Interstate Services

The TAC Medical Excess may apply to medical services performed interstate 

 

 

 

Policy

The TAC will consider funding a range of services for a client assessed as eligible as a result of a transport accident in accordance with the Guidelines below.

Transport Accident Act 1986 reference: s.60

Background

The TAC can fund services provided and received by a client who has a claim for compensation accepted by the TAC, outside of the State of Victoria, ie. in the Australian Capital Territory, Queensland, New South Wales, Western Australia, South Australia, Tasmania, and Northern Territory, in accordance with the provisions of the Transport Accident Act 1986 (TAA 1986). The list of services the TAC can consider funding interstate can be located in the 'What the TAC can fund' and the 'For Health and Service Providers' section on the TAC's website.

Guidelines

When will the TAC fund interstate services to a client?

The TAC will consider funding interstate services to a client who has a claim for compensation accepted by the TAC. For information on who is eligible for TAC compensation refer to the Eligibility for Benefits policy. The three main instances when a person with an accepted claim is likely to claim funding of interstate services from the TAC include:

  1. When Victorian residents have accidents interstate and are in Victorian registered vehicles, ie. as the driver or passenger, or the person is a pedestrian and the accident involves a Victorian registered vehicle, eg. a Victorian resident was standing by the side of the road when struck by the Victorian registered vehicle.
  2. When interstate residents have accidents interstate and are in Victorian registered vehicles, ie. as the driver or passenger.
  3. When interstate residents have accidents in Victoria and continue to receive services as a result of the accident upon their return interstate. 

Transport Accident Act 1986 reference: s.35(1)

Please note the TAC must cease funding interstate services within 28 calendar days, if a further claim for the same accident is made with an interstate insurer. The Accidents in Another State or Territory policy identifies the circumstances when funding will cease.

Transport Accident Act 1986 reference: s.42

How much will the TAC pay for interstate services?

The payment of interstate services will be in line with the TAC's Schedule of Fees.

How long from the 'date of service' is a bill to be submitted for payment?

All bills should be submitted to the TAC on a regular basis. However, providers and clients have two years from the date of providing the service to submit the bill. Please note that under the TAA 1986 the TAC is unable to pay bills that fall outside the two year statutory time limit for submitting a bill for TAC related services. Also refer to the Time Limit to Apply for the payment of Medical and Like Expenses policy

Transport Accident Act 1986 reference: s.60(1A)

Can the TAC fund services performed by a member of a client's immediate family?

Refer to the Funding Treatment by a Member of a Client's Immediate Family policy.

What will the TAC not fund?

The TAC will not fund:

  • treatment or services for a person other than the injured client
  • treatment or services not authorised by the TAC to be disability or rehabilitation services under Section 23 of the TAA 1986. See Guidelines located in the Authorised Disability Services and Authorised Rehabilitation Services lists
  • fees associated with non-attendance
  • treatment or services where there is no clinical justification for the service or where there is no objective evidence the treatment or service is safe and effective
  • treatment, services or equipment where there is no published evidence in a recent peer-reviewed journal article that the treatment, service or equipment is safe and effective. Refer to the Non Established, New or Emerging Treatment and Services policy
  • treatment or services for a condition that existed before the transport accident or that is not a direct result of the transport accident
  • the cost of telephone calls and telephone consultations between providers and clients, and between other providers, including hospitals
  • treatment or services received outside the Commonwealth of Australia
  • treatment or services not in line with the Guidelines located in the A-Z list of Treatment and support services
  • 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.

 


To view a fee schedule please select your profession from one of the categories

View a list of policies that may apply to your profession

Fee Schedules

A

Allied Health Assistants

Attendant Care

Audiology Services

B

Burial or Cremation Expenses (applies to accidents before 20 November 2013)

C

Case Management

Chinese Medicine Practitioners (Acupuncture)

Chiropractic Services

Client Independence Skills Service

Community Access Planners

Community Access Providers (Non Panel)

D

Dental Services

Dietitians

Dose Administration Aids

Driving Assessment (Instructor)

E

Early Intervention Physiotherapy Framework Services

Examination Fees - Neuropsychologists Medical Reports

Examination Fees - Occupational Therapists Medical Reports

Examination Fees - Physiotherapists, Chiropractors and Osteopaths Medical Reports

Examination Fees - Speech Therapist Medical Reports

Examination fees

Exercise Physiology Services

F

Family Support Workers

Financial Intermediary Services for IF Clients

Framework Occupational Therapy Services

Funeral Expenses (applies to accidents on or after 20 November 2013)

H

Home Service (Non Preferred Providers)

Home Service (Preferred Providers)

I

Integration Services

Intensive Outreach Service

Interpreting Services

J

Joint Medical Examination and Reports

M

Massage Services

Medical Reports (Non TAC Requested) - Impairment Examinations and Reports

Medical Reports (Non TAC Requested) - Independent Examinations and Reports

Medical Reports (Non TAC Requested) - Treating Medical Practitioner Reports

Medical Reports (TAC Requested) - Impairment and Serious Injury Examinations and Reports

Medical Reports (TAC Requested) - Independent Examinations and Reports

Medical Reports (TAC Requested) - Treating Medical Practitioner Reports

Medical Services - General Practitioner Return to Work Activities

Medical Services Reimbursement Rates

N

Nursing Services

O

Occupational Therapy Services

Optometry Services

Orientation and Mobility Services

Orthoptic Services

Osteopathy Services

Outreach Service

P

Physiotherapy Services (Private)

Podiatry Services

Private Vehicle Travel Reimbursement (for clients)

Private hospital (non-arrangement) services

Prosthetic and Orthotic Services

Psychology Services

Public Hospitals

S

Social Work Services

Special Education Services

Speech Pathology Services

T

TAC Questionnaires

From 1 July 2017 new fees for allied health, hospital and medical services apply.