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10.2.5 RAP One-off approval process
If the aid and/or appliance is not on the Rehabilitation Appliances Program (RAP) Schedule, the next step is to explore whether it may be able to be provided on a one-off prior approval basis.
If the assessing health professional is a DVA registered health provider (see section 10.2.6 of this chapter for further information) then they are required to attach a comprehensive assessment report, together with the relevant Product Direct Order Form and forward it to the Assistant Director RAP Operations. That officer will then consider whether there is an item already on the Schedule capable of meeting the client’s assessed clinical need(s). The Assistant Director RAP Operations may also refer to the Senior RAP Policy Adviser and, in some cases, the Department’s Senior Medical Adviser for their opinion. Ultimately, however, the delegation rests at Assistant Director, or Director level within RAP Operations and Policy. A copy of this report should be provided to the Rehabilitation Coordinator for placement on the client’s rehabilitation file.
If an assessing health provider requires assistance with these requests, they may contact the Health Provider enquiries number on 1300 550 457 (metro) or 1800 550 457 (country) and select 1 for RAP.
If the Occupational Therapist (OT) or other suitably qualified allied health provider is not a registered DVA provider, then they should contact the client’s Rehabilitation Provider and provide them with information about:
- why the client has a clinical need for the aid or appliance that has been requested;
- details about the clinical need; and
- a justification of why that specific aid or appliance is particularly suitable for the client.
The Rehabilitation Provider will then need to forward this information to the DVA Rehabilitation Coordinator who will need to liaise with the RAP Operations team by contacting the Manager, RAP Operations or the Assistant Director, RAP Operations. The RAP Operations staff will then consider whether the requested aid or appliance is:
- appropriate for its purpose;
- safe for the person to use; and
- likely to facilitate the independence and/or self reliance of the person based on an assessment of clinical need by an appropriately qualified health professional.