Attendant care fees and policy
- Attendant care fees
Attendant Care - IRQS
Item number Service description Maximum payment rate PH170 Attendant Care $45.64 p/h PH180 Attendant Care - Public Holiday $100.80 p/h PH140 Inactive Overnight Care (8 hour shift inclusive of 1 hour active)^ $112.24 PH150 Travel $0.76 per km PH160 Establishment Fees $115.9
Item Number Service description Maximum payment rate PH110 Attendant Care $45.64 p/h PH140 Inactive Overnight Care (8 hour shift inclusive of 1 hour active)^ $112.24 PH150 Travel $0.76 per km PH160 Establishment Fee $1115.9
* For further information regarding Attendant Care – IRQS (Independently Reviewed against Quality Standards).
^For inactive overnight support where more than one hour and up to four hours of active care are provided, the additional hours are to be billed at the attendant care hourly rate (PH110). For example, where three hours of active care are provided, bill for PH140 as well as 2 x PH110. If more than four hours of active care are provided, active overnight support is to be billed at eight times the attendant care hourly rate, i.e. 8 x PH110.
- Attendant care policy
Attendant care policy effective from October 2014
The WorkSafe Agent (the Agent) can pay the reasonable costs of attendant care services where required as a result of work-related injury or illness under Victorian workers compensation legislation (the legislation).
The Agent will periodically review a worker's entitlement to attendant care to ensure that the services remain reasonable for the work-related injury or illness and remain payable under the legislation.
- The Agent can pay for attendant care services where the services:
- are identified as being the most appropriate and enabling response to a worker's clinically justified care and support needs;
- optimise functional independence and actively support the worker to achieve their independence goals ;
- are provided in a way that is consistent with the Clinical Framework for the Delivery of Health Services; and
- are delivered using a worker centred approach. A worker may need attendant care services to increase their independence with:
- activities of daily living such as personal care;
- therapy support to enable the worker's active participation in rehabilitation activities, such as a home exercise program, a personal or domestic skills retraining program, or to facilitate the learning of new skills such as using a communication device; or
- accessing the community to undertake activities such as banking and shopping.
For information about other services the Agent can pay for, please refer to the:
- Community Access Policy.
- Equipment Policy.
- On-Call Service Policy.
For information about other support for carers of a person with a disability, please refer to Centrelink. Centrelink may provide financial support to eligible carers.
In this policy:
- Attendant care is a support service provided to a worker at home or in the community to promote their independence and enable them to participate optimally in all aspects of their lives. Attendant care services can be provided in the following forms:
- Daytime support, which is a service for workers who require active provision of attendant care that is classified as either:
- Personal care, which is physical assistance with daily living tasks as directed by the recommending occupational therapist/other allied health professional and includes the provision of domestic services by the attendant carer in down time between provision of personal care.
- Therapy support, which assists the worker to actively participate in goal directed home or community based rehabilitation activities where the support is necessary to achieve specific goals and outcomes. Therapy support is documented in the worker's Support Plan and revised as required by a treating health professional.
- Community access, which is to assist and support the worker to undertake community activities as directed by the recommending occupational therapist
- Overnight support which is a service for workers who require attendant care for a period of 8 consecutive hours covering the usual sleeping period of the worker in their home or an approved location. It comprises either:
- Active overnight support - an overnight attendant care shift where an attendant carer is required to provide active assistance or support to a worker.
- Inactive overnight support - an overnight shift when an attendant carer is present, but not required to actively assist or support a worker. The inactive overnight support fee includes one hour of active support (not necessarily provided consecutively) for the attendant carer to undertake manual tasks associated with the worker's care such as assisting with toileting/continence issues, managing physical issues such as spasms and pain and turning and repositioning workers. *
- An on-call service is a remote service for workers who require a low level of care during the day and/or overnight, but do not require an attendant carer to be constantly present and/or sleep over in their home. This service comprises two components: the monitoring service and the attendant
care service. The monitoring service will contact the worker when a call is triggered to establish which of the following calls will be made to provide appropriate support:
- contacting the worker's nominated contact person (for example neighbour or family member); or
- arrange a call-out for an attendant care service to provide personal care within a 30 minute period (such as personal hygiene); or
- arrange for an emergency services response (such as police, ambulance or fire).
Refer to the On-Call Services Policy for more information.
- Shared support is an attendant care service provided to two or more people, at least one of whom is a worker, at the same time or as part of a small group. Shared support can be for a one off event or for regular attendance at a community group/recreational activity. This service may
be provided where there is a particular activity that more than one worker can engage in together, for example, a concert or holiday.
- An attendant carer is a person who is appropriately trained and employed by a registered/approved attendant care agency to provide attendant care services in a way that promotes independence and functional skills. The minimum requirements to provide attendant care services are demonstrated competency in areas relevant to the needs of workers including: CPR;
- apply first aid;
- food safety;
- manual lifting; and
- infection control.
Attendant carers must also complete a worker specific training program where required as a result of a worker's specialised support needs.
- Rehabilitation is the provision of time-limited, goaloriented and outcome-focused services to support the worker achieve their independence goals. A rehabilitation program is usually developed and monitored by an allied health professional and may include a home exercise program, independent gym program, retraining in daily living skills or training in new skills.
- Support Plan is the document submitted by the attendant care agency that details the attendant care program that is expected to meet the worker's individual support needs.
What can the Agent pay for in relation to attendant care?
- has physical, sensory and/or cognitive/behavioural disabilities arising from their work-related injury or illness; and
- is assessed as requiring support with activities of daily living such as personal care, domestic and community activities and/or individual participation in recreation activities following discharge from an acute or rehabilitation hospital.
The Agent can pay the reasonable costs of attendant care required as the result of a work-related injury or illness for a worker who:
The Agent can pay the reasonable costs of a range of attendant care services to provide day and/or night time support.
Daytime support – personal care
The Agent can pay the reasonable costs of attendant care to assist and support a worker to manage personal care tasks as independently as possible. Where possible, personal care support should be delivered in a way that increases a worker's independence with personal care activities.
The Agent can also pay for personal care for a worker who is assessed as being at risk of physical harm/medical emergency without supervision and when electronic communication devices, alarms or environmental control systems are not appropriate. The Agent will consider the availability of family and other informal social supports when considering a request for attendant care for this purpose.
Daytime support – on-call services
The Agent can pay for on-call attendant care for a worker who requires a low level of care and does not require an attendant carer during the day in their home. On-call attendant care can be combined with active care where appropriate. Refer to the On-Call Services policy