The TAC can fund the reasonable cost of rehabilitation services required to conduct a hospital run camp as part of a client's rehabilitation program.
Transport Accident Act 1986 reference: s.3 'rehabilitation service', s.23 and s.60
A number of rehabilitation hospitals conduct camps in which clients participate as part of their rehabilitation. These camps aim to:
- Facilitate reintegration of a client back into the community and,
- Re-introduce familiar pre-transport accident leisure activities or where this is not possible introduce alternative leisure activities and,
- Develop social skills and increase independence in activities of daily living.
Who is eligible to participate in a rehabilitation camp?
A TAC client who:
- Has ongoing rehabilitation needs as a result of injuries sustained in an transport accident and,
- Whose functional status has not yet stabilised and is likely to improve and,
- Is not participating in pre-accident social and leisure activities and,
- Is unable to return to previous or trial new social and leisure activities either independently, within a hospital or community based rehabilitation program, or with the intervention of a community access planner.
May be eligible to participate in a rehabilitation camp.
What will the TAC consider funding?
Based on the recommendations of treating health care providers the TAC will consider funding the reasonable cost of:
- Road transport to and from the camp and camp activities,
- Camp accommodation.
- Allied health intervention provided during the camp.
- Attendant care services provided during the camp.
- An individual rehabilitation report at the conclusion of the camp.
- All services require prior approval in writing.
In relation to rehabilitation camps what will the TAC not fund?
In relation rehabilitation camps the TAC will not fund:
- services for a person other than the injured client
- services that are of no clear benefit to a client;
- services for a condition or need that existed before a transport accident or that is not a direct result of a transport accident
- fees associated with non-attendance or telephone consultations
- the cost of meals
- client costs of participating in recreation and leisure activities including:
- hire or purchase of sporting equipment and sporting apparel except adapted or disability specific sporting equipment
- Facility fees (eg. tennis court hire, ski lift tickets or entry to recreation facilities)
- sports coaching or lesson fees
- any incidental or other expenses
- the cost of any allied health or other camp staff's entry to tourist attractions, participation in camp activities (unless specifically agreed to by the TAC as part of the general camp prior approval), incidental expenses or any other expenses incurred by any staff
- services received by the injured person outside the Commonwealth of Australia
- 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.
Where the above noted costs are part of a package fee the TAC will use the current Travel and Accommodation Expenses policy as a guide to determining reasonable costs.
Will the TAC consider funding participation in more than one camp?
The TAC will fund participation in one camp only, unless the requesting hospital clearly demonstrates that a client would benefit from attendance at a second camp.
Reasons the TAC may not consider it reasonable to fund participation in a second camp include when:
- A client's condition is stable and unlikely to improve
- A client is able to participate in pre-accident social and leisure activities.
- A client is assessed as able to return to previous or trial new activities with the intervention of a community access planer only.
- A client chose not to pursue leisure activities following the first camp, despite an ability to do so
- A client did not benefit as expected from attendance at the first camp.
What about travel insurance or costs associated with changes to camp plans?
The TAC cannot fund travel insurance or any other costs associated with changes to camp plans and activities for clients, allied health staff or any other camp staff.
What about camps run by other organisations?
Funding for camps that are conducted by organisations other than rehabilitation hospitals is considered under the Community Access policy.
Funding for camps used for the purpose of respite is considered under the Respite Care policy.