• 1.1This Part applies for the purposes of Part 4 Division 2 of the Act.
  • 1.2It is the intention of the LSA that the process of assessing a Participant’s TCS needs is interactive and ongoing. This allows for the accurate assessment of and fluctuations in a Participant’s TCS needs, and the ability to increase or decrease services where this is necessary and reasonable.

  • 2.1The LSA will collaborate with a Participant or Decision Maker or both, as the case may require, and Service Providers to assess the Participant’s TCS needs.
  • 2.2Necessary and reasonable TCS services will be approved if they relate to the Participant’s needs arising from their Motor Vehicle Accident.
  • 2.3The LSA’s process for determining services will be through discussions with:
    • 2.3.1a Participant or Decision Maker or both, as the case may require, and their Family;
    • 2.3.2health professionals working in acute care, Rehabilitation, the community, hospitals and within institutions, providing services to Participants;
    • 2.3.3Service Providers seeking to deliver services to Participants;
    • 2.3.4LSA staff; and
    • 2.3.5Assessors engaged by the LSA.
  • 2.4The LSA may request further information from the Participant or Decision Maker or both, as the case may require, or Service Providers to enable accurate assessment of TCS needs.
  • 2.5The LSA may appoint Assessors or engage other Service Providers to obtain additional relevant information to assist with planning TCS.
  • 2.6Participants, Decision Makers, Assessors or other Service Providers must give the LSA relevant documentation to assist with assessment and planning of TCS services. The LSA may seek further clarification and documentation from the Participant or Decision Maker or both, as the case may require, Assessor or other Service Provider if necessary.

  • 3.1To assess the Participant’s necessary and reasonable TCS needs, the LSA may require the Participant to undergo a medical examination or other assessment by a health professional or other Appropriately Qualified person.
  • 3.2The LSA may require an assessment to determine whether the Participant’s TCS needs have changed at any time.
  • 3.3The LSA may require an assessment to determine to what extent the Participant’s needs are directly related to the Motor Vehicle Injury or Motor Vehicle Accident.
  • 3.4If the Participant or Decision Maker or both, as the case may require, fails to comply with a requirement in Rule 3.1 of this Part without reasonable excuse, the Participant may be suspended from the Scheme until compliance is achieved, as outlined in Part 1 of these Rules.

  • 4.1A Participant’s assessed TCS needs during and following discharge from a hospital inpatient stay will be documented in the Participant’s Discharge Plan.
  • 4.2The Discharge Plan includes the necessary and reasonable TCS related to the Motor Vehicle Injury that the LSA will coordinate and fund to facilitate discharge and ongoing Rehabilitation.
  • 4.3The Discharge Plan fulfils the assessment and certification of needs by the LSA under section 30 of the Act.
  • 4.4The Discharge Plan will remain in operation and be updated as necessary until a Participant’s MyPlan is approved.
  • 4.5The Participant or Decision Maker or both, as the case may require, 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 TCS needs.

  • 5.1A Participant’s assessed TCS needs will be documented in the Participant’s MyPlan.
  • 5.2The MyPlan includes:
    • 5.2.1a statement specifying the Participant’s goals and strategies to achieve these goals, taking into account their relevant aspirations, circumstances and cultural background; and
    • 5.2.2the necessary and reasonable TCS related to the Motor Vehicle Injury that the LSA will coordinate and fund to achieve these goals.
  • 5.3The MyPlan fulfils the assessment and certification of needs by the LSA under section 30 of the Act.
  • 5.4The Participant or Decision Maker or both, as the case may require, 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 TCS needs. The Participant or Decision Maker or both, as the case may require, will also be able to access the MyPlan at any time through the LSA website.
Page last updated: 16 September 2022