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Do telehealth services require pre-approval from the insurer?

Prior to 17th April 2020, telehealth services required pre-approval from the insurer and must have been consented to by all parties – the worker, practitioner and insurer.

Post 17 April 2020, many treatment services delivered by telehealth no longer require insurer pre-approval.

Changes to the Workers compensation guidelines and Fees Orders now allow the following consultations to be delivered by telehealth without insurer pre-approval:

  • Nominated treating doctor consultations
  • Medical specialist consultations for the injury within three months from date of injury, where referred by the nominated treating doctor
  • Allied health services listed in table 4.2 of the WCG as exempt from pre-approval
  • All treatment services delivered within 48 hours of the injury.