Special Education Consultant Services

Policy

The TAC can fund the reasonable cost of services provided by a special education consultant required by a TAC client as a result of injuries sustained in a transport accident.

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

Background

The TAC recognises that a school may require assistance to plan for and work with a student who has suffered injuries in a transport accident. A special education consultant assists the school to manage the student’s ongoing educational needs.

Definitions

In this policy:

  • Educational institution or school includes 3-year-old preschool, 4-year-old preschool, regular school, special school, tertiary institutions and a place at or from which education is provided to children of compulsory school age during normal school hours. Each of the relevant educational institutions are defined in the Education Support Services policy.
  • Special education consultant is a teacher with postgraduate qualifications in a relevant specialist area. The special education consultant empowers the educational institution to independently:
    • identify the student’s learning needs
    • identify the supports required to enable the student to participate in the education program
    • understand and manage the student’s specific learning needs.
  • Education support services include services that assist an integration teacher, tutor or special education consultant.

Guidelines

Who is eligible to receive services provided by a special education consultant?

The TAC can pay for special education consultant services where a student’s ability to participate in an education program has decreased significantly as a direct result of the transport accident injuries.

To determine eligibility for special education consultant services the TAC will consider:

  • the student's pre-accident development and learning history
  • services that the student accessed, was on the waiting list for, or was assessed as requiring before the transport accident
  • measurable changes in the student's ability to participate in education as a result of his/her transport accident injuries, and
  • education programs to which a student is currently entitled.

What special education consultancy services can the TAC fund?

The TAC can fund the reasonable cost of a special education consultant where:

  • there is clinical and educational justification for the services
  • the service promotes progress toward independence and self-management by the school and the student
  • the service builds on the school’s capacity to cater for students with injuries suffered as a result of a transport accident
  • the special education consultant satisfies the TAC's provider eligibility criteria.

What does a special education consultant do?

A special education consultant works with the school, family and treating team to:

  • establish the education status of a student related to his/her physical, functional, cognitive, psychological and social status as relevant to assist the student to return to an education institution
  • assist in the development of an individual education plan (IEP)
  • identify the supports required to assist the student to participate in the education program
  • establish the school’s capacity to provide suitable support for the student
  • develop strategies to assist the school to modify and monitor a student’s workload
  • provide briefings, in-services, workshops and classroom training to educate staff with relation to effective teaching and learning strategies.

How does the TAC fund initial special education consultancy services?

All special education consultancy services require prior approval in writing.

The TAC may refer to a special education consultant when the need for education support services and/or special education consultancy services are identified.

The TAC will pay for an initial 5 hours with the special education consultant to assess the student and school’s need for education support services where this is the most appropriate support.

The school must submit a “Supplementary School Support (Special Education Consultancy) Application” if further special education consultancy services are required after the conclusion of the initial 5 hours. The application must include:

  • the student’s current functional status and how this has changed from his/her pre-accident functional status
  • goals of the service and how and when they will be achieved
  • expected changes in the school’s capacity to cater for the student’s individual learning and education needs following the proposed special education consultancy services
  • how the changes from required interventions will be measured and the proposed timeframe of intervention for each outcome.

The request, referral and approval of services may form part of the independence planning process for those clients with a ‘severe injury’.

What will the TAC consider when determining the level of special education consulting services to fund?

When determining the level of special education consulting services, the TAC will take into account the following factors:

  • previous special education consulting services
  • the support available to the school for special education consulting services provided by the peak body
  • the student's level of disability
  • the student's ability to participate in the education program
  • the school's experience in dealing with students who have disabilities.

Can the TAC fund travel time for a special education consultant?

The TAC can consider paying the reasonable costs of travel time for a special education consultant where prior written approval has been provided by the TAC or when travel time has been approved as part of the independence planning process. Travel is billed separately and is paid on a time only basis in blocks of 15 minutes.

Travel time is payable between the consultant’s practice address and a student’s home or school. The total travel costs should be apportioned equally to those clients to whom services have been provided where more than one home or school is visited in a single travel period commencing and ending at the special education consultant’s practice address. The origin and destination of each journey must be included on the invoice.

Can the TAC fund reports from a special education consultant?

The TAC can fund the cost of reports where:

  • they have been requested by the TAC
  • the cost of the report is in accordance with the TAC fee schedule.

Can the TAC fund visits for in-patients at private hospitals?

The TAC can fund a special education consultant to visit a student who is an in-patient in a private hospital where:

  • the visit is specifically requested by the student’s treating medical practitioner
  • the hospital has consented
  • the cost of the special education consultant, is not included in the hospital bed fee, ie. the hospital is a TAC non-arrangement hospital. See also the Hospitals - Private policy.

Can the TAC fund special education consultants to assist with a student’s transition from school?

The TAC can fund additional services to assist with a handover to an educational institution where the special education consultant advises that the student plans to undertake further education. The TAC is unable to fund special education consultant services where the student is transitioning to work or a day program.

What billing information does the TAC require?

The TAC requires that the actual provider of the service be identified on each account for payment. It is the responsibility of the registered provider to ensure that accounts submitted to the TAC are correct, regardless of who has completed the account. Where a service is payable on an hourly basis, the number of hours rather than a total fee is required for processing of accounts. Fees for service will be based on the TAC fee schedule.

All services require prior approval in writing.

What is reasonably expected of a special education consultant when dealing with the education institution, treatment team, the student and his/her family?

The TAC will not fund a special education consultant to perform tasks that are the responsibility of others such as:

  • tasks that are the responsibility of the education institution, eg. developing the individual education plan, arranging Student Support Groups (SSG) and one-on-one teaching services
  • tasks that are the responsibility of the treating team, eg. psychological support, interpretation of medical and therapy information for the school and emergency crisis services
  • tasks that are the responsibility of the student or their family, eg. communicating with the school
  • providing ongoing monitoring of an education program
  • providing tutoring services.

Can the TAC fund special education 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.

In relation to special education consultant services, what will the TAC not fund?

The TAC will not fund:

  • services for a person other than the injured student and his/her school 
  • treatment or services where there is no objective evidence that the treatment or service is safe and effective
  • more than 5 initial hours by the same special education consultant per student
  • special education consultant services in a special school
  • services where the cost incurred is included in the hospital bed fee
  • services for a condition that existed before a transport accident or that is not a direct result of a transport accident
  • services where there is no prior approval from the TAC
  • fees associated with non-attendance
  • the cost of telephone calls and telephone consultations between providers, students and school, and between other providers, including hospitals
  • 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.    

Special Education Services

Effective 1 July 2017

Registered for GSTNot Registered for GST
Service DescriptionTAC Item Number2017/18 Maximum Payment Rate2016/17
Maximum
Payment
Rate
TAC Item Number2017/18 Maximum Payment Rate2016/17 Maximum
Payment
Rate
In rooms
Initial Consultation Testing & assessment pro-rata hourly rate with prior approval of TACSP600$102.44$100.95   
Standard ConsultationSP602$51.31$50.56   
Long ConsultationSP604$76.68$75.56   
Prolonged ConsultationSP606$102.22$100.73   
Group Treatment
Group Rates
(per person per hour)
SP101$61.36$60.47   
Travel (with prior approval)
Travel time can be claimed only for travel to and from the practitioner's practice address and the TAC client's residence.  Where more than one client is visited in a single travel period, total travel costs should be apportioned equally between those clients to whom services have been provided.SP630*$102.22$100.73SP630F$92.93$91.57
All travel is to be separately billed in blocks of 15 minutes
Reports
Report
When submitting an account for payment, details of the time taken to complete the report must be recorded on the account
SP640*$102.22$100.73SP640F$92.93$91.57
Standard Consultation   - up to 30 minutes
Long Consultation           - >30 minutes < 45 minutes
Prolonged Consultation - >45 minutes <60 minutes

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.


View Supplementary school supports application form

Supplementary school supports application form

Summary:

This application form is designed to be used by the school seeking funding for supplementary support services (e.g. special education consultant advice, speech pathology, specialised equipment) to assist students who are TAC clients.

View Special education: Review and request ongoing services form

Special education: Review and request ongoing services form

Summary:

This  form provides a report on the progress of school-age TAC clients who are receiving special education services. It looks at how much improvement the client has made (based on the proposed outcomes recorded in the initial Assessment and Recommendations form) and asks for revisions to the special education intervention plan, goals and strategies.

View Special education: Assessment and recommendations form

Special education: Assessment and recommendations form

Summary:

This form captures the assessment and recommendations regarding school-age TAC clients who are seeking funding for special education or therapy services as well as setting proposed goals and outcomes.

View Independence Plan - Information for providers

Independence Plan - Information for providers

Summary:

Our attendant care providers support clients to achieve their independence goals in daily living activities, therapy support, personal and domestic skills retraining and community access skills.