Police and Emergency Services Health Funds FAQs

 

 

 

 

 

 

PACFA has compiled these Frequently Asked Questions to assist our members in providing rebated services under the Police & Emergency Services Health Funds. For further information, please see the Police & Emergency Services Health Guidelines for Counselling Services – PACFA.

What benefits do Police & Emergency Services Health funds offer? 

From 1 April 2020 members of both Police Health and Emergency Services Health funds who hold Extras cover are able to choose Counselling or Psychology rebates up to a combined annual maximum of $850 per person. Both funds will also allow their members to access any unused annual maximum from the previous year.

Which providers have benefits payable for counselling services? 

To be eligible to provide services under Police Health and Emergency Services Health, you need to hold PACFA Clinical registration and meet the qualification requirements for the two health funds (see below). Both counsellors and psychotherapists are eligible to become providers.

  • Qualifications in counselling or psychotherapy that is accredited at AQF level 7 to 9, or equivalent training for members with advanced professional standing (members who trained more than 15 years ago and with at least 10 years’ experience) 

How do I know if I meet Police & Emergency Services Health Funds criteria for counselling services? 

In addition to being a Clinical Registrant, to request a Police & Emergency Services Health Provider Number PACFA members must also:

  • be in private practice
  • hold a current Senior First Aid certificate (from 1 January 2021) 
  • hold current indemnity insurance
  • maintain your PACFA registration

How do I register as a Police & Emergency Services Health funds provider? 

Applications to be accepted by Police Health and Emergency Services Health for benefit purposes should be made directly to PACFA. If you wish to become a Police & Emergency Services Health Funds provider please complete this spreadsheet and email the completed form to our Membership Team (membership@pacfa.org.au)

Will I be issued with a provider number? 

Yes. You will be issued with a provider number by PACFA, for use when claiming rebates for services provided to your Police and Emergency Services Health Funds clients. 

Does my provider number have to appear on my invoices and receipts? 

Yes. Your invoices and receipts should contain the following information:

What services are claimable through Police and Emergency Services Health Funds? 

Police and Emergency Services Health funds offer rebates to their members for Individual, Couple/Family and Group consultations. Rebates are available for Standard (50-70 minutes) Consultations and Long (71-90 minutes) Consultations. 

Item Numbers available for use by PACFA members when claiming rebates fall under three categories:

Relationships     Counselling relating to relationships with partner or family member(s)

Addictions           Counselling relating to addictions or substance dependence

Other                   Counselling relating to stress, anxiety, loss/grief, phobias and other matters covered by the PACFA Scope of Practice 2016

For full definitions and a list of Item Numbers, please read and download the Police & Emergency Services Health Guidelines for Counselling Services – PACFA.

Are there special measures in place for COVID-19?

Yes. Police and Emergency Services Health funds have temporarily waived the requirement for a current Senior First Aid certificate, to 31st December 2020. PACFA members wishing to provide services will need to provide evidence of a current First Aid Certificate from 1st January 2021. 

There are also new temporary Item Numbers for the delivery of services via Telehealth (see below).

 COVID-19: Telehealth Item Numbers

Police and Emergency Services Health funds have introduced new Telehealth item numbers as below but will also accept existing item numbers on an account with a notation of Telehealth. Telehealth claims will be accepted under the conditions that:

The new item numbers are:

4403CV                 Standard individual consult 50-70 min Telehealth

4413CV                 Long individual consult 71-90 min Telehealth

4421CV                Standard couple/fam consult 50-70 min Telehealth

4431CV                 Long couple/fam consult 71-90 min Telehealth

These items are in play from 1 April 2020 to 30 September 2020 but may be extended depending on the status of COVID-19 at that time.

Are the same service descriptions and item numbers used regardless of whether psychotherapy or counselling services are being provided?

Yes, item numbers are identical. 

What services are not accepted for benefits?

While Police and Emergency Services Health provide generous rebates for a range of services, the following will not be accepted for rebates:

  • Invoicing for services not yet provided 
  • Services that are outside the PACFA Scope of Practice for Registered Counsellors 2018.
  • Services provided for the following reasons:
    • Managing the relationships between clients and pets
    • Sports performance
    • Meditation
    • Vocational guidance
    • Financial or property mediation
    • Religious guidance

Further Information

PACFA encourages all members interested in providing rebated services under the Police & Emergency Services Health Funds to read the Police & Emergency Services Health Guidelines for Counselling Services – PACFA.

If you have any further questions, please contact the PACFA Membership Team (membership@pacfa.org.au

 

 

 

 

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