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CHIROPRACTORSSCHEDULE OF FEESEFFECTIVE 1 APRIL 2020DEFINITIONSTreatment Cycle Treatment cycle referral arrangements were introduced on 1 October 2019. For more information providers must refer to Notes for Allied Health Providers - Section One: Generaland Section 2(b).The treatment cycle does not apply to the following items:CH20-27CH90CH99DiagnosticEnd of Cycle ReportRequest for ServiceAny allied health services provided to a DVA client while they are admitted to hospital.Initial Consultation Each treatment cycle must start with an initial consultation. Only one initial consultation item can be claimed with each treatment cycle. Includes the completion or update of a patient care plan. Treatment for White Card holders must be related to an accepted disability. Eligibility must beestablished before starting treatment.Subsequent Consultation Cannot be claimed on the same day as an initial consultation for the same client. Should be claimed for ongoing treatment of a musculoskeletal condition. Two subsequent consultations cannot be claimed on the same day.Shaded items require prior financial authorisation from DVA. To obtain prior financial authorisation,please contact DVA using the contact details at the end of the Schedule.FURTHER INFORMATION TO ASSIST YOU WHEN TREATING MEMBERS OF THEVETERAN COMMUNITY IS CONTAINED IN THE ‘NOTES FOR CHIROPRACTORS’AVAILABLE ON THE DVA WEBSITE ofessionalsPage 1 of 7

COVID-19 TELEHEALTH SERVICESIn response to the COVID-19 pandemic, initial and subsequent consultations may be delivered to all eligibleDVA clients via telephone or video conferencing attendance for the period 1 April to 30 September 2020.Telehealth services may only be provided if the full service can be delivered safely and in accordance withall relevant professional standards and clinical guidelines.Providers will determine whether it is clinically appropriate to deliver a service via telehealth, but shouldinclude the following factors in their considerations: Can the client access and successfully use the technology? How practical is it to provide the required treatment or therapy via telehealth? Is the physical location in which a client is accessing telehealth safe and effective for the treatment? Does the health professional have a plan in place to address and mitigate any potential risk to the client? Has the client provided informed consent to participate in the telehealth service?Providers delivering services via telehealth should ensure the technology platform they use: provides adequate video or telephone quality for the service being provided; and is secure enough to ensure normal privacy and confidentiality requirements are met.TELEHEALTH ITEMS Only claimable for treatment provided by telehealth from 1 April until 30 September 2020.Phone consultations can only be provided when video conferencing is unavailable.Also claimable for telehealth treatment delivered to clients in hospital or residential aged care facilities,for services not requiring prior approval.Radiography and diagnostic services cannot be provided by telehealth.COVID-19 telehealth services are considered a consultation under the treatment cycle T STATUS CH01Initial Consultation, Examination and Treatment 65.30GST-freeCH02Subsequent Consultation, Examination and Treatment 65.30GST-freePage 2 of 7

FACE-TO-FACE T STATUS CH01Initial Consultation, Examination and Treatment 65.30GST-freeCH02Subsequent Consultation, Examination and Treatment 65.30GST-freeFEE(excludingGST)GST STATUS HOMEITEMNO.DESCRIPTIONCH03Initial Consultation, Examination and Treatment 68.05GST-freeCH04Subsequent Consultation, Examination and Treatment 65.30GST-freeTREATMENT CYCLE Only one End of Cycle Report item can be claimed with each treatment cycle.Item is only claimable after an End of Cycle Report has been submitted to the DVA client’s usual GP.To support continuity of care, an End of Cycle Report can be submitted after eight sessions of treatment.However, a total of 12 sessions should still be provided before moving to a new treatment cycle.Where the DVA client requires a shorter length of treatment and an additional treatment cycle is notrequired, a minimum of two sessions of treatment must be provided before an End of Cycle Report canbe claimed.ITEMNO.CH90DESCRIPTIONEnd of Cycle ReportFEE(excludingGST)GST STATUS 30.00TaxablePage 3 of 7

HOSPITALSTreatment cycle arrangements do not apply to allied health treatment provided to DVAclients while they are admitted to hospital.PUBLICThe Department will only pay for health care services carried out in public hospitals in exceptionalcircumstances, and when DVA has given prior financial ST STATUS CH31Initial Consultation, Examination and Treatment - 1st Client 68.05GST-freeCH32Initial Consultation, Examination and Treatment 2nd and subsequent Clients 65.30GST-freeCH33Subsequent Consultation, Examination and Treatment 1st Client 65.30GST-freeCH34Subsequent Consultation, Examination and Treatment 2nd and subsequent Clients 65.30GST-freePRIVATEThe Department will only pay for health care services carried out by providers in private hospitals when thecontract between DVA and the hospital does not already cover these services. It is the provider’sresponsibility to determine whether or not health care services are included in the bed-day rate under theDVA contract, before providing services, by contacting the Veteran Liaison Officer at the hospital or DVA.ITEMNO.DESCRIPTIONFEE(excludingGST)GST STATUS CH35Initial Consultation, Examination and Treatment - 1st Client 68.05GST-freeCH36Initial Consultation, Examination and Treatment 2nd and subsequent Clients 65.30GST-freeCH37Subsequent Consultation, Examination and Treatment 1st Client 65.30GST-freeCH38Subsequent Consultation, Examination and Treatment 2nd and subsequent Clients 65.30GST-freePage 4 of 7

RESIDENTIAL AGED CARE FACILITIES (RACFs)The level of care an entitled person receives in a RACF refers to the health status and classification of theeligible veteran, as determined under the Classification Principles 2014, not the facility in which they reside.SERVICES REQUIRING PRIOR APPROVAL IN RACFsPrior Financial authorisation is required before providing clinically necessary allied health services to aneligible client in a RACF classified as requiring a greater level of care as described in paragraph 7(6)(a) ofthe Quality of Care Principles 2014.Note: A client in a RACF classified as requiring a greater level of care is described in paragraph 7(6)(a) ofthe Quality of Care Principles 2014 as a care recipient in residential care whose classification level under theClassification Principles 2014 includes any of the following:(i) high ADL domain category;(ii) high CHC domain category;(iii) high behaviour domain category;ITEMNO.(iv) a medium domain category in at least 2 domains;(v) a care recipient whose classification level is highlevel residential respite care.DESCRIPTIONFEE(excludingGST)GST STATUS CH41Initial Consultation, Examination and Treatment - 1st Client 68.05GST-freeCH42Initial Consultation, Examination and Treatment 2nd and subsequent Clients 65.30GST-freeCH43Subsequent Consultation, Examination and Treatment 1st Client 65.30GST-freeCH44Subsequent Consultation, Examination and Treatment 2nd and subsequent Clients 65.30GST-freeSERVICES NOT REQUIRING PRIOR APPROVAL IN RACFsPrior financial authorisation is not required for clinically necessary allied health services provided to aneligible veteran in a RACF classified as requiring a lower level of care who is not referred to in paragraph7(6)(a) of the Quality of Care Principles 2014.If a provider is in doubt about the classification of an eligible veteran in a RACF who has been referred tothem, they must contact the facility. It is the provider’s responsibility to ascertain the classification of aneligible veteran before they provide treatment.ITEMNO.DESCRIPTIONFEE(excludingGST)GST STATUS CH45Initial Consultation, Examination and Treatment - 1st Client 68.05GST-freeCH46Initial Consultation, Examination and Treatment 2nd and subsequent Clients 65.30GST-freeCH47Subsequent Consultation, Examination and Treatment 1st Client 65.30GST-freeCH48Subsequent Consultation, Examination and Treatment 2nd and subsequent Clients 65.30GST-freePage 5 of 7

RADIOGRAPHY (Licensed Chiropractors registered with DVA only)DVA providers must register with DVA if they, or any eligible claimants providing chiropractic servicesunder arrangements with the Department, wish to perform and assess x-rays at their practice location(s).Relevant documentation should be forwarded to DVA. DVA fees for radiology services provided bylicensed chiropractors are set at 100 per cent of the Medicare Benefits Schedule.One-and-two region spinal x-ray items are limited to one service for the same client, on the same day.ITEMNO.DESCRIPTIONFEE(excludingGST)GST STATUS CH20Chiropractic Radiology - Hip Joint - MBS Item 57712 47.15GST-freeCH21Chiropractic Radiology - Pelvic Girdle - MBS Item 57715 60.90GST-freeCH23Spine - Cervical - MBS Item 58100 67.15GST-freeCH24Spine - Thoracic - MBS Item 58103 55.10GST-freeCH25Spine - Lumbosacral - MBS Item 58106 77.00GST-freeCH26Spine - Sacrococcygeal - MBS Item 58109 47.00GST-freeCH27Spine - Two Regions - MBS Item 58112 97.25GST-freeDIRECT SUPPLY TO DVA(Subject to prior financial authorisation)Use item number CH99 only when DVA contacts you directly to request that you provide a: written report; or consultation or assessment to eligible veterans or war widows/ers, either separately or in conjunctionwith a written report.For example, this may occur when DVA requires a second opinion concerning treatment for a veteran. DVAwill give financial authorisation and advise the fee at the time of the request, according to the above scheduleitems. The kilometre allowance is included in the fee, and is not to be claimed in addition to the fee.Please note: This item does not cover the supply of clinical notes, care plans or other informationrequested by DVA as part of monitoring activities, as these are provided free-of-charge under DVArequirements.ITEMNO.CH99DESCRIPTIONReport or service specifically requested by DVAFEE(excludingGST)GST STATUS Fee specifiedat time ofrequestTaxablePage 6 of 7

KEY RecognisedProfessionalParagraph 38-10(1)(b) of the GST Act states that only a ‘recognised professional’ cansupply GST-free health services as listed in section 38-10. Please refer to section 195-1of the GST Act for the definition of ‘recognised professional’ for GST purposes.DVA CONTACTSCLAIMS FOR PAYMENTFurther information on allied health services may beobtained from DVA. The contact numbers for healthcare providers requiring further information or priorfinancial authorisation for all States & Territories arelisted below:For more information about claims for paymentvisit: www.dva.gov.au/providers/how-claimPHONE NUMBER:Claiming Online and DVA WebclaimDVA offers online claiming utilising MedicareOnline Claiming. DVA Webclaim is available onthe Department of Human Services (DHS)Provider Digital Access (PRODA) Service. Formore information about the online solutionsavailable:1800 550 457 (Select Option 3, then Option 1)POSTAL ADDRESS FOR ALL STATESAND TERRITORIES:Claim Enquiries: 1300 550 017(Option 2 Allied Health)Health Approvals & Home Care SectionDepartment of Veterans’ AffairsGPO Box 9998BRISBANE QLD 4001 DVA WEBSITE: ssionals DVA email for prior financial authorisation:[email protected] appropriate prior approval request form can befound at: -prior-approval.DVA Webclaim/Technical Support –Phone 1800 700 199 or [email protected], banking and claim enquiries –Phone 1300 550 017Visit the Department of Human Services’website -health-professionalsManual ClaimingPlease send all claims for payment to:Veterans’ Affairs Processing (VAP)Department of Human ServicesGPO Box 964ADELAIDE SA 5001DVA provider fillable and printable health careclaim forms & service vouchers are also availableon the DVA website ovidersPage 7 of 7

CH20 Chiropractic Radiology - Hip Joint - MBS Item 57712 47.15 GST-free CH21 Chiropractic Radiology - Pelvic Girdle - MBS Item 57715 60.90 GST-free CH23 Spine - Cervical - MBS Item 58100 67.15 GST-free CH24 Spine - Thoracic - MBS Item 58103 55.10 GST-free CH25 Spine - Lumbosacral - MBS Item 58106 77.00 GST-free