Provisional Access to Medical Treatment

Provisional Access to Medical Treatment

Provisional Access to Medical Treatment (PAMT) allows veterans to receive DVA-funded treatment for a condition that is the subject of a pending liability claim, before a determination has been made. It exists because liability claims can take months to process, and waiting for a decision before receiving treatment isn't always practical.

PAMT is time-limited and condition-specific. It covers treatment for the condition named in the pending claim only, not for other conditions. If the liability claim is ultimately rejected, PAMT ceases and you may be required to contribute to the cost of treatment already received.

We apply for PAMT at the time of lodging your initial liability claim so you don't have a gap between lodgement and treatment access.

Who is eligible

  • You have a liability claim currently lodged and awaiting determination

  • The condition for which you're seeking treatment is the same condition named in the pending claim

  • Treatment is medically necessary for that condition

How it works

01
Step 01

Lodge Liability Claim

PAMT runs alongside your initial liability claim. We lodge your liability claim first, then apply for PAMT immediately after.

02
Step 02

Apply for PAMT

We submit a PAMT application with supporting medical evidence confirming the treatment is required for the condition under claim.

03
Step 03

Treatment Commences

Once PAMT is approved, your treating practitioners can access DVA billing for the covered treatment while your claim is assessed.

How Clear Path helps

  • We apply for PAMT at the time of lodging your liability claim so there's no gap in funded treatment

  • We gather the medical evidence DVA needs to approve PAMT quickly

  • We manage any correspondence from DVA about the PAMT approval

  • We advise on what happens to PAMT access once your liability claim is decided

Common questions

How long does PAMT last?

PAMT remains in place while your liability claim is being assessed. Once a decision is made, PAMT either converts to standard health card coverage (if the claim is accepted) or ceases (if rejected). There may be cost recovery implications if the claim is rejected, which we'll explain before lodging.

What if my claim is rejected?

If your claim is rejected and PAMT ceases, you may be asked to contribute to the cost of any treatment received under PAMT. DVA has discretion in how it handles this. We advise clients on this risk before applying.

Which treatment providers are covered under PAMT?

PAMT covers treatment by DVA-approved providers. Most GPs, specialists, and allied health practitioners who accept DVA patients are able to bill DVA under PAMT. We can advise on how to identify approved providers in your area.

Ready to get started?

Book a free consultation and we'll walk you through what this means for your situation.

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