As part of our commitment to improve veterans’ access to health services, the Department of Veterans' Affairs (DVA) is conducting a trial of Provisional Access to Medical Treatment (PAMT)/p>
While their claim is being considered, eligible claimants will be able to receive medical and allied health treatment on a provisional basis for one or more of the 20 most commonly accepted conditions for ex-serving members of the Australian Defence Force (ADF).
Who is eligible for the trial?
The trial is open to veterans who:
- Make a liability claim for a service-related injury or disease under either:
- Submit their claim on or after 1 July 2017 and before 1 July 2020
- Have an injury or disease that relates to one or more of the 20 specified conditions.
Eligible veterans can continue to receive the provisional treatment until one of the following occurs:
- Primary determination of their claim
- An application for appeal or review is finalised
- 31 December 2020 which is the end date of the trial.
How do veterans access the Trial?
Veterans, upon making a claim, will receive a letter from DVA informing them of the trial and a Treatment Confirmation Form, along with the following instructions about accessing provisional treatment:
- The Veteran presents the Treatment Confirmation Form to their GP.
- The GP considers if the veteran’s injury or disease is related to one or more of the conditions on the form. If so, they complete the form, scan it and send a copy to DVA.
- The GP can then claim for the treatment as per usual for DVA clients.
- The GP gives the completed original of the Treatment Confirmation Form to their veteran patient for continued treatment until their DVA healthcare card is issued or updated.
- Allied health providers:
- DVA will fund clinically necessary allied health treatment for a DVA client who is eligible under the Provisional Access to Medical Treatment arrangements.
- As per standard arrangements under the DVA Notes for Allied Health Providers, the client requires a GP referral to access the allied health care (with the exception of dental and optometry services).
- The allied health provider claims for their services as per usual for DVA clients.
What are the 20 specified conditions?
The 20 conditions include 16 musculoskeletal, two hearing and two skin conditions, and consist of the following:
- Achilles Tendinopathy and Bursitis
- Chondromalacia Patella
- Cut, Stab, Abrasion and Laceration
- Internal Derangement of the Knee
- Intervertebral Disc Prolapse
- Joint Instability
- Labral Tear
- Lumbar Spondylosis
- Non-melanotic Malignant Neoplasm of the Skin
- Plantar Fasciitis
- Rotator Cuff Syndrome
- Sensorineural Hearing Loss
- Shin Splints
- Solar Keratosis
- Sprain and Strain
- Thoracic Spondylosis
What treatment will be covered?
Treatments under the trial will be subject to the Treatment Principles under the MRCA and the DRCA. If treatments exceed the limits of the Treatment Principles then prior approval from DVA will be required.
The PAMT trial commenced on 18 June 2018 and it will conclude on 30 June 2020. The final application registration date for veterans to access the trial is 30 June 2020.