Attendant Care

Attendant care services provide vital support for our clients after a transport accident.

We can pay the reasonable cost of attendant care services – with prior approval – when required as a result of a transport accident injury. Daytime, overnight and shared support services are covered, as well as on-call services.

In most circumstances you can only provide attendant care services if you are an attendant carer who is employed by an attendant care agency that is registered and approved by us.

Click on the links below to see the full Attendant Care guideline, to view the fee schedule and to find any documents and forms you may need.

New attendant care weekend rate

From 1 July 2018, the Transport Accident Commission (TAC) will be implementing a weekend rate for attendant care services.  Annual indexation will also be applied from 1 July. The 2018/19 rates will be available on the Attendant Care fees pages on Friday 15th June.

Attendant Care Provider Guideline

This guideline should be read in conjunction with the general provider guidelines ‘What do I need to know about working with the TAC?’ 

Who can provide attendant care?

You can only provide attendant care services if:

  • You are an attendant carer who is employed by an attendant care agency that is registered and approved by us.  Exceptions may apply.

Attendant care agencies must meet our registration criteria and employ staff with the appropriate knowledge and skills to meet the needs of our clients.

What we can pay for

We can pay the reasonable cost of attendant care services – with prior approval – when required as a result of an accepted transport accident injury.

We can also pay the reasonable cost of attendant carer travel when accompanying a client to a transport accident injury related hospital, medical or rehabilitation appointment. Prior approval is required from us before travel can be paid for a carer.

The agency will need to submit a Support Plan that details the attendant care program expected to best meet the client’s individual support needs.

Carer services include:

Daytime support

For clients who require active provision of attendant care, that is classified as either:

  • Personal care – physical assistance with daily living tasks, as directed by the recommending occupational therapist/other allied health professional. Includes the provision of domestic services by the attendant carer in downtime between provision of personal care.
  • Therapy support – assists the client to actively participate in goal directed home or community based rehabilitation activities where the support is necessary to achieve specific goals and outcomes. Therapy support is documented in the client's Support Plan, and will be revised as required by a treating health professional.
  • Community access – to assist and support the client to undertake community activities, as directed by the recommending occupational therapist.

Overnight support

For clients who require attendant care for a period of 8 consecutive hours, covering the usual sleeping period of the client in their home or an approved location. It comprises either:

  • Active overnight support – an overnight attendant care shift where an attendant carer is required to provide active assistance or support to a client.
  • Inactive overnight support – an overnight shift when an attendant carer is present, but not required to actively assist or support a client. The inactive overnight support fee includes one hour of active support (not necessarily provided consecutively) for the attendant carer to undertake manual tasks associated with the client's care such as assisting with toileting/continence issues, managing physical issues such as spasms and pain and turning and repositioning clients.

On-call service

A remote service for clients who require a low level of care during the day and/or overnight, but do not require an attendant carer to be constantly present, and/or sleep over in their home.

This service comprises two components: the monitoring service and the attendant care service. The monitoring service will contact the client when a call is triggered, to establish which of the following calls will be made to provide appropriate support:

  • Contacting the client's nominated contact person, such as a neighbour or family member, or
  • Arrange a call-out for an attendant care service, to provide personal care – such as personal hygiene – within a 30 minute period, or
  • Arrange for an emergency services response (such as police, ambulance or fire).

Shared support

An attendant care service provided to two or more people – at least one of whom is a client – at the same time or as part of a small group. Shared support can be for a one off event or for regular attendance at a community group/recreational activity.

This service may be provided:

  • When two or more clients requiring attendant care services live together.
  • Where there is a particular activity that more than one client can engage in together, such as a concert or holiday.

Other things to note

If your client has a severe injury, the discussion, referral and approval of services may form part of the independence planning process between the client's treating team and our TAC coordinator.

If your client already has an individualised funding package, attendant care services may be included as part of that.

How much we can pay

We can pay for services in line with our Attendant Care Fee Schedule.

What we cannot pay for

We cannot pay for:

  • Training for an attendant carer, unless specific to the needs of our client and approved by us.
  • Shadow or supernumerary shifts.
  • Personal or incidental expenses, including meals.

Fee Schedules

Attendant Care

Effective 2 July 2018

Attendant  Care

For Attendant Care services provided on or after 2 July 2018
Service Description TAC Item Number Maximum
Payment
Rate
Weekday Attendant Care (per hour)
including Personal Care, Community Access Support, Therapy Support, Post Acute Care and Carer Training
AT0020$44.86
Weekend Attendant Care (per hour)
including Personal Care, Community Access Support, Therapy Support, Post Acute Care and Carer Training
AT0020$59.54
Inactive overnight Support (8 hour shift inclusive of one hour active) †AT0025$127.30
Program Establishment †† AT0005$1,217.01
Approved Travel Costs (per km)AT0010$0.76
Daily Support: StandardAT0020$521.90
Daily Support: ComplexAT0020$676.31

Attendant  Care

For Attendant Care services provided between 3 July 2017 and 1 July 2018
Service Description TAC Item Number 3/7/2017
Maximum
Payment
Rate
Attendant Care per hour - including Personal Care, Community Access Support and Therapy Support AT0020 $43.10
Post Acute Care (per hour) AT0020 $43.10
Carer Training (per hour) AT0015 $43.10
Inactive overnight Support (8 hour shift inclusive of one hour active) † AT0025 $114.41
Program Establishment ††      AT0005 $1,169.30
Approved Travel Costs (per km) AT0010 $0.76
Daily Support: Standard AT0020 $469.07
Daily Support: Complex AT0020 $607.86

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.

Attendant Care - IRQS

Effective 2 July 2018

Attendant Care - IRQS*

* For further information regarding Attendant Care - IRQS (Independently Reviewed against Quality Standards), please refer to the registration criteria at www.tac.vic.gov.au

For Attendant Care IRQS services provided on or after 2 July 2018
Service Description TAC Item
Number
Maximum
Payment
Rate
Weekday IRQS Attendant Care (per hour)
including Personal Care, Community Access Support, Therapy Support, Post Acute Care and TAC Client Specific Training
AT0020 $48.64
Weekend IRQS Attendant Care (per hour)
including Personal Care, Community Access Support, Therapy Support, Post Acute Care and TAC Client Specific Training
AT0020 $64.56
Shared Care Service (per staff person) AT0020 $72.40    
Overnight Care (8 hour shift inclusive of one hour active) † AT0025 $136.82
Active Overnight Care (per hour) AT0020 $48.64
Care on a public holiday AT0020 $109.99
Shared Care on a public holiday (per staff person) AT0020 $119.67
Program Establishment Fee†† AT0005 $1,277.70
Approved Travel (per km) AT0010 $0.76
Standard Daily Support (per 24 hour shift) AT0020 $542.35
Public Holiday Rate Standard Daily Support AT0020 $859.32
Complex Daily Support (per 24 hour shift) AT0020 $704.32
Public Holiday Rate Complex Daily Support AT0020 $1121.51

Attendant Care - IRQS*

* For further information regarding Attendant Care - IRQS (Independently Reviewed against Quality Standards), please refer to the registration criteria at www.tac.vic.gov.au

For Attendant Care IRQS services provided between 3 July 2017 and 1 July 2018
Service Description TAC Item
Number
3/7/2017
Maximum
Payment
Rate
Personal Care (per hour) AT0020 $46.73
Community Access (per hour) AT0020 $46.73
Therapy Support (per hour) AT0020 $46.73
Post Acute Care (per hour) AT0020  $46.73
TAC Client Specific Training (per hour) AT0015 $46.73 
Shared Care Service (per staff person) AT0020 $69.56 
Overnight Care (8 hour shift inclusive of one hour active) † AT0025 $122.97
Active Overnight Care (per hour) AT0020 $46.73
Care on a public holiday AT0020 $105.68
Shared Care on a public holiday (per staff person) AT0020 $114.98
Program Establishment Fee†† AT0005 $1,227.61
Approved Travel (per km) AT0010 $0.76
Standard Daily Support (per 24 hour shift) AT0020 $487.45
Public Holiday Rate Standard Daily Support AT0020 $825.63
Complex Daily Support (per 24 hour shift) AT0020 $633.03
Public Holiday Rate Complex Daily Support AT0020 $1077.55

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.

Forms and brochures

View Attendant care - choosing an agency

Attendant care - choosing an agency

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.

View Daily support

Daily support

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.

View Independence Plan - Information for providers

Independence Plan - Information for providers

Summary:

As medical and health providers, you play a critical role in helping your seriously injured client maximise their independence and achieve their goals. The Independence Plan documents the work done by you and other members of the treating team, and acts as a central reference point for everyone.

View Travel expenses: declaration for carers (for Provider use only)

Travel expenses: declaration for carers (for Provider use only)

Summary:

For attendant carers – use this form to declare travel expenses incurred when your vehicle is used to transport your patient to medical appointments.

View Australian Holiday Support Request form (for Provider use only)

Australian Holiday Support Request form (for Provider use only)

Summary:

For occupational therapists – complete this form to request attendant care for holiday support and identify client support needs. This form can be completed by an Occupational Therapist in conjunction with a Community Access Planner.

Attendant Care registration requirements

The TAC will soon be launching a new streamlined IRQS registration process. If you are interested in applying for IRQS registration, please contact the TAC's Disability Provider Quality Assurance team at dpqa@tac.vic.gov.au to discuss your eligibility prior to commencing the registration process.

Working with the TAC

Below you will find information relevant to all providers about working with TAC clients, including:

  • How to register
  • Approvals process
  • Travel
  • Compliance requirements
  • Medical excess (for accidents before 14th February 2018)
  • Requests for further information
  • Subsequent, pre-existing and non-accident related injuries
  • Treatment by a family member
  • How to get paid
  • What we cannot pay for

Click on the General Provider guideline below to find out more.

General Provider Guidelines

If you are a registered TAC provider, you can provide treatment and services to our clients when they:

  • Are required as a result of a transport accident injury.
  • Are safe and effective.
  • Promote recovery, functional independence or self-management.

How to register as a provider

To register, you may:

During the registration process you may be asked to provide evidence of your qualification or other documentation requested by us.

What we can pay for

Approved services

The following services are approved for all our clients:

  • ambulance
  • hospital (including surgery for the first three months from the date of accident)
  • medical  (including medical imaging)
  • pharmacy
  • allied health
  • mental health
  • domestic services and gardening
  • interpreting services
  • equipment under $1,000

We do not require requests, clinical notes or reports before we will pay for the above services.

Other services

We must approve in writing any services not listed above.

Requests for approval must be in writing from an appropriately qualified health professional and include the following information:

  • claim number
  • transport accident injury being treated
  • type of treatment or service being requested
  • rationale as to why it is required
  • proposed date of the service/treatment
  • number of services proposed or expected duration
  • date treatment will be reviewed
  • functional goals/outcome measure that will be used to evaluate the treatment
  • self-management strategies in place

We will consider the principles of the Clinical Framework when considering whether a treatment or service request is reasonable and appropriate. We will then respond to written treatment and service requests as set out in our TAC Service Charter.

Travel

We can pay the reasonable cost of travel without prior approval where:

  • It is clinically justified for you to conduct treatment in the community, or you are the most appropriate option in that locality, and
  • The treatment has an associated scheduled fee/item number.

The following requirements apply:

  • Travel time will only be paid for travel to and from your practice address and the patient’s residence or place of appointment.
  • Where you visit more than one TAC client in a single travel period, total travel costs should be split equally for each.
  • If you book multiple appointments on the same day, please organise them efficiently, as we cannot pay for down time between appointments.
  • When invoicing for travel, keep a record of travel details – points of origin, destination and duration of travel – in case we need it.

Other things to note

As providers, you are expected to:

Health professionals should also follow the principles of the Clinical Framework for the Delivery of Health Services (Clinical Framework) into their clinical practice. This 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.

Medical excess (applies to accidents before 14th February 2018)

Client's whose accidents occurred prior to 14th February 2018 are required to pay the first $629 of treatment costs for medical services (excluding hospital and ambulance) before the TAC can fund their ongoing treatment unless:

  • the client or an immediate family member were admitted to hospital as an inpatient; or
  • an immediate family member dies as a result of the transport accident.

If a TAC client hasn't reached the medical excess, you need to invoice them directly for any medical treatment and services they receive. Bulk billed services can be used to reach the medical excess amount.

Once the client has provided a declaration to the TAC that they have reached their medical excess, you can begin invoicing the TAC directly.

You can find out if a client is subject to medical excess by:

  • using the medical excess tool
  • checking if they are available to invoice using Lantern Pay
  • checking client correspondence via the client’s letter or myTAC app

When further information is needed

In some cases we may contact your patient or yourself to seek further information about the treatment or service. We will send in writing any requests for reports or information.

We can release a treatment report to the client, another health practitioner or the client's legal representative upon receipt of a verbal or written request from a client or their legal representative.

If you are a health practitioner, clinical notes will be paid for in accordance with Schedule 2 of the Health Records Regulations 2012 and under the guidelines set out in the Health Records Act 2001.

See the relevant provider guideline or policy for information relevant to these services.

Subsequent, pre-existing and non-accident related injuries

Notify us if your patient has sustained a subsequent or exacerbation of an existing injury.

  • Where a pre-existing injury has become aggravated as a result of a transport accident, we will fund treatment for the exacerbation of that injury.
  • When a patient is being treated for non-accident related injuries at the same time as accident related injuries, you may only invoice us for the treatment relating to the patient’s accident related injury.
  • We will only accept liability for an injury sustained after the transport accident if it is established that a patient’s subsequent injury is a direct result of the injury or injuries originally sustained in the transport accident.

Treatment by an immediate family member

We cannot pay for treatment or services provided by a member of a client’s immediate family, unless exceptional circumstances exist such as:

  • Treatment was provided in an emergency situation.
  • A client resides in a remote area and the distance to access an alternative health care professional is excessive.

When the TAC client has been treated by a family member, care should be transferred to another suitably qualified healthcare professional as soon as practicable.

How to get paid

Use LanternPay

If you’re an eligible provider, LanternPay lets you:

  • check if your patient or client has a TAC approved claim.
  • submit invoices online.
  • view payment decisions immediately.
  • receive payment the next business day.

To find out more about LanternPay and to register, watch our short video or visit www.lanternpay.com/TAC.

Mail your invoice

You may also invoice us by mail. Services subject to GST must be submitted on a GST compliant invoice. Your invoice must include:

payee details

  • group/company/agency
  • ABN
  • TAC payee number (if you have one)
  • billing address and practice/clinic address

client details

  • given and family names
  • TAC claim number

service details

  • name of service provider and Medicare number (if applicable)
  • date of service and time of service (if applicable)
  • TAC item number as per the TAC fee schedule
  • duration of service
  • itemised fee
  • service location (if different to practice address)
  • total charge for invoiced items

If multiple providers are required on one invoice, you must clearly identify the service listed under each service provider. Duplicate accounts, such as statements, photocopies or facsimiles will not be processed for payment.

Send your invoice to:

Transport Accident Commission (TAC)
GPO Box 2751
MELBOURNE   VIC   3001

Payment dates

We process invoices each week. Payment will be made to your bank account.

Is this your first TAC invoice?

In order to receive payment in your bank account, please complete an EFT/Direct Deposit Authority form.

Note:

Invoices you submit to us should accurately reflect the goods and/or services that have been provided. Inaccurate, inappropriate or fraudulent invoicing may result in requests for supporting documentation, prosecution, recovery of inappropriately paid funds or other actions.

If you become aware of an error in your invoicing for services provided to our clients, or where there is a concern over the accuracy of the payments that we have made, contact us on 1300 654 329 to rectify the situation.

What we cannot pay for

Services

We cannot pay for:

  • Services for a person other than the client (except for family counselling where applicable).
  • Services subcontracted to, or provided by, a non-registered provider.
  • Services provided outside the Commonwealth of Australia.
  • Services where there is no National Health and Medical Research Council level 1 or 2 evidence that they are safe and effective. See: Non-established, new or emerging treatments and services policy.

Expenses and travel

We cannot pay for:

  • The cost of telephone calls and telephone consultations between providers and clients, and between other providers, including hospitals. The exception is GPs coordinating return to work programs approved by us.
  • Downtime between appointments or travel expenses unrelated to a consultation.

Invoices

We cannot pay for:

Reports

We cannot pay for:

  • The same medical report provided more than once – for example, a re-issue of a previous report or multiple copies.
  • A consultation used for the purposes of preparing a medical report. When we request a report, please complete it using your existing clinical notes.

Other guidelines that may be relevant for you include: