The following document outlines the procedure to be followed to request treatment, rehabilitation or care for Scheme participants.
The procedures are to be followed when:
- Making an assessment of a participant's treatment, rehabilitation or care needs
- Developing plans to address these needs
- Assessing whether proposed equipment or services are reasonable and necessary
The procedures should be read in conjunction with the LTCS Guidelines.
Please note that the Authority is in the process of updating the procedures for requesting treatment, rehabilitation and care. Once the new document is complete, it will be available on this website and providers will be notified via the E-News.
To download the forms to request equipment and services, go to our Forms to Request Services page.
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Payment Codes and Invoicing the Authority
The Authority has recently reviewed and updated the list of payment codes for providers to use when requesting services. These codes have been amended and some descriptions revised so that service providers can identify the appropriate code more easily.
Service providers should use this new list of codes for all requests submitted from now on.
When invoicing the Authority, it is essential that the invoice includes the correct payment code and approval number as documented on the certificate. An approval number always starts with RP and takes the format e.g. RP12-3456.
These approval numbers are specific to the participant and the item or service requested. This means that service providers should only use the current approval numbers that relate to a participant.
The Authority may occasionally change the payment codes that were originally submitted in a plan or request. This usually occurs if the Authority considers the service to fall into a different category or the service provider made a typographical error when listing a payment codes.
This means that service providers should always refer to the Authority's certificate, and not their copy of the submitted plan or request, when listing payment codes on invoices. Service providers should contact the LTCS Coordinator if they are unsure which payment code to use.
New Providers
If you are providing services to a participant of the LTCS Scheme for the first time, please complete the Supplier File Addition/Change Request and forward it to the Authority.
Please refer to the following document from the Australian Tax Office for information about invoice requirements.
All invoices must include the approval number that appears on the certificate
All enquiries relating to the payment of invoices are to be directed to LTCS Accounts Payable on 1300 416 829.