Please note: BASSA services performed after 1 October 2016 are no longer payable and have been replaced by a new model called Framework Occupational Therapy. Please refer to the Framework Occupational Therapy services policy for further information.
POLICY
The TAC can fund the reasonable cost of Benefit and Support Service Assessments required as a result of a client's transport accident injuries, where the service is provided by a TAC contracted Benefit and Support Service Assessor (BASSA).
Referral to a BASSA can only be made by the TAC.
Transport Accident Act 1986 reference: s.12
DEFINITIONS
In this policy, a Benefit and Support Services Assessor (BASSA) refers to a provider who:
- has met the TAC eligibility criteria to provide occupational therapy services as outlined in Schedule 1 - Authorised Rehabilitation Services
- has a minimum of 3 years demonstrated, relevant experience in occupational therapy
- has met specific selection criteria in a TAC tender process for the provision of benefit and support service assessments
- has signed a contract with the TAC to provide benefit and support service assessments.
GUIDELINES
What can a Benefit and Support Service Assessor provide?
A BASSA can provide advice to the TAC regarding a client's need for TAC funded benefits and support services.
These benefits and support services include:
- Attendant care. Refer to the Attendant Care policy.
- Post acute support. Refer to the Post Acute Support for Accidents on or after 1 January 2005 policy.
- Domestic services. Refer to the Domestic Services for Accidents on or before 31 December 2004 policy.
- Home services. Refer to the Home Services for Accidents on or after 1 January 2005 policy.
- Household Help. Refer to the Household Help policy.
- Home modifications. Refer to the Home Modifications policy.
- Vehicle modifications. Refer to the Modifications or Contribution Towards the Purchase Cost of a Vehicle policy.
- Equipment. Refer to the Equipment policy.
Who can conduct benefit and support services assessments?
A Benefit and Support Service Assessment can only be conducted by a TAC contracted Benefit and Support Services Assessor.
In relation to Benefit and Support Service Assessor (BASSA) services what will the TAC not fund?
The TAC will not fund:
- services for a person other than the injured client
- services for a condition that existed before a transport accident or that is not a direct result of a transport accident
- services where there is no clinical justification for the service
- services where there is no objective evidence that a service is safe and effective
- the cost of telephone calls and telephone consultations between providers and clients, and between providers, including hospitals
- fees associated with non-attendance
- services subcontracted to a non-contracted provider
- any fines, fuel costs, toll charges, travel insurance or motor vehicle hire associated with travel costs
- services provided outside the Commonwealth of Australia
- services provided more than 2 years prior to the request for funding except where the request for payment is made within 3 years of the transport accident. Refer to the Time Limit to Apply for the Payment of Medical and Like Expenses policy.