We’re here to help you get your life back on track after your transport accident. If you or a family member has multiple physical, sensory and cognitive disabilities as a result of a transport accident, which makes it difficult to live independently, we can pay for supported accommodation in Australia.
If you have enough support to live at home, we can also pay for short term stays in supported accommodation, to allow your carers to have a break. This is called respite care.
How can supported accommodation help?
People with multiple physical, sensory and cognitive disabilities after an accident may find it too difficult to live independently in their own home or family home. Supported accommodation provides a home for them.
Supported accommodation includes:
- Shared Supported Accommodation (group home)
- Supported Residential Services
- Residential Aged Care
How we approve these services
Your doctor, occupational therapist or treating team will let us know that because of your severe injuries you may need supported accommodation.
Your needs will be assessed to work out the level and type of assistance you need and the type of supported living arrangement you will require. We will work with your treating team to support you as much as possible.
Residential aged care
If residential aged care is needed, an assessment will be required by an Aged Care Assessment Team. If you need this type of care, appropriate aged care options will be given to you, and you and your family can choose the facility where you will live. Residential Aged Care is usually only appropriate for people over the age of 65.
If you need help finding a residential aged care facility we can pay for an approved placement provider, case manager or occupational therapist to help you.
Following your move into supported accommodation, we may contact your supported accommodation provider or treatment team to discuss your progress or request an assessment, to make sure that:
- You have all the appropriate support you need.
- You are getting proven, evidence-based treatment and not receiving treatment that isn't helping you recover.
- You are moving towards getting your life back on track or being able to live as independently as possible.
How these services are paid for
We pay for these services:
- Directly to your service provider, when you have provided them with your TAC claim number, or
- If you have to pay, use myTAC to send us a copy of your receipt and we will repay you.
To get the best outcome for you, we will only ever pay for:
- Supported accommodation settings that have the required registration/accreditation specific to that type of setting, to make sure that care provided meets quality and safety standards for residents.
- Services provided to you that demonstrate continued progress towards achieving your independence goals.
We pay for your services in line with our responsibilities under the Transport Accident Act 1986.
How much we will pay
The fees paid to supported accommodation facilities will vary depending upon the type of supported accommodation facility you need.
The three main types of accommodation are:
- Supported residential services.
- Shared supported accommodation.
- Residential aged care facilities.
Supported residential services
These are privately owned facilities that are registered with the Department of Health and Human Services (Vic). They provide services that meet the criteria for their registration. We will pay a reasonable fee as determined by the service provider, in line with the residential and services agreement between us, you or your family member and the owner of the facility.
The TAC will only pay for SRS services provided by facilities registered with the DHHS. The services and care that you or your family member should receive in a Supported Residential Services facility should be aligned to those in the Residential Services (Private proprietors) Act 2010.
Shared supported accommodation
These facilities are shared accommodation settings that provide a 24-hour shared care model which can include personal care and support, engaging residents in day to day activities, assistance with medication, behavioural support (if required) and completing exercises/rehabilitation as recommended by a health professional. We pay the cost of the following, up to an agreed amount:
- Daily support fee
- Daily living expenses
- Program establishment fee
- Attendant care for support needs above the level of support provided under the 24-hour shared support. This attendant care needs to be approved by the TAC and based on clinical recommendations by a health professional.
Under the Transport Accident Act 1986, from 18 months after your discharge from hospital you will be required to pay a daily contribution towards the cost of your daily living expenses. Your required contribution will be published in the TAC's Benefits Schedule, which is updated every year in July.
SSA providers are required to be registered with the TAC in order to support TAC clients as residents.
Residential aged care
The TAC will only pay for a Residential Aged Care facility that is an approved RAC provider with the Commonwealth Government’s Aged Care Quality and Safety Commission. This is to ensure that the standard of care you receive is of good quality and continuously monitored by the government.
Before moving in to a Residential Aged Care facility you will need to have an assessment with an Aged Care Assessment Service (ACAS) to determine your eligibility to enter into residential aged care. In most cases you need to be aged 65 or over.
The TAC will also need to determine your eligibility for your accommodation in a Residential Aged Care facility to be funded by the TAC. Your need for this type of supported accommodation must be directly related to your transport accident.
We will directly pay the facility for the cost of the services and accommodation in line with the fees determined by the Commonwealth Government Department of Social Services. Once you are living in the residential aged care facility, the provider will arrange an Aged Care Funding Instrument (ACFI) assessment for you. This determines the ACFI subsidy fees specific to your care and support needs, which the TAC will pay. If relevant to you, the provider can also apply for other funding subsidies which, if approved by the government, the TAC will pay.
To help determine the correct fees, you will be asked to complete an income and assets assessment and submit this to the Australian Government – Services Australia (previously Centrelink). If this means a tested fee applies to you, the TAC can pay this fee.
Under the Transport Accident Act 1986, from 18 months after your discharge from hospital you will be required to pay a daily contribution of $10 towards the cost of your basic daily fee.
We will pay all fees required for Residential Aged Care in line with the Schedule of Fees for Residential and Home Care. The services and care that you or your family member should receive in a Residential Aged Care facility should be aligned to those in Quality of Care Principles 2014.
What we won’t pay for
We can’t pay for services that:
- Do not treat, or are not related to, your transport accident injuries.
- Are not reasonable, necessary or appropriate.
- Are not clinically justified, safe and effective.
The TAC will not pay supported accommodation providers that do not have the required accreditation/registration specific to that supported accommodation setting.
We also can’t pay for incidental items that may be provided to you as part of your stay. This includes upgrading a standard room type and other services you might request where there is no clinical need for the request that relates to your transport accident injuries.
Under the Transport Accident Act 1986 we cannot pay the cost of any accommodation bond, refundable accommodation deposit, interest that would have been earned on an accommodation bond or council rates associated with admission into, or continued living in, a supported accommodation facility.
If you are a provider of supported accommodation, see our Supported accommodation provider guidelines for circumstances in which you can provide services to our clients.