs and Community Access Planning.

The TAC can pay the reasonable costs of community access services where required as a result of a transport accident injury under the Transport Accident Act 1986 (the Act), who as a result of severe transport accident injuries, have acquired multiple physical, sensory and cognitive disabilities and need support to access and participate in recreational and leisure activities.

BACKGROUND

The TAC can pay for community services that are identified as being the most appropriate for the needs of the client.  Community access services must be provided in a way which promotes independence and functional skills.

DEFINITIONS

In this policy:

  • Community Access refers to Community Access Planning and/or Community Group Program services.
  • Community Access Planning is a service provided to a client to:
    • maintain and enhance peer support networks
    • facilitate sharing of TAC funded support services
    • assist with independent access to the community
    • assess and review the support needed to enable a client to participate in community based leisure or recreation activities
    • link clients into mainstream or supported community-based leisure or recreational activities
    • monitor client participation in community activities to ensure programs continue to appropriately address client needs. 
  • Community Access Planner is a person who provides Community Access Planning.
  • Community Group Programs are individually tailored programs of supported group activities for clients which:
    • are specifically designed for clients who require shared support to maximise their independence in leisure or recreational activities outside the home
    • are provided within community-based facilities at community-based locations
    • are flexible and responsive to a client's support needs, goals and interests
    • cover a range of programs and activities which address skill acquisition, recreation and leisure
    • support the development of community living, social skills and peer support networks
    • facilitate a client's transition to mainstream community-based leisure and recreational activities
    • provide support to clients with a disability in a manner that respects their privacy and dignity
    • enhance a client quality of life. 
  • Attendant care is a support service provided to clients at home or in the community to optimise their independence and enable them to participate more fully in all aspects of their lives.
  • Shared Travel is travel provided by the Community Group Program provider in their organisational vehicle for two or more clients to and from activities as part of the client's approved Community Group Programs.

GUIDELINES

What can the TAC pay for in relation to community access?

The TAC can pay for an eligible individual client to attend a registered/approved Communty Group Program and/or receive Community Access Planning Services. Eligibility for these services is based on the client's identified need for:

  • support and/or supervision
  • community access activities.

These services may be provided to a client separately or in combination depending on the needs of the client.

1. Community Group Programs

The TAC can pay for:

  • the reasonable support costs and any other costs, i.e. fee for staff to support clients to attend and participate in registered/approved Community Group Programs
  • the reasonable travel expenses associated with attendance at a registered/approved Community Group Program in the client's local area. (TAC Only) in accordance with the Travel and Accommodation Expenses policy e.g. taxi, shared travel. Refer to the Travel Expenses Policy for more information. Shared travel may also be considered and provided by the approved Community Group Program and can be paid for in line with the fee schedule. 

The TAC will consider paying for a Community Group Program where a client:

  • requires support to participate in recreational and leisure activities in a community setting
  • requires short term support in community activities to develop skills and assist in the transition to mainstream community participation.

A client is expected to have the capacity to engage in shared support environment as Community Group Programs are an alternative to 1:1 attendant care.

2. Community Access Planning Services

The TAC can pay for the Community Access Planning Services consisting of:

  • a Community Access Planning Assessment
  • ongoing support as required to carry out the goals of the Community Access Plan
  • the reasonable travelling expenses associated with the travel necessary for a Community Access Planner to complete a Community Access Planning Assessment and provide ongoing support.

The TAC will consider paying for a Community Access Planner where a client:

  • has significant motivational or behavioural issues that are likely to impact on the success of the client's engagement in social or leisure pursuits either independently or within a Community Group Program
  • requires support to identify, plan and resume participation in social, leisure or recreational activities to facilitate community access
  • requires support to participate in community-based activities of their choice following short term graded support.

Who may provide Community Access Programs?

1. Community Group Programs

Community Group Programs can be provided by disability services organisations that are authorised and registered with the TAC.

To become registered with the TAC, a provider must:

  • meet specific criteria as outlined on the TAC website
  • agree to comply with the Victorian Charter of Human Rights and Responsibilities Act 2006 (Vic)
  • agree and comply with the TAC policy and any terms and conditions imposed upon the provider by TAC.

A provider must also provide the TAC with evidence of:

  • certificate of Company Registration
  • public liability insurance (minimum of $10,000,000)
  • professional indemnity insurance (minimum of $10,000,000)
  • workers' compensation insurance in accordance with applicable legislation
  • appropriate police clearance checks and other compliance where relevant such as working with children
  • experience in providing programs for people with disabilities
  • the source of funding for their current programs
  • the type of clients the program is currently providing for
  • the current program fee/cost for participants to attend the group and what this fee includes
  • transport options and charges to current program participants, and;
  • an agreement to comply with TAC privacy guidelines and secrecy provisions.

2. Community Access Planning

The TAC can authorise a person to provide Community Access Planning for clients when they have:

  • completed a minimum Certificate IV in either Disability or Recreation Studies
  • at least three years relevant experience in working with people with a disability
  • appropriate police clearance checks and other compliance where relevant such as working with children
  • agreed to comply with the following:
    • TAC privacy guidelines and secrecy provisions
    • the Health Records Act (2001) and the Privacy and Data Protection Act (2014)
    • the Disability Act (2006).

What information does the TAC require to consider paying for Community Access?

Where a client has a 'severe injury', requests and approval for a community group program and/or planning may form part of the independence planning process in consultation with the client's treating occupational health practitioner.For all other clients in order to consider paying for Community Access the client will need to provide the information outlined below: 

1. Community Group Programs

The TAC requires an initial request for a community group program in writing from the client or the client's family, treater or attendant carer to determine if community group program services are reasonable and appropriate to optimise the client's independence.

On receipt of this request, if the request is deemed reasonable and appropriate, the TAC will liaise with the relevant authorised community group program provider to arrange for the provider to complete the Community Group Programs Hours Request form before the start date of the requested program.

Any changes to a community group program for additional hours must have written approval by the TAC before the commencement of the variation in a program.

Community Group Program Hours Request is a form submitted by a Community Group Program provider to provide an overview of the client's program activities, goals and expected outcomes of participation in the Community Group Program.

2. Community Access Planning

The TAC requires an initial request for a community access planning services in writing from the client or the client's family, treater or attendant carer.

On receipt of this request, if the request is deemed reasonable and appropriate, the TAC will liaise with the relevant approved community access planning provider to arrange for the provider to complete the Community Access Plan: Initial Plan and Request for Funding form before the start date of the requested program. 

Community Access Plan: Initial Request for Funding is a form submitted by a Community Access Planner following a Community Access planning Assessment to determine and identify a client's:

  • interests, preferences and goals
  • required level of support to participate in mainstream community based leisure or recreational activities
  • level of commitment and willingness to participate in mainstream community based leisure or recreational activities
  • potential barriers to successful participation in community based leisure or recreational activities.

When will the TAC respond to a request?

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

What fees/rates are payable for Community Access?

Community access providers should refer to the TAC Fee Schedule for Community Access Planners and Community Access Providers.

In relation to Community Access, what won't the TAC pay for?

The TAC will not pay for: 

  • services for a person other than the client
  • services for a condition or circumstance that existed before a transport accident or that is not a direct result of a transport accident
  • services that are of no clear benefit to a client
  • services not authorised by the TAC under the Transport Accident Act 1986 
  • services suncontracted to, or provided by a non-registered provider
  • fees associated with cancellation or non-attendance
  • services where prior approval has not been sought from the TAC
  • treatment or services provided outside the Commonwealth of Australia
  • services that are not provided in the community, such as hospital based groups
  • activity costs associated with participation in community activities including:
    • entry fees, e.g. to an art gallery 
    • activity costs, e.g. the purchase costs of roller skates
    • materials, e.g. wood for woodworking
    • hire of equipment and/or hire of facility component of activity, teaching or instruction of the activity, e.g. bowling balls or bowling shoes
  • 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
  • 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 Time Limit to Apply for Payment of Medical and Like Expenses policy.

Community Access Planners

Effective 1 July 2017

Service Description TAC Item Number 2017/18
Maximum
Payment
Rate
2016/17
Maximum
Payment
Rate
Assessment (Including Community Access Plan per hour) CAP250* $102.11$100.62
Travel directly associated with assessment CAP255* $102.11$100.62
Intervention (including Community Access Plan: Progress/outcome report) CAP260 $92.93$91.57
Travel directly associated with intervention CAP265 $92.93$91.57

GST

*The TAC maximum fee includes a 10% allowance for GST for items which TAC believes are taxable supplies.  If you are a provider not registered for GST:

  • You are not legally permitted to charge GST
  • You should indicate on all invoices submitted your status as 'not registered for GST purposes'
  • The TAC will only reimburse you an amount which excludes the GST component for items billed where the maximum fee includes a 10% allowance for GST

If you are not registered for GST please state on all invoices the TAC item number listed for providers not registered.

Community Access Providers (Non Panel)

Effective 1 July 2017

Service DescriptionTAC Item Number2017/18
Maximum
Payment
Rate
2016/17
Maximum
Payment Rate
Non Panel Community Programs
Core Support: staff to client ratio of 1:3 to 1:5 (per hour)CAP062 $17.29$17.04
High Support: staff to client ratio of 1:1 or 1:2 (per hour)CAP063 $23.67$23.32
Travel (per attendance at group/activity)CAP161* $21.86$21.54
These services all require prior approval in writing from a TAC staff member
Child Care Providers (Includes centre based care, family day care & before/after school care)CAP300*  
Camp Providers CAP305*  
Leisure Recreational ProvidersCAP310*  
Holiday costsCAP021*  
All rates are deemed to be inclusive of all administration costs including phone calls, administration support and other general expenses.

GST

*The TAC maximum fee includes a 10% allowance for GST for items which TAC believes are taxable supplies.  If you are a provider not registered for GST:

  • You are not legally permitted to charge GST
  • You should indicate on all invoices submitted your status as 'not registered for GST purposes'
  • The TAC will only reimburse you an amount which excludes the GST component for items billed where the maximum fee includes a 10% allowance for GST

If you are not registered for GST please state on all invoices the TAC item number listed for providers not registered.


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