Delivering hospital based care
Find out how to work with us and deliver hospital based care to our clients.
On this page
Who can deliver hospital based care
This information is for our contracted:
- public hospitals
- private hospitals
- private mental health hospitals
- day procedure centres
Referrals and admissions for hospital treatment
If you need information on hospital admission and treatment see our Hospital admission and discharge page.Back to top
We have arrangements with all state and territory governments to provide care in public hospitals.
In most cases, you do not need prior approval before you admit a Veteran Gold Card holder to a public hospital. If you are unsure if we will pay, please contact us as soon as possible before you admit the client.
Public hospital quality reporting is managed by state and territory health departments. Public hospitals are not required to submit anything extra to us.
If you have any specific queries please contact dva.public.hospitals [at] dva.gov.au
Funding arrangements in public hospitals
We provide funding to public hospitals providing:
- an activity-based payment for each episode. This includes the cost of surgically implanted prostheses.
- non-admitted services, in Tasmania to the Tasmanian Department of Health and Human Services.
For all queries regarding public hospitals please contact dva.public.hospitals [at] dva.gov.auBack to top
Private hospitals and private mental health hospitals
Our private hospital information guide provides information for private hospital and private mental health hospital staff.
Our contracted private hospitals:
- Contracted Private Hospitals (DOCX 32 KB) – updated 9 November 2022
- Contracted Mental Health Private Hospitals (DOCX 25 KB) – updated 20 December 2022
Quality reporting for private hospitals and mental health private hospitals
All of our contracted hospitals are required to complete and submit an annual quality report (QR) by 31 October.
Download the current Private Hospital Quality report template
Send your completed QR to dvaprivatehospitalqualityreports [at] dva.gov.au
Program proposals for private hospital services
We invite hospitals to submit proposals for programs that may improve health outcomes in the veteran population.
We have created guidelines to help you draft your proposal:
- Guidelines for proposals for same day and sessional rehabilitation programs (DOCX 20 KB)
- Guidelines for proposals for innovative or best practice programs (DOCX 20 KB)
- Guidelines for clinical mental health day programs (DOCX 30 KB)
- Guidelines for proposals for innovative mental health programs (DOCX 20 KB)
- Guidelines for proposals for trauma recovery programs (DOCX 30 KB)
Please refer to the relevant guidelines when you write your proposal.
Send your completed program proposal to resp.priv.hospitals [at] dva.gov.au
We believe that effective discharge planning has many benefits for patients. We work closely with hospitals so that transferring from hospital to home is as seamless as possible.
You can find information on the health and home support services available to our clients to assist them to discharge safely home in our two publications:
If patients need convalescent care in a residential aged care facility, discharge planners will need to seek approval from DVA by contacting 1800 550 457 or by email health.approval [at] dva.gov.au prior to arranging care.Back to top
Day Procedure Centres
The DPC Information Guide (PDF 620 KB) provides important information for Day Procedure Centres (DPCs) working with us.
A list of our contracted DPCs are available from the following document:
- Contracted Day Procedure Centres (DOCX 38 KB) – updated 20 December 2022
Quality reporting for DPCs
All of our contracted Day Procedure Centres must complete and submit an annual Quality Report (QR) by 31 October.
Download the current DPC quality report template
Send your completed report to DPC QR to dvaprivatehospitalqualityreports [at] dva.gov.auBack to top
The Private Hospital Patient Experience Survey
All DVA patients who have had an overnight stay in a private hospital or private mental health hospital are invited to participate in this survey. Hospital staff give a survey form to patients upon discharge and patients are asked to complete the survey and return it within 3 weeks of discharge. For all hospitals wishing to order more survey forms, please call DVA’s Survey Administrator on 1800 001 154Back to top
Online schedules and hospital-related information
The Group Accommodation and Theatre Banding (GATB) Schedules and tables
As outlined in our private hospital agreements, accommodation and operating theatre charges must be claimed-based on the GATB Schedule.
The GATB Schedule comprises 2 tables:
1 based on the Commonwealth Medicare Benefits Schedule (CMBS):
- CMBS-Based Group Accommodation and Theatre Banding (GATB) Schedule (XLSX 221 KB) – updated December 2022
1 based on ICD 10 Medical Group Accommodation Banding Schedule diagnosis/disease codes:
- Medical Group Accommodation Banding Schedule (XLSX 80 KB) – updated 1 July 2022.
Please note there are annotations used in the Schedule and your attention is drawn to these.
Please note that the Medical Group Accommodation Banding Schedule dated 1 July 2022.
Hospital data submission
Hospital Casemix Protocol (HCP) data must be submitted by all:
- private hospitals
- mental health private hospitals
- day procedure centres
The Hospital Casemix Protocol (HCP) Data Upload link connects to our secure services login page.
Surgically Implanted Prostheses Schedule
The Department of Health provides a link to the latest listing of the Surgically Implanted Prostheses Schedule.Back to top
Forms and Certificates
- Hospital Admission Form
- Discharge Advice and Hospital Claim Form
- Acute Care Certificates to certify patients need acute care continuously 35 days or more
- National Private Hospital Claim Form (please use section 4 to certify same day and overnight admissions for Type B and C procedures)
Critical Care Certificates
These certificates are used to:
- clinically verify the need for accommodation in a Critical Care Facility
- list the required interventions and level of nursing care
There are two critical care certificates:
The Rehabilitation Program certificate
The Rehabilitation Program Certificate (PDF 596 KB) is used when a patient is admitted for any of the following:
- inpatient rehabilitation
- admitted same day rehabilitation
- non-admitted sessional rehabilitation program
The Rehabilitation Program certificate should be signed by a rehabilitation physician.
Keeping the patient certificates for audit
You must keep the original certificate on the patient file for audit purposes. This includes the:
- coronary care certificate
- intensive care patient certificate
- rehabilitation program certificate
- same day or overnight certificate
Do not send these documents to us or Services Australia.
If you need any help with forms, call our provider helpline on 1800 550 457Back to top