Supported Activities Service Operational Guidelines July 2009 This is a living document and will be updated as required Supported Activities – Operational Guidelines Contents About Supported Activities .............................................................................................. 1 Supported Activities (SA) vs Training for Independence (TI) ............................................ 1 Objectives and deliverables ......................................................................................... 1 Eligibility criteria ........................................................................................................ 2 Rules for concurrent services ....................................................................................... 2 Meaningful Group Activities............................................................................................. 3 Maintain function ....................................................................................................... 3 Increase community participation ................................................................................. 4 Monitor client’s functional skills .................................................................................... 4 Reports and Timeframes ................................................................................................ 5 Completing the various ACC4529 SA Report sections ...................................................... 5 Supported Activities Process Overview ............................................................................. 7 Referral Phase ............................................................................................................... 7 ACC’s responsibilities .................................................................................................. 8 Receiving the referral ................................................................................................. 8 Checking the referral .................................................................................................. 9 Accepting or declining the referral .............................................................................. 10 Development Phase ..................................................................................................... 10 Developing the Supported Activities plan..................................................................... 11 How to complete the Supported Activities plan form ..................................................... 12 Approving the Supported Activities plan ...................................................................... 12 Trial or Implementation Phase ...................................................................................... 13 Completing the trial phase ........................................................................................ 13 Intervention phase – delivering group programmes ...................................................... 14 Reporting and Completion Phase ................................................................................... 15 How to complete the progress and outcome reports ..................................................... 15 Ending or Continuing the Programme ............................................................................. 16 Invoicing .................................................................................................................... 16 Supported Activities – Operational Guidelines About Supported Activities Service ACC’s Supported Activities are a social rehabilitation entitlement and are delivered as a group programme in a community facility. The service is aimed at clients who need support to maintain their level of independence, eg clients with moderate to severe brain injury or a comparable cognitive diagnosis. Supported Activities (SA) vs Training for Independence (TI) Primary differences between SA and TI are: Supported Activities Training for Independence Maintenance focus Active training and coaching focus Focuses on monitoring a client’s situation and activities that provide meaning, promote participation and maintain the level of independence. Focuses on achieving specific measurable, achievable, realistic, and time-framed outcomes based on the client’s interests, goals, and aspirations. Maintains the client’s level of independence. Increases a client’s level of independence. Delivered as a group. Delivered mainly as an individual programme but could be delivered as a group where appropriate. Objectives and deliverables All vendors need a comprehensive understanding of ACC’s rehabilitation model and social rehabilitation framework. The objectives of Supported Activities are to: Support the client to maintain their independence in daily life to the maximum extent practicable by providing monitoring and meaningful activities to maintain the client’s functional ability in one or more of the areas of independence. Provide meaningful activities to sustain the client’s functional ability in area(s) of independence and reduce their likely need for further rehabilitation. Provide services for clients who are unable to increase their function to maintain their current level of independence or access meaningful activities themselves. Use the client’s interests, goals, and aspirations to motivate and facilitate the use of their skills and knowledge. The client’s environment (home/community) needs to be considered. The Supported Activities deliverables include: Completing a Supported Activities outline which details the input and frequency of services the client will receive to maintain their functional ability in the area(s) of independence. Delivering the ACC-approved Supported Activities, including monitoring the client. Completing a Supported Activities report on the client’s functional abilities, progress, and needs. May 2008 1 of 16 Supported Activities – Operational Guidelines Supported Activities: Are structured day or half-day group programmes providing meaningful activities from a community-based facility. May include community visits, if relevant. Can be attended by a client on a weekly, fortnightly, or monthly basis for a set duration. Are delivered by a team with expertise in brain injuries and managing cognitive and behavioural issues. May be provided long-term to clients with a serious injury, possibly even for the life of the client, including when a client is unable to return to work, full independence, or access meaningful activities independently. Eligibility criteria Supported Activities are primarily for clients who cannot: Increase their functional abilities in area(s) of independence to a level which can be independently maintained. Access meaningful activities and/or lack the support to access meaningful activities or maintain their current level of independence. Access to Supported Activities is available to a client who: Has been referred by ACC. Has a Serious Injury profile of 05 - severe brain injury, or 06 – moderate brain injury or comparable cognitive impairment. Needs Supported Activities as identified through ACC planning activities with the client, including but not limited to consideration of any reports submitted to ACC for example, Support Needs Assessment, Training for Independence Services Programme Completion Report, or Neuropsychological Assessment. Is unable to increase their function to a level at which they can independently, or with family and/or attendant carer support, maintain their level of independence or access meaningful activities. Has reached a current plateau or their maximum level of possible independence regarding the consequences of their injury. Will only make very slow gains in independence (over 2 years to achieve an outcome). Rules for concurrent services Generally no concurrent services are given: Supported Activities focus on social rehabilitation, which means it is important that treatment does not form a part of the programmes. Clients will not be given Training for Independence Services (except for short-transition periods approved by ACC), Residential Support (excluding Supported Living), Active Rehabilitation or Vocational Rehabilitation while receiving the Supported Activities Service funded by ACC. May 2008 2 of 16 Supported Activities – Operational Guidelines When concurrent services can be allowed: Exceptions to the client being unable to partake in Supported Activities and other TI Services at the same time apply to client transitions. These are: Moving house or city Moving from the family home to a flatting situation Significant changes to the client’s family support situation. For these transitions, Supported Activities may be given with Training for Independence Advisory Service (TIAS) - Short Term to allow the client to be independent in their changed environment. Another exception could be when the client has sustained a serious brain injury but is still in the early stages of their rehabilitation (less than 2 years) and has not yet reached a plateau or their maximum level of possible independence, but the injury is such that they also require some meaningful activities and community participation while completing this rehabilitation. Residential Support and Supported Activities: Clients who are in residential support can access Supported Activities. However, funding for the Supported Activities comes from the Residential Support vendors, as providing this type of service is included in funding they receive. ACC is not responsible for any payment to the Supported Activities vendor for delivering services to clients in residential support. Meaningful Group Activities In this service providers use meaningful group activities to: Maintain function Increase community participation, and Monitor client’s functional skills Maintain function This involves working with the client to maintain their current level of independence. The activities and tasks completed by the client should facilitate this, along with working towards any slow increases that can be achieved by the client. Examples: A client is able to manage their behaviour, such as managing their anger and frustration. If the client exhibits anger or frustration, they should be prompted to use their strategies to manage the occurrence and be reminded after the instance of the importance of using their strategies. A client begins attending the group programme with dirty clothing and bad personal hygiene. The programme should attempt to resolve this by reminding the client of the strategies they have been using, such as using a calendar, and providing strategies and prompts. May 2008 3 of 16 Supported Activities – Operational Guidelines Increase community participation Meaningful activities have many benefits for the client, including helping them to maintain their level of independence, promoting participation and community integration, and increasing quality of life. The activities should be enjoyed by the client, relate to their interests, goals, and aspirations, engage and motivate the client, and be age-appropriate. Activities should be based in the facility (for group programmes) and in the community. These activities can include, but are not limited to: Arts and crafts such as painting, sculpting, woodwork Communication activities such as role plays, discussions, word games Computer work such as games, internet, email, design Cooking, meal preparation and display Cultural, such as kapahaka Drama, singing, and dance Games such as board games, cards Gardening, or home maintenance or building tasks Organisation of events and activities Sports such as swimming, netball, ten pin bowling and golf Visits to community locations such as parks, museums, galleries, libraries, movie theatres, marae, events, and volunteering. During the programme the vendor should provide the following, where relevant: Communication skills Physical activities and monitoring to maintain or increase physical activity level and/or fitness Promotion of healthy choices in regard to lifestyle, which may include education around drugs and alcohol, exercise, and nutrition Meaningful activities that will occupy the client and relate to their interests, goals, and aspirations, which can include arts and crafts, sports, and activities supervision such as gardening Daily living activities to maintain and facilitate skill use. Monitor client’s functional skills A vendor or service provider should be actively monitoring the client’s: Health and wellbeing Environment Personal hygiene Rehabilitation needs Any other factors that could impair the client maintaining their level of independence, function and participation, or quality of life. Other needs, including notifying the client service staff member when a client’s need is identified that is not being met within Supported Activities and may require other rehabilitation intervention. This can include the need for Training for Independence Advisory Service. May 2008 4 of 16 Supported Activities – Operational Guidelines The vendor should attempt to resolve any issues or concerns with the client, or any decreases in independence, through activities. If this cannot be achieved, the vendor should inform ACC of any issues or concerns so that they can be considered, and assessments to address the changing needs can be arranged. Reports and Timeframes The reports below are available online at www.acc.co.nz under For Providers > Publications and forms > ACC Publications page > Training for Independence Services. Name Description and Timeframe ACC4528 Supported Activities Programme Referral This form is completed by ACC and is used to refer a client to a Supported Activities vendor. The vendor will accept or decline a referral by phoning, emailing, or faxing the client service staff member within 3 working days of receiving the referral. ACC4529 Supported Activities Report This is an iterative form which will be used to detail the: Supported Activities plan Supported Activities progress reports Supported Activities completion/ outcome report. Supported Activities plan This section is completed by the vendor once they accept a referral. It must be submitted for approval within 10 working days of accepting the referral, before delivering the programme. Supported Activities progress reports A progress report is submitted every 24 weeks outlining the client’s progress, within 5 working days of the progress dates. Supported Activities completion/ outcome report This section is completed within 10 working days of the client finishing the programme, or at the end of one year, which is the maximum duration for the SA services. Completing the various ACC4529 SA Report sections The ACC4529 is an iterative form. This means that the form is completed in sections and submitted each time a relevant section is completed. When another section is due to be completed, the partially completed form is reopened and the next relevant section completed. This ensures that at the end of the programme, all the sections are completed and the information is contained on one form only. The details below show the information required under each section. May 2008 5 of 16 Supported Activities – Operational Guidelines Header section Check the relevant box to show whether a plan, progress, or completion report is being submitted. Section 1: Assessment details Enter the vendor details. This information will enable ACC to direct information to the correct person and help reduce delays in approvals if they have any queries regarding the client’s programme. Section 2: Client details Complete this section using the information provided about the client on the referral. This information will ensure that ACC is able to match the information to the correct client. Section 3: Client service staff member details This section should also outline the details of the referring client service staff member, ACC office, phone, and email. Complete this section using the information provided on the referral which will enable the report to be directed to the correct person when it is received by ACC. Section 4: Plan Outline the objectives as agreed between ACC, the client, and the provider. Section 5: Plan strategies Detail the strategies to achieve the objectives stated in section 4. In addition the following details must be included: Whether the client is attending a full day or half day The service frequency: Frequency is per week if the client is attending a programme at least once a week, Frequency is per month if the client is attending once a fortnight or less. The start and end dates using the format dd/mm/yyyy The service duration, ie the total number of weeks or months the client will attend the programme. Include additional information if the plan requests approval for services different from those specified on the referral. For example, if the referral indicates group programmes at two days per week, but the plan recommends four half-days per week, provide a rationale in this section. Comments about breaks, eg ‘services will take a break over the Christmas period for two weeks’ should also be included in this section. This information allows ACC to: Remind the client and their family/whanau of their obligations if they are not attending services on a regular basis. Stay informed of any health or other issues the client has that are impacting on their rehabilitation and to consider other options for the client if appropriate. This does not remove the responsibility of the key worker to provide same-day notification to ACC of non-attendances by the client. May 2008 6 of 16 Supported Activities – Operational Guidelines Section 6: Active episodes progress and outcome Complete an outcome report for each objective listed in the plan objective table, section 4 of the report. Section 7: Ongoing support progress and outcome Complete an overall outcome report for ongoing support. Section 8: Outcome reports supporting evidence Complete the outcome report on quality of life. Section 9: Potential change to services In this section, give comments and advice on potential changes to services. Section 10: Notes/comments This section can be used to add any additional relevant information found during interviews and planning, that was not previously noted in the referral or other documents, and which ACC will need to know about regarding the delivery of the services. Section 11: Declaration The key worker or attending rehabilitation professional must ensure that the proposed programme has been explained to the client and that the plan is going to be submitted to ACC for approval, at ACC’s discretion, and sign and date the plan section. If this is being sent electronically, an electronic signature should be placed in this section and will be considered as signing the document. The vendor must keep a signed copy on their records. Supported Activities Process Overview There are four phases in the Supported Activities process. These are: Referral phase Development phase Trial or implementation phase Reporting and completion phase. Referral Phase The referral phase involves: The vendor receiving and checking the referral The vendor accepting or declining the referral. Who can refer ACC will send a referral to a vendor with the appropriate service schedule to meet the client’s needs. Before a referral for a Supported Activities is made, the client must have a claim accepted by ACC and meet relevant eligibility criteria. May 2008 7 of 16 Supported Activities – Operational Guidelines Any other sources of referral, including a self-referral from a client, should be referred back to client service staff. Other services such as a TI programme, active rehabilitation, acute inpatient, or non-acute rehabilitation can recommend a Supported Activities but cannot refer directly. ACC’s responsibilities When referring a client for a Supported Activities programme, ACC will: Inform the client and their family/whanau that on accepting the referral, the vendor will contact the client to arrange attendance dates and times. Inform the client and their family/whanau that they must give notice if they cannot attend an appointment or a day/half-day, and that unreasonably failing to attend appointments could result in suspension of entitlements. Explain Supported Activities to the client and forward them a copy of the programme plan once it is complete. Inform the Support Worker of their roles and responsibilities regarding the individual’s programme. Receiving the referral ACC will send the referral on an ACC4528 Supported Activities Programme Referral form. The referral will include the following information: Referral details This outlines client objectives and vendor details, including the Purchase Order number. This section should also outline the client’s goals for independence and the activities that are important for them to maintain or improve following their injury. Consider all the domains of the client’s life – living situation, employment, recreation and leisure, and community participation. This should detail any expectations that ACC has for the outcomes of the programme. ACC details This outlines the details of the person sending the referral so that the vendor can contact them if there are any questions about the referral. Client details This outlines the client’s details and must be fully completed by the client service staff member before the referral is sent. The information covers: The client’s name, claim number, and demographic details The client’s ethnicity and any need for an interpreter. Client’s representative details Client representative details if appropriate May 2008 8 of 16 Supported Activities – Operational Guidelines Doctor’s details The doctor’s details should be entered in this section. Claim details When completing the injury details it is only necessary to outline information that is not contained in any of the reports attached. If an attached document has a relevant reference relating to the injury or current or previous rehabilitation, the references should be detailed in this section. Wellbeing details Details of other significant issues affecting the wellbeing of the client (eg alcohol and drugs) and also the client’s strengths. Educational and employment details This should include any known qualifications and work status. Living situation Details the client’s living arrangements. Current ACC-funded key services This section will outline any ACC supports the client is already receiving. It should also detail any expected decrease in these needs as a result of the programme. If there is no expected decrease, the client service staff member should outline the reason why. Note: While Supported Activities are generally to maintain, rather than increase, independence for clients receiving 24 hour support, this support may be reduced while the client is attending Supported Activities. Other relevant information This section is for any comments that the client service staff member may want to include, that do not fit into the other sections. This could be information about the client that is not directly injury-related but may be relevant to the programme, eg the client’s friend dies in the same accident that injured the client. Any attachments such as the individual rehabilitation plan, social rehabilitation assessments, and other relevant documentation such as medical or neuropsychological reports, etc should be listed. The section should also include any reports from other relevant services the client has received, eg previous TI programmes. If a client is moving to a TI Service from active rehabilitation, copies of those reports should be provided to enable consistency, transfer of skills to the community, and to reduce repetition. Checking the referral The vendor will be responsible for checking that the referral is on the ACC4528 Programme Referral form and from an ACC client service staff member. May 2008 9 of 16 Supported Activities – Operational Guidelines Note: The vendor must complete the checks below before declining or accepting the referral, or returning it for more information. Check Description Appropriateness That the referral is for a client who meets the SA eligibility criteria. Contains adequate information That enough information is provided to enable: A Supported Activities Service plan to be developed for the client Services to be provided to the client that are focused on maintaining independence, community participation, and monitoring the identified areas of independence. Request any further information that would help to develop the programme. The client service staff member should provide this within 5 working days. Capacity to provide services To accept the referral, the vendor must: Hold a Supported Activities contract Have the appropriate rehabilitation professionals available to provide the services Check that there is the capacity to develop and deliver services in accordance with the relevant service schedules Have an appropriate group programme running, with spaces available in the programme for the client Be able to meet the required timeframes. Accepting or declining the referral The vendor must notify the client service staff member within 3 working days to accept or decline the referral. Once the referral is accepted, the vendor will: Contact the client and give them the contact details for the programme’s key worker. Determine the appropriate team to provide services to the client. Development Phase The Supported Activities Service plan gives details of the programme the client will receive to maintain their functional ability in the area(s) of independence, and how this will support community integration and quality of life. This development phase involves: Developing the Supported Activities Service plan Completing the plan report Approving the plan. May 2008 10 of 16 Supported Activities – Operational Guidelines Developing the Supported Activities plan Clients receiving Supported Activities will have a moderate to severe brain injury or comparable cognitive diagnosis. Brain injury rehabilitation is complex and challenging, and is a continuous process that involves assessment, planning, intervention, and evaluation. When developing a Supported Activities plan, the vendor considers: Pre-injury level of functioning Functional limitations arising from the injury, this includes cognitive, communicative, physical, behavioural, and psychological Awareness of their limitations/impairments Age, developmental stage at time of injury, and length of time since their injury Interests, goals, and aspirations Strengths Social and cultural context Family/whanau support available Fatigue levels and activity tolerance Other injuries and/or factors that will impact on the maintenance of their current level of independence, eg previous injuries, substance abuse, history of psychiatric illness, and/or coping strategies. The Supported Activities plan should also: Consider previous reports and interventions Be based on evidence-based best practice Facilitate use of skills and strategies, and their generalisation into everyday life situations Identify appropriate environments for intervention to occur, such as at the group facility or in the community Consider what a reasonable expectation is for the client in their activities to complete and in maintaining their independence, and any increases in independence (slow or quick) that the client may be able to achieve Enable and encourage the client to ‘do for themselves’ rather than to ‘be done to’, whenever possible Be holistic and consider each person in their own context Consider how the Supported Activities will maintain the client’s current level of independence, and how this will promote participation and community integration Consider how the programme can promote healthy lifestyle choices which may include education around exercise and nutrition, drugs and alcohol, and their impact on rehabilitation for a person with a brain injury Utilise local and community resources wherever appropriate Be culturally appropriate Focus on decreasing dependence and fostering increased independence, with sustainable supports and strategies in place if required Anticipate and plan for transitions and discharge In addition to the above, the vendor must: Consider how to incorporate meaningful activities and monitoring. Integrate the client’s cognitive, behavioural, communicative, physical, sensory, and psychosocial needs. May 2008 11 of 16 Supported Activities – Operational Guidelines How to complete the Supported Activities programme plan form The Supported Activities plan must be completed by the key worker within 10 days of the referral being accepted, using an ACC4529 Supported Activities Report form. When the Supported Activities plan is submitted for consideration for approval, the specific sections to be completed are: The header (check the Plan box to show that it is a programme plan report) Sections 1 to 5 Section 7 (rate each objective and record start score) Section 11 (this must be signed). Costs sheet The costs sheet is completed by the key worker and sent in with the Supported Activities plan. Note: This sheet can be used by the vendor or they may use their own form, provided the same information required on the costs sheet is detailed on their form including: The service item, eg SA04 A separate total of the costs of the actual programme including the service plan, reports, any specific group programme fees, etc. A separate total of the travel costs of the programme. For details on how to fill out each section of the report see, Completing the various ACC4529 SA Report sections on pg 5. Approving the Supported Activities plan Approval must be gained from ACC to deliver Supported Activities. Once ACC receives the plan from the vendor, they will either: Approve or decline the plan and notify the vendor (via the key worker) within working 10 days Request additional information, which the vendor must submit to ACC within 5 working days. If this information is not provided, ACC may decline approval. The approval decision is coordinated by the client service staff member, and they may forward the plan to another ACC staff member, such as a Team Manager for a decision to be made. May 2008 12 of 16 Supported Activities – Operational Guidelines What ACC considers In making a decision, ACC considers: Whether the plan complies with the referral and recommendations made in relevant assessments. Whether the plan differs from the referral. If so they will check the plan for the reasons why and assess whether the reasons provided are robust and appropriate. All the information in the Supported Activities plan. How the programme will maintain the client’s level of independence or function, and how this will promote participation and community integration, including reference to the client’s interests, goals, and aspirations. Enough detail must be provided to inform ACC of what the client will be doing while they are attending the group programme. Trial or Implementation Phase Implementing the plan involves completing an initial trial phase to assess the client’s participation, and the suitability of the programme for the client. Once the trial is completed successfully, the plan may be fully implemented. Notes: A trial phase is not required for any client that has already been participating in a Supported Activities programme and has been approved by ACC to continue with the group programme. If a client fails to attend the programme, the vendor must notify the client service staff member on the same day either by phone or email. ACC will not pay for non-attendance (DNA) if same-day notification has not been provided. Completing the trial phase Once a service plan is approved, a trial phase of 10 working days will begin on the date provided in the plan. The trial phase is paid as days or half-days, whatever is the normal attendance of the client. During the trial phase the client participates in activities detailed in the plan. The trial phase allows the key worker to determine the: Client’s fit within the group Suitability of the programme for the client. May 2008 13 of 16 Supported Activities – Operational Guidelines Each of these factors is expanded in the table below. Factor Considerations The client’s fit within the group How do they get along with other group members? Are they disruptive? The appropriateness and suitability of the programme for the client Is it going to achieve what is required? Are the activities required available? Is the client interested in doing the activities available? Outcome of the group programme trial At the end of the trial phase, the key worker must contact ACC to recommend that either: The client continues to attend the group programme ACC considers other options for the client. If the key worker recommends the client continues to attend, ACC will check with the client that they wish to continue (if appropriate) and inform the key worker of a decision. Intervention phase - delivering group programmes Group programmes should provide the following during the delivery of the programme: Community integration, including visits into, and interaction with, the community. Fresh drinking water, tea, and coffee at the group programme facility. All materials, equipment, and facilities required for service delivery and activities. This includes travel to any activities away from the base facility and the costs of such activities. No additional payment will be made by ACC, nor should the client be required to make any contribution. If a product is produced by an activity, the client has ownership of the product. For example, art work or wood work produced can be taken home by the client if they wish. Cooking produced by the client can be eaten by the clients attending the group programme. The vendor is required to provide material and equipment for activities involving food. However, clients are generally responsible for bringing their own food for any meals while they are at the group programme. All personal care, Home and Community Support Services, health, and medication management required by the client while at the group programme is included in the day or half-day cost. This includes facilities for providing personal care, appropriate staff to deliver such care, and privacy and respect of the client. The client should bring any personal care consumables or medication required with them to the group programme. Failure to provide adequate resources or facilities to attend to the client’s personal cares during the programme will be considered neglect and a serious breach of the Supported Activities contract. May 2008 14 of 16 Supported Activities – Operational Guidelines Reporting and Completion Phase The Supported Activities reports must be completed by the key worker using the ACC4529 Supported Activities Report form. The reporting phase involves completing Supported Activities reports as specified in the approved service plan. How to complete the progress and outcome reports Progress reports These reports are done every 24 weeks from the start date detailed on the service plan, unless requested earlier or more frequently by ACC. Note: If the duration of a group is under 12 weeks, only one report at the end of the programme is required unless ACC requests one earlier. When sending a Supported Activities progress report, the original ACC4529 form is reopened and the sections below are updated: Header section: Check the Progress box to show that a progress report is being submitted. If this is the first progress report, Progress Report 1 is completed. If this is the second progress report, then Progress Report 2 is completed, and so on. Sections 6-7, 9. Section 11 (this must be signed). For details on how to fill out each section of the report see, Completing the various ACC4529 SA Report sections on pg 5. Completion report (also known as outcome report) This report is completed at the end of the approved Supported Activities Service. When sending a Supported Activities completion report, the original ACC4529 form is reopened and the following sections are updated: Header Check the Completion box to show that a completion/outcome report is being submitted. Complete sections 6-10 Section 11 (this must be signed). May 2008 15 of 16 Supported Activities – Operational Guidelines When submitting a completion report: Outline the key areas of maintenance and the activities that the client has been participating in to maintain their function and independence, and comment on: - How the client is currently progressing and their status with regards to each area of maintenance and participation. - Which activities have and have not been successful in maintaining independence and participation. Outline any needs or issues the client has that ACC should consider, eg additional services, or further assessments, for the client. Any additional comments on the maintenance and monitoring of the client, or recommendations or other information that the client services staff member may find useful to help them benefit the client. Ending or Continuing the Programme Before the service ends, the vendor can contact ACC to request a further referral for this service if they believe that the client still needs a Supported Activities Service. ACC will make a decision on continuation, and may choose to obtain an assessment, or to cease services, or to refer the client to an alternative vendor. ACC’s decision on continuation is final and no discussion will be entered into with the vendor. If ACC grants approval for the client to continue participating in the Supported Activities Service, a referral will be issued and the vendor must follow the Supported Activities process outlined in these guidelines, with the following exception: No trial phase is applied for subsequent group programmes. Invoicing Providers wanting to invoice ACC electronically for these services should contact the eBusiness Team on 0800 222 994, Option 1 or email ebusinessinfo@acc.co.nz to discuss the eBilling options available. Vendor should ensure the following information is provided when billing ACC: The correct ACC payment centre address The vendor's name, address, and ACC vendor number The GST number of the vendor The words ‘Tax Invoice’ in a prominent place An invoice number The invoice date The relevant ACC purchase order number The name of the Agreement and the contract number The name and claim number of the client receiving the service A description of the services and their codes The date on which the service was provided, or if more appropriate, the start and end date The quantity or hours the service was provided. May 2008 16 of 16