OT current 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 | $164.86 | $164.86 |
| OT Service Session as approved by the TAC. Rate per hour, billed in 15 minute increments (Telehealth) | OTSR01T | $164.86 | $164.86 |
| Travel: | OTSR02 | $41.22 | $41.22 |
| 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 | $164.86 | $181.34 |
| Initial Home Services Assessment | |||
| Assessment and Assessment Report: | OTSR04 | $164.86 | $181.34 |
| 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 | $164.86 | $181.34 |
| 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 | $164.86 | $164.86 |
| 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 | $164.86 | $164.86 |
| 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 | $41.22 | $45.34 |
| 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 | $41.22 | $45.34 |
| 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 | $164.86 | $181.34 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR08T | $164.86 | $181.34 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Follow-up Services: | OTSR09 | $164.86 | $164.86 |
| 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 | $164.86 | $164.86 |
| 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 | $41.22 | $45.34 |
| 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 | $41.22 | $41.22 |
| 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 | $164.86 | $181.34 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR12T | $164.86 | $181.34 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Follow-up Services: | OTSR13 | $164.86 | $164.86 |
| 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 | $164.86 | $164.86 |
| 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 | $41.22 | $45.34 |
| 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 | $41.22 | $41.22 |
| 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 | $164.86 | $181.34 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 5 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR16T | $164.86 | $181.34 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 5 hours | |||
| Follow-up Services: | OTSR17 | $164.86 | $164.86 |
| 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 | $164.86 | $164.86 |
| 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 | $41.22 | $45.34 |
| 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 | $41.22 | $41.22 |
| 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 | $164.86 | $181.34 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 8 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR20T | $164.86 | $181.34 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 8 hours | |||
| Follow-up Services: | OTSR21 | $164.86 | $164.86 |
| 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 | $164.86 | $164.86 |
| 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 | $41.22 | $45.34 |
| 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 | $41.22 | $41.22 |
| 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 | $164.86 | $181.34 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR24T | $164.86 | $181.34 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 4 hours | |||
| Follow-up Services: | OTSR25 | $164.86 | $164.86 |
| 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 | $164.86 | $164.86 |
| 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 | $41.22 | $45.34 |
| 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 | $41.22 | $41.22 |
| 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 | $164.86 | $181.34 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Assessment and Assessment Report (Telehealth): | OTSR28T | $164.86 | $181.34 |
| Completion of the Assessment and the provision of a Report (per hour) TAC approval required for > 6 hours | |||
| Follow-up Services: | OTSR29 | $164.86 | $164.86 |
| 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 | $164.86 | $164.86 |
| 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 | $164.86 | $181.34 |
| Travel - Assessment: | OTSR31 | $41.22 | $45.34 |
| 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 | $41.22 | $41.22 |
| 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 | $129.59 | $129.59 |
| 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 | $129.59 | $129.59 |
| 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 | $129.59 | $129.59 |
| 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 | $129.59 | $129.59 |
| 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 | $32.40 | $32.40 |
| 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 | |||
