Concurrent Physical Treatment by Health Care Providers

The TAC  Medical Excess  may apply to these services

 

 

POLICY

Other than in exceptional cases, the TAC will only fund physical treatment by one provider type or single practice where treatments are considered similar. The TAC considers physiotherapy, chiropractic, osteopathic and acupuncture treatment to be similar.

As concurrent treatment is considered a duplication of similar services, a client may choose for the TAC to fund either:

Transport Accident Act 1986 reference:   s.3 'medical service' ,   s.23 and   s.60

DEFINITION

In this policy, concurrent treatment occurs when treatment is provided simultaneously by more than one provider type (e.g. a client receives chiropractic and physiotherapy treatment), or where similar services are provided by one provider type (e.g. a client receives physiotherapy and acupuncture from one provider who is qualified to provide both services).

GUIDELINES

Under what exceptional circumstances will the TAC consider funding concurrent treatment?

Exceptional circumstances will only be considered where there is reasonable clinical justification and the treatment is part of an overall coordinated plan approved by the TAC. In order for the TAC to consider funding concurrent treatment, written information must be provided to the TAC which outlines the circumstances supporting the request. It is expected that treatment providers will be in close communication to ensure that the provision of treatment and goals are aligned.

Can the TAC fund services from a medical practitioner and other health care providers at the same time?

The TAC recognises that a client may require different types of services from a variety of health care professionals at the same time. As a medical practitioner is not providing the same type of services that other health care professionals provide to a client, the TAC can consider funding the services. Although the services are provided simultaneously they are not considered to be concurrent treatment because they are not similar services.

Are individual and group sessions provided by the same provider type considered to be concurrent treatment?

Individual and group sessions provided by the same provider concurrently are allowed because the same provider type is providing the services. For example, a client has individual physiotherapy sessions and group hydrotherapy sessions with a different physiotherapist. In this case, the TAC can fund both services as the same provider type is providing the treatment.

Also refer to the policies for:

Physiotherapy
Exercise Programs - Supervised
Gym, Swimming and Exercise in Rehabilitation Programs

Why is the TAC unable to fund concurrent treatment?

The TAC cannot fund concurrent treatment because:

  • the treatment and services are considered to be similar, and
  • the care objectives and treatment approaches of the healthcare providers may not be complementary.

Also refer to the relevant treatment discipline:

Acupuncture policy

Chiropractic policy

Early Intervention Physiotherapy Framework service policy

Osteopathy policy

Physiotherapy policy