These guidelines should be read in conjunction with our General provider guidelines.

Who can provide social work services?

You can provide services if you are a qualified social worker who is eligible for full membership of the Australian Association of Social Workers (AASW).

What we can pay for

We have approved and can pay the reasonable costs of social work services immediately after a transport accident,  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.

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.

Social work services include:

Client consultationsindividual treatment

  • group treatment
  • case management
  • visiting a client who is an inpatient in a private hospital where the hospital has consented and the hospital is not a TAC arrangement hospital

Travel

  • 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 client's residence. Where more than one client is visited in a single travel period, total travel costs should be apportioned equally between clients.

Family counselling

  • family counselling to family members of an eligible client, when paid as a part of the claim of a person who dies or is severely injured as a result of a transport accident

Contact us to check client or family member eligibility. The Family Counselling Allowance applies per claim, regardless of how many eligible family members access this service. The applicable amount for each claim is dependent on when a family member first accessed the service. This allowance is the maximum amount we can pay for family counselling, as set out in the Transport Accident Act 1986. This amount is indexed annually.

Note: “Family member” refers to any member of the immediate family (i.e. partner, parent, sibling or child) of the person who dies or is severely injured as a result of a transport accident. A parent of a dependent child includes:

  • a person who has day-to-day care and responsibility of the child, with whom the child is normally resident
  • a guardian of the child

Other things to note

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.

Clients with a severe injury

If your client has a severe injury, the discussion, referral and approval of services may form part of the independence planning process between your client's treating team and our TAC coordinator.

If your client already has an individualised funding package, social work services may be included as part of that.

How much we can pay

We can pay for services in line with our Social work fees.

What we cannot pay for

We cannot pay for:

  • private travel costs incurred by a family counselling provider in the event where the services are performed out of rooms
  • travel costs incurred by a client's family member to travel to the destination where the family counselling services will be undertaken
  • neurotherapy treatment