The TAC can pay the reasonable costs of therapy support services where required as a result of a transport accident injury under section 60 of the Transport Accident Act 1986 (the Act).
The TAC will periodically review a client's entitlement to therapy support services to ensure that the treatment and services remain reasonable for the transport accident injury and are payable under the Act.
Therapy support is a rehabilitation service that supports a client to participate in rehabilitation activities and achieve rehabilitation goal.
The TAC has developed the Clinical Framework for the Delivery of Health Services (Clinical Framework) to set out key principles for delivery of services to clients.
The Clinical Framework is based on the following principles:
- Measurement and demonstration of the effectiveness of treatment
- Adoption of a biopsychosocial approach
- Empowering the client to manage their injury
- Implementing goals focused on optimising function, participation and/or return to work/health
- Base treatment on best available research evidence.
The TAC expects that all health professionals providing services to clients integrate the principles of the Clinical Framework into their daily practice.
Further information about the Clinical Framework can be found at www.tac.vic.gov.au.
What can the TAC pay for in relation to therapy support services?
The TAC can pay the reasonable costs of therapy support services:
- required as a result of a transport accident injury
- requested and supervised by a client's treating occupational therapist, speech pathologist or physiotherapist
- that are reasonable, necessary or appropriate in the circumstances
- where safe and effective
- in accordance with the TAC's policies
Who may provide therapy support services?
Therapy support services may be provided by:
- An Allied Health Assistant who satisfies the TAC Authorised Service Provider Eligibility Criteria (Rehabilitation and Disability); or
- An attendant carer who is employed by an attendant care agency registered by the TAC to provide attendant care services to clients.
What information does the TAC require to consider paying for therapy support services?
For clients with a 'severe injury' therapy support services will be approved as part of the independence planning process between the client, their treater and the TAC coordinator.
For all other clients, the TAC requires a request submitted by an occupational therapist, speech pathologist or physiotherapist. The request must include:
- reasons why the client cannot complete an independent rehabilitation program
- which exercises the client needs assistance to perform
- goals of the rehabilitation program
- measurable outcomes of the program, including smart goals
- timelines to achieve the measurable outcomes
- details of the supervising therapist, and how they will provide supervision and direction to the provider of therapy support
- other recommended strategies to increase independence, such as a graded activity plan, equipment, alternative techniques for task performance, etc.
- details of the therapy support provider's experience in occupational therapy, speech pathology or physiotherapy.
When will the TAC respond to a request?
The TAC will respond to written treatment and service requests as set out in the TAC Service Charter.
What are the TAC's invoice requirements?
Please refer to the How to Invoice the TAC information page.
What fees are payable for therapy support services?
Please refer to the therapy support provided by an allied health assistant fee schedule and therapy support provided by an attendant carer fee schedule.
In relation to therapy support services, what won't the TAC pay for?
The TAC will not pay for:
- treatment or services for a person other than the client
- treatment or services not in line with the Clinical Framework
- the cost of travel for an Allied Health Assistant to provide therapy support
- treatment or services not authorised by the TAC under the Transport Accident Act 1986
- treatment or services subcontracted to, or provided by a non-registered provider
- fees associated with cancellation or non attendance
- treatment or services provided outside the Commonwealth of Australia
- treatment or services provided by telephone or other non face to face mediums
- telephone calls and telephone consultations between providers and clients, and between other providers, including hospitals
- provided more than once on the same day to the same client
- treatment, services, prostheses or equipment where there is no National Health and Medical Research Council level 1 or level 2 evidence that the treatment, service, prostheses or equipment is safe and effective. Refer to the Non-Established, New or Emerging Treatments and Services policy
- treatment or services provided more than two years prior to the request for funding except where the request for payment is made within three years of the transport accident. Refer to the Time Limit to Apply for the Payment of Medical and Like Expenses policy.
Allied Health Assistants
Effective 1 July 2017
|Service Description||TAC Item Number||2017/18 |
*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.
Attendant Care - IRQS (Independently Reviewed against Quality Standards)
Effective 3 July 2017
|Service Description||TAC Item Number||3/7/2017|
|Attendant Care per hour - including Personal Care, Community Access Support and Therapy Support||AT0020||$43.10||$41.69||$40.17|
|Post Acute Care (per hour)||AT0020||$43.10||$41.69||$40.17|
|Carer Training (per hour)||AT0015||$43.10||$41.69||$40.17|
|Inactive overnight Support (8 hour shift inclusive of one hour active) †||AT0025||$114.41||$110.67||$106.64|
|Program Establishment ††||AT0005||$1,169.30||$1,131.07||$1,089.87|
|Approved Travel Costs (per km)||AT0010||$0.76||$0.76||$0.76|
|Daily Support: Standard||AT0020||$469.07||$453.73||$437.20|
|Daily Support: Complex||AT0020||$607.86||$587.99||$566.57|
Attendant Care - IRQS*
Effective 3 July 2017
|Service Description|| TAC Item |
|Personal Care (per hour)||AT0020||$46.73||$45.20|
|Community Access (per hour)||AT0020||$46.73||$45.20|
|Therapy Support (per hour)||AT0020||$46.73||$45.20|
|Post Acute Care (per hour)||AT0020||$46.73||$45.20|
|TAC Client Specific Training (per hour)||AT0015||$46.73||$45.20|
|Shared Care Service (per staff person)||AT0020||$69.56||$67.29|
|Overnight Care (8 hour shift inclusive of one hour active) †||AT0025||$122.97||$118.95|
|Active Overnight Care (per hour)||AT0020||$46.73||$45.20|
|Care on a public holiday||AT0020||$105.68||$102.23|
|Shared Care on a public holiday (per staff person)||AT0020||$114.98||$111.22|
|Program Establishment Fee††||AT0005||$1,227.61||$1,187.47|
|Approved Travel (per km)||AT0010||$0.76||$0.76|
|Standard Daily Support (per 24 hour shift)||AT0020||$487.45||$471.51|
|Public Holiday Rate Standard Daily Support||AT0020||$825.63||$798.64|
|Complex Daily Support (per 24 hour shift)||AT0020||$633.03||$612.33|
|Public Holiday Rate Complex Daily Support||AT0020||$1077.55||$1,042.32|
† For inactive overnight support where more than one hour and up to four hours of active care are provided, the additional hours are to be billed at the attendant care hourly rate (AT0020).
For example, where three hours of active care are provided, bill for AT0025 as well as 2 x AT0020.
If more than four hours of active care are provided, active overnight support is to be billed, at eight times the attendant care hourly rate, i.e: 8 x AT0020
†† Program Establishment Fee may be approved to the Service Provider when providing the TAC Client with 4 hours or more of Services per Billing Period, for a period of more than three consecutive months and is to assist with; Recruitment of new Personnel, Development of a Care Plan and Training Plan, as well as Compliance with OHS site audit requirements. This is a one off payment for the Service Provider to ensure the establishment of a quality care program on behalf of the TAC Client.