ALLIED HEALTH PROVIDERS
SECTION ONE: GENERAL
These Notes are applicable to the following providers:
• Chiropractors • Optometrists, Orthoptists and Optical
• Clinical Psychologists Dispensers
• Dentists, Dental Specialists and Dental • Orthotists
Prosthetists • Osteopaths
• Diabetes Educators • Physiotherapists
• Dietitians • Podiatrists
• Exercise Physiologists • Psychologists (Registered and Clinical)
• Neuropsychologists • Social Workers (General)
• Occupational Therapists • Social Workers (Mental Health)
• NOTES FOR ALLIED
Occupational HEALTH
Therapists PROVIDERS
(Mental Health) • Speech Pathologists 1 November 2022
, SECTION ONE – GENERAL
I, Elizabeth Cosson AM, CSC Secretary of the Department of Veterans’ Affairs
(DVA) hereby:
(a) revoke the Notes for Allied Health Providers; and
(b) approve these Notes to commence on 1 October 2022.
Elizabeth Cosson AM CSC
Dated this 28th day of September 2022
NOTES FOR ALLIED HEALTH PROVIDERS 1 November 2022
, SECTION ONE – GENERAL
Table of Contents
Table of Contents 1
The purpose of the Notes for Providers 1
THE COMMISSIONS AND THE DEPARTMENT OF VETERANS’ AFFAIRS 1
STATUS OF THE NOTES 2
AMENDMENT OF THE NOTES 2
Treatment of entitled persons 3
ENTITLED PERSONS 3
ALLIED VETERANS 4
TREATMENT THRESHOLDS/LIMITS 4
REFERRALS FOR ALLIED HEALTH SERVICES 5
REFERRAL INFORMATION 6
DURING TREATMENT* 7
AT THE CONCLUSION OF THE TREATMENT CYCLE 8
PERMANENT TELEHEALTH SERVICES 9
TRANSFER OF CARE 10
PRIOR FINANCIAL AUTHORISATION 11
PRESCRIPTION OF ITEMS IN THE REHABILITATION APPLIANCES PROGRAM 12
TRAVELLING ASSISTANCE FOR ENTITLED PERSONS 12
HOME VISITS AND KILOMETRE ALLOWANCE FOR HEALTH CARE PROVIDERS 12
RESIDENTIAL AGED CARE FACILITIES 14
DVA management requirements 15
ELIGIBILITY TO PROVIDE DVA FUNDED TREATMENT 15
INSURANCE AND INDEMNITY 15
PRIVACY 16
RECORD KEEPING REQUIREMENTS AND PROVISION OF INFORMATION 16
ELECTRONIC COMMUNICATION 16
ADVERTISING 16
USE OF LOCUMS, STUDENTS AND/OR ASSISTANTS 17
BENCHMARKING AND MONITORING AND THE AUDIT PROCESS 18
INAPPROPRIATE CLAIMING 18
RIGHT OF THE AUSTRALIAN GOVERNMENT TO RECOVER MONEY 19
GST AND ABNS 19
Financial matters 20
FINANCIAL RESPONSIBILITIES 20
SCHEDULE OF FEES 20
INDEXATION OF FEES 20
BILLING PROCEDURES – ONLINE CLAIMING 21
BILLING PROCEDURES – DVA WEBCLAIM 21
BILLING PROCEDURES – MANUAL CLAIMING 21
PAYMENT TO DIFFERENT NAMES AND ADDRESSES 23
NON-PAYMENT OF CLAIMS AND RESUBMITTING CLAIMS 23
ADJUSTMENTS 23
SERVICES DVA DOES NOT ACCEPT 24
CONTACT LIST 24
Additional Resources 26
NOTES FOR ALLIED HEALTH PROVIDERS 1 November 2022