COVID-19 update: SIRA has introduced a number of changes to help medical, allied health practitioners and injured people during the COVID-19 pandemic. These include:
- Telehealth services so that treatment consultations can occur via video or over the telephone
- Treating physiotherapists and psychologists can now issue certificates of capacity/certificates of fitness for treating physiotherapist or psychologist in some circumstances
- Find out more information about the changes to certification for motor accidents
Your role includes:
- conducting appropriate assessment, goal setting in conjunction with the injured person and providing the best treatment to help the injured person achieve their goals
- providing treatment for injuries sustained in the motor vehicle accident to enable the injured person to resume participation in pre-injury activities that have been restricted by the motor vehicle accident related injuries
- empowering the injured person to manage their injury and recovery
- monitoring progress towards the injured person’s goal (for improved capacity/function) and adjusting the treatment plan as required
- communicating and collaborating with key parties (for example, general practitioner, other allied health practitioners, case managers, rehabilitation providers and insurers) to achieve common goals.
At all times your practice needs to adhere to the relevant professional code of conduct and/or legislation of the relevant board or association.
The single allied health practitioner role does not include:
- making referrals or coordinating the injured person’s recovery at work
- advocating for the injured person in relation to the management of their claim or coaching them through litigation or other compensation processes
- providing services that are not related to the injuries sustained in the motor vehicle accident.
A step by step guide on how to provide physiotherapy services is available in Providing allied health services in the NSW CTP schemes - FAQs.
Forms you might need
You will need the allied health recovery request (AHRR). Please read this information on the AHRR before you use this form for the first time. You can also find the form on this page. All physiotherapists are required to submit an AHRR when seeking approval for treatment services.
Publications you might need
- Certificate of capacity/certificate of fitness for treating physiotherapist or psychologist
- Providing allied health services in the NSW CTP schemes (FAQs on how to provide your services)
- Information on the Allied Health Recovery Request
- Clinical framework for the delivery of health services
- The Health Benefits of Good Work
- the Treatment Advice Centre (advice for professionals to help with treatment)
- the Injury Advice Centre (advice for injured people to help with recovery)
Fees and invoicing
Get treatment approval first
If the insurer denies liability, or declines a treatment request because it does not meet 'reasonable and necessary' criteria, your patient is personally responsible for payment of accounts. So before treating your patient please confirm they have submitted a CTP claim and you have approval from the insurer to start treatment.
Insurers must provide a written response within 10 days of the request being received
SIRA currently does not have gazetted fees for physiotherapists working with a motor accident claimant with the exception of a $35.60 (plus GST) fee for the initial allied health recovery request (AHRR). Subsequent AHRRs do not attract a fee and should be completed as part of the standard consultation cost.
As the physiotherapist you can negotiate with the CTP insurer:
- agreed fees and costs for providing approved treatment
- payment for any request for additional reports or opinions on a claimant’s treatment or progress
- payment for completion of the rehabilitation services request, attendant care request, equipment request or agreed goals of rehabilitation if required to be completed
To facilitate prompt payment by a CTP Green Slip insurer, we suggest you:
- include the appropriate service code with your invoice
- issue the account in the form of a tax invoice and include the:
- injured person’s name
- date of accident
- insurer’s reference/claim number
- provider’s ABN, address and GST (if applicable)
- send accounts directly to the CTP Green Slip insurer. It is difficult to ensure timely submission of accounts by other parties (for example, an injured person or their solicitor)
- direct all enquiries about payment to the claims officer you have been dealing with.
Without prejudice payments
The CTP Green Slip insurer may agree to pay for treatment on a ‘without prejudice’ basis.
Without prejudice means that although the insurer has agreed to pay for treatment, it does not mean they are accepting liability for the accident or will pay for ongoing treatment once they have determined liability.
Agreement to pay without prejudice should be obtained in writing from the insurer before services are provided.
Please include the appropriate service code/s with your invoice. These are available in Providing allied health services in the NSW CTP schemes - FAQs .
Do I need a service provider number?
No. Physiotherapists don’t need a SIRA provider number to deliver treatment services in the motor accidents scheme.