We have introduced key changes to eliminate your administrative barriers and help TAC clients more efficiently access treatment.
Less paperwork, more certainty
We now offer a wide range of pre-approved treatments and services, which you can deliver, and refer patients to, without sending a request or calling us first. You can be assured of payment in line with the TAC fee schedule for any treatment or service on the pre-approved list, with no need to contact us beforehand.
Service approvals for clients with lifelong injuries are unchanged and still occur via the Independence Planning process. We will work with you and the client to plan goals and coordinate the treatments and services they need to achieve them.
You also no longer need to send reports or clinical notes unless you receive a request from us. Real-time monitoring will flag unusual service consumption, prompting the TAC to contact you, or the client, only when needed.
Pre-approved treatments and services include:
Ambulance services. Transport from the client’s accident to the hospital and, where required, from one hospital to another.
Hospital treatment. Treatment and rehabilitation at a public, private or rehabilitation hospital, including surgery immediately after the client’s accident.
Surgery. Emergency or elective surgery within 3 months of the client’s accident.
Allied health and physical therapies. Includes physiotherapy, chiropractic, podiatry, occupational therapy, pain management and osteopathy.
X-rays and scans. Medical imaging required to diagnose the client’s injury, for example, x-ray, CT scans, MRI and ultrasound.
Medical services/doctor appointments. Family doctor and specialist doctor services including blood tests.
Medication. Medicine prescribed or recommended by a health professional and purchased from a pharmacy.
Equipment and medical aids. Hire or purchase of basic equipment such as crutches or wound dressings under $1,000.
Community nursing. Home visits after the client is discharged from hospital.
Rehabilitation. Rehabilitation in hospital, at home or in the community.
Home support services. Includes house cleaning, childcare and gardening services if the client normally did this for his/her family before the transport accident and is now unable to do so because of accident-related injuries.
Dental services. Treatment for the client’s teeth damaged in a transport accident.
Mental health and wellbeing. Psychology and psychiatric services the client may need as the result of the transport accident.
Travel. Where it is clinically justified to conduct treatment in the community, travel time can be paid 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 clients.
All TAC clients will receive the Supporting You After a Transport Accident leaflet when their claim is accepted.
Removal of medical excess
We have removed the medical excess. For accidents on or after 14 February 2018, TAC clients no longer have to pay a portion of their medical expenses before the TAC covers the costs. Clients can immediately seek treatment without worrying about out of pocket expenses.
Medical excess still applies for clients whose accidents occurred prior to 14 February 2018. Check the medical excess information page to see if excess applies.