The total level of funding we provide to support the care of Victorians injured in transport accidents will remain consistent with current arrangements, ensuring all services required will continue to be provided.

From 1 July 2026, services for TAC clients in public health settings will be funded using a single price per National Weighted Activity Unit (NWAU). It will cover the full cost of care including attendance/admission, clinician and diagnostic services.

This approach will apply consistently across all public health services and all types of care, ensuring funding reflects the full cost of delivering services.

Public health services will receive this funding through activity-based payments using this standard price, across all activity types, including emergency care, admitted care (acute and mental health), sub-acute, and non-admitted services. An itemised list of in-scope service types has been provided by the Department of Health to public health services, to help them prepare for the change.

Note: the following services will continue to be billed directly to the TAC:

• Urgent care centres

• Aids and equipment

• Community mental health

• TAC-requested medical reports & FOI requests

• Discharge and non-admitted medicines (including high-cost, highly specialised S100 & S85 medicines)

• Diagnostics provided from an external referral.

A revised fee schedule for Victorian public hospital services will be in place from 1 July 2026. This will cover the services that remain out of scope under the new funding model.

An ‘episode of care’ is an umbrella term that captures services provided to a patient. This can include admitted patient separations, non-admitted occasions of service, or emergency department presentations. A health service will receive a separate payment each time a different service type is provided to a patient (consistent with the arrangement for public patients) but there will not be separate payments made for any single service type.

Under the current funding arrangements for an admitted patient separation (an ‘episode of care’), separate payments may be made for clinician fees, diagnostics and bed fees and other medical costs.

When the new funding arrangements take effect from 1 July, there will only be a single payment made to the health service for that separation that covers all of those elements. If a patient requires further non-admitted occasions of service as part of their treatment, each one will be considered a separate ‘episode of care’.

We are working closely with Hospitals Victoria to determine the price per NWAU. There will be a new TAC price per NWAU that will apply to all public health services. This will be higher than the current price, taking into account the additional services to be included.

All TAC activity will remain uncapped. The change will not impact the level of care, or treatment and services provided to patients in public hospitals following a transport accident.

We are committed to ensuring a consistent level of funding for public health services and will be closely monitoring this change with a 12-month review process to ensure there is no financial impact to health services.

No. Contractual and payment arrangements between individual health services and their clinicians are independent of the TAC. We cannot determine, influence, or monitor the individual fee and billing arrangements between health services and individual clinicians and diagnostic providers.

We may review patient episodes of care to ensure TAC activity and its associated costs are reasonable and appropriate. This is in line with our commitment to ensure payments are efficient, fair, and well-governed. The new funding model has been designed to include greater controls and checkpoints, to help reduce the risk of fraud and billing errors and strengthen the integrity and sustainability of the transport accident scheme.

We also run a billing review program to ensure service payments for TAC clients are appropriate and follow TAC policies and fee schedules. Find out more about the billing review program.

Health services will continue to be responsible for ensuring they adhere to standards, specifications, and data quality processes related to various health data collections to support accurate reporting and data integrity.

If unusual or inconsistent data is identified, we will work with the health service to review and address this. We may request clinical information for specific patient episodes to support a review process.

Yes. Sub-acute care includes both inpatient admissions and outpatient care.

No. TAC patients will continue to be classified as ‘compensable patients’, not ‘public patients’. However, the new TAC funding model will work in a similar way to how public patient episodes are funded. We will pay health services, via the Department of Health, and health services will then manage all costs of care, including medical and diagnostic services.

The funding model change only applies to cross-border health services managed by the Victorian Department of Health. If a service is managed by an interstate health department, it must follow the funding rules set by its own state or territory, not Victoria.

What’s the impact of the funding model change to services provided to interstate TAC clients?

The funding model change only applies to Victorian public health services. It will not affect services provided to TAC clients, including those who are interstate. Further information on interstate funding can be found on the TAC website.

What if a TAC patient requires an ambulance transfer?

There will be no change to the way ambulance transfers are paid. This service will not be included in the NWAU single payment per episode of care. Health services or the ambulance provider can continue to invoice the TAC for this service.

Gait analysis will be included as an in-scope service as part of the funding model changes for TAC patients from 1 July 2026. Gait analysis will be paid per NWAU using the new TAC-agreed price and combined into the standard DH data extract to TAC.

TAC-requested medical reports and Freedom of Information requests will remain out of scope for the funding model change. Victorian public health services will continue to invoice us for these requests. Health services cannot bill the TAC for standard discharge reports.

Any care plans (nursing, allied health) that are required as part of the patient’s care are included in the NWAU funding – the TAC cannot be billed separately for these.

Further information on the invoicing requirements for medical and FOI reports can be found on the Department of Health website.

This clinic operates like a private community GP and isn’t affected by the funding model change. Current processes remain the same. GP services for TAC clients will continue to be paid in line with the Medicare Benefits Schedule. For more information, check out the medical services reimbursement rates on our website.

The funding model change covers services which are provided mainly in hospital environments. Community-based services, such as nursing and allied health, are often delivered by private providers in metropolitan or regional areas.

In smaller regional and rural settings, community-based services are often delivered by public health services. These community services typically sit outside the NWAU funding arrangements.

If equivalent services provided to public patients are not funded through NWAU, they should continue to be billed directly to the TAC.

How can I confirm a TAC patient’s claim details?

Health services can use the TAC’s Provider Online Services (POS) platform to access a TAC patient’s claim number. Health services must be registered to access POS. You can register by completing this form and emailing it to hdsg_admin@tac.vic.gov.au.

Once registered, users can access POS via this link: https://portal.worksafe.vic.gov.au.

POS requires a patient’s name, date of accident and date of birth. It will then show accepted, denied, and pending claims for that patient. If no record is shown, it indicates a claim has not been lodged.

Health services can contact the TAC Lodgement team for queries on 5335 7600 or email lodgements@tac.vic.gov.au

You will need TAC approval to help pay for treatments or services after the first 90 days of a patient’s accident.

Equipment and materials for patients are not part of the new funding model and will continue to require a TAC request and pre-approval in line with existing guidelines.

Find out more about what we can pay for on the TAC website.

There is no change to the TAC approval process for treatments and services or how we communicate the decision. When we approve a treatment or service, we will communicate the decision directly to the requestor and the patient.

Health professionals will still need to seek TAC pre-approval for any treatment and/or services provided after the first 90 days following a patient’s accident.

We encourage health services to set up an internal process to ensure they have visibility of TAC approvals for treatment and/or services requested by health professionals after the initial 90-day period.

There is no change to how equipment is provided and paid for under the new funding arrangements.

During the first 30 days post-discharge, Victorian public hospitals remain responsible for providing aids, equipment and domiciliary oxygen free of charge (no deposits or hire fees) to facilitate a safe and effective discharge after an acute, sub-acute or rehabilitation admission. If the patient needs equipment that are non-reusable, these should be purchased by the hospital rather than hired.

After 30 days from discharge, the TAC takes responsibility for providing aids and equipment. Victorian public hospitals must contact us to confirm whether alternative equipment is needed or whether existing hire arrangements, if any, should continue.

Medical practitioners and diagnostic providers will no longer be able to invoice the TAC directly for services provided in Victorian public health services from 1 July 2026. Payment will be provided directly by health services.

This means that if we receive an invoice from a medical practitioner or diagnostic provider for treatment and services delivered to a TAC patient in a public hospital from 1 July 2026, it will be rejected.

Health services must have new payment arrangements in place with impacted clinicians to ensure they can pay all eligible invoices for medical practitioners and diagnostic providers.

Yes. Medical practitioners can send their invoices to the TAC after 1 July 2026, as long as it is for services provided to TAC patients on or before 30 June 2026. Providers have up to two years from the date of service to submit their invoice(s) to the TAC.

We are continually reviewing and refining our payment system controls to ensure we are only paying for eligible treatments and services. Invoice items that cannot be paid will specify a reason for the rejection on the remittance advice. This may relate to adherence to MBS co-billing rules which the TAC adopts and is not related to the funding model change.

If you have specific questions about your current invoicing items or remittance advice, please contact a member of the TAC Customer Service Team on 1300 654 329 or email payments_enquiries@tac.vic.gov.au.

From 1 July 2026, individual medical practitioners (including surgeons, anaesthetists, specialist physicians and other medical specialists) and diagnostic companies will no longer be able to invoice the TAC directly for services provided in Victorian public health services. Instead, public health services will manage these payments.

Health services will need to work with their medical practitioners and diagnostic providers to establish new agreed payment and contractual arrangements for the care of TAC clients from 1 July 2026. The TAC has no influence on what these arrangements are. Queries relating to these arrangements should be directed to the relevant health service.

All diagnostic services required for TAC patients admitted in Victorian public health services or referred from non-admitted activity are within the in-scope service types and covered by the new TAC price per NWAU.

This means third-party diagnostic providers cannot invoice the TAC directly for these patients. Health services and third-party diagnostic providers will need to establish new agreed payment arrangements for TAC patients.

If a TAC patient attends a public health service from an external referral (e.g. GP, Specialist) for diagnostic services only, then this activity can be invoiced directly to the TAC.

Medical practitioners may continue to bill the TAC directly for services provided in public hospitals until 30 June 2026.

From 1 July 2026, the new funding model will apply to services delivered for TAC clients in Victorian public health services, meaning direct billing by practitioners to the TAC will no longer occur in those settings.

Direct billing to the TAC for services provided in private settings will not change