Information for community nursing providers

Last updated:

11 May 2023

To provide community nursing services to DVA clients, you must meet our provider requirements. We have documents to help you understand how your relationship with us works.

Community nursing services overview

We fund community nursing (CN) services to meet the clinical needs of eligible Veteran Card holders.

Community nursing services aim to enhance independence and health outcomes, helping people to stay at home.

The professionals that deliver these services include:

registered nurses
enrolled nurses
nursing support staff also known as personal care workers.

Our community nursing services information covers:

who is eligible
how they access this service
how community nursing services link with the Coordinated Veterans' Care (CVC) Program.

Become a community nursing provider

You may apply to be a CN provider if you agree to the non-negotiable fee schedule and you meet the requirements of the:

Community Nursing Terms and Conditions
Notes for Community Nursing Providers (the Notes).

CN providers:

may join at any time
self-certify their compliance
enter and exit at any time without prejudice (subject to accepting the Terms and Conditions and Notes).

To apply, please review the documents on the AusTender website at www.tenders.gov.au. You can then submit the completed and signed Community Nursing Terms and Conditions and Pro Forma on Administrative Information documentation to CN.AGREEMENT [at] dva.gov.au.

The documents on AusTender include the:

Community Nursing Terms and Conditions
Notes for Community Nursing Providers
Community Nursing Schedule of Fees
Community Nursing Pro Forma on Administrative Information.

We do not guarantee any level of business and will only pay for community nursing services you deliver to eligible clients.

Following registration with AusTender for the CNS16 Community Nursing Invitation, carefully read:

the Terms and Conditions & Pro Forma on Administrative Information documentation
the Notes for Community Nursing Providers (Annexure A)
the Schedule of Fees (Annexure B).

It is important to note:

the Offer to the CNS16 Invitation is an ongoing opportunity to new CN providers to submit an application
providers are requested to establish the organisation’s capacity to provide services, based on principles of community nursing and best practice of community nursing services
the provider can enter and exit the program without prejudice (subject to the terms of the agreement for withdrawal and termination).

Community nursing provider requirements

Terms and conditions — provision of community nursing services

Effective April 2020:

Quality management framework

We require CN providers to take part in performance monitoring processes, to help ensure quality and safe services are being delivered to DVA clients.

Notes for community nursing providers

These notes outline CN provider:

conditions
accountability requirements.

You can find the notes here:

The latest notes were released in September 2022.

Community Nursing Newsletters

You can find the latest updates about the provision of community nursing services on the Community Nursing Newsletters.

Claiming

As the provider, it is your responsibility to check your client’s eligibility before you provide services or claim for services.

We fund CN providers on a 28-day claim period basis. The 28-day claim period includes all the services you deliver to the client during that time.

Claim through Medicare. Services Australia will pay the claim on our behalf.

Claiming quick reference guide

The quick reference guide gives:

key information
definitions
contact numbers.

Use this when you submit your claim.

You can download a PDF copy (530 KB).

DVA Community Nursing Schedule of Fees

Effective 1 January 2023:

Effective 1 July 2022:

Community nursing referral template

Referrals to DVA approved CN providers can be made by a:

general practitioner (GP)
specialist
Nurse Practitioner specialising in a CN field
treating doctor in a hospital
hospital discharge planner.

Note: The client’s GP is to have ongoing clinical oversight of the person’s care.

Referrals can be made by completing the D9389 CN Referral form and sending it directly to an approved CN provider. The Panel of Providers page lists approved CN providers for each state and territory.

Minimum Data Set Collection Tool

You need to complete a Minimum Data Set (MDS) collection tool if you claim manually through Medicare using:

Send the completed MDS form to mds [at] dva.gov.au.

Ready Reckoners

2023 ready reckoners:

2022 ready reckoners:

Exceptional Cases

Some of our clients have care needs that are not included in the Schedule of Fees. We assess these as exceptional cases to make sure they get the CN services they need.

Update your provider details

We need to make sure providers receive important information and resources. To do this we ask that you keep your organisation contact details current. This should be someone who can easily circulate information to staff working within your organisation. You can use this form to update your contact details:

Send the form to NMBCN [at] dva.gov.au.