The TAC Medical Excess may apply to these services
The TAC will consider funding the reasonable cost of a gait analysis assessment for a TAC client who has sustained a spinal cord injury or an acquired brain injury in a transport accident, only where gait analysis is performed in an authorised gait analysis laboratory by appropriately qualified providers.
Transport Accident Act 1986 reference: s.3 and s.60
What is gait analysis?
Gait analysis comprises a comprehensive group of diagnostic procedures used to selectively plan, monitor and assess treatment for a client with movement disorders in their:
- trunk and upper limbs
- lower limbs
- lower and upper limbs.
When will the TAC consider funding gait analysis for a TAC client?
Following the provision of prior written approval from the TAC, the TAC will fund the reasonable cost of gait analysis for a client who has sustained a spinal cord injury or an acquired brain injury in a transport accident where:
- a request for gait analysis has been received from a Rehabilitation Physician or an Orthopaedic or Neurological specialist
- reasonable functional outcome measures will be used to determine the need for gait analysis (as appropriate)
- gait analysis is likely to assist treatment that will benefit a client's function.
Following the completion of the gait analysis assessment it is expected that the TAC will receive a report outlining:
- the findings of the assessment inclusive of raw scores
- how the findings relate to the client's transport accident injuries
- what impact the findings have on the client's functional ability
- the need for any future intervention
- details of future interventions
- expected functional outcomes of future interventions.
The provision of a report to the TAC following a gait analysis assessment is included as part of the rolled up fee.
Who may provide gait analysis for a TAC client?
Gait analysis will only be funded by the TAC when performed in an authorised gait analysis laboratory by appropriately qualified providers.
What documentation does the TAC require in order to consider funding gait analysis?
The TAC requires that a written request for gait analysis be made to the TAC by a medical specialist with expertise in this area such as a Rehabilitation Physician, Orthopaedic or Neurological specialist. The written request must outline the:
- reasons why gait analysis is being requested
- the likely outcome/recommendations from the assessment.
Can the TAC fund gait analysis assessments performed by a member of a client's immediate family?
What will the TAC not fund?
The TAC will not fund:
- treatment or services for a person other than the injured client
- gait analysis for a condition that existed before a transport accident or that is not a direct result of a transport accident
- treatment or services not provided by the laboratory, for example, in circumstances where a partial assessment is undertaken
- treatment or services that are of no clear functional benefit to the client
- gym attire to be worn during the assessment
- fees associated with non attendance
- gait analysis received by the injured person outside the Commonwealth of Australia
- treatment or services provided more than 2 years prior to the request for funding except where the request for payment is made within 3 years of the transport accident. Refer to the Time Limit to Apply for the Payment of Medical and Like Expenses policy.