Speech pathology guidelines
These guidelines should be read in conjunction with our General provider guidelines.
Who can provide speech pathology services?
You can provide services if you are a speech pathologist who is eligible for membership with Speech Pathology Australia and you meet its ongoing registration standards to practice in Australia (other than as a student).
What we can pay for
Within the first 90 days of a client’s accident, we can help pay for speech pathology without the need for you or the client to contact us for approval first. The treatment or service must be recommended by a health professional, related to the client’s accident injuries and delivered in line with the Clinical Framework.
If you intend to continue treating a TAC client beyond 90 days after their transport accident you will need to send us a request in writing or a copy of their treatment plan. We will review our client’s treatment to ensure it’s reasonable, clinically justified, outcome focused and in line with the Clinical Framework. We will assess your request and let you and the client know our decision about what we can help pay for and for how long.
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.
We can help pay for:
- Individual treatment.
- Group treatment.
- 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.
- Provision of basic equipment. Our approval is required for specialised equipment. Please read our Medical and rehabilitation equipment guidelines and use the Equipment Prescription Form to submit written requests.
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.
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, speech pathology may be included as part of that.
How much we can pay
We can pay for services in line with our Speech pathology fees.
Fees for speech pathology performed within a public hospital are based on the Department of Health Schedule of Fees and Charges for acute health services in Victoria.
If your fee is higher than our fee, you may choose to charge the client the difference in the form of a gap payment.
What we cannot pay for
We cannot pay for services that are included in a hospital inpatient bed fee.