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Treatment for twenty conditions available while claim considered

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The 20 specified conditions are:

  1. Achilles tendinopathy and bursitis
  2. Chondromalacia patella
  3. Cut, stab, abrasion and laceration
  4. Dislocation
  5. Fracture
  6. Internal derangement of the knee
  7. Intervertebral disc prolapse
  8. Joint instability
  9. Labral tear
  10. Lumbar spondylosis
  11. Non-melanotic malignant neoplasm of the skin
  12. Osteoarthritis
  13. Plantar fasciitis
  14. Rotator cuff syndrome
  15. Sensorineural hearing loss
  16. Shin splints
  17. Solar keratosis
  18. Sprain and strain
  19. Thoracic spondylosis
  20. Tinnitus

As part of a new trial, DVA will pay for medical treatment for 20 common conditions (see list below) while the claim for the condition is being processed.

This means that eligible claimants will not have to wait until DVA has made a determination before receiving treatment.

The Provisional Access to Medical Treatment (PAMT) trial will enable eligible claimants to receive medical treatment at DVA’s expense on a provisional basis while their claim is being considered.

Approved treatment will be paid for by DVA before the liability claim is finalised, irrespective of whether the claim is ultimately accepted or not.

Eligible claimants must make a liability claim for a service-related injury or disease under the Military Rehabilitation and Compensation Act (MRCA), or the Safety, Rehabilitation and Compensation (Defence-related Claims) Act (DRCA) between 18 June 2018 and 31 March 2019 inclusive. Clients who have submitted a new claim after 1 July 2017 may be eligible to claim reimbursement for treatment received and paid for. DVA will write to potentially eligible clients.

DVA has recognised that certain conditions are often closely linked with clients’ service and in most such cases the department would in time approve claims for their treatment.

The PAMT trial promotes the right to health by enabling treatment to start early without the need to wait for the claim to be determined.

Early access to treatment is aimed at reducing any further deterioration in a veteran’s medical condition. It can ultimately speed up the recovery process, too.

The 20 conditions were chosen on the basis of claims frequently made under the MRCA or the DRCA that have a high acceptance rate.

Treatment will be available from the date the claim is made right up until the claim has been determined at the primary level or on application of appeal or review; or the end of the trial on 30 June 2019, whichever comes first.

The trial is open to former ADF members, part-time Reservists, and cadets or declared members. Some current serving members may also be eligible, including those who leave the ADF before 1 April 2019. Approval is required by the current serving member’s commanding officer.

Upon submitting their claim, eligible veterans will be issued with a PAMT Treatment Confirmation Form to take to their treating medical practitioner to complete.

Clients will need to retain the completed PAMT Confirmation Form, along with their DVA application acknowledgement letter, as evidence of their eligibility for treatment at DVA’s expense until they receive a White Card, or, if they already have a White Card, their card is updated.

A reminder that when the trial ends on 30 June 2019, DVA will stop paying for treatment, even if the claim has not been determined.

For more information about the trial or eligibility for treatment, please go to the DVA website or call DVA on 1800 555 254.

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