Occupational therapy
We can help pay for this treatment in the first 90 days after your accident. You do not need to contact us for approval first if:
- you have a TAC claim number
- your doctor or other health professional recommends it, and
- it is for your accident injuries.
We may contact you or your provider to check your progress and see if you are getting the support you need. This will help us make sure your treatment is helping your recovery. It will allow us to make decisions about what treatment we can pay for and how long we can pay for it.
Receiving different allied health treatments at the same time for the same injury is not usually recommended. If you or your provider believe this is necessary, please contact us to talk about your needs.
In response to COVID-19, the TAC can now pay for telehealth appointments for treatment related to your transport accident. Find out more about telehealth.
When you need to ask for TAC approval
Please contact us for approval if it is:
- close to or more than 90 days since your accident and we haven’t already approved more treatment, or
- more than 6 months since you’ve had any treatment or service paid for by the TAC.
How we pay for treatment
There are two ways we can pay for your approved treatments and services:
- we pay your provider at the TAC rate
- you pay your provider, and we repay you at the TAC rate.
To ask for a reimbursement, scan or take a photo of your receipt. Send it to us with the ‘Claim reimbursement’ button on myTAC, or by email to info@tac.vic.gov.au and we will repay you.
We will pay for your treatment at the TAC rate . If your provider charges more than the TAC rate, you may need to pay the difference. This is known as a 'gap payment'.
If your provider charges you a gap payment, you may be able to seek reimbursement for some of this through:
- Medicare or your private health insurance
- The TAC.
Please note, in most cases, we are unable to reimburse you for a gap payment. This is because we have paid for your treatment or service at a rate we have determined is reasonable. You may still ask for a reimbursement from the TAC and we will let you know our decision.
What does an occupational therapist do?
Occupational therapists are trained to help people to take part in everyday activities and live more independent lives.
You may need the help of an occupational therapist after your accident.
Effective 1 October 2024
As of 1 October, the Occupational Therapy fee schedule will reflect the change of service title to Tier ONE and Tier TWO.
New tiers replace the previous reference to Green/Amber or Red services. The item codes and fees remain the same.
OTs who are new to working with TAC clients from 1 October 2024 should invoice the TAC under Tier 1 item codes.
| As a provider: | From 1 October you should invoice the TAC under: |
|---|---|
| Who Is new to working with TAC clients | Tier 1 |
| Who used Green/Amber item codes | Tier 1 |
| Who used Red item codes | Tier 2 |
The TAC has extended the funding of temporary telehealth services previously scheduled to end on 30 September 2020 until further notice, giving clients the ongoing convenience and flexibility of accessing health services from home.
Occupational therapy services can be invoiced online via HICAPS Digital Claims for next business day payments.
| Service Description | TAC Item Number | Maximum Payment Rate - Non Registered for GST | Maximum Payment Rate - Registered for GST |
|---|---|---|---|
| Occupational Therapy Treatment (If Initial OT Assessment Form or OT Service Plan Review Form is required this is included in consultation fee) | |||
|
Standard Consultation: Up to 30 minutes | OTSG02 | $57.62 | $57.62 |
|
Standard Consultation: Up to 30 minutes (Telehealth) | OTSG02T | $57.62 | $57.62 |
|
Long Consultation: > 30 minutes - 45 minutes | OTSG03 | $86.12 | $86.12 |
|
Long Consultation: > 30 minutes - 45 minutes (Telehealth) | OTSG03T | $86.12 | $86.12 |
|
Prolonged Consultation: > 45 minutes - 60 minutes | OTSG04 | $115.07 | $115.07 |
|
Prolonged Consultation: > 45 minutes - 60 minutes (Telehealth) | OTSG04T | $115.07 | $115.07 |
| Group Consultation (per person) | OTSG05 | $34.66 | $34.66 |
| Travel (with prior approval): | OTSG07 | $28.77 | $28.77 |
| Travel time from practitioner's prior consultation to the clients residence and from the clients residence to the practitioners next appointment (rate per 15 minutes) | |||
| Home Modifications | |||
| Undertake inspection, education and complete report (per hour) | OTSG08 | $126.43 | $126.43 |
| Undertake inspection, education and complete report (per hour) (Telehealth) | OTSG08T | $126.43 | $126.43 |
| Co-ordinate modifications and organise equipment (per hour) | OTSG09 | $126.43 | $126.43 |
| Travel time: | OTSG10 | $31.61 | $31.61 |
| Travel time from practitioner's prior consultation to the client's residence and from the client's residence to the practitioners next appointment (rate per 15 minutes) | |||
| Driving Assessment | |||
| Driving Assessment: | OTSG11 | $126.43 | $126.43 |
| Funding request must specify the amount of time allocated for each of the different driving assessment components including the on-road assessment, off-road assessment and report writing (per hour) | |||
| Home Services Assessment and Review | |||
| Undertake initial assessment and/or review of services and complete report (per hour) | OTSG12 | $126.43 | $126.43 |
| Undertake initial assessment and/or review of services and complete report (per hour) (Telehealth) | OTSG12T | $126.43 | $126.43 |
| Travel time: | OTSG13 | $31.61 | $31.61 |
| Travel time from practitioner's prior consultation to the client's residence and from the client's residence to the practitioners next appointment (rate per 15 minutes) | |||
| Occupation Review of Capabilities | |||
| Report (flat rate) | OTSG14 | $315.87 | $315.87 |
| Assessment/Liaison (per hour) | OTSG15 | $126.43 | $126.43 |
| Assessment/Liaison (per hour) (Telehealth) | OTSG15T | $126.43 | $126.43 |
| Travel (rate per 15 minutes) | OTSG16 | $31.61 | $31.61 |
| Assistive Technology | |||
| Assessment and Assessment Report : | OTSG17 | $126.43 | $126.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for >5 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSG17T | $126.43 | $126.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for >5 hours | |||
| Community Access and Transport Recommendations | |||
| Assessment and Assessment Report: | OTSG24 | $126.43 | $126.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Assessment and Assessment Report (Telehealth): | OTSG24T | $126.43 | $126.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Vehicle Modifications Assessment | |||
| Assessment and Assessment Report: | OTSG28 | $126.43 | $126.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Assessment and Assessment Report (Telehealth): | OTSG28T | $126.43 | $126.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
2024/25 General OT: Tier ONE
| Service Description | TAC Item Number | Maximum Payment Rate - Non Registered for GST | Maximum Payment Rate - Registered for GST |
|---|---|---|---|
| Occupational Therapy Treatment (If Initial OT Assessment Form or OT Service Plan Review Form is required this is included in consultation fee) | |||
|
Standard Consultation: Up to 30 minutes | OTSG02 | $57.62 | $57.62 |
|
Standard Consultation: Up to 30 minutes (Telehealth) | OTSG02T | $57.62 | $57.62 |
|
Long Consultation: > 30 minutes - 45 minutes | OTSG03 | $86.12 | $86.12 |
|
Long Consultation: > 30 minutes - 45 minutes (Telehealth) | OTSG03T | $86.12 | $86.12 |
|
Prolonged Consultation: > 45 minutes - 60 minutes | OTSG04 | $115.07 | $115.07 |
|
Prolonged Consultation: > 45 minutes - 60 minutes (Telehealth) | OTSG04T | $115.07 | $115.07 |
| Group Consultation (per person) | OTSG05 | $34.66 | $34.66 |
| Travel (with prior approval): | OTSG07 | $28.77 | $28.77 |
| Travel time from practitioner's prior consultation to the clients residence and from the clients residence to the practitioners next appointment (rate per 15 minutes) | |||
| Home Modifications | |||
| Undertake inspection, education and complete report (per hour) | OTSG08 | $126.43 | $126.43 |
| Undertake inspection, education and complete report (per hour) (Telehealth) | OTSG08T | $126.43 | $126.43 |
| Co-ordinate modifications and organise equipment (per hour) | OTSG09 | $126.43 | $126.43 |
| Travel time: | OTSG10 | $31.61 | $31.61 |
| Travel time from practitioner's prior consultation to the client's residence and from the client's residence to the practitioners next appointment (rate per 15 minutes) | |||
| Driving Assessment | |||
| Driving Assessment: | OTSG11 | $126.43 | $126.43 |
| Funding request must specify the amount of time allocated for each of the different driving assessment components including the on-road assessment, off-road assessment and report writing (per hour) | |||
| Home Services Assessment and Review | |||
| Undertake initial assessment and/or review of services and complete report (per hour) | OTSG12 | $126.43 | $126.43 |
| Undertake initial assessment and/or review of services and complete report (per hour) (Telehealth) | OTSG12T | $126.43 | $126.43 |
| Travel time: | OTSG13 | $31.61 | $31.61 |
| Travel time from practitioner's prior consultation to the client's residence and from the client's residence to the practitioners next appointment (rate per 15 minutes) | |||
| Occupation Review of Capabilities | |||
| Report (flat rate) | OTSG14 | $315.87 | $315.87 |
| Assessment/Liaison (per hour) | OTSG15 | $126.43 | $126.43 |
| Assessment/Liaison (per hour) (Telehealth) | OTSG15T | $126.43 | $126.43 |
| Travel (rate per 15 minutes) | OTSG16 | $31.61 | $31.61 |
| Assistive Technology | |||
| Assessment and Assessment Report : | OTSG17 | $126.43 | $126.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for >5 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSG17T | $126.43 | $126.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for >5 hours | |||
| Community Access and Transport Recommendations | |||
| Assessment and Assessment Report: | OTSG24 | $126.43 | $126.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Assessment and Assessment Report (Telehealth): | OTSG24T | $126.43 | $126.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Vehicle Modifications Assessment | |||
| Assessment and Assessment Report: | OTSG28 | $126.43 | $126.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Assessment and Assessment Report (Telehealth): | OTSG28T | $126.43 | $126.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Service Description | TAC Item Number | Maximum Payment Rate - Non Registered for GST | Maximum Payment Rate - Registered for GST |
|---|---|---|---|
| Occupational Therapy Treatment | |||
| OT Service Session as approved by the TAC. Rate per hour, billed in 15 minute increments | OTSR01 | $160.84 | $160.84 |
| OT Service Session as approved by the TAC. Rate per hour, billed in 15 minute increments (Telehealth) | OTSR01T | $160.84 | $160.84 |
| Travel: | OTSR02 | $40.21 | $40.21 |
| Travel directly related to the provision of SWEP Red Services with the approval of the TAC (rate per 15 minutes). This fee includes all costs associated with the travel. | |||
| Initial Occupational Therapy Service Assessment & Plan Review (OTSP) | OTSR03 | $160.84 | $176.92 |
| Initial Home Services Assessment | |||
| Assessment and Assessment Report: | OTSR04 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) in accordance with the approval given by the TAC | |||
| Assessment and Assessment Report (Telehealth): | OTSR04T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) in accordance with the approval given by the TAC | |||
| Follow-up Services: | OTSR05 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR05T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR06 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow Up Services: | OTSR07 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Home Services Review | |||
| Assessment and Assessment Report: | OTSR08 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR08T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Follow-up Services: | OTSR09 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR09T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR10 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR11 | $40.21 | $40.21 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Occupational Therapy Review of Capabilities | |||
| Assessment and Assessment Report: | OTSR12 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR12T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Follow-up Services: | OTSR13 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR13T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR14 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR15 | $40.21 | $40.21 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Assistive Technology | |||
| Assessment and Assessment Report: | OTSR16 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 5 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR16T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 5 hours | |||
| Follow-up Services: | OTSR17 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR17T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR18 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR19 | $40.21 | $40.21 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes).TAC approval required for > 1 hour | |||
| Home Modifications | |||
| Assessment and Assessment Report: | OTSR20 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 8 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR20T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 8 hours | |||
| Follow-up Services: | OTSR21 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Follow-up Services (Telehealth): | OTSR21T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Travel - Assessment: | OTSR22 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR23 | $40.21 | $40.21 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Community Access and Transport Needs | |||
| Assessment and Assessment Report: | OTSR24 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR24T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Follow-up Services: | OTSR25 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR25T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR26 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR27 | $40.21 | $40.21 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Vehicle Modifications Assessment | |||
| Assessment and Assessment Report: | OTSR28 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR28T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Follow-up Services: | OTSR29 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Follow-up Services (Telehealth): | OTSR29T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Final Vehicle Inspection Report - Completion of the Report (Flat rate - Per Report) | OTSR30 | $160.84 | $176.92 |
| Travel - Assessment: | OTSR31 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR32 | $40.21 | $40.21 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Occupational Therapy Vocational Services | |||
| Worksite Assessment/Job Analysis: | VOC005 | $126.43 | $126.43 |
| An assessment and report evaluating the suitability of the worksite and job specifications for a client (per hour). A full report will contain an analysis of the worksite and recommendations regarding critical work demands, the ability of the client to perform particular duties, suitable alternative duties, modifications to the workplace and other relevant issues. This may include recommendations for the grading of hours and duties and other requirements for the establishment of a TAC return to work program. Time allocated is to include liaison with all relevant parties. | |||
| Worksite Assessment/Job Analysis (Telehealth): | VOC005T | $126.43 | $126.43 |
| An assessment and report evaluating the suitability of the worksite and job specifications for a client (per hour). A full report will contain an analysis of the worksite and recommendations regarding critical work demands, the ability of the client to perform particular duties, suitable alternative duties, modifications to the workplace and other relevant issues. This may include recommendations for the grading of hours and duties and other requirements for the establishment of a TAC return to work program. Time allocated is to include liaison with all relevant parties. | |||
| Post Placement Support: | VOC010 | $126.43 | $126.43 |
| This service involves the monitoring of a TAC return to work program to ensure progress is occurring and, in consultation with the TAC Rehabilitation Officer, address any problems which arise (per hour). The service is an adjuct to the establishment of a TAC return-to-work program which may form part of the Worksite Assessment and could apply to clients returning to their pre-accident employment or commencement in new employment. | |||
| Post Placement Support (Telehealth): | VOC010T | $126.43 | $126.43 |
| This service involves the monitoring of a TAC return to work program to ensure progress is occurring and, in consultation with the TAC Rehabilitation Officer, address any problems which arise (per hour). The service is an adjuct to the establishment of a TAC return-to-work program which may form part of the Worksite Assessment and could apply to clients returning to their pre-accident employment or commencement in new employment. | |||
| Travel (rate per 15 minutes): | VOC015 | $31.61 | $31.61 |
| Travel time from practitioner's prior appointment to the relevant location (place of employment, residence, etc) and from this location to the practitioner's next appointment (rate per 15 minutes). | |||
| Note: Single Discipline Vocational Services are only payable when undertaken by an appropriately qualified practitioner as follows: > Worksite Assessment/Job Analysis - Ergonomist, Occupational Therapist > Post Placement Support - Occupational Therapist, Rehabilitation Counsellor, Vocational Counsellor, Ergonomist | |||
2024/25: Tier TWO
| Service Description | TAC Item Number | Maximum Payment Rate - Non Registered for GST | Maximum Payment Rate - Registered for GST |
|---|---|---|---|
| Occupational Therapy Treatment | |||
| OT Service Session as approved by the TAC. Rate per hour, billed in 15 minute increments | OTSR01 | $160.84 | $160.84 |
| OT Service Session as approved by the TAC. Rate per hour, billed in 15 minute increments (Telehealth) | OTSR01T | $160.84 | $160.84 |
| Travel: | OTSR02 | $40.21 | $40.21 |
| Travel directly related to the provision of SWEP Red Services with the approval of the TAC (rate per 15 minutes). This fee includes all costs associated with the travel. | |||
| Initial Occupational Therapy Service Assessment & Plan Review (OTSP) | OTSR03 | $160.84 | $176.92 |
| Initial Home Services Assessment | |||
| Assessment and Assessment Report: | OTSR04 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) in accordance with the approval given by the TAC | |||
| Assessment and Assessment Report (Telehealth): | OTSR04T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) in accordance with the approval given by the TAC | |||
| Follow-up Services: | OTSR05 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR05T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR06 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow Up Services: | OTSR07 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Home Services Review | |||
| Assessment and Assessment Report: | OTSR08 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR08T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Follow-up Services: | OTSR09 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR09T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR10 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR11 | $40.21 | $40.21 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Occupational Therapy Review of Capabilities | |||
| Assessment and Assessment Report: | OTSR12 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR12T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Follow-up Services: | OTSR13 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR13T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR14 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR15 | $40.21 | $40.21 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Assistive Technology | |||
| Assessment and Assessment Report: | OTSR16 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 5 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR16T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 5 hours | |||
| Follow-up Services: | OTSR17 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR17T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR18 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR19 | $40.21 | $40.21 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes).TAC approval required for > 1 hour | |||
| Home Modifications | |||
| Assessment and Assessment Report: | OTSR20 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 8 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR20T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 8 hours | |||
| Follow-up Services: | OTSR21 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Follow-up Services (Telehealth): | OTSR21T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Travel - Assessment: | OTSR22 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR23 | $40.21 | $40.21 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Community Access and Transport Needs | |||
| Assessment and Assessment Report: | OTSR24 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR24T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Follow-up Services: | OTSR25 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR25T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR26 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR27 | $40.21 | $40.21 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Vehicle Modifications Assessment | |||
| Assessment and Assessment Report: | OTSR28 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR28T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Follow-up Services: | OTSR29 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Follow-up Services (Telehealth): | OTSR29T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Final Vehicle Inspection Report - Completion of the Report (Flat rate - Per Report) | OTSR30 | $160.84 | $176.92 |
| Travel - Assessment: | OTSR31 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR32 | $40.21 | $40.21 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Occupational Therapy Vocational Services | |||
| Worksite Assessment/Job Analysis: | VOC005 | $126.43 | $126.43 |
| An assessment and report evaluating the suitability of the worksite and job specifications for a client (per hour). A full report will contain an analysis of the worksite and recommendations regarding critical work demands, the ability of the client to perform particular duties, suitable alternative duties, modifications to the workplace and other relevant issues. This may include recommendations for the grading of hours and duties and other requirements for the establishment of a TAC return to work program. Time allocated is to include liaison with all relevant parties. | |||
| Worksite Assessment/Job Analysis (Telehealth): | VOC005T | $126.43 | $126.43 |
| An assessment and report evaluating the suitability of the worksite and job specifications for a client (per hour). A full report will contain an analysis of the worksite and recommendations regarding critical work demands, the ability of the client to perform particular duties, suitable alternative duties, modifications to the workplace and other relevant issues. This may include recommendations for the grading of hours and duties and other requirements for the establishment of a TAC return to work program. Time allocated is to include liaison with all relevant parties. | |||
| Post Placement Support: | VOC010 | $126.43 | $126.43 |
| This service involves the monitoring of a TAC return to work program to ensure progress is occurring and, in consultation with the TAC Rehabilitation Officer, address any problems which arise (per hour). The service is an adjuct to the establishment of a TAC return-to-work program which may form part of the Worksite Assessment and could apply to clients returning to their pre-accident employment or commencement in new employment. | |||
| Post Placement Support (Telehealth): | VOC010T | $126.43 | $126.43 |
| This service involves the monitoring of a TAC return to work program to ensure progress is occurring and, in consultation with the TAC Rehabilitation Officer, address any problems which arise (per hour). The service is an adjuct to the establishment of a TAC return-to-work program which may form part of the Worksite Assessment and could apply to clients returning to their pre-accident employment or commencement in new employment. | |||
| Travel (rate per 15 minutes): | VOC015 | $31.61 | $31.61 |
| Travel time from practitioner's prior appointment to the relevant location (place of employment, residence, etc) and from this location to the practitioner's next appointment (rate per 15 minutes). | |||
| Note: Single Discipline Vocational Services are only payable when undertaken by an appropriately qualified practitioner as follows: > Worksite Assessment/Job Analysis - Ergonomist, Occupational Therapist > Post Placement Support - Occupational Therapist, Rehabilitation Counsellor, Vocational Counsellor, Ergonomist | |||
| Service Description | TAC Item Number | Maximum Payment Rate - Non Registered for GST | Maximum Payment Rate - Registered for GST |
|---|---|---|---|
| Occupational Therapy Treatment (If Initial OT Assessment Form or OT Service Plan Review Form is required this is included in consultation fee) | |||
|
Standard Consultation: Up to 30 minutes | OTSG02 | $55.51 | $55.51 |
|
Standard Consultation: Up to 30 minutes (Telehealth) | OTSG02T | $55.51 | $55.51 |
|
Long Consultation: > 30 minutes - 45 minutes | OTSG03 | $82.96 | $82.96 |
|
Long Consultation: > 30 minutes - 45 minutes (Telehealth) | OTSG03T | $82.96 | $82.96 |
|
Prolonged Consultation: > 45 minutes - 60 minutes | OTSG04 | $110.85 | $110.85 |
|
Prolonged Consultation: > 45 minutes - 60 minutes (Telehealth) | OTSG04T | $110.85 | $110.85 |
| Group Consultation (per person) | OTSG05 | $33.39 | $33.39 |
| Travel (with prior approval): | OTSG07 | $27.72 | $27.72 |
| Travel time from practitioner's prior consultation to the clients residence and from the clients residence to the practitioners next appointment (rate per 15 minutes) | |||
| Home Modifications | |||
| Undertake inspection, education and complete report (per hour) | OTSG08 | $121.79 | $121.79 |
| Undertake inspection, education and complete report (per hour) (Telehealth) | OTSG08T | $121.79 | $121.79 |
| Co-ordinate modifications and organise equipment (per hour) | OTSG09 | $121.79 | $121.79 |
| Travel time: | OTSG10 | $30.46 | $30.46 |
| Travel time from practitioner's prior consultation to the client's residence and from the client's residence to the practitioners next appointment (rate per 15 minutes) | |||
| Driving Assessment | |||
| Driving Assessment: | OTSG11 | $121.79 | $121.79 |
| Funding request must specify the amount of time allocated for each of the different driving assessment components including the on-road assessment, off-road assessment and report writing (per hour) | |||
| Home Services Assessment and Review | |||
| Undertake initial assessment and/or review of services and complete report (per hour) | OTSG12 | $121.79 | $121.79 |
| Undertake initial assessment and/or review of services and complete report (per hour) (Telehealth) | OTSG12T | $121.79 | $121.79 |
| Travel time: | OTSG13 | $30.46 | $30.46 |
| Travel time from practitioner's prior consultation to the client's residence and from the client's residence to the practitioners next appointment (rate per 15 minutes) | |||
| Occupation Review of Capabilities | |||
| Report (flat rate) | OTSG14 | $304.28 | $304.28 |
| Assessment/Liaison (per hour) | OTSG15 | $121.79 | $121.79 |
| Assessment/Liaison (per hour) (Telehealth) | OTSG15T | $121.79 | $121.79 |
| Travel (rate per 15 minutes) | OTSG16 | $30.46 | $30.46 |
| Assistive Technology | |||
| Assessment and Assessment Report : | OTSG17 | $121.79 | $121.79 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for >5 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSG17T | $121.79 | $121.79 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for >5 hours | |||
| Community Access and Transport Recommendations | |||
| Assessment and Assessment Report: | OTSG24 | $121.79 | $121.79 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Assessment and Assessment Report (Telehealth): | OTSG24T | $121.79 | $121.79 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Vehicle Modifications Assessment | |||
| Assessment and Assessment Report: | OTSG28 | $121.79 | $121.79 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Assessment and Assessment Report (Telehealth): | OTSG28T | $121.79 | $121.79 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
2023/24 General OT: Green/Amber
| Service Description | TAC Item Number | Maximum Payment Rate - Non Registered for GST | Maximum Payment Rate - Registered for GST |
|---|---|---|---|
| Occupational Therapy Treatment (If Initial OT Assessment Form or OT Service Plan Review Form is required this is included in consultation fee) | |||
|
Standard Consultation: Up to 30 minutes | OTSG02 | $55.51 | $55.51 |
|
Standard Consultation: Up to 30 minutes (Telehealth) | OTSG02T | $55.51 | $55.51 |
|
Long Consultation: > 30 minutes - 45 minutes | OTSG03 | $82.96 | $82.96 |
|
Long Consultation: > 30 minutes - 45 minutes (Telehealth) | OTSG03T | $82.96 | $82.96 |
|
Prolonged Consultation: > 45 minutes - 60 minutes | OTSG04 | $110.85 | $110.85 |
|
Prolonged Consultation: > 45 minutes - 60 minutes (Telehealth) | OTSG04T | $110.85 | $110.85 |
| Group Consultation (per person) | OTSG05 | $33.39 | $33.39 |
| Travel (with prior approval): | OTSG07 | $27.72 | $27.72 |
| Travel time from practitioner's prior consultation to the clients residence and from the clients residence to the practitioners next appointment (rate per 15 minutes) | |||
| Home Modifications | |||
| Undertake inspection, education and complete report (per hour) | OTSG08 | $121.79 | $121.79 |
| Undertake inspection, education and complete report (per hour) (Telehealth) | OTSG08T | $121.79 | $121.79 |
| Co-ordinate modifications and organise equipment (per hour) | OTSG09 | $121.79 | $121.79 |
| Travel time: | OTSG10 | $30.46 | $30.46 |
| Travel time from practitioner's prior consultation to the client's residence and from the client's residence to the practitioners next appointment (rate per 15 minutes) | |||
| Driving Assessment | |||
| Driving Assessment: | OTSG11 | $121.79 | $121.79 |
| Funding request must specify the amount of time allocated for each of the different driving assessment components including the on-road assessment, off-road assessment and report writing (per hour) | |||
| Home Services Assessment and Review | |||
| Undertake initial assessment and/or review of services and complete report (per hour) | OTSG12 | $121.79 | $121.79 |
| Undertake initial assessment and/or review of services and complete report (per hour) (Telehealth) | OTSG12T | $121.79 | $121.79 |
| Travel time: | OTSG13 | $30.46 | $30.46 |
| Travel time from practitioner's prior consultation to the client's residence and from the client's residence to the practitioners next appointment (rate per 15 minutes) | |||
| Occupation Review of Capabilities | |||
| Report (flat rate) | OTSG14 | $304.28 | $304.28 |
| Assessment/Liaison (per hour) | OTSG15 | $121.79 | $121.79 |
| Assessment/Liaison (per hour) (Telehealth) | OTSG15T | $121.79 | $121.79 |
| Travel (rate per 15 minutes) | OTSG16 | $30.46 | $30.46 |
| Assistive Technology | |||
| Assessment and Assessment Report : | OTSG17 | $121.79 | $121.79 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for >5 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSG17T | $121.79 | $121.79 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for >5 hours | |||
| Community Access and Transport Recommendations | |||
| Assessment and Assessment Report: | OTSG24 | $121.79 | $121.79 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Assessment and Assessment Report (Telehealth): | OTSG24T | $121.79 | $121.79 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Vehicle Modifications Assessment | |||
| Assessment and Assessment Report: | OTSG28 | $121.79 | $121.79 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Assessment and Assessment Report (Telehealth): | OTSG28T | $121.79 | $121.79 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Service Description | TAC Item Number | Maximum Payment Rate - Non Registered for GST | Maximum Payment Rate - Registered for GST |
|---|---|---|---|
| Occupational Therapy Treatment - OT: Red | |||
| OT Service Session as approved by the TAC. Rate per hour, billed in 15 minute increments | OTSR01 | $154.94 | $154.94 |
| OT Service Session as approved by the TAC. Rate per hour, billed in 15 minute increments (Telehealth) | OTSR01T | $154.94 | $154.94 |
| Travel: | OTSR02 | $38.75 | $38.75 |
| Travel directly related to the provision of SWEP Red Services with the approval of the TAC (rate per 15 minutes). This fee includes all costs associated with the travel. | |||
| Initial Occupational Therapy Service Assessment & Plan Review (OTSP) | OTSR03 | $154.94 | $170.43 |
| Initial Home Services Assessment - OT: Red | |||
| Assessment and Assessment Report: | OTSR04 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) in accordance with the approval given by the TAC | |||
| Assessment and Assessment Report (Telehealth): | OTSR04T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) in accordance with the approval given by the TAC | |||
| Follow-up Services: | OTSR05 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR05T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR06 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow Up Services: | OTSR07 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Home Services Review - OT: Red | |||
| Assessment and Assessment Report: | OTSR08 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR08T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Follow-up Services: | OTSR09 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR09T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR10 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR11 | $38.75 | $38.75 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Occupational Therapy Review of Capabilities - OT: Red | |||
| Assessment and Assessment Report: | OTSR12 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR12T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Follow-up Services: | OTSR13 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR13T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR14 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR15 | $38.75 | $38.75 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Assistive Technology - OT: Red | |||
| Assessment and Assessment Report: | OTSR16 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 5 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR16T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 5 hours | |||
| Follow-up Services: | OTSR17 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR17T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR18 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR19 | $38.75 | $38.75 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes).TAC approval required for > 1 hour | |||
| Home Modifications - OT: Red | |||
| Assessment and Assessment Report: | OTSR20 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 8 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR20T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 8 hours | |||
| Follow-up Services: | OTSR21 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Follow-up Services (Telehealth): | OTSR21T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Travel - Assessment: | OTSR22 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR23 | $38.75 | $38.75 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Community Access and Transport Needs - OT: Red | |||
| Assessment and Assessment Report: | OTSR24 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR24T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Follow-up Services: | OTSR25 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR25T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR26 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR27 | $38.75 | $38.75 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Vehicle Modifications Assessment - OT: Red | |||
| Assessment and Assessment Report: | OTSR28 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR28T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Follow-up Services: | OTSR29 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Follow-up Services (Telehealth): | OTSR29T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Final Vehicle Inspection Report - Completion of the Report (Flat rate - Per Report) | OTSR30 | $154.94 | $170.43 |
| Travel - Assessment: | OTSR31 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR32 | $38.75 | $38.75 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Occupational Therapy Vocational Services | |||
| Worksite Assessment/Job Analysis: | VOC005 | $121.79 | $121.79 |
| An assessment and report evaluating the suitability of the worksite and job specifications for a client (per hour). A full report will contain an analysis of the worksite and recommendations regarding critical work demands, the ability of the client to perform particular duties, suitable alternative duties, modifications to the workplace and other relevant issues. This may include recommendations for the grading of hours and duties and other requirements for the establishment of a TAC return to work program. Time allocated is to include liaison with all relevant parties. | |||
| Worksite Assessment/Job Analysis (Telehealth): | VOC005T | $121.79 | $121.79 |
| An assessment and report evaluating the suitability of the worksite and job specifications for a client (per hour). A full report will contain an analysis of the worksite and recommendations regarding critical work demands, the ability of the client to perform particular duties, suitable alternative duties, modifications to the workplace and other relevant issues. This may include recommendations for the grading of hours and duties and other requirements for the establishment of a TAC return to work program. Time allocated is to include liaison with all relevant parties. | |||
| Post Placement Support: | VOC010 | $121.79 | $121.79 |
| This service involves the monitoring of a TAC return to work program to ensure progress is occurring and, in consultation with the TAC Rehabilitation Officer, address any problems which arise (per hour). The service is an adjuct to the establishment of a TAC return-to-work program which may form part of the Worksite Assessment and could apply to clients returning to their pre-accident employment or commencement in new employment. | |||
| Post Placement Support (Telehealth): | VOC010T | $121.79 | $121.79 |
| This service involves the monitoring of a TAC return to work program to ensure progress is occurring and, in consultation with the TAC Rehabilitation Officer, address any problems which arise (per hour). The service is an adjuct to the establishment of a TAC return-to-work program which may form part of the Worksite Assessment and could apply to clients returning to their pre-accident employment or commencement in new employment. | |||
| Travel (rate per 15 minutes): | VOC015 | $30.46 | $30.46 |
| Travel time from practitioner's prior appointment to the relevant location (place of employment, residence, etc) and from this location to the practitioner's next appointment (rate per 15 minutes). | |||
| Note: Single Discipline Vocational Services are only payable when undertaken by an appropriately qualified practitioner as follows: > Worksite Assessment/Job Analysis - Ergonomist, Occupational Therapist > Post Placement Support - Occupational Therapist, Rehabilitation Counsellor, Vocational Counsellor, Ergonomist | |||
2023/24 OT: Red
| Service Description | TAC Item Number | Maximum Payment Rate - Non Registered for GST | Maximum Payment Rate - Registered for GST |
|---|---|---|---|
| Occupational Therapy Treatment - OT: Red | |||
| OT Service Session as approved by the TAC. Rate per hour, billed in 15 minute increments | OTSR01 | $154.94 | $154.94 |
| OT Service Session as approved by the TAC. Rate per hour, billed in 15 minute increments (Telehealth) | OTSR01T | $154.94 | $154.94 |
| Travel: | OTSR02 | $38.75 | $38.75 |
| Travel directly related to the provision of SWEP Red Services with the approval of the TAC (rate per 15 minutes). This fee includes all costs associated with the travel. | |||
| Initial Occupational Therapy Service Assessment & Plan Review (OTSP) | OTSR03 | $154.94 | $170.43 |
| Initial Home Services Assessment - OT: Red | |||
| Assessment and Assessment Report: | OTSR04 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) in accordance with the approval given by the TAC | |||
| Assessment and Assessment Report (Telehealth): | OTSR04T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) in accordance with the approval given by the TAC | |||
| Follow-up Services: | OTSR05 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR05T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR06 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow Up Services: | OTSR07 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Home Services Review - OT: Red | |||
| Assessment and Assessment Report: | OTSR08 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR08T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Follow-up Services: | OTSR09 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR09T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR10 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR11 | $38.75 | $38.75 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Occupational Therapy Review of Capabilities - OT: Red | |||
| Assessment and Assessment Report: | OTSR12 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR12T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Follow-up Services: | OTSR13 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR13T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR14 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR15 | $38.75 | $38.75 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Assistive Technology - OT: Red | |||
| Assessment and Assessment Report: | OTSR16 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 5 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR16T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 5 hours | |||
| Follow-up Services: | OTSR17 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR17T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR18 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR19 | $38.75 | $38.75 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes).TAC approval required for > 1 hour | |||
| Home Modifications - OT: Red | |||
| Assessment and Assessment Report: | OTSR20 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 8 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR20T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 8 hours | |||
| Follow-up Services: | OTSR21 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Follow-up Services (Telehealth): | OTSR21T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Travel - Assessment: | OTSR22 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR23 | $38.75 | $38.75 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Community Access and Transport Needs - OT: Red | |||
| Assessment and Assessment Report: | OTSR24 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR24T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Follow-up Services: | OTSR25 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR25T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR26 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR27 | $38.75 | $38.75 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Vehicle Modifications Assessment - OT: Red | |||
| Assessment and Assessment Report: | OTSR28 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR28T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Follow-up Services: | OTSR29 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Follow-up Services (Telehealth): | OTSR29T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Final Vehicle Inspection Report - Completion of the Report (Flat rate - Per Report) | OTSR30 | $154.94 | $170.43 |
| Travel - Assessment: | OTSR31 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR32 | $38.75 | $38.75 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Occupational Therapy Vocational Services | |||
| Worksite Assessment/Job Analysis: | VOC005 | $121.79 | $121.79 |
| An assessment and report evaluating the suitability of the worksite and job specifications for a client (per hour). A full report will contain an analysis of the worksite and recommendations regarding critical work demands, the ability of the client to perform particular duties, suitable alternative duties, modifications to the workplace and other relevant issues. This may include recommendations for the grading of hours and duties and other requirements for the establishment of a TAC return to work program. Time allocated is to include liaison with all relevant parties. | |||
| Worksite Assessment/Job Analysis (Telehealth): | VOC005T | $121.79 | $121.79 |
| An assessment and report evaluating the suitability of the worksite and job specifications for a client (per hour). A full report will contain an analysis of the worksite and recommendations regarding critical work demands, the ability of the client to perform particular duties, suitable alternative duties, modifications to the workplace and other relevant issues. This may include recommendations for the grading of hours and duties and other requirements for the establishment of a TAC return to work program. Time allocated is to include liaison with all relevant parties. | |||
| Post Placement Support: | VOC010 | $121.79 | $121.79 |
| This service involves the monitoring of a TAC return to work program to ensure progress is occurring and, in consultation with the TAC Rehabilitation Officer, address any problems which arise (per hour). The service is an adjuct to the establishment of a TAC return-to-work program which may form part of the Worksite Assessment and could apply to clients returning to their pre-accident employment or commencement in new employment. | |||
| Post Placement Support (Telehealth): | VOC010T | $121.79 | $121.79 |
| This service involves the monitoring of a TAC return to work program to ensure progress is occurring and, in consultation with the TAC Rehabilitation Officer, address any problems which arise (per hour). The service is an adjuct to the establishment of a TAC return-to-work program which may form part of the Worksite Assessment and could apply to clients returning to their pre-accident employment or commencement in new employment. | |||
| Travel (rate per 15 minutes): | VOC015 | $30.46 | $30.46 |
| Travel time from practitioner's prior appointment to the relevant location (place of employment, residence, etc) and from this location to the practitioner's next appointment (rate per 15 minutes). | |||
| Note: Single Discipline Vocational Services are only payable when undertaken by an appropriately qualified practitioner as follows: > Worksite Assessment/Job Analysis - Ergonomist, Occupational Therapist > Post Placement Support - Occupational Therapist, Rehabilitation Counsellor, Vocational Counsellor, Ergonomist | |||
For information about our invoicing requirements, please see How to invoice the TAC.
GST
If your business entity is not registered for GST, then you must only claim the lower of the rates provided at each item number. This is the "Maximum Payment rate - Non registered for GST". A business entity not registered for GST:
- Is not legally permitted to charge GST; and
- Should indicate on all invoices submitted your status as 'not registered for GST'
A business entity that is registered for GST should claim the higher rates provided at each item number. This is the "Maximum Payment Rate - Registered for GST". Where TAC believes an item is a taxable supply, an allowance for GST has been factored into the payment rate. You should not markup GST on the Maximum Payment Rate quoted for a GST registered entity.
Summary
You can use this form to claim general reimbursements from the TAC.
How to send documents to the TAC
myTAC
myTAC is the quickest way to:
- Submit receipts and claim reimbursements
- Send documents and forms
- Update your personal and banking details
- Find out about treatments and services the TAC may pay for
If you can't use myTAC to send your receipts or documents, please take a photo and email it to us at info@tac.vic.gov.au. Include your claim number in the subject line of your email so we can process your request.
Summary
This form is to be used when claiming reimbursement for travel (i.e. private vehicle, public transport and/or taxi) expenses to attend: medical treatment for accident injuries; medical examinations arranged by the TAC; approved rehabilitation or disability services; or work, if you are participating in a formal Return to Work program.
How to send documents to the TAC
myTAC
myTAC is the quickest way to:
- Submit receipts and claim reimbursements
- Send documents and forms
- Update your personal and banking details
- Find out about treatments and services the TAC may pay for
If you can't use myTAC to send your receipts or documents, please take a photo and email it to us at info@tac.vic.gov.au. Include your claim number in the subject line of your email so we can process your request.
We’re here to help you get your life back on track after your transport accident. To help you recover we will pay for occupational therapy provided in Australia.
In the first 90 days after your accident, the TAC can help pay for this treatment without the need for you to contact us for approval first.
When you need to contact us for approval
You or your provider need to contact the TAC for approval of this treatment if:
- It is approaching or more than 90 days since your accident and we have not approved further treatment or services, or
- It has been more than 6 months since you’ve had any treatment or service paid for by the TAC.
When we can pay for occupational therapy
In the first 90 days after your accident, you can see an occupational therapist for the treatment for your injuries without the need for you to contact us first.
After the first 90 days, you will need TAC approval to see your occupational therapist.
When needed, we will also work with your treating team to help them organise the occupational services and support you need.
We may contact your therapist to discuss your progress or request an assessment to make sure that:
- You have access to the most appropriate treatment and support.
- You are getting proven, evidence-based treatment and not receiving treatment that isn't helping you recover.
- You are moving towards getting your life back on track or being able to live independently.
Other services you can access
Your occupational therapist may recommend a number of services to assist you, including equipment you might need.
We will pay for these services when they are recommended by your therapist and are part of your treatment plan.
Treatments and services we can’t pay for
We can’t pay for services that:
- Do not treat your transport accident injuries.
- Are not reasonable, necessary or appropriate.
- Are not clinically justified, safe and effective.
What do occupational therapists do?
Occupational therapists are trained to help you take part in everyday activities and live a more independent life after injury or illness.
Services provided by your occupational therapist may include:
- Working out what you can do and identifying areas you may need support
- Developing goals, strategies, equipment or a treatment program to improve your functional ability
- Assessing and reporting your daily living needs.
For more information, see:
How treatments and services are paid for
We pay for your treatment:
- Directly to your occupational therapist, when you have given them your TAC claim number, or
- If you have to pay, use myTAC to send a copy of your receipt to us and we will repay you.
We pay for your services in line with our responsibilities under the Transport Accident Act 1986.
How much we will pay
We will pay for your treatment and services according to our fee schedule. If your provider charges more than the TAC rate, you may need to pay the difference. For a list of TAC rates, see:
If your accident was before 14 February 2018, we can only pay for these services once any required medical excess has been reached. Find out if the medical excess applies to you.
For providers
If you are an occupational therapist, please refer to our TAC Provider Guidelines.
We can help pay for this treatment in the first 90 days after your accident. You do not need to contact us for approval first if:
- you have a TAC claim number
- your doctor or other health professional recommends it, and
- it is for your accident injuries.
We may contact you or your provider to check your progress and see if you are getting the support you need. This will help us make sure your treatment is helping your recovery. It will allow us to make decisions about what treatment we can pay for and how long we can pay for it.
Receiving different allied health treatments at the same time for the same injury is not usually recommended. If you or your provider believe this is necessary, please contact us to talk about your needs.
In response to COVID-19, the TAC can now pay for telehealth appointments for treatment related to your transport accident. Find out more about telehealth.
When you need to ask for TAC approval
Please contact us for approval if it is:
- close to or more than 90 days since your accident and we haven’t already approved more treatment, or
- more than 6 months since you’ve had any treatment or service paid for by the TAC.
How we pay for treatment
There are two ways we can pay for your approved treatments and services:
- we pay your provider at the TAC rate
- you pay your provider, and we repay you at the TAC rate.
To ask for a reimbursement, scan or take a photo of your receipt. Send it to us with the ‘Claim reimbursement’ button on myTAC, or by email to info@tac.vic.gov.au and we will repay you.
We will pay for your treatment at the TAC rate . If your provider charges more than the TAC rate, you may need to pay the difference. This is known as a 'gap payment'.
If your provider charges you a gap payment, you may be able to seek reimbursement for some of this through:
- Medicare or your private health insurance
- The TAC.
Please note, in most cases, we are unable to reimburse you for a gap payment. This is because we have paid for your treatment or service at a rate we have determined is reasonable. You may still ask for a reimbursement from the TAC and we will let you know our decision.
What does an occupational therapist do?
Occupational therapists are trained to help people to take part in everyday activities and live more independent lives.
You may need the help of an occupational therapist after your accident.
Effective 1 October 2024
As of 1 October, the Occupational Therapy fee schedule will reflect the change of service title to Tier ONE and Tier TWO.
New tiers replace the previous reference to Green/Amber or Red services. The item codes and fees remain the same.
OTs who are new to working with TAC clients from 1 October 2024 should invoice the TAC under Tier 1 item codes.
| As a provider: | From 1 October you should invoice the TAC under: |
|---|---|
| Who Is new to working with TAC clients | Tier 1 |
| Who used Green/Amber item codes | Tier 1 |
| Who used Red item codes | Tier 2 |
The TAC has extended the funding of temporary telehealth services previously scheduled to end on 30 September 2020 until further notice, giving clients the ongoing convenience and flexibility of accessing health services from home.
Occupational therapy services can be invoiced online via HICAPS Digital Claims for next business day payments.
| Service Description | TAC Item Number | Maximum Payment Rate - Non Registered for GST | Maximum Payment Rate - Registered for GST |
|---|---|---|---|
| Occupational Therapy Treatment (If Initial OT Assessment Form or OT Service Plan Review Form is required this is included in consultation fee) | |||
|
Standard Consultation: Up to 30 minutes | OTSG02 | $57.62 | $57.62 |
|
Standard Consultation: Up to 30 minutes (Telehealth) | OTSG02T | $57.62 | $57.62 |
|
Long Consultation: > 30 minutes - 45 minutes | OTSG03 | $86.12 | $86.12 |
|
Long Consultation: > 30 minutes - 45 minutes (Telehealth) | OTSG03T | $86.12 | $86.12 |
|
Prolonged Consultation: > 45 minutes - 60 minutes | OTSG04 | $115.07 | $115.07 |
|
Prolonged Consultation: > 45 minutes - 60 minutes (Telehealth) | OTSG04T | $115.07 | $115.07 |
| Group Consultation (per person) | OTSG05 | $34.66 | $34.66 |
| Travel (with prior approval): | OTSG07 | $28.77 | $28.77 |
| Travel time from practitioner's prior consultation to the clients residence and from the clients residence to the practitioners next appointment (rate per 15 minutes) | |||
| Home Modifications | |||
| Undertake inspection, education and complete report (per hour) | OTSG08 | $126.43 | $126.43 |
| Undertake inspection, education and complete report (per hour) (Telehealth) | OTSG08T | $126.43 | $126.43 |
| Co-ordinate modifications and organise equipment (per hour) | OTSG09 | $126.43 | $126.43 |
| Travel time: | OTSG10 | $31.61 | $31.61 |
| Travel time from practitioner's prior consultation to the client's residence and from the client's residence to the practitioners next appointment (rate per 15 minutes) | |||
| Driving Assessment | |||
| Driving Assessment: | OTSG11 | $126.43 | $126.43 |
| Funding request must specify the amount of time allocated for each of the different driving assessment components including the on-road assessment, off-road assessment and report writing (per hour) | |||
| Home Services Assessment and Review | |||
| Undertake initial assessment and/or review of services and complete report (per hour) | OTSG12 | $126.43 | $126.43 |
| Undertake initial assessment and/or review of services and complete report (per hour) (Telehealth) | OTSG12T | $126.43 | $126.43 |
| Travel time: | OTSG13 | $31.61 | $31.61 |
| Travel time from practitioner's prior consultation to the client's residence and from the client's residence to the practitioners next appointment (rate per 15 minutes) | |||
| Occupation Review of Capabilities | |||
| Report (flat rate) | OTSG14 | $315.87 | $315.87 |
| Assessment/Liaison (per hour) | OTSG15 | $126.43 | $126.43 |
| Assessment/Liaison (per hour) (Telehealth) | OTSG15T | $126.43 | $126.43 |
| Travel (rate per 15 minutes) | OTSG16 | $31.61 | $31.61 |
| Assistive Technology | |||
| Assessment and Assessment Report : | OTSG17 | $126.43 | $126.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for >5 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSG17T | $126.43 | $126.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for >5 hours | |||
| Community Access and Transport Recommendations | |||
| Assessment and Assessment Report: | OTSG24 | $126.43 | $126.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Assessment and Assessment Report (Telehealth): | OTSG24T | $126.43 | $126.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Vehicle Modifications Assessment | |||
| Assessment and Assessment Report: | OTSG28 | $126.43 | $126.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Assessment and Assessment Report (Telehealth): | OTSG28T | $126.43 | $126.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
2024/25 General OT: Tier ONE
| Service Description | TAC Item Number | Maximum Payment Rate - Non Registered for GST | Maximum Payment Rate - Registered for GST |
|---|---|---|---|
| Occupational Therapy Treatment (If Initial OT Assessment Form or OT Service Plan Review Form is required this is included in consultation fee) | |||
|
Standard Consultation: Up to 30 minutes | OTSG02 | $57.62 | $57.62 |
|
Standard Consultation: Up to 30 minutes (Telehealth) | OTSG02T | $57.62 | $57.62 |
|
Long Consultation: > 30 minutes - 45 minutes | OTSG03 | $86.12 | $86.12 |
|
Long Consultation: > 30 minutes - 45 minutes (Telehealth) | OTSG03T | $86.12 | $86.12 |
|
Prolonged Consultation: > 45 minutes - 60 minutes | OTSG04 | $115.07 | $115.07 |
|
Prolonged Consultation: > 45 minutes - 60 minutes (Telehealth) | OTSG04T | $115.07 | $115.07 |
| Group Consultation (per person) | OTSG05 | $34.66 | $34.66 |
| Travel (with prior approval): | OTSG07 | $28.77 | $28.77 |
| Travel time from practitioner's prior consultation to the clients residence and from the clients residence to the practitioners next appointment (rate per 15 minutes) | |||
| Home Modifications | |||
| Undertake inspection, education and complete report (per hour) | OTSG08 | $126.43 | $126.43 |
| Undertake inspection, education and complete report (per hour) (Telehealth) | OTSG08T | $126.43 | $126.43 |
| Co-ordinate modifications and organise equipment (per hour) | OTSG09 | $126.43 | $126.43 |
| Travel time: | OTSG10 | $31.61 | $31.61 |
| Travel time from practitioner's prior consultation to the client's residence and from the client's residence to the practitioners next appointment (rate per 15 minutes) | |||
| Driving Assessment | |||
| Driving Assessment: | OTSG11 | $126.43 | $126.43 |
| Funding request must specify the amount of time allocated for each of the different driving assessment components including the on-road assessment, off-road assessment and report writing (per hour) | |||
| Home Services Assessment and Review | |||
| Undertake initial assessment and/or review of services and complete report (per hour) | OTSG12 | $126.43 | $126.43 |
| Undertake initial assessment and/or review of services and complete report (per hour) (Telehealth) | OTSG12T | $126.43 | $126.43 |
| Travel time: | OTSG13 | $31.61 | $31.61 |
| Travel time from practitioner's prior consultation to the client's residence and from the client's residence to the practitioners next appointment (rate per 15 minutes) | |||
| Occupation Review of Capabilities | |||
| Report (flat rate) | OTSG14 | $315.87 | $315.87 |
| Assessment/Liaison (per hour) | OTSG15 | $126.43 | $126.43 |
| Assessment/Liaison (per hour) (Telehealth) | OTSG15T | $126.43 | $126.43 |
| Travel (rate per 15 minutes) | OTSG16 | $31.61 | $31.61 |
| Assistive Technology | |||
| Assessment and Assessment Report : | OTSG17 | $126.43 | $126.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for >5 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSG17T | $126.43 | $126.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for >5 hours | |||
| Community Access and Transport Recommendations | |||
| Assessment and Assessment Report: | OTSG24 | $126.43 | $126.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Assessment and Assessment Report (Telehealth): | OTSG24T | $126.43 | $126.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Vehicle Modifications Assessment | |||
| Assessment and Assessment Report: | OTSG28 | $126.43 | $126.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Assessment and Assessment Report (Telehealth): | OTSG28T | $126.43 | $126.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Service Description | TAC Item Number | Maximum Payment Rate - Non Registered for GST | Maximum Payment Rate - Registered for GST |
|---|---|---|---|
| Occupational Therapy Treatment | |||
| OT Service Session as approved by the TAC. Rate per hour, billed in 15 minute increments | OTSR01 | $160.84 | $160.84 |
| OT Service Session as approved by the TAC. Rate per hour, billed in 15 minute increments (Telehealth) | OTSR01T | $160.84 | $160.84 |
| Travel: | OTSR02 | $40.21 | $40.21 |
| Travel directly related to the provision of SWEP Red Services with the approval of the TAC (rate per 15 minutes). This fee includes all costs associated with the travel. | |||
| Initial Occupational Therapy Service Assessment & Plan Review (OTSP) | OTSR03 | $160.84 | $176.92 |
| Initial Home Services Assessment | |||
| Assessment and Assessment Report: | OTSR04 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) in accordance with the approval given by the TAC | |||
| Assessment and Assessment Report (Telehealth): | OTSR04T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) in accordance with the approval given by the TAC | |||
| Follow-up Services: | OTSR05 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR05T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR06 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow Up Services: | OTSR07 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Home Services Review | |||
| Assessment and Assessment Report: | OTSR08 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR08T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Follow-up Services: | OTSR09 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR09T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR10 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR11 | $40.21 | $40.21 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Occupational Therapy Review of Capabilities | |||
| Assessment and Assessment Report: | OTSR12 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR12T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Follow-up Services: | OTSR13 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR13T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR14 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR15 | $40.21 | $40.21 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Assistive Technology | |||
| Assessment and Assessment Report: | OTSR16 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 5 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR16T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 5 hours | |||
| Follow-up Services: | OTSR17 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR17T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR18 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR19 | $40.21 | $40.21 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes).TAC approval required for > 1 hour | |||
| Home Modifications | |||
| Assessment and Assessment Report: | OTSR20 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 8 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR20T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 8 hours | |||
| Follow-up Services: | OTSR21 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Follow-up Services (Telehealth): | OTSR21T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Travel - Assessment: | OTSR22 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR23 | $40.21 | $40.21 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Community Access and Transport Needs | |||
| Assessment and Assessment Report: | OTSR24 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR24T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Follow-up Services: | OTSR25 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR25T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR26 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR27 | $40.21 | $40.21 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Vehicle Modifications Assessment | |||
| Assessment and Assessment Report: | OTSR28 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR28T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Follow-up Services: | OTSR29 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Follow-up Services (Telehealth): | OTSR29T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Final Vehicle Inspection Report - Completion of the Report (Flat rate - Per Report) | OTSR30 | $160.84 | $176.92 |
| Travel - Assessment: | OTSR31 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR32 | $40.21 | $40.21 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Occupational Therapy Vocational Services | |||
| Worksite Assessment/Job Analysis: | VOC005 | $126.43 | $126.43 |
| An assessment and report evaluating the suitability of the worksite and job specifications for a client (per hour). A full report will contain an analysis of the worksite and recommendations regarding critical work demands, the ability of the client to perform particular duties, suitable alternative duties, modifications to the workplace and other relevant issues. This may include recommendations for the grading of hours and duties and other requirements for the establishment of a TAC return to work program. Time allocated is to include liaison with all relevant parties. | |||
| Worksite Assessment/Job Analysis (Telehealth): | VOC005T | $126.43 | $126.43 |
| An assessment and report evaluating the suitability of the worksite and job specifications for a client (per hour). A full report will contain an analysis of the worksite and recommendations regarding critical work demands, the ability of the client to perform particular duties, suitable alternative duties, modifications to the workplace and other relevant issues. This may include recommendations for the grading of hours and duties and other requirements for the establishment of a TAC return to work program. Time allocated is to include liaison with all relevant parties. | |||
| Post Placement Support: | VOC010 | $126.43 | $126.43 |
| This service involves the monitoring of a TAC return to work program to ensure progress is occurring and, in consultation with the TAC Rehabilitation Officer, address any problems which arise (per hour). The service is an adjuct to the establishment of a TAC return-to-work program which may form part of the Worksite Assessment and could apply to clients returning to their pre-accident employment or commencement in new employment. | |||
| Post Placement Support (Telehealth): | VOC010T | $126.43 | $126.43 |
| This service involves the monitoring of a TAC return to work program to ensure progress is occurring and, in consultation with the TAC Rehabilitation Officer, address any problems which arise (per hour). The service is an adjuct to the establishment of a TAC return-to-work program which may form part of the Worksite Assessment and could apply to clients returning to their pre-accident employment or commencement in new employment. | |||
| Travel (rate per 15 minutes): | VOC015 | $31.61 | $31.61 |
| Travel time from practitioner's prior appointment to the relevant location (place of employment, residence, etc) and from this location to the practitioner's next appointment (rate per 15 minutes). | |||
| Note: Single Discipline Vocational Services are only payable when undertaken by an appropriately qualified practitioner as follows: > Worksite Assessment/Job Analysis - Ergonomist, Occupational Therapist > Post Placement Support - Occupational Therapist, Rehabilitation Counsellor, Vocational Counsellor, Ergonomist | |||
2024/25: Tier TWO
| Service Description | TAC Item Number | Maximum Payment Rate - Non Registered for GST | Maximum Payment Rate - Registered for GST |
|---|---|---|---|
| Occupational Therapy Treatment | |||
| OT Service Session as approved by the TAC. Rate per hour, billed in 15 minute increments | OTSR01 | $160.84 | $160.84 |
| OT Service Session as approved by the TAC. Rate per hour, billed in 15 minute increments (Telehealth) | OTSR01T | $160.84 | $160.84 |
| Travel: | OTSR02 | $40.21 | $40.21 |
| Travel directly related to the provision of SWEP Red Services with the approval of the TAC (rate per 15 minutes). This fee includes all costs associated with the travel. | |||
| Initial Occupational Therapy Service Assessment & Plan Review (OTSP) | OTSR03 | $160.84 | $176.92 |
| Initial Home Services Assessment | |||
| Assessment and Assessment Report: | OTSR04 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) in accordance with the approval given by the TAC | |||
| Assessment and Assessment Report (Telehealth): | OTSR04T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) in accordance with the approval given by the TAC | |||
| Follow-up Services: | OTSR05 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR05T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR06 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow Up Services: | OTSR07 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Home Services Review | |||
| Assessment and Assessment Report: | OTSR08 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR08T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Follow-up Services: | OTSR09 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR09T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR10 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR11 | $40.21 | $40.21 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Occupational Therapy Review of Capabilities | |||
| Assessment and Assessment Report: | OTSR12 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR12T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Follow-up Services: | OTSR13 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR13T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR14 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR15 | $40.21 | $40.21 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Assistive Technology | |||
| Assessment and Assessment Report: | OTSR16 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 5 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR16T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 5 hours | |||
| Follow-up Services: | OTSR17 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR17T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR18 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR19 | $40.21 | $40.21 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes).TAC approval required for > 1 hour | |||
| Home Modifications | |||
| Assessment and Assessment Report: | OTSR20 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 8 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR20T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 8 hours | |||
| Follow-up Services: | OTSR21 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Follow-up Services (Telehealth): | OTSR21T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Travel - Assessment: | OTSR22 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR23 | $40.21 | $40.21 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Community Access and Transport Needs | |||
| Assessment and Assessment Report: | OTSR24 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR24T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Follow-up Services: | OTSR25 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR25T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR26 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR27 | $40.21 | $40.21 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Vehicle Modifications Assessment | |||
| Assessment and Assessment Report: | OTSR28 | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR28T | $160.84 | $176.92 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Follow-up Services: | OTSR29 | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Follow-up Services (Telehealth): | OTSR29T | $160.84 | $160.84 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Final Vehicle Inspection Report - Completion of the Report (Flat rate - Per Report) | OTSR30 | $160.84 | $176.92 |
| Travel - Assessment: | OTSR31 | $40.21 | $44.23 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR32 | $40.21 | $40.21 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Occupational Therapy Vocational Services | |||
| Worksite Assessment/Job Analysis: | VOC005 | $126.43 | $126.43 |
| An assessment and report evaluating the suitability of the worksite and job specifications for a client (per hour). A full report will contain an analysis of the worksite and recommendations regarding critical work demands, the ability of the client to perform particular duties, suitable alternative duties, modifications to the workplace and other relevant issues. This may include recommendations for the grading of hours and duties and other requirements for the establishment of a TAC return to work program. Time allocated is to include liaison with all relevant parties. | |||
| Worksite Assessment/Job Analysis (Telehealth): | VOC005T | $126.43 | $126.43 |
| An assessment and report evaluating the suitability of the worksite and job specifications for a client (per hour). A full report will contain an analysis of the worksite and recommendations regarding critical work demands, the ability of the client to perform particular duties, suitable alternative duties, modifications to the workplace and other relevant issues. This may include recommendations for the grading of hours and duties and other requirements for the establishment of a TAC return to work program. Time allocated is to include liaison with all relevant parties. | |||
| Post Placement Support: | VOC010 | $126.43 | $126.43 |
| This service involves the monitoring of a TAC return to work program to ensure progress is occurring and, in consultation with the TAC Rehabilitation Officer, address any problems which arise (per hour). The service is an adjuct to the establishment of a TAC return-to-work program which may form part of the Worksite Assessment and could apply to clients returning to their pre-accident employment or commencement in new employment. | |||
| Post Placement Support (Telehealth): | VOC010T | $126.43 | $126.43 |
| This service involves the monitoring of a TAC return to work program to ensure progress is occurring and, in consultation with the TAC Rehabilitation Officer, address any problems which arise (per hour). The service is an adjuct to the establishment of a TAC return-to-work program which may form part of the Worksite Assessment and could apply to clients returning to their pre-accident employment or commencement in new employment. | |||
| Travel (rate per 15 minutes): | VOC015 | $31.61 | $31.61 |
| Travel time from practitioner's prior appointment to the relevant location (place of employment, residence, etc) and from this location to the practitioner's next appointment (rate per 15 minutes). | |||
| Note: Single Discipline Vocational Services are only payable when undertaken by an appropriately qualified practitioner as follows: > Worksite Assessment/Job Analysis - Ergonomist, Occupational Therapist > Post Placement Support - Occupational Therapist, Rehabilitation Counsellor, Vocational Counsellor, Ergonomist | |||
| Service Description | TAC Item Number | Maximum Payment Rate - Non Registered for GST | Maximum Payment Rate - Registered for GST |
|---|---|---|---|
| Occupational Therapy Treatment (If Initial OT Assessment Form or OT Service Plan Review Form is required this is included in consultation fee) | |||
|
Standard Consultation: Up to 30 minutes | OTSG02 | $55.51 | $55.51 |
|
Standard Consultation: Up to 30 minutes (Telehealth) | OTSG02T | $55.51 | $55.51 |
|
Long Consultation: > 30 minutes - 45 minutes | OTSG03 | $82.96 | $82.96 |
|
Long Consultation: > 30 minutes - 45 minutes (Telehealth) | OTSG03T | $82.96 | $82.96 |
|
Prolonged Consultation: > 45 minutes - 60 minutes | OTSG04 | $110.85 | $110.85 |
|
Prolonged Consultation: > 45 minutes - 60 minutes (Telehealth) | OTSG04T | $110.85 | $110.85 |
| Group Consultation (per person) | OTSG05 | $33.39 | $33.39 |
| Travel (with prior approval): | OTSG07 | $27.72 | $27.72 |
| Travel time from practitioner's prior consultation to the clients residence and from the clients residence to the practitioners next appointment (rate per 15 minutes) | |||
| Home Modifications | |||
| Undertake inspection, education and complete report (per hour) | OTSG08 | $121.79 | $121.79 |
| Undertake inspection, education and complete report (per hour) (Telehealth) | OTSG08T | $121.79 | $121.79 |
| Co-ordinate modifications and organise equipment (per hour) | OTSG09 | $121.79 | $121.79 |
| Travel time: | OTSG10 | $30.46 | $30.46 |
| Travel time from practitioner's prior consultation to the client's residence and from the client's residence to the practitioners next appointment (rate per 15 minutes) | |||
| Driving Assessment | |||
| Driving Assessment: | OTSG11 | $121.79 | $121.79 |
| Funding request must specify the amount of time allocated for each of the different driving assessment components including the on-road assessment, off-road assessment and report writing (per hour) | |||
| Home Services Assessment and Review | |||
| Undertake initial assessment and/or review of services and complete report (per hour) | OTSG12 | $121.79 | $121.79 |
| Undertake initial assessment and/or review of services and complete report (per hour) (Telehealth) | OTSG12T | $121.79 | $121.79 |
| Travel time: | OTSG13 | $30.46 | $30.46 |
| Travel time from practitioner's prior consultation to the client's residence and from the client's residence to the practitioners next appointment (rate per 15 minutes) | |||
| Occupation Review of Capabilities | |||
| Report (flat rate) | OTSG14 | $304.28 | $304.28 |
| Assessment/Liaison (per hour) | OTSG15 | $121.79 | $121.79 |
| Assessment/Liaison (per hour) (Telehealth) | OTSG15T | $121.79 | $121.79 |
| Travel (rate per 15 minutes) | OTSG16 | $30.46 | $30.46 |
| Assistive Technology | |||
| Assessment and Assessment Report : | OTSG17 | $121.79 | $121.79 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for >5 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSG17T | $121.79 | $121.79 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for >5 hours | |||
| Community Access and Transport Recommendations | |||
| Assessment and Assessment Report: | OTSG24 | $121.79 | $121.79 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Assessment and Assessment Report (Telehealth): | OTSG24T | $121.79 | $121.79 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Vehicle Modifications Assessment | |||
| Assessment and Assessment Report: | OTSG28 | $121.79 | $121.79 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Assessment and Assessment Report (Telehealth): | OTSG28T | $121.79 | $121.79 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
2023/24 General OT: Green/Amber
| Service Description | TAC Item Number | Maximum Payment Rate - Non Registered for GST | Maximum Payment Rate - Registered for GST |
|---|---|---|---|
| Occupational Therapy Treatment (If Initial OT Assessment Form or OT Service Plan Review Form is required this is included in consultation fee) | |||
|
Standard Consultation: Up to 30 minutes | OTSG02 | $55.51 | $55.51 |
|
Standard Consultation: Up to 30 minutes (Telehealth) | OTSG02T | $55.51 | $55.51 |
|
Long Consultation: > 30 minutes - 45 minutes | OTSG03 | $82.96 | $82.96 |
|
Long Consultation: > 30 minutes - 45 minutes (Telehealth) | OTSG03T | $82.96 | $82.96 |
|
Prolonged Consultation: > 45 minutes - 60 minutes | OTSG04 | $110.85 | $110.85 |
|
Prolonged Consultation: > 45 minutes - 60 minutes (Telehealth) | OTSG04T | $110.85 | $110.85 |
| Group Consultation (per person) | OTSG05 | $33.39 | $33.39 |
| Travel (with prior approval): | OTSG07 | $27.72 | $27.72 |
| Travel time from practitioner's prior consultation to the clients residence and from the clients residence to the practitioners next appointment (rate per 15 minutes) | |||
| Home Modifications | |||
| Undertake inspection, education and complete report (per hour) | OTSG08 | $121.79 | $121.79 |
| Undertake inspection, education and complete report (per hour) (Telehealth) | OTSG08T | $121.79 | $121.79 |
| Co-ordinate modifications and organise equipment (per hour) | OTSG09 | $121.79 | $121.79 |
| Travel time: | OTSG10 | $30.46 | $30.46 |
| Travel time from practitioner's prior consultation to the client's residence and from the client's residence to the practitioners next appointment (rate per 15 minutes) | |||
| Driving Assessment | |||
| Driving Assessment: | OTSG11 | $121.79 | $121.79 |
| Funding request must specify the amount of time allocated for each of the different driving assessment components including the on-road assessment, off-road assessment and report writing (per hour) | |||
| Home Services Assessment and Review | |||
| Undertake initial assessment and/or review of services and complete report (per hour) | OTSG12 | $121.79 | $121.79 |
| Undertake initial assessment and/or review of services and complete report (per hour) (Telehealth) | OTSG12T | $121.79 | $121.79 |
| Travel time: | OTSG13 | $30.46 | $30.46 |
| Travel time from practitioner's prior consultation to the client's residence and from the client's residence to the practitioners next appointment (rate per 15 minutes) | |||
| Occupation Review of Capabilities | |||
| Report (flat rate) | OTSG14 | $304.28 | $304.28 |
| Assessment/Liaison (per hour) | OTSG15 | $121.79 | $121.79 |
| Assessment/Liaison (per hour) (Telehealth) | OTSG15T | $121.79 | $121.79 |
| Travel (rate per 15 minutes) | OTSG16 | $30.46 | $30.46 |
| Assistive Technology | |||
| Assessment and Assessment Report : | OTSG17 | $121.79 | $121.79 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for >5 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSG17T | $121.79 | $121.79 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for >5 hours | |||
| Community Access and Transport Recommendations | |||
| Assessment and Assessment Report: | OTSG24 | $121.79 | $121.79 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Assessment and Assessment Report (Telehealth): | OTSG24T | $121.79 | $121.79 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Vehicle Modifications Assessment | |||
| Assessment and Assessment Report: | OTSG28 | $121.79 | $121.79 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Assessment and Assessment Report (Telehealth): | OTSG28T | $121.79 | $121.79 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required | |||
| Service Description | TAC Item Number | Maximum Payment Rate - Non Registered for GST | Maximum Payment Rate - Registered for GST |
|---|---|---|---|
| Occupational Therapy Treatment - OT: Red | |||
| OT Service Session as approved by the TAC. Rate per hour, billed in 15 minute increments | OTSR01 | $154.94 | $154.94 |
| OT Service Session as approved by the TAC. Rate per hour, billed in 15 minute increments (Telehealth) | OTSR01T | $154.94 | $154.94 |
| Travel: | OTSR02 | $38.75 | $38.75 |
| Travel directly related to the provision of SWEP Red Services with the approval of the TAC (rate per 15 minutes). This fee includes all costs associated with the travel. | |||
| Initial Occupational Therapy Service Assessment & Plan Review (OTSP) | OTSR03 | $154.94 | $170.43 |
| Initial Home Services Assessment - OT: Red | |||
| Assessment and Assessment Report: | OTSR04 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) in accordance with the approval given by the TAC | |||
| Assessment and Assessment Report (Telehealth): | OTSR04T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) in accordance with the approval given by the TAC | |||
| Follow-up Services: | OTSR05 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR05T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR06 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow Up Services: | OTSR07 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Home Services Review - OT: Red | |||
| Assessment and Assessment Report: | OTSR08 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR08T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Follow-up Services: | OTSR09 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR09T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR10 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR11 | $38.75 | $38.75 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Occupational Therapy Review of Capabilities - OT: Red | |||
| Assessment and Assessment Report: | OTSR12 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR12T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Follow-up Services: | OTSR13 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR13T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR14 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR15 | $38.75 | $38.75 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Assistive Technology - OT: Red | |||
| Assessment and Assessment Report: | OTSR16 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 5 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR16T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 5 hours | |||
| Follow-up Services: | OTSR17 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR17T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR18 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR19 | $38.75 | $38.75 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes).TAC approval required for > 1 hour | |||
| Home Modifications - OT: Red | |||
| Assessment and Assessment Report: | OTSR20 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 8 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR20T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 8 hours | |||
| Follow-up Services: | OTSR21 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Follow-up Services (Telehealth): | OTSR21T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Travel - Assessment: | OTSR22 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR23 | $38.75 | $38.75 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Community Access and Transport Needs - OT: Red | |||
| Assessment and Assessment Report: | OTSR24 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR24T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Follow-up Services: | OTSR25 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR25T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR26 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR27 | $38.75 | $38.75 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Vehicle Modifications Assessment - OT: Red | |||
| Assessment and Assessment Report: | OTSR28 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR28T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Follow-up Services: | OTSR29 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Follow-up Services (Telehealth): | OTSR29T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Final Vehicle Inspection Report - Completion of the Report (Flat rate - Per Report) | OTSR30 | $154.94 | $170.43 |
| Travel - Assessment: | OTSR31 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR32 | $38.75 | $38.75 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Occupational Therapy Vocational Services | |||
| Worksite Assessment/Job Analysis: | VOC005 | $121.79 | $121.79 |
| An assessment and report evaluating the suitability of the worksite and job specifications for a client (per hour). A full report will contain an analysis of the worksite and recommendations regarding critical work demands, the ability of the client to perform particular duties, suitable alternative duties, modifications to the workplace and other relevant issues. This may include recommendations for the grading of hours and duties and other requirements for the establishment of a TAC return to work program. Time allocated is to include liaison with all relevant parties. | |||
| Worksite Assessment/Job Analysis (Telehealth): | VOC005T | $121.79 | $121.79 |
| An assessment and report evaluating the suitability of the worksite and job specifications for a client (per hour). A full report will contain an analysis of the worksite and recommendations regarding critical work demands, the ability of the client to perform particular duties, suitable alternative duties, modifications to the workplace and other relevant issues. This may include recommendations for the grading of hours and duties and other requirements for the establishment of a TAC return to work program. Time allocated is to include liaison with all relevant parties. | |||
| Post Placement Support: | VOC010 | $121.79 | $121.79 |
| This service involves the monitoring of a TAC return to work program to ensure progress is occurring and, in consultation with the TAC Rehabilitation Officer, address any problems which arise (per hour). The service is an adjuct to the establishment of a TAC return-to-work program which may form part of the Worksite Assessment and could apply to clients returning to their pre-accident employment or commencement in new employment. | |||
| Post Placement Support (Telehealth): | VOC010T | $121.79 | $121.79 |
| This service involves the monitoring of a TAC return to work program to ensure progress is occurring and, in consultation with the TAC Rehabilitation Officer, address any problems which arise (per hour). The service is an adjuct to the establishment of a TAC return-to-work program which may form part of the Worksite Assessment and could apply to clients returning to their pre-accident employment or commencement in new employment. | |||
| Travel (rate per 15 minutes): | VOC015 | $30.46 | $30.46 |
| Travel time from practitioner's prior appointment to the relevant location (place of employment, residence, etc) and from this location to the practitioner's next appointment (rate per 15 minutes). | |||
| Note: Single Discipline Vocational Services are only payable when undertaken by an appropriately qualified practitioner as follows: > Worksite Assessment/Job Analysis - Ergonomist, Occupational Therapist > Post Placement Support - Occupational Therapist, Rehabilitation Counsellor, Vocational Counsellor, Ergonomist | |||
2023/24 OT: Red
| Service Description | TAC Item Number | Maximum Payment Rate - Non Registered for GST | Maximum Payment Rate - Registered for GST |
|---|---|---|---|
| Occupational Therapy Treatment - OT: Red | |||
| OT Service Session as approved by the TAC. Rate per hour, billed in 15 minute increments | OTSR01 | $154.94 | $154.94 |
| OT Service Session as approved by the TAC. Rate per hour, billed in 15 minute increments (Telehealth) | OTSR01T | $154.94 | $154.94 |
| Travel: | OTSR02 | $38.75 | $38.75 |
| Travel directly related to the provision of SWEP Red Services with the approval of the TAC (rate per 15 minutes). This fee includes all costs associated with the travel. | |||
| Initial Occupational Therapy Service Assessment & Plan Review (OTSP) | OTSR03 | $154.94 | $170.43 |
| Initial Home Services Assessment - OT: Red | |||
| Assessment and Assessment Report: | OTSR04 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) in accordance with the approval given by the TAC | |||
| Assessment and Assessment Report (Telehealth): | OTSR04T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) in accordance with the approval given by the TAC | |||
| Follow-up Services: | OTSR05 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR05T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR06 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow Up Services: | OTSR07 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Home Services Review - OT: Red | |||
| Assessment and Assessment Report: | OTSR08 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR08T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Follow-up Services: | OTSR09 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR09T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR10 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR11 | $38.75 | $38.75 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Occupational Therapy Review of Capabilities - OT: Red | |||
| Assessment and Assessment Report: | OTSR12 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR12T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Follow-up Services: | OTSR13 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR13T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR14 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR15 | $38.75 | $38.75 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Assistive Technology - OT: Red | |||
| Assessment and Assessment Report: | OTSR16 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 5 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR16T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 5 hours | |||
| Follow-up Services: | OTSR17 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR17T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR18 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR19 | $38.75 | $38.75 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes).TAC approval required for > 1 hour | |||
| Home Modifications - OT: Red | |||
| Assessment and Assessment Report: | OTSR20 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 8 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR20T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 8 hours | |||
| Follow-up Services: | OTSR21 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Follow-up Services (Telehealth): | OTSR21T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Travel - Assessment: | OTSR22 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR23 | $38.75 | $38.75 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Community Access and Transport Needs - OT: Red | |||
| Assessment and Assessment Report: | OTSR24 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR24T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Follow-up Services: | OTSR25 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Follow-up Services (Telehealth): | OTSR25T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour). Maximum 6 hours | |||
| Travel - Assessment: | OTSR26 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR27 | $38.75 | $38.75 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Vehicle Modifications Assessment - OT: Red | |||
| Assessment and Assessment Report: | OTSR28 | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR28T | $154.94 | $170.43 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Follow-up Services: | OTSR29 | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Follow-up Services (Telehealth): | OTSR29T | $154.94 | $154.94 |
| Completion of the specific actions required to facilitate achievement of the goals identified in the Assessment Report in accordance with the approval given by the TAC (per hour) | |||
| Final Vehicle Inspection Report - Completion of the Report (Flat rate - Per Report) | OTSR30 | $154.94 | $170.43 |
| Travel - Assessment: | OTSR31 | $38.75 | $42.63 |
| Travel directly related to the provision of the Assessment - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Travel - Follow-up Services: | OTSR32 | $38.75 | $38.75 |
| Travel directly related to the provision of the Follow-up Services - Includes all costs associated with travel (rate per 15 minutes). TAC approval required for > 1 hour | |||
| Occupational Therapy Vocational Services | |||
| Worksite Assessment/Job Analysis: | VOC005 | $121.79 | $121.79 |
| An assessment and report evaluating the suitability of the worksite and job specifications for a client (per hour). A full report will contain an analysis of the worksite and recommendations regarding critical work demands, the ability of the client to perform particular duties, suitable alternative duties, modifications to the workplace and other relevant issues. This may include recommendations for the grading of hours and duties and other requirements for the establishment of a TAC return to work program. Time allocated is to include liaison with all relevant parties. | |||
| Worksite Assessment/Job Analysis (Telehealth): | VOC005T | $121.79 | $121.79 |
| An assessment and report evaluating the suitability of the worksite and job specifications for a client (per hour). A full report will contain an analysis of the worksite and recommendations regarding critical work demands, the ability of the client to perform particular duties, suitable alternative duties, modifications to the workplace and other relevant issues. This may include recommendations for the grading of hours and duties and other requirements for the establishment of a TAC return to work program. Time allocated is to include liaison with all relevant parties. | |||
| Post Placement Support: | VOC010 | $121.79 | $121.79 |
| This service involves the monitoring of a TAC return to work program to ensure progress is occurring and, in consultation with the TAC Rehabilitation Officer, address any problems which arise (per hour). The service is an adjuct to the establishment of a TAC return-to-work program which may form part of the Worksite Assessment and could apply to clients returning to their pre-accident employment or commencement in new employment. | |||
| Post Placement Support (Telehealth): | VOC010T | $121.79 | $121.79 |
| This service involves the monitoring of a TAC return to work program to ensure progress is occurring and, in consultation with the TAC Rehabilitation Officer, address any problems which arise (per hour). The service is an adjuct to the establishment of a TAC return-to-work program which may form part of the Worksite Assessment and could apply to clients returning to their pre-accident employment or commencement in new employment. | |||
| Travel (rate per 15 minutes): | VOC015 | $30.46 | $30.46 |
| Travel time from practitioner's prior appointment to the relevant location (place of employment, residence, etc) and from this location to the practitioner's next appointment (rate per 15 minutes). | |||
| Note: Single Discipline Vocational Services are only payable when undertaken by an appropriately qualified practitioner as follows: > Worksite Assessment/Job Analysis - Ergonomist, Occupational Therapist > Post Placement Support - Occupational Therapist, Rehabilitation Counsellor, Vocational Counsellor, Ergonomist | |||
For information about our invoicing requirements, please see How to invoice the TAC.
GST
If your business entity is not registered for GST, then you must only claim the lower of the rates provided at each item number. This is the "Maximum Payment rate - Non registered for GST". A business entity not registered for GST:
- Is not legally permitted to charge GST; and
- Should indicate on all invoices submitted your status as 'not registered for GST'
A business entity that is registered for GST should claim the higher rates provided at each item number. This is the "Maximum Payment Rate - Registered for GST". Where TAC believes an item is a taxable supply, an allowance for GST has been factored into the payment rate. You should not markup GST on the Maximum Payment Rate quoted for a GST registered entity.
Summary
You can use this form to claim general reimbursements from the TAC.
How to send documents to the TAC
myTAC
myTAC is the quickest way to:
- Submit receipts and claim reimbursements
- Send documents and forms
- Update your personal and banking details
- Find out about treatments and services the TAC may pay for
If you can't use myTAC to send your receipts or documents, please take a photo and email it to us at info@tac.vic.gov.au. Include your claim number in the subject line of your email so we can process your request.
Summary
This form is to be used when claiming reimbursement for travel (i.e. private vehicle, public transport and/or taxi) expenses to attend: medical treatment for accident injuries; medical examinations arranged by the TAC; approved rehabilitation or disability services; or work, if you are participating in a formal Return to Work program.
How to send documents to the TAC
myTAC
myTAC is the quickest way to:
- Submit receipts and claim reimbursements
- Send documents and forms
- Update your personal and banking details
- Find out about treatments and services the TAC may pay for
If you can't use myTAC to send your receipts or documents, please take a photo and email it to us at info@tac.vic.gov.au. Include your claim number in the subject line of your email so we can process your request.
We’re here to help you get your life back on track after your transport accident. To help you recover we will pay for occupational therapy provided in Australia.
In the first 90 days after your accident, the TAC can help pay for this treatment without the need for you to contact us for approval first.
When you need to contact us for approval
You or your provider need to contact the TAC for approval of this treatment if:
- It is approaching or more than 90 days since your accident and we have not approved further treatment or services, or
- It has been more than 6 months since you’ve had any treatment or service paid for by the TAC.
When we can pay for occupational therapy
In the first 90 days after your accident, you can see an occupational therapist for the treatment for your injuries without the need for you to contact us first.
After the first 90 days, you will need TAC approval to see your occupational therapist.
When needed, we will also work with your treating team to help them organise the occupational services and support you need.
We may contact your therapist to discuss your progress or request an assessment to make sure that:
- You have access to the most appropriate treatment and support.
- You are getting proven, evidence-based treatment and not receiving treatment that isn't helping you recover.
- You are moving towards getting your life back on track or being able to live independently.
Other services you can access
Your occupational therapist may recommend a number of services to assist you, including equipment you might need.
We will pay for these services when they are recommended by your therapist and are part of your treatment plan.
Treatments and services we can’t pay for
We can’t pay for services that:
- Do not treat your transport accident injuries.
- Are not reasonable, necessary or appropriate.
- Are not clinically justified, safe and effective.
What do occupational therapists do?
Occupational therapists are trained to help you take part in everyday activities and live a more independent life after injury or illness.
Services provided by your occupational therapist may include:
- Working out what you can do and identifying areas you may need support
- Developing goals, strategies, equipment or a treatment program to improve your functional ability
- Assessing and reporting your daily living needs.
For more information, see:
How treatments and services are paid for
We pay for your treatment:
- Directly to your occupational therapist, when you have given them your TAC claim number, or
- If you have to pay, use myTAC to send a copy of your receipt to us and we will repay you.
We pay for your services in line with our responsibilities under the Transport Accident Act 1986.
How much we will pay
We will pay for your treatment and services according to our fee schedule. If your provider charges more than the TAC rate, you may need to pay the difference. For a list of TAC rates, see:
If your accident was before 14 February 2018, we can only pay for these services once any required medical excess has been reached. Find out if the medical excess applies to you.
For providers
If you are an occupational therapist, please refer to our TAC Provider Guidelines.
