10 Aug 2020

TAC clients and when to seek approval

Starting 17 August 2020, our approval requirements will depend on whether a treatment or service is delivered within the first 90 days of the client’s accident, or after 90 days.

We understand the significant pressures on you as a health or service provider in this challenging environment. Thank you for the ongoing support you deliver to TAC clients.

In response to feedback over the last 12 months, we want to give you greater clarity about when to seek our approval for treatment and services, and how we make decisions about what we can help pay for.

Starting 17 August, our approval requirements will depend on whether a treatment or service is delivered within the first 90 days of the client’s accident, or after 90 days. We will define a new client as one accessing treatment within the first 90 days of their accident.

What we can pay for after an accident

Within the first 90 days of a client’s accident, we will pay for some treatments and services without the need for you or the client to contact us for approval first. The treatment or service must be:

On our list of approved treatments and services for new TAC clients,
Recommended by a health professional, related to the client’s accident injuries and delivered in line with the TAC Clinical Framework.

You will need TAC approval to help pay for treatments or services after the first 90 days of a client's accident.

When you need to seek TAC approval

You or the client will need to contact us for approval of treatments and services when:

The treatment or service is on our list of treatments and services that need approval, or
The treatment or service is on our list of approved treatments and services for new TAC clients, but it is approaching, or more than, 90 days since the client’s accident and we have not already approved further treatment, or
More than 6 months have passed since the client received any TAC support.

You do not need to wait to hear from us before submitting your request or treatment plan if your patient is likely to need treatment beyond 90 days.

Visit our website for details, including our lists of:

Approved treatments and services for new TAC clients
Treatments and services that need approval

You can also access information about how to seek TAC approval and how we make decisions about what we can help pay for.

Thank you again for your dedicated work to support our clients and your commitment to help them achieve the best possible outcomes


10 Aug 2020 TAC clients and when to seek approval Starting 17 August 2020, our approval requirements will depend on whether a treatment or service is delivered within the first 90 days of the client’s accident, or after 90 days. We understand the significant pressures on you as a health or service provider in this challenging environment. Thank you for the ongoing support you deliver to TAC clients. In response to feedback over the last 12 months, we want to give you greater clarity about when to seek our approval for treatment and services, and how we make decisions about what we can help pay for. Starting 17 August, our approval requirements will depend on whether a treatment or service is delivered within the first 90 days of the client’s accident, or after 90 days. We will define a new client as one accessing treatment within the first 90 days of their accident. What we can pay for after an accident Within the first 90 days of a client’s accident, we will pay for some treatments and services without the need for you or the client to contact us for approval first. The treatment or service must be: On our list of approved treatments and services for new TAC clients, Recommended by a health professional, related to the client’s accident injuries and delivered in line with the TAC Clinical Framework. You will need TAC approval to help pay for treatments or services after the first 90 days of a client's accident. When you need to seek TAC approval You or the client will need to contact us for approval of treatments and services when: The treatment or service is on our list of treatments and services that need approval, or The treatment or service is on our list of approved treatments and services for new TAC clients, but it is approaching, or more than, 90 days since the client’s accident and we have not already approved further treatment, or More than 6 months have passed since the client received any TAC support. You do not need to wait to hear from us before submitting your request or treatment plan if your patient is likely to need treatment beyond 90 days. Visit our website for details, including our lists of: Approved treatments and services for new TAC clients Treatments and services that need approval You can also access information about how to seek TAC approval and how we make decisions about what we can help pay for. Thank you again for your dedicated work to support our clients and your commitment to help them achieve the best possible outcomes