Information on this page is designed to help exercise physiologists (EPs) understand DVA funded exercise physiology treatment for eligible members of the veteran community.
- What is the aim of DVA-funded exercise physiology?
- Who can provide treatment?
- Who can I treat?
- Do I need to prepare a care plan? What are the note-keeping requirements for DVA services?
- What should I do if the eligible person is not responding to treatment?
- How should I manage indefinite referrals?
- How long will DVA pay for an eligible person to see an exercise physiologist?
- How should I manage referrals requesting treatment in a weekly manner e.g. three times weekly supervised exercise?
- What is the purpose of a group consultation?
- Do I need to be present during the entire group consultation?
- I receive payment for a group session from a residential aged care facility (RACF). Can I also claim for payment from DVA?
- Can my aide or student provide treatment on my behalf?
- Can I provide consultations via Skype?
- The eligible person needs an exercise band. How can I claim for this?
- Can I provide massage therapy as part of my exercise physiology treatment?
- Does DVA pay for pool or gym entry, general exercise programmes, fitness centre or gym memberships?
- What other options are there for eligible persons?
- The fee I charge is more than the DVA fee. Can I charge the difference to the eligible person?
- Can I charge DVA if the eligible person does not show up for an appointment?
- When can I claim a kilometre allowance?
- Can I advertise my services for DVA eligible persons?
- Do I need to use a Recipient Created Tax Invoice for claiming?
- Can I claim online?
- Claim enquiries
- Where can I get further information?
- How do I contact DVA?
For detailed information, refer to:
- Notes for allied health providers, section one - general
- Notes for exercise physiologists
- Notes for allied health providers, section 2(f) exercise physiologists
- Changes to exercise physiology arrangements effective 1 November 2013
The aim of DVA funded exercise physiology is to:
- assess the entitled person and design an individualised exercise program that addresses the need of their referred, specific clinical condition
- provide the entitled person with the skills to manage the exercise component of their treatment on their own, through exercise.
Exercise physiology services must be provided by an exercise physiologist who is accredited by Exercise & Sports Science Australia and is registered with the Department of Human Services.
You can treat a DVA entitled person who has both:
- a referral from their medical practitioner, medical specialist or hospital discharge planner which includes a diagnosis informing you of the patient’s condition requiring clinically necessary treatment; and
- a DVA Health Card (Gold Card or White Card) where the referral for treatment relates to a war-caused or service-related condition accepted by DVA.
Note: If you receive a referral where the condition to be treated has not been specified, you must contact the referring practitioner. If there is any doubt about an entitled person’s eligibility to receive exercise physiology services, contact DVA.
Yes. You must prepare a patient care plan following an initial consultation. The patient care plan should be revised with any changes in the eligible person’s clinical circumstances, such as following a re-assessment, or as part of a discharge plan. Service providers must create and maintain detailed and up-to-date clinical records which note all administrative and clinical aspects of the provision of treatment to an eligible person.
Some clients may be non-responsive to exercise physiology treatment, that is, they are not achieving desired outcome measures identified in the patient care plan. This may be due to a number of factors. This situation should be discussed with the eligible person’s general practitioner. Further exercise physiology treatment may not be suitable or clinically necessary.
Occasionally you may receive a referral for an indefinite period, that is, the referral does not have an end date. An indefinite referral may be used, for example, for a degenerative condition where intermittent check-ups may be necessary to ensure exercise treatment remains effective in managing the client’s health needs. All treatment delivered to eligible DVA clients, regardless of the referral type, must be clinically necessary.
If you receive an indefinite referral you can notify the Department of Human Services by:
- writing ‘indefinite referral’ in the Doctor’s referral form field if using a Health Practitioner Service voucher (D1221 Health Practitioner Service Voucher PDF 102 KB), or
- writing the date and ‘indefinite referral’ in the date of referral field if using a Treatment Service voucher (D1216 Treatment Service Voucher PDF 196 KB)
DVA will pay for entitled persons to see an exercise physiologist (EP) for clinically necessary treatment only. The EP can assist the eligible person with their recovery or self-management of referred conditions. It is expected the duration of treatment will be evidence and outcome-based, reasonable in time, and focus on exercise literacy to promote improved condition management and recovery, independent of the need for regular or ongoing treatment.
Importantly, EP treatment of chronic conditions must have a focus on promoting independence from treatment by facilitating the eligible person’s self-management of their condition. Treatment must be delivered in accordance with available scientific literature demonstrating that an appropriately prescribed exercise intervention can produce an anticipated health outcome relevant to the referred condition only.
Any treatment must be clinically appropriate and delivered in a timely manner. The presence of chronic or complex conditions does not mean an eligible person requires continuous treatment for 12 months. The responsibility of the eligible person to implement the advice of the healthcare professional as part of their self-management strategy is desirable. Doing so is likely to produce significant health benefits.
A referral is normally valid for 12 months, unless it is an ongoing referral for an eligible person with accepted chronic conditions. This does not mean the eligible person with a chronic condition will clinically require ongoing treatment. The EP should provide advice and clinical guidance and promote better self-management with the view to significant health benefits.
DVA does not fund ongoing, weekly treatment to promote exercise adherence or for general exercise participation purposes.
How should I manage referrals requesting weekly treatment, for example, supervised exercise three times a week?
Based on your clinical judgment of the entitled person’s assessed and referred needs you, as the service provider, determine the type, number and frequency of the treatments to be provided for the services that do not require prior financial authorisation from DVA.
Treatment of an eligible person in a group format must be clinically necessary and individualised. The group items allow for intermittent treatment of eligible persons in a group of up to 12 participants. It is not appropriate to use group treatment items to supervise ongoing exercise regimes or to provide general gym programmes. This includes group exercise classes that work on improving health parameters generally such as to increase fitness, decrease falls risk or lose weight.
Yes. All participants must receive constant overall supervision with intermittent individual care throughout the consultation.
I receive payment for a group session from a residential aged care facility. Can I also claim for payment from DVA?
No. You cannot claim for services that have been paid or will be paid for by a third party (for example, the residential aged care facility).
Yes. A student may provide treatment under your direct supervision, subject to the eligible person’s informed consent, provided you are directly observing the student and the eligible person during the entire consultation.
No. You must be physically present during all consultations.
Therapeutic exercise bands can be obtained through the Rehabilitation Appliances Program (RAP) National Schedule of Equipment (item AV10) if they are clinically necessary.
You will need to complete the following Direct Order Form.
For more information, refer to AV00 Physiotherapy Appliances on the RAP National Schedule of Equipment.
No. DVA only funds massage therapy if it is delivered during a consultation by a physiotherapist, chiropractor or osteopath.
Additionally, DVA will only pay EPs to deliver treatments recognised as part of their Scope of Practice. Activities such as dry needling or massage therapy are not recognised within the Scope. Please refer to ESSA for further advice.
No. Any treatment that is not clinically necessary cannot be billed under DVA’s arrangements. If the eligible person wants to join a generalised exercise class, fitness or gym programme, this needs to be a private arrangement between them and the EP or the fitness centre/gym.
All consultation fees include any fees that might be payable to access a facility, such as payment for the eligible person’s entry cost into a gym or pool.
DVA’s Heart Health Programme helps eligible persons to increase their physical health and wellbeing through practical exercise, nutrition and lifestyle management support. For more information, see the Heart Health Programme webpage.
No. You must charge your service according to the DVA Exercise Physiology Schedule of Fees.
No. However, if it is your standard practice to charge a fee for missed appointments then the eligible person will be responsible for this payment provided they have been advised beforehand.
If you are registered as a mobile provider, that is, you have no fixed practice location, then you are unable to claim a kilometre allowance for any travel you undertake to see DVA eligible persons, regardless of meeting DVA travel requirements.
For providers with a fixed practice location, you are able to claim an allowance for home visits per kilometre where a genuine need for the eligible person to be seen in their home exists and where:
- the distance is greater than 10km;
- the eligible person is physically unable to travel to your clinic; and
- there is no suitable provider located closer to the eligible person.
You are not able to claim kilometre allowance from DVA for travel between one office to another, or from your practice to an outside facility, such as a gym or the pool.
Generally not. As stated in the Notes for Allied Health Providers Section One: General clause 72-74, the only permissible words providers can use to indicate the availability of allied health services to the veteran community are ‘DVA Health Cards (Gold and White) are accepted as payment upon a GP referral’.
This means material which targets DVA eligible persons on the type of service that can be delivered using their health card for payment will not meet DVA requirements. For example terms such as ‘DVA’, ‘ex-service personnel’ or ‘veterans’ in your advertisements, websites or promotional material are not appropriate to be used where readers might infer specific providers are endorsed by DVA. Phrasing such as ‘fully funded by DVA’, ‘Treatment is bulk billed’, ‘Treatment is free’ or ‘Gym membership included’ should not be used in your advertising.
You must seek permission in writing from DVA to include any reference to DVA or eligible persons. Changes to material that has been previously approved must be re-approved by DVA. Advertising requests can be sent to firstname.lastname@example.org or posted to:
Department of Veterans’ Affairs
GPO Box 9998
CANBERRA ACT 2601
Yes, you will need to complete a Recipient Created Tax Invoice agreement if you, or the business you work for, are registered for GST purposes.
Yes. You can participate in online claiming through Medicare Online Claiming. This method is paperless, fast and efficient. Ask your software vendor for the latest version to maximise the benefits of electronic claiming.
DVA Webclaim is a free online service designed primarily to help providers who only have a small number of DVA eligible persons to lodge claims for. Webclaim will provide instant responses to most claims. You can also access online payment statements for processed claims. DVA Webclaim is available on the DHS Health Professional Online Services (HPOS) portal.
The following documents are recommended readings prior to providing treatment to eligible members of the veteran community:
- Notes for Allied Health Providers - Section One: General
- Notes for Allied Health Providers - Section 2(f) Exercise Physiologists
Visit the DVA Contact page.