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WORKERS' COMPENSATION AND REHABILITATION REGULATION 2014 - REG 117T
Support plans
117T Support plans
(1) For section 232O (3) of the Act , this section prescribes requirements
about an eligible worker’s support plan.
(2) The support plan must state—
(a) the name of the worker; and
(b) the outcomes of the assessment under
section 232O (1) (a) of the Act ; and
(c) the matters stated in section 117K
(2) , if known by the insurer; and
(d) any treatment, care and support needs
resulting from the worker’s serious personal injury the insurer considers
are necessary and reasonable in the circumstances; and
(e) any treatment,
care or support resulting from any other injury resulting from the same event
as the serious personal injury that the insurer considers is necessary and
reasonable in the circumstances; and
(f) any other treatment, care or support
for the serious personal injury, or any other injury resulting from the same
event as the serious personal injury, the insurer agrees to, wholly or partly,
pay for under chapter 4A of the Act , having regard to the following
matters— (i) whether the treatment, care or support is needed by the worker
as a result of the injury;
(ii) whether it would be fair and reasonable in
the circumstances for the insurer to pay for the treatment, care or support,
wholly or partly;
(iii) whether providing the treatment, care or support
will, or is likely to, reduce the worker’s treatment, care and support needs
for the injury;
(iv) whether the insurer considers, wholly or partly, paying
for the treatment, care or support is more practical or cost-effective than
the insurer paying for the worker’s treatment, care and support needs for
the injury, without compromising the level of treatment, care or support
received by the worker under chapter 4A of the Act ;
(v) whether the
treatment, care or support is excluded treatment, care or support;
(vi) where
the treatment, care or support is to be provided, including, for example,
whether the treatment, care or support is to be provided outside Australia;
and
(g) the intervals at which an assessment under section 232O (1) (a) of
the Act will be carried out for the worker.
(3) The support plan must be
consistent with an existing decision on a service request relating to the
worker.
(4) However, subsection (3) applies only to the extent the support
plan relates to the period covered by the existing decision.
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