Mental health and wellbeing services

We can pay for this treatment immediately after your accident. You don't need initial TAC approval, but you will need a referral from your doctor.

Mental health services include treatment or counselling from psychiatrists, psychologists, neuropsychologists, social workers or your family doctor.

When you access a TAC funded mental health service, we may ask your provider for a copy of your treatment plan. This helps us to understand the treatment you need and your progress.  It will also allow us to make decisions about what treatment we can pay for and how long we can pay for it.

We can also support immediate family members by paying for family counselling when a loved one dies or has a major injury.

Psychology and neuropsychology

We can pay for your first six psychology or neuropsychology sessions you need because of your transport accident. We will pay for these sessions at the TAC rate.

If you need more than six sessions we will ask your psychologist to send us a mental health treatment plan. This plan outlines your progress, treatment goals and the need for more sessions.

We will review the plan and decide what further treatment you need how many more sessions we will pay for.

How to get a mental health service

  1. If it’s been more than 6 months since you had any treatment paid for by the TAC, call us to find out if we can pay for more treatment
  2. Go to your doctor for a referral to see psychiatrist or psychologist.
  3. Choose a psychiatrist or psychologist. Your doctor can recommend one in your local area or you can search for a psychiatrist or psychologist online.
  4. Call and make an appointment. Tell them you are a TAC client, you have a referral and who the referral is from. Ask if they charge at TAC rates. If the provider charges more, they may ask you for a 'gap payment' to make up the difference
  5. Go to your appointment and give the provider your TAC claim number.

Support with family counselling

The TAC can pay for family counselling services required after the death of a family member. This benefit is available to the spouse or partner, parents, children, grandparents, brothers and sisters of the person who has died.

To be eligible, a registered doctor, psychologist or qualified social worker must provide the counselling service. The TAC can pay up to a maximum of $16,850 per family.

Any family member who is diagnosed with a mental or physical injury as a result of the transport accident may be eligible to lodge their own claim. Please contact the TAC on 1300 654 329 if you or another family member wants to find out about lodging a claim.

We make decisions about family counselling according to our Mental health and wellbeing services policy.

How to pay for treatment

In most cases, we will pay your provider. If you have to pay, scan or take a photo of your receipt. Send it to us with the ‘Reimbursement form’ button under 'Upload documents' on myTAC, or by email to info@tac.vic.gov.au and we will repay you.

We will pay for your treatment at the TAC rate. If your provider charges more than the TAC rate, you may need to pay the difference. This is known as a 'gap payment'. If you need to pay a gap, you may be able to recover some of the cost through Medicare or private health insurance.

How can mental health and wellbeing services help?

Being involved in a transport accident can be a very emotional and challenging time. It's important that you get the right treatment, support and information to help you manage how you are feeling.

Psychologists are professionals trained in the science of how people think, feel, behave and learn. They provide assessment and therapy to clients about their mental health and wellbeing, such as for anxiety, depression and stress.

Neuropsychologists assess and treat people with brain disorders that affect memory, learning, attention, language, reading, problem-solving and decision-making

Psychiatrists are medical specialists who specialise in assessing mental and physical health in order to provide diagnosis, treatment and medication for mental health conditions.

Social workers are trained to support people with a range of issues including family problems, anxiety, depression, crisis and trauma.

Psychology and neuropsychology fees

Effective 1 July 2019

In response to Covid-19, the TAC has introduced temporary funding of telehealth services to ensure clients can continue to access essential treatments and services. The TAC telehealth items and fees for psychology services are available on our Telehealth fees page.

Psychology services can be invoiced online via LanternPay for next business day payments.

For face to face Psychology services provided on or after 1 July 2019
Registered for GST
Service DescriptionTAC Item NumberMaximum Payment Rate
Hourly Rate
Pro rata in units of 15 minutes to a maximum of one hour.
Any consultations greater than one hour will require pre-approval  from TAC.
90000 $166.12
Group Rate (per person, up to 10 persons) 90007 $42.85
Family Counselling (up to the maximum allowance) 90001 $166.12
Travelling for treatment
(prior approval required).
Pro-Rata rates in units of
15 minutes apply
.
90010 $166.12
Travel time claimed in association to an assessment of a client which is carried out at TAC's request. 
Pro-rata rates in units of 15 minutes apply.
90011* $182.84
Psychologist Standard Report TSP010* $274.24
Mental Health (Psychology) Treatment Plan 90050* $139.81
Mental Health (Neuropsychology) Treatment Plan 90060* $186.42
Mental Health
(e-Therapy)
This Way Up Clinic package
90070 $60.28
For Psychology services provided between 1 July 2018 and 30 June 2019
Registered for GST
Service DescriptionTAC Item NumberMaximum Payment Rate
Hourly Rate
Pro rata in units of 15 minutes to a maximum of one hour.
Any consultations greater than one hour will require pre-approval  from TAC.
90000 $162.78
Group Rate (per person, up to 10 persons) 90007 $41.99
Family Counselling (up to the maximum allowance) 90001 $162.78
Travelling for treatment
(prior approval required).
Pro-Rata rates in units of
15 minutes apply
.
90010 $162.78
Travel time claimed in association to an assessment of a client which is carried out at TAC's request. 
Pro-rata rates in units of 15 minutes apply.
90011* $179.16
Psychologist Standard Report TSP010* $268.73
Mental Health (Psychology) Treatment Plan 90050* $137.00
Mental Health (Neuropsychology) Treatment Plan 90060* $182.68
Mental Health (Psychology) Treatment Review 90055* $137.00
Mental Health (Neuropsychology) Treatment Review 90065* $137.00
Mental Health
(e-Therapy)
This Way Up Clinic package
90070 $59.07
For Psychology services performed by a provider who is not registered for GST
Not Registered for GST
Service DescriptionTAC Item Number2019/20 Maximum Payment Rate2018/19 Maximum Payment Rate
Hourly Rate
Pro rata in units of 15 minutes to a maximum of one hour.
Any consultations greater than one hour will require pre-approval  from TAC.
   
Group Rate (per person, up to 10 persons)   
Family Counselling (up to the maximum allowance)   
Travelling for treatment
(prior approval required).
Pro-Rata rates in units of
15 minutes apply
.
   
Travel time claimed in association to an assessment of a client which is carried out at TAC's request. 
Pro-rata rates in units of 15 minutes apply.
9GF011$166.20$162.86
Psychologist Standard Report   
Mental Health (Psychology) Treatment Plan9GF050$124.65$122.15
Mental Health (Neuropsychology) Treatment Plan9GF060$166.20$162.86
Mental Health (Psychology) Treatment Review9GF055$124.65$122.15
Mental Health (Neuropsychology) Treatment Review9GF065$124.65$122.15
Mental Health
(e-Therapy)
This Way Up Clinic package
N/A 

Social work fees

Effective 1 July 2019

In response to Covid-19, the TAC has introduced temporary funding of telehealth services to ensure clients can continue to access essential treatments and services. The TAC telehealth items and fees for social work services are available on our Telehealth fees page.

Social work services can be invoiced online via LanternPay for next business day payments.

For face to face social work services provided on or after 1 July 2019
Registered for GST
Service DescriptionTAC Item Number Maximum Payment
Rate
Individual Treatment
Initial Consultation SW600 $60.64
Standard Consultation: 
up to 30 minutes
SW602 $48.52
Long Consultation: 
> 30 minutes < 45 minutes
SW604 $72.51
Prolonged Consultation: 
> 45 minutes < 60 minutes
SW606 $96.90
Group Consultation: 
up to 30 minutes 
  
Group Treatment
Group Consultation
(per person)
SW602G $29.19
Travel (with prior approval) SW630 $96.90
All travel is to be separately billed in blocks of 15 minutes.
Reports
Report
When submitting an account for payment, details of the time taken to complete the report must be recorded on the account.
SW640* $106.59
Travel claimed in relation to providing a report for management-type services such as reviews undertaken at the TAC's specific request, will incur a GST on the applicable TAC maximum fee.  SW641* $106.59
Travel time can be claimed only 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 those clients to whom services have been provided.
For Social work services provided between 1 July 2018 or 30 June 2019
Registered for GST
Service DescriptionTAC Item Number Maximum Payment
Rate
Individual Treatment
Initial Consultation SW600 $59.42
Standard Consultation: 
up to 30 minutes
SW602 $47.54
Long Consultation: 
> 30 minutes < 45 minutes
SW604 $71.06
Prolonged Consultation: 
> 45 minutes < 60 minutes
SW606 $94.96
Group Consultation: 
up to 30 minutes 
  
Group Treatment
Group Consultation
(per person)
SW602G $28.60
Travel (with prior approval) SW630 $94.96
All travel is to be separately billed in blocks of 15 minutes.
Reports
Report
When submitting an account for payment, details of the time taken to complete the report must be recorded on the account.
SW640* $104.45
Travel claimed in relation to providing a report for management-type services such as reviews undertaken at the TAC's specific request, will incur a GST on the applicable TAC maximum fee.  SW641* $104.45
Travel time can be claimed only 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 those clients to whom services have been provided.
For Social work services performed by a provider who is not registered for GST
Not Registered for GST
Service DescriptionTAC Item Number2019/20 Maximum Payment Rate2018/19 Maximum Payment Rate
Reports
Report
When submitting an account for payment, details of the time taken to complete the report must be recorded on the account.
SW640F $96.90$94.96
Travel claimed in relation to providing a report for management-type services such as reviews undertaken at the TAC's specific request, will incur a GST on the applicable TAC maximum fee.  SW641F $96.90$94.96
Travel time can be claimed only 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 those clients to whom services have been provided.

Medical services reimbursement rates

The TAC has adopted the Medicare Benefits Schedule (MBS) items, explanations, definitions, rules and conditions for services provided by medical practitioners.  When invoicing for medical services, medical practitioners are expected to adhere to the MBS rules unless otherwise specified by the TAC in the Reimbursement Rates for Medical Services booklet or its medical policies.

The Reimbursement Rates for Medical Services must be read in conjunction with:

The government recently announced a temporary expansion of telehealth MBS items to help reduce the risk of community transmission of COVID-19 and provide protection for patients and health care providers. These services are for non-admitted patients and geographical restrictions do not apply.

The TAC will fund these temporary telehealth items for services provided by medical specialists, such as GPs, consulting physicians and psychiatrists at the TAC rates below until 30 September 2020.

The TAC expects its providers to only use telehealth when it is clinically appropriate to do so and relates to a client’s accident injuries. Telehealth services must be provided in line with the TAC Clinical Framework.

These items are effective from 13 March 2020 unless specified otherwise. 

General Practitioner attendances

For Medical services delivered via telehealth in response to COVID-19
Service DescriptionMBS/TAC Item NumberMaximum Payment Rate
Standard GP Attendance
Video-conference attendances
Attendance for an obvious problem (existing MBS item 3) 91790 $29.29
Attendance less than 20 minutes (existing MBS item 23) 91800 $61.35
Attendance at least 20 minutes (existing MBS item 36)  91801 $112.93
Attendance at least 40 minutes (existing MBS item 44)  91802 $166.29
Telephone attendances (for when video-conferencing is not available) 
Attendance for an obvious problem (existing MBS item 3) 91795 $29.29
Attendance less than 20 minutes (existing MBS item 23)  91809 $61.35
Attendance at least 20 minutes (existing MBS item 36)  91810 $112.93
Attendance at least 40 minutes (existing item MBS 44)  91811 $166.29
Health assessment for people of Aboriginal or Torres Strait Islander decent
Video-conference attendances
GP health assessment (existing MBS item 715) 92004 $364.60
Telephone attendances (for when video-conferencing is not available)
GP health assessment (existing MBS item 715) 92016 $364.60
Chronic Disease Management
Video-conference attendances
GP management plan, prepare (existing MBS item 721) 92024 $252.65
GP team care arrangement, co-ordinate development (existing MBS item 723) 92025 $199.08
GP contribution to prepare or review a multidisciplinary care plan, prepared by another provider (existing MBS item 729) 92026 $87.80
GP contribution to prepare or review a multidisciplinary care plan, prepared by a provider when the patient was admitted or by a RACF (existing MBS item 731) 92027 $87.80
GP attendance to coordinate a GP management plan or team care arrangements (existing MBS item 732) 92028 $126.33
Telephone attendances (for when video-conferencing is not available)
GP management plan, prepare (existing MBS item 721) 92068 $252.65
GP team care arrangement, co-ordinate development (existing MBS item 723) 92069 $199.08
GP contribution to prepare or review a multidisciplinary care plan, prepared by another provider (existing MBS item 729) 92070 $87.80
GP contribution to prepare or review a multidisciplinary care plan, prepared by a provider when the patient was admitted or by a RACF (existing MBS item 731) 92071 $87.80
GP attendance to coordinate a GP management plan or team care arrangements (existing MBS item 732) 92072 $126.33
Pregnancy support
Video-conference attendances
GP pregnancy support item, more than 20 minutes (existing MBS item 4001) 92136 $140.24
Telephone attendances (for when video-conferencing is not available)
GP pregnancy support item, more than 20 minutes (existing MBS item 4001) 92138 $140.24
Urgent After Hours
Video-conference attendances
GP urgent after hours, unsociable (existing MBS item 599) 92210 $204.97
Telephone attendances (for when video-conferencing is not available)
GP urgent after hours, unsociable (existing MBS item 599) 92216 $204.97

Other Medical Practitioner attendances

For Medical services delivered via telehealth in response to COVID-19
Service DescriptionMBS/TAC Item NumberMaximum Payment Rate
Video-conference attendances
Attendance of not more than 5 minutes - metro (existing MBS item 52) 91792 $29.12
Attendance of more than 5 minutes but not more than 25 minutes - metro (existing MBS item 53) 91803 $55.60
Attendance of more than 25 minutes but not more than 45 minutes - metro (existing MBS item 54)  91804 $100.14
Attendance of more than 45 minutes - metro (existing MBS item 57) 91805 $160.68
Attendance of not more than 5 minutes - regional (existing MBS item 179) 91794 $36.33
Attendance of more than 5 minutes but not more than 25 minutes - regional (existing MBS item 185) 91806 $79.51
Attendance of more than 25 minutes but not more than 45 minutes - regional (existing MBS item 189) 91807 $153.86
Attendance of more than 45 minutes - regional (existing MBS item 203) 91808 $226.36
Telephone attendances (for when video-conferencing is not available) 
Attendance of not more than 5 minutes - metro (existing MBS item 52) 91797 $29.12
Attendance of more than 5 minutes but not more than 25 minutes - metro (existing MBS item 53) 91812 $55.60
Attendance of more than 25 minutes but not more than 45 minutes - metro (existing MBS item 54) 91813 $100.14
Attendance of more than 45 minutes - metro (existing MBS item 57) 91814 $160.68
Attendance of not more than 5 minutes - regional (existing MBS item 179) 91799 $36.33
Attendance of more than 5 minutes but not more than 25 minutes - regional (existing MBS item 185) 91815 $79.51
Attendance of more than 25 minutes but not more than 45 minutes - regional (existing MBS item 189) 91816 $153.86
Attendance of more than 45 minutes - regional (existing MBS item 203) 91817 $226.36
Health assessment for people of Aboriginal or Torres Strait Islander decent
Video-conference attendances
OMP health assessment (existing MBS item 228) 92011 $438.08
Telephone attendances (for when video-conferencing is not available)
OMP health assessment (existing MBS item 228) 92023 $438.08
Chronic Disease Management
Video-conference attendances
OMP management plan, prepare (existing MBS item 229) 92055 $297.73
OMP team care arrangement, coordinate development (existing MBS item 230) 92056 $235.94
OMP contribution to prepare or review a multidisciplinary care plan, prepared by another provider (existing MBS item 231) 92057 $145.25
OMP contribution to prepare or review a multidisciplinary care plan, prepared by a provider when the patient was admitted or by a RACF (existing MBS item 232) 92058 $145.25
OMP attendance to coordinate a GP management plan or team care arrangements (existing MBS item 233) 92059 $148.74
Telephone attendances (for when video-conferencing is not available)
OMP management plan, prepare (existing MBS item 229) 92099 $297.73
OMP team care arrangement, coordinate development (existing MBS item 230) 92100 $235.94
OMP contribution to prepare or review a multidisciplinary care plan, prepared by another provider (existing MBS item 231) 92101 $145.25
OMP contribution to prepare or review a multidisciplinary care plan, prepared by a provider when the patient was admitted or by a RACF (existing MBS item 232) 92102 $145.25
OMP attendance to coordinate a GP management plan or team care arrangements (existing MBS item 233) 92103 $148.74
Pregnancy support
Video-conference attendances
OMP pregnancy support item, more than 20 minutes (existing MBS item 792) 92137 $158.15
Telephone attendances (for when video-conferencing is not available)
OMP pregnancy support item, more than 20 minutes (existing MBS item 792) 92139 $158.15
Urgent after hours
Video-conference attendances
OMP urgent after hours, unsociable (existing MBS item 600) 92211 $454.52
Telephone attendances (for when video-conferencing is not available)  
OMP urgent after hours, unsociable (existing MBS item 600) 92217 $454.52

Specialist, Consultant Physican, Psychiatrist, Geriatrician, Public Health Physician and Neurosurgeon attendances

For Medical services delivered via telehealth in response to COVID-19
Service DescriptionMBS/TAC Item NumberMaximum Payment Rate
Specialist : Video-conference attendances
Specialist. Initial attendance  (existing MBS item 104) 91822 $163.12
Specialist. Subsequent attendance  (existing MBS item 105) 91823 $81.81
Specialist : Telephone attendances (for when video-conferencing is not available)
Specialist. Initial attendance  (existing MBS item 104)  91832 $163.12
Specialist. Subsequent attendance  (existing MBS item 105) 91833 $81.81
Consultant physician : Video-conference attendances
Consultant physician. Initial attendance  (existing MBS item 110)  91824  $279.77
Consultant physician. Subsequent attendance  (existing MBS item 116) 91825  $140.03
Consultant physician. Minor attendance (existing item MBS 119)  91826  $72.17
* Consultant physician. Treatment and management plan - Initial assessment – at least 2 morbidities - at least 45 minutes duration (existing item MBS 132). 
*Effective 6 April 2020.           
92422 $450.03
* Consultant physician. Treatment and management plan - Review – at least 2 morbidities - at least 20 minutes duration (existing item MBS 133).
*Effective 6 April 2020.
92423 $225.26
Consultant physician : Telephone attendances (for when video-conferencing is not available)
Consultant physician. Initial attendance  (existing MBS item 110)  91834  $279.77
Consultant physician. Subsequent attendance  (existing MBS item 116) 91835  $140.03
Consultant physician. Minor attendance (existing item MBS 119) 91836  $72.17
* Consultant physician. Treatment and management plan - Initial assessment – at least 2 morbidities - at least 45 minutes duration (existing item MBS 132). 
*Effective 6 April 2020.
92431 $450.03
* Consultant physician. Treatment and management plan - Review – at least 2 morbidities - at least 20 minutes duration (existing item MBS 133).
*Effective 6 April 2020.
92432 $225.26
Consultant psychiatrist : Video-conference attendances
* Consultant psychiatrist diagnosis and assessment and management plan - at least 45 minutes in duration (existing item MBS 291)
*Effective 6 April 2020.
92435 $752.75
* Consultant psychiatrist diagnosis and assessment and management plan - 30 to 45 minutes (existing item MBS 293)
*Effective 6 April 2020.
92436 $470.56
* Consultant psychiatrist attendance, more than 45 minutes, new patient (or 2 years between last service for existing patient) (existing item MBS 296)
*Effective 6 April 2020.
92437 $432.85
Consultant psychiatrist. Consultation, not more than 15 minutes, fewer than 50 attendances (existing MBS item 300) 91827 $70.90
Consultant psychiatrist. Consultation, 15 to 30 minutes, fewer than 50 attendances (existing MBS item 302) 91828 $141.44
Consultant psychiatrist. Consultation, 30 to 45 minutes, fewer than 50 attendances (existing MBS item 304)  91829 $207.29
Consultant psychiatrist. Consultation, 45 to 75 minutes, fewer than 50 attendances (existing MBS item 306)  91830 $285.97
Consultant psychiatrist. Consultation, more than 75 minutes, fewer than 50 attendances (existing MBS item 308)  91831 $348.42
* Consultant psychiatrist, group psychotherapy, at least 1 hour, involving group of 2 to 9 unrelated patients or a family group of more than 3 patients (existing MBS item 342)
*Effective 20 April 2020.
92455 $80.83
* Consultant psychiatrist, group psychotherapy, at least 1 hour, involving family group of 3 patients (existing MBS item 344)
*Effective 20 April 2020. 
92456 $107.21
* Consultant psychiatrist, group psychotherapy, at least 1 hour, involving family group of 2 patients (existing MBS item 346)
*Effective 20 April 2020.
92457 $158.37
* Consultant psychiatrist attendance, interviewing a person other than a patient, 20 to 45 minutes, initial diagnosis (existing item MBS 348)
*Effective 6 April 2020.
92458 $206.42
* Consultant psychiatrist attendance, interviewing a person other than a patient, more than 45 minutes, initial diagnosis (existing item MBS 350)
*Effective 6 April 2020.
92459 $285.02
* Consultant psychiatrist attendance, interviewing a person other than a patient, more than 20 minutes, continuing management (existing item MBS 352)
*Effective 6 April 2020.
92460 $206.42
Consultant psychiatrist : Telephone attendances (for when video-conferencing is not available)
* Consultant psychiatrist diagnosis and assessment and management plan - at least 45 minutes in duration (existing item MBS 291)
*Effective 6 April 2020.
92475 $752.75
* Consultant psychiatrist diagnosis and assessment and management plan - 30 to 45 minutes (existing item MBS 293)
*Effective 6 April 2020.
92476 $470.56
* Consultant psychiatrist attendance, more than 45 minutes, new patient (or 2 years between last service for existing patient) (existing item MBS 296)
*Effective 6 April 2020.
92477 $432.85
Consultant psychiatrist. Consultation, not more than 15 minutes, fewer than 50 attendances (existing MBS item 300)  91837 $70.90
Consultant psychiatrist. Consultation, 15 to 30 minutes, fewer than 50 attendances (existing MBS item 302) 91838 $141.44
Consultant psychiatrist. Consultation, 30 to 45 minutes, fewer than 50 attendances (existing MBS item 304) 91839 $207.29
Consultant psychiatrist. Consultation, 45 to 75 minutes, fewer than 50 attendances (existing MBS item 306) 91840 $285.97
Consultant psychiatrist. Consultation, more than 75 minutes, fewer than 50 attendances (existing MBS item 308) 91841 $348.42
* Consultant psychiatrist, group psychotherapy, at least 1 hour, involving group of 2 to 9 unrelated patients or a family group of more than 3 patients (existing MBS item 342)
*Effective 20 April 2020.
92495 $80.83
* Consultant psychiatrist, group psychotherapy, at least 1 hour, involving family group of 3 patients (existing MBS item 344)
*Effective 20 April 2020.
92496 $107.21
* Consultant psychiatrist, group psychotherapy, at least 1 hour, involving family group of 2 patients (existing MBS item 346)
*Effective 20 April 2020.
92497 $158.37
* Consultant psychiatrist attendance, interviewing a person other than a patient, 20 to 45 minutes, initial diagnosis (existing item MBS 348)
*Effective 6 April 2020.
92498 $206.42
* Consultant psychiatrist attendance, interviewing a person other than a patient, more than 45 minutes, initial diagnosis (existing item MBS 350)
*Effective 6 April 2020.
92499 $285.02
* Consultant psychiatrist attendance, interviewing a person other than a patient, more than 20 minutes, continuing management (existing item MBS 352)
*Effective 6 April 2020.
92500 $206.42
Geriatric Medicine : Video-conference attendances
* Geriatric Medicine Comprehensive assessment and development of a management plan – patient 65 years or older - 60 minutes duration or more (existing item MBS 141)
*Effective 6 April 2020.
92623 $772.01
* Geriatric Medicine Subsequent attendance to review/revise the initial management plan as necessary – patient 65 years or older - 30 minutes duration or more (existing item MBS 143)
*Effective 6 April 2020.
92624 $484.42
Geriatric Medicine : Telephone attendances (for when video-conferencing is not available)
* Geriatric Medicine Comprehensive assessment and development of a management plan – patient 65 years or older - 60 minutes duration or more (existing item MBS 141)
*Effective 6 April 2020.
92628 $772.01
* Geriatric Medicine Subsequent attendance to review/revise the initial management plan as necessary – patient 65 years or older - 30 minutes duration or more (existing item MBS 143)
*Effective 6 April 2020.
92629 $484.42
Public Health Physician Services : Video-conference attendances
* Public health physician, level A attendance (existing MBS item 410)
*Effective 20 April 2020.
92513 $40.50
* Public health physician, level B attendance, less than 20 minutes (existing MBS item 411)
*Effective 20 April 2020.
92514 $84.79
* Public health physician, level C attendance, at least 20 minutes (existing MBS item 412)
*Effective 20 April 2020.
92515 $155.86
* Public health physician, level D attendance, at least 40 minutes (existing MBS item 413)
*Effective 20 April 2020.
92516 $229.76
Public Health Physician Services : Telephone attendances (for when video-conferencing is not available)
* Public health physician, level A attendance (existing MBS item 410)
*Effective 20 April 2020.
92521 $40.50
* Public health physician, level B attendance, less than 20 minutes  (existing MBS item 411)
*Effective 20 April 2020.
92522 $84.79
* Public health physician, level C attendance, at least 20 minutes (existing MBS item 412)
*Effective 20 April 2020.
92523 $155.86
* Public health physician, level D attendance, at least 40 minutes (existing MBS item 413)
*Effective 20 April 2020.
92524 $229.76
Neurosurgery attendances : Video-conference attendances
* Neurosurgeon, initial attendance (existing MBS item 6007)
*Effective 20 April 2020.
92610 $251.39
* Neurosurgeon, minor attendance (existing MBS item 6009)
*Effective 20 April 2020.
92611 $81.81
* Neurosurgeon, subsequent attendance, 15 to 30 minutes (existing MBS item 6011)
*Effective 20 April 2020.
92612 $163.12
* Neurosurgeon, subsequent attendance, 30 to 45 minutes (existing MBS item 6013)
*Effective 20 April 2020.
92613 $229.94
* Neurosurgeon, subsequent attendance, more than 45 minutes (existing MBS item 6015)
*Effective 20 April 2020.
92614 $292.68
Neurosurgery attendances : Telephone attendances (for when video-conferencing is not available)
* Neurosurgeon, initial attendance (existing MBS item 6007)
*Effective 20 April 2020.
92617 $251.39
* Neurosurgeon, minor attendance (existing MBS item 6009)
*Effective 20 April 2020.
92618 $81.81
* Neurosurgeon, subsequent attendance, 15 to 30 minutes (existing MBS item 6011)
*Effective 20 April 2020.
92619 $163.12
* Neurosurgeon, subsequent attendance, 30 to 45 minutes (existing MBS item 6013)
*Effective 20 April 2020.
92620 $229.94
* Neurosurgeon, subsequent attendance, more than 45 minutes (existing MBS item 6015)
*Effective 20 April 2020.
92621 $292.68

Mental Health attendances

For Medical services delivered via telehealth in response to COVID-19
Service DescriptionMBS/TAC Item NumberMaximum Payment Rate
General Practitioners (credentialed with CEM) : Video-conference attendances
GP without mental health training, prepare a mental health plan, 20 to 40 minutes (existing MBS item 2700) 92112 $106.85
GP without mental health training, prepare a mental health plan, more than 40 minutes (existing MBS item 2701) 92113 $157.25
GP to review a mental health plan (existing MBS item 2712) 92114 $206.42
GP mental health consult, more than 20 minutes (existing MBS item 2713) 92115 $136.27
GP with mental health training, prepare a mental health plan, 20 to 40 minutes (existing MBS item 2715) 92116 $135.63
GP with mental health training, prepare a mental health plan, more than 40 minutes (existing MBS item 2717) 92117 $199.77
FPS treatment of 30 to 40 minutes (existing MBS item 2729)  91818 $158.19
FPS treatment of more than 40 minutes (existing MBS item 2731) 91819 $226.41
General Practitioners (credentialed with CEM) : Telephone attendances (for when video-conferencing is not available)
GP without mental health training, prepare a mental health plan, 20 to 40 minutes (existing MBS item 2700) 92124 $106.85
GP without mental health training, prepare a mental health plan, more than 40 minutes (existing MBS item 2701) 92125 $157.25
GP to review a mental health plan (existing MBS item 2712) 92126 $206.42
GP mental health consult, more than 20 minutes (existing MBS item 2713) 92127 $136.27
GP with mental health training, prepare a mental health plan, 20 to 40 minutes (existing MBS item 2715) 92128 $135.63
GP with mental health training, prepare a mental health plan, more than 40 minutes (existing MBS item 2717) 92129 $199.77
FPS treatment of 30 to 40 minutes  (existing MBS item 2729)  91842 $158.19
FPS treatment of more than 40 minutes (existing MBS item 2731)  91843 $226.41
Other Medical Practitioners : Video-conference attendances
OMP without mental health training, prepare a mental health plan, 20 to 40 minutes (existing MBS item 272) 92118 $147.96
OMP without mental health training, prepare a mental health plan, more than 40 minutes (existing MBS item 276) 92119 $217.88
OMP to review a mental health plan (existing MBS item 277) 92120 $147.96
OMP mental health consult, more than 20 minutes (existing MBS item 279)  92121 $187.95
OMP with mental health training, prepare a mental health plan, 20 to 40 minutes (existing MBS item 281) 92122 $276.83
OMP with mental health training, prepare a mental health plan, more than 40 minutes (existing MBS item 282) 92123 $191.43
FPS treatment of 30 to 40 minutes (existing MBS item 371)  91820 $276.15
FPS treatment of more than 40 minutes (existing MBS item 372) 91821 $395.25
Other Medical Practitioners : Telephone attendances (for when video-conferencing is not available)
OMP without mental health training, prepare a mental health plan, 20 to 40 minutes (existing MBS item 272) 92130 $147.96
OMP without mental health training, prepare a mental health plan, more than 40 minutes (existing MBS item 276) 92131 $217.88
OMP to review a mental health plan (existing MBS item 277) 92132 $147.96
OMP mental health consult, more than 20 minutes (existing MBS item 279) 92133 $187.95
OMP with mental health training, prepare a mental health plan, 20 to 40 minutes (existing MBS item 281) 92134 $276.83
OMP with mental health training, prepare a mental health plan, more than 40 minutes (existing MBS item 282) 92135 $191.43
FPS treatment of 30 to 40 minutes  (existing MBS item 371) 91844 $276.15
FPS treatment of more than 40 minutes (existing MBS item 372) 91845 $395.25

Current Rates

Important: The Excel spreadsheet below was updated on 1 May and includes the MBS updates for 1 May and the temporary MBS COVID19 telehealth items payable by the TAC. Please replace any older versions you have previously downloaded.

Please note, that there could be up to a 48 hour delay before the MBS changes for 1 May take effect in Lantern Pay.

At the time of production this publication contained up to date information as released by Medicare Australia (Medicare).  The relevant publication will be updated to reflect any further changes that are implemented by Medicare each year.  Please check our website for the latest version.

If you have any questions about these publications or the reimbursement rates, please contact the TAC on 1300 654 329. Alternatively, e-mail info@tac.vic.gov.au.

Coronavirus update

The TAC is unable to send or receive hard copy documents at this time. We have some different options for you to send us forms, documents or receipts for reimbursement.

Reimbursements

  • myTAC
    Please use our app or web portal, myTAC to ask for reimbursements. Go to upload documents > reimbursement form and send us a photo of your receipt or proof of payment and a description of what you've paid for.
  • Email
    If you can't use myTAC to send your receipts, please take a photo and email it to us at info@tac.vic.gov.au. Include your claim number in the subject line of your email so we can process your request.

Forms and documents

  • myTAC
    Please use our app or web portal, myTAC to send forms or documents. Go to upload documents > submit documents and send us a photo of your form or document.
  • Email
    If you can't use myTAC to send your forms or documents, please take a photo and email it to us at info@tac.vic.gov.au. Include your claim number in the subject line of your email so we can process your request.

Mental health – digital resources for TAC clients

Summary:

Digital mental health services provide information, support and resources. They can provide an easy, effective alternative to seeing a health professional in person.

e-therapy - online mental health and persistent pain resources

Summary:

E-therapy programs are generally free web-based support programs where people can access information and counselling to assist them in managing persistent pain or mental health issues such as anxiety and depression.

E-therapy services are for people experiencing persistent pain, distress or mild to moderate symptoms of mental disorders, particularly stress and anxiousness or depressive like symptoms.

You might want to talk with your treating health practitioner or a mental health professional at the same time you're using an e-therapy service, or if you feel that your symptoms are not getting better during or after the service.

Generally most e-therapy programs are free. You should therefore contact the TAC before accessing any e-therapy service that requires payment.

Anxiety about driving

Summary:

After a car accident, it is normal to have feelings of anxiety and fear about driving.

If you think you do have anxiety about driving, there are things you can do to overcome it.

Peer Support Service information sheet

Summary:

Peer support is when people share and receive practical information, experiences, emotional support with someone else on a similar journey. 

Peer support options are generally free, person centred and aimed at helping people cope with a variety of health and social conditions.

While the TAC recognises that peer support programs can be a valuable support for our clients and encourages clients to participate, any costs related to a peer support program are payable by the client, including but not restricted to, attendance, access and transport. 

Principles of peer support as outlined by the Department of Human Services are generally accepted as a guideline for things for users to look for when sourcing a peer support.

Mental health and wellbeing services

We’re here to help you get your life back on track and will pay for mental health services you need as a result of a transport accident.

We can pay for the following services provided in Australia:

  • psychology
  • neuropsychology
  • psychiatry
  • social work

You can get this treatment immediately after your transport accident without initial approval from the TAC.

If it’s been more than 6 months since you had any treatment or service paid for by the TAC, you need to call us to find out if we can pay for this treatment.

When we can pay for mental health and wellbeing services

Mental health treatment and support is a TAC approved service. This means we will pay for a consultation with your doctor to assess your needs, there's no need to contact us first. As part of that consultation, they may refer you to a mental health service.

We can pay for your first six psychology or neuropsychology sessions at the TAC rate when recommended and required as a result of a transport accident injury.

If your treating psychologist recommends that you would benefit from more than six sessions your provider will need to complete and submit a Mental Health Treatment Plan. This plan outlines your treatment goals, outcome measures and recommends any additional sessions. When we receive the treatment plan we will review it and make a decision about further treatment and how many sessions we agree to pay for.

Where appropriate we will work with your treating team to help them organise the mental health services and support you need.

We may contact your provider of mental health services to discuss your progress or request an assessment to make sure that:

  • You have access to appropriate treatment and supports required for your transport accident injuries.
  • 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 independently.

If you have developed a dependency condition as a result of your transport accident, your doctor, psychologist or psychiatrist may also recommend that you attend a drug or alcohol program.

Counselling for family members

We will support immediate family members by paying for family counselling if their loved one has died or is severely injured as a result of an accident. Contact us to check your eligibility.

We can also support immediate family members if a loved one has:

  • a significant acquired brain injury
  • paraplegia or quadriplegia
  • amputation of an arm or leg
  • burns to more than 50 percent of their body
  • permanent blindness
  • a brachial plexus injury.

Family counselling can only be provided by a psychologist, doctor or social worker and we can only pay up to the maximum amount of $16,850.

If a family member has died, it may also be helpful to read our When a family member dies information. You can also call our Support Coordinators for help and advice on 1300 654 329 or toll free on 1800 332 556.

Treatment and services we can’t pay for

We can’t pay for services that:

  • Do not treat your transport accident injuries.
  • Are not reasonable, necessary or appropriate.
  • Are not clinically justified, safe and effective.

What do these services do?

Psychologists

Psychologists are educated in the science of how people feel, behave and react.  They can provide help with issues such as anxiety, depression, stress and eating disorders. Psychologists do not prescribe medications but use a number of evidence-based tests to determine the mental health and wellbeing of people.

Some psychologists specialise in neuropsychology, which studies the relationship between behaviour, emotion, cognition and brain function. This can be helpful for assessing, managing and rehabilitating people who have suffered a transport accident injury that has caused neurocognitive problems.

Psychiatrists

A psychiatrist is a medical specialist who can diagnose and treat mental health issues and emotional problems that you may experience as a result of your transport accident injuries. They use a range of approaches such as therapy, counselling and cognitive behavioural therapy to help you. They are able to prescribe medication.

Social workers

Social workers are trained to support people that are experiencing family problems, anxiety, depression, crisis and trauma. These may occur as a result of transport accident injuries. Social workers can also provide information and support to people who have mental health issues and require counselling.

For more information, see:

How treatments and services are paid for

We pay for your treatments:

  • Directly to your psychologist, psychiatrist or social worker, when you have given them your TAC claim number, or
  • If you have to pay, use myTAC to send a copy of your receipt to us and we will repay you.

We pay for your services in line with our responsibilities under the Transport Accident Act 1986.

How much we will pay

We will pay for your treatment and services according to our fee schedule. If your hospital charges more than the TAC rate, you may need to pay the difference.

See: TAC rates related to mental health and wellbeing services.

For accidents that happened before 14 February 2018, we can only pay for psychiatry and psychology services once any required medical excess has been reached. Find out if the medical excess applies to you.

For providers

If you are a provider of mental health services, please refer to the related Provider Guideline: