These guidelines should be read in conjunction with our General provider guidelines.
Who can provide dietetic services?
You can provide services if you are a dietitian who is qualified and accredited with the Dietitian Association of Australia (DAA).
What we can pay for
We can pay the reasonable costs of dietetic services when they are required as a result of a transport accident injury.
We will review our client’s services to ensure they're reasonable, clinically justified, outcome focused and in line with the Clinical Framework. We'll ask you and our client for information during these reviews and may temporarily stop funding treatment if we don’t receive it. When requested, you must complete the Allied health treatment and recovery plan and return it to us.
Reviews help us understand our client’s injuries, treatment needs and goals and how to best support them to get their life back on track. After a review we’ll let you and our client know the decision regarding further treatment.
We can pay for dietetic consultations and weight loss and weight management treatment and services that are clinically justified by a medical practitioner where:
- significant weight gain has occurred as a direct result of transport accident injuries
- the patient is unable to independently maintain their pre-accident weight due to transport accident injuries.
For an at-risk patient whose dietary requirements cannot be satisfied by a normal diet because of the transport accident injury/condition, we can pay for continued management of special food and special food formula prescribed by a medical practitioner, hospital or provider of a hospital service. This may include:
- a woman whose transport accident injuries prevent her from breastfeeding, or
- a baby/infant who cannot be breastfeed because of his/her transport accident injury/condition
We can pay for travel to conduct treatment in the community, where this is clinically justified.
Travel time can be paid for travel to and from your practice address and your patient's residence. Where more than one patient is visited in a single travel period, total travel costs should be apportioned equally between patients.
Other things to note
For accidents that occurred prior to 14 February 2018 a medical excess may apply. Visit the medical excess page to see if it applies to your patient. If the medical excess applies you will need to invoice the client directly.
Gap in treatment
If our client has not received treatment in 6 months they will need to seek approval from us before we will pay for further treatment. Ask our client for a copy of their approval if you haven’t seen them in 6 months.
Patients with a severe injury
If your patient has a severe injury, the discussion, referral and approval of services may form part of the independence planning process between the patient's treating team and our TAC coordinator.
If your patient already has an individualised funding package, dietetic services may be included as part of that.
How much we can pay
We can pay for services in line with our Dietitian fees.
What we cannot pay for
We cannot pay for:
- treatment and services for cosmetic reasons
- weight loss programs or food/meal replacement services, such as home delivered meal services like Lite 'n Easy, or commercial weight loss programs such as Weight Watchers, Jenny Craig or Optifast
- everyday conventional food and drink that is required to be prepared in a modified form for the client, including food to be prepared for a soft diet or food that will be vitamised or thickened