What we can pay for during COVID-19

Can the TAC pay for providers to participate in client planning meetings via teleconference or phone conferencing?

Yes. The TAC will  continue to pay for providers to participate in client planning meetings/conversations taking place by teleconferencing or phone conferencing.  This is not considered a telehealth service.

Will the TAC extend treatment or service approvals due to the coronavirus situation?

As is our current practice for all TAC funded treatment and services, we will consider requests to extend a treatment or service approval based on a client's individual circumstances.

If you believe a client will require a reasonable extension to their current approval period, the client or their provider should contact us to discuss their needs.

There are currently different options for how to contact us. We will respond to all queries as quickly as possible, however you may experience delays given the current situation.

Will the TAC fund health provider home visits to TAC clients?

The TAC will consider requests to fund home visits if a TAC client needs to access essential health services, but is isolating themselves at home on advice from a medical practitioner, or they are a patient in a vulnerable group*.

As is our current practice for all TAC funded treatment and services, the need for a home visit must:

  • relate to the TAC client’s transport accident injuries
  • be reasonable, according to the Transport Accident Act, 1986
  • be clinically justified and outcome focussed.

*Vulnerable groups are people aged over 70, Aboriginal and Torres Strait Islander people aged over 50, people with chronic health conditions or those who are immunocompromised

What happens if a TAC client cancels an appointment because of the coronavirus?

There is no provision in our legislation to pay for services that aren’t provided. This includes appointments cancelled due to the coronavirus.

You can find this information in our general provider guideline.

Please see your relevant provider guideline for more information about what the TAC can and can’t pay for.

Does the TAC pay for rubber gloves and hand disinfectants?

The TAC cannot pay for rubber gloves and hand disinfectants. For most health providers, these items belong to consumables that should be provided as part of in-rooms treatment. See our Equipment guidelines. For attendant care agencies and accommodation facilities, these items are expected to be provided as part of the provider's Occupational Health and Safety requirements as part of regular infection control practice

Does the TAC pay for face masks?

No, the TAC cannot pay for face masks or other items unrelated to a client's transport accident. Please refer to the DHHS website for up to date recommendations on the use of face masks.

Will the TAC pay for the delivery of pharmacy items?

The TAC can pay for medication to be delivered to a client’s home if the client is unable to attend a pharmacy due to their transport accident injuries.

If a client is cannot visit a pharmacy because they are self-isolating due to COVID-19, they should consider home delivery options through local pharmacies or the government's Home Medicines Service.

Can home services still be funded during the COVID-19 pandemic?

At present home services are considered an essential service. Therefore, the TAC will continue to fund home services unless government guidelines change. However, home services providers need to follow Commonwealth Government and respective State Government guidelines while working with TAC clients during the pandemic, including adhering to social distancing while delivering services.

Can the TAC fund taxis instead of public transport for clients who are worried about contracting COVID-19?

The TAC will not fund taxis in place of public transport if a client is concerned they will contract COVID-19. Clients are encouraged to practice social distancing on public transport and follow government guidelines around the need to leave home and hygiene practices.

Can the TAC fund thermometers for clients to screen TAC-funded service providers for COVID-19 before entering client homes?

As thermometers are not directly linked to a motor vehicle related claim, the TAC cannot fund them. If you have reason to believe the client’s TAC-funded service is at risk of instability, you should discuss this with the claims manager.

Can providers, such as exercise physiologist or physiotherapists invoice equipment items for home gyms now gyms have closed?

If a client has had a long term TAC funded gym membership* due to a transport accident the TAC may consider paying or hiring equipment in place of the client’s usual gym membership. Any gym equipment requests will be considered on a case by case basis and will be considered temporary until the threat of COVID-19 passes.

  • The provider must have approval from the TAC claims manager before purchasing any equipment for the client.
  • Prior to making a request the provider must have explored other exercise options with the client (e.g. walking, functional strengthening, body weight exercises, etc.), ensure the request is clinically justified, will assist the client in reaching their rehabilitation goals and have regular outcome assessments.
  • Depending on the nature of the request it may be approved, denied or another option by the TAC may be offered.
  • If gym equipment is purchased, it may not be necessary for a client to resume a gym membership when gyms reopen.

*A gym membership is considered long term if it has been approved for at least the past six months and has approval for at least the next six months.