Supporting existing kiritaki (clients) through the transition

• One allocation of Tailored Support to Wellbeing Package B is available on receipt of the new Wellbeing Plan (on approval of that plan). The new Wellbeing Plan must confirm the hours and services required within the parameters of the Package that are required to support kiritaki to meet their recovery needs.
• If services cannot be completed within the provision of that package approved by ACC, kiritaki would be able to access one additional allocation of Package B as per the Sensitive Claims Service contract. Further services after this would require a treatment review.

• One allocation of Tailored Support to Wellbeing Package B is available on receipt of the new Wellbeing Plan (on approval of that plan). The new Wellbeing Plan must confirm the hours and services required within the parameters of the Package that are required to support kiritaki to meet their recovery needs.
• If services cannot be completed within the provision of that package approved by ACC, kiritaki will not be automatically able to access one additional allocation of Package B.
• ACC will contact the lead service provider three (3) months prior to the completion of the agreed package to confirm:
  • if kiritaki are on track to complete this service, or
  • a treatment review is required to assess the further needs of kiritaki.

Following confirmation of the above, ACC will confirm the next steps with the supplier and the lead service provider. The supplier will undertake the confirmed next steps as soon as practicable.

• One of the goals in the new Wellbeing Plan must be for a treatment review to be completed within six months of acceptance of the Wellbeing Plan (unless services will be completed within that six months).
• ACC will allocate a purchase order that has:
  • six months of services (no more than 25 hours)
  • a treatment review (that includes up to six hours to complete sessions and 10 hours to review and write up the treatment review report).
• The treatment review must be completed within the six-month period from when the purchase order is issued.
• On receipt of the treatment review, we will review and confirm the next steps.

• No new purchase orders will be issued beyond Friday 30 November 2024 for the ISSC or Training for Independence Sensitive Claims TI-SC contracts.
• All purchase orders that need to be approved or amended must be requested before Wednesday 20 November 2024. This is to allow sufficient time for them to be issued before Friday 30 November 2024.
• We will honour existing purchase orders (issued prior to Friday 30 November 2024) under the current ISSC contract or Training for Independence Sensitive Claims TI-SC contract up until 31 May 2025 (or earlier).
• Any purchase orders dated Sunday 1 June 2025 and beyond cannot be honoured. Therefore, you will now start to see purchase orders with an end date of Saturday 31 May 2025 rather than for 12 months.
• For any purchase orders issued for ISSC Support to Wellbeing Long Term hours, the allocation of hours will be prorated at a rate of one hour per week (e.g. for four months of support, we would approve 16 hours of service, equating to one hour per week).
• For any purchase order with ISSC support services, the allocation of hours will be prorated (eg for 6 months of social work, 5 hours will be approved).
• When kiritaki transition to the Sensitive Claims Service, the non-attendance fee allocation available under the ISSC is void. A new allocation of non-attendance fees as per the Sensitive Claims Service contract will be available under a new purchase order.
• Through the transition period when a report is submitted to initiate transition (on the new reporting templates), this will be added to the new purchase order raised under the Sensitive Claims Service. This can then be invoiced for under the new purchase order. 

• From now on, no new applications to deliver group-based therapy (including groups for Dialectical Behavioural Therapy – DBT) will be accepted.  Existing approved groups can complete services if the supplier and provider are able to deliver that service through the transition period (Sunday 1 December 2024 to Saturday 31 May 2025). 

• Suppliers must confirm the dates for existing approved groups by 31 October 2024. After this date, ACC will not accept requests to amend approved groups, including updating the confirmed dates those groups will run.

• In circumstances where kiritaki transition to the Sensitive Claims Service but are still participating in ISSC approved group-based therapy, ACC will honour existing purchase orders, and you will be required to invoice using the ISSC service codes for group-based therapy and the Sensitive Claims Service codes for other services until the conclusion of the group.  

• Kiritaki cannot access group-based therapy through both the ISSC and Sensitive Claims Service during the transition period. 

• Applications for group-based therapy (including DBT) under the new Sensitive Claims Service contract will open in February 2025. 

• New outcome measures will be used and collected when  kiritaki transition to the Sensitive Claims Service (as per the requirements of the Sensitive Claims Service contract).
• Details about the new outcome measures and how they will be collected are available in the Operational Guidelines.
• When kiritaki transition to the Sensitive Claims Service, the lead service provider will receive an email prompt from ACC to start the new outcome measures. After this, collection of outcome measures will follow the schedule outlined in the Operational Guidelines.

From 1 December and during the transition period, the administration and management fee under the Sensitive Claims Service contract can be invoiced for when:

• new kiritaki (who have never received services under either the ISSC or new Sensitive Claims Service); engage in the Sensitive Claims Service after 1 December 2024 
• kiritaki move to a new supplier under the Sensitive Claims Service, or
• kiritaki return to services with the same supplier after 24 months from when the previous engagement form was lodged (this includes where they were previously engaged in services under the ISSC).

The administration and management fee cannot be invoiced when:

• kiritaki transition to the Sensitive Claims Service with the same supplier that supported them under the ISSC contract, or
• where kiritaki have been engaged in services for more than 24 months.

• When kiritaki transition from the ISSC to the Sensitive Claims Service, a new engagement form is only required if kiritaki are transitioning to a new supplier. 
• If kiritaki are continuing with their current supplier, a new engagement form is not required, even if they are changing lead service providers. If kiritaki are changing lead service providers, notify the ACC Recovery Team supporting the kiritaki with confirmation of the new provider. 

• Kiritaki cannot receive Training for Independence Sensitive Claims services at the same time as similar services under the Sensitive Claims Service (such as physiotherapy or occupational therapy).
• If the kiritaki is receiving a TI-SC programme, please get in touch with the correct ACC recovery team for further information in regard to the programme.
• Further services should only be requested under the Sensitive Claims Service at the transition point if further TI-SC services are needed beyond the current TI-SC purchase order.

Changing suppliers before 20 November 2024 

If there are named service providers requesting to provide services under your contract now this must happen under your existing ISSC contract. 

Please note: 

• The provider must already be named on your current ISSC contract 
• The request to change supplier needs to be actioned before 20 November 2024 to allow purchase orders to be issued under the ISSC; and 
• The steps for transitioning suppliers set out in the ISSC Operational Guidelines must be met. 

The kiritaki that are moved, must then at their transition point be moved from the ISSC contract to the Sensitive Claims Service. Follow the transition guide for the transition steps to move from the ISSC to the Sensitive Claims Service at the appropriate transition point before 31 May 2025. 

Changing suppliers from 1 December 2024 

Named service providers cannot start to transition any existing kiritaki to a new supplier or Sensitive Claims Service contract until 1 December 2024 (as the contract is not live until then). 

It is strongly encouraged providers transition existing kiritaki at their natural transition point (where this is feasible) to ensure continuity of care and to manage the flow of kiritaki transitioning. 

If there are named service providers requesting to come under your new contract from 1 December 2024, they must be named on your new contract.  

At the identified transition point (check in or report), an engagement form, and the required report or plan to support the transition of the kiritaki are submitted to ACC. This can be done simultaneously to reduce any delay in actioning the transition and setting up the next set of services and purchase order under the new contract.   The key steps to note are: 

1. After 1 December 2024 (before the next plan/report is due) submit a new engagement form, indicating that the lead service provider remains unchanged, and it is simply a change of supplier and provide the next report/plan on the new Sensitive Claims Service template.  
2. Discuss the change of supplier with the kiritaki. They must agree to the change. 
3. Notify the appropriate Recovery Team managing the claim of the change of supplier.  
4. On receipt of the Engagement Form and next report/ plan, ACC will confirm next steps and set up the purchase order under the new contract (which will include the report/plan that was submitted).