1.1  This Part applies for the purposes of Part 4 Division 2 of the Act.

1.2  It is the intention of the LSA that the process of assessing a participant’s treatment, care and support needs is interactive and ongoing. This allows for the accurate assessment of and fluctuations in a participant’s treatment, care and support needs, and the ability to increase or decrease services where this is necessary and reasonable.

2.1 The LSA will collaborate with a participant and service providers to assess the participant’s treatment, care and support needs.

2.2 Necessary and reasonable treatment, care and support services will be approved if they relate to the participant’s needs arising from their motor vehicle accident.

2.3 The LSA’s process for determining services will be through discussions with:

2.3.1 a participant and their family;

2.3.2 health professionals working in acute care, rehabilitation, the community, hospitals and within institutions, providing services to participants;

2.3.3 service providers seeking to deliver services to participants;

2.3.4 LSA staff; and

2.3.5 approved assessors engaged by the LSA.

2.4 The LSA may request further information from participants and/or service providers to enable accurate assessment of treatment, care and support needs.

2.5 The LSA may appoint assessors to obtain additional relevant information to assist with planning treatment, care and support.

2.6 Participants and/or service providers must give the LSA relevant documentation to assist with assessment and planning of treatment, care and support services. The LSA may seek further clarification and documentation from the participant and/or service provider if necessary.

3.1 To assess the participant’s necessary and reasonable treatment, care and support needs, the LSA may require the participant to undergo a medical examination or other assessment by a health professional or other appropriately qualified person.

3.2 The LSA may require an assessment to determine whether the participant’s treatment, care and support needs have changed at any time.

3.3 If the participant fails to comply with a requirement in section 3.1 without reasonable excuse, the participant may be suspended from the Scheme until they comply.

4.1 A participant’s assessed treatment, care and support needs during and following discharge from a hospital inpatient stay will be documented in the participant’s Discharge Plan.

4.2 The Discharge Plan includes the necessary and reasonable treatment, care and support related to the motor vehicle injury that the LSA will coordinate and fund to facilitate discharge and ongoing rehabilitation.

4.3 The Discharge Plan fulfils the assessment and certification of needs by the LSA under section 30 of the Act.

4.4 The Discharge Plan will remain in operation and be updated as necessary until a participant’s MyPlan is approved.

4.5 The participant will be provided with their initial approved Discharge Plan (and any update on request) and information on the LSA’s process for reviewing an assessment of their treatment, care and support needs.

5.1 A participant’s assessed treatment, care and support needs will be documented in the participant’s MyPlan.

5.2 The MyPlan includes:

5.2.1 a statement specifying the participant’s goals and strategies to achieve these goals, taking into account their relevant aspirations, circumstances and cultural background; and

5.2.2 the necessary and reasonable treatment, care and support related to the motor vehicle injury that the LSA will coordinate and fund to achieve these goals.

5.3 The MyPlan fulfils the assessment and certification of needs by the LSA under section 30 of the Act.

5.4 The participant will be provided with their MyPlan, in writing, from time to time, with information on the LSA’s process for reviewing an assessment of their treatment, care and support needs. Participants will also be able to access their MyPlan at any time through the LSA website.

Page last updated: 18 December 2020