Getting life back to normal after a work-related injury is important for our injured workers. As an allied health provider, you’re a key part of this process.
We approve and pay for treatment by registered and non-registered approved providers.
Information below outlines who can provide a service and what we‘ll cover.
Return to work focus
Our goal is to return injured workers to work as safely and quickly as possible.
Research shows that the longer an injured worker is off work, the chance of them returning decreases.
These tips will help you support an injured worker to stay at, or return to, work.
- Assess the worker's condition and chat with them about the importance of staying active and, if possible, staying at work.
- Set realistic treatment goals that focus on what can be done, not what can't.
- Provide relevant treatment and rehabilitation support.
- Identify any risks that might slow their recovery or return to work and talk to the rehabilitation and return to work team about these, if needed.
- Encourage, where appropriate, the worker to self-manage, including home exercises and management of their suitable duties.
- Openly communicate with the employer and WorkCover about the treatment approach and the return to work goals.
- Help with identification and sourcing of suitable duties.
Our return to work services panel also partners with us to provide return to work services such as:
- worksite assessments
- functional capacity evaluations
- vocational counselling
- transferable skills assessments
- vocational assessments
- job placement services assistance including finding alternative employment or short retraining courses
- development and management of suitable duties either with the employer
- facilitation of host placement with a host employer
- help with finding alternative employment or short retraining courses.
Information you give us
Information you provide helps us manage the worker's injury and rehabilitation program and get them back to work as quickly and safely as possible.
Some things we'd like to know include:
- initial assessment results
- treatment plan
- goals of treatment, including the return to work goal
- expected recovery time frames and pathway
- results of screening and outcome measures.
Registered providers include:
- medical practitioners
- occupational therapists
- speech pathologists
- Chinese medicine practitioners for acupuncture only
Other or non-board registered providers include:
- exercise physiologists
- rehabilitation counsellors
- social workers
- diversional therapists
- job placement providers
- vocational services providers
We’re unable to cover the cost of services by:
- massage therapists
- natural therapists
- pilates instructors
- personal trainers
- acupuncturists who are not Chinese medicine practitioners
- dance or music therapists.
Acupuncture is an approved service where there's evidence of positive clinical and functional outcomes.
We support acupuncture that's provided by a board registered Chinese Medicine practitioner.
The initial consultation can be billed without prior approval on an accepted and current claim.
Prior approval is needed for ongoing consultations. To obtain approval, submit a provider management plan which details the clinical and functional outcomes to be achieved by this course of treatment.
Acupuncture needles and accessories are consumables and are unable to be paid for by us.
We’ll cover massage as part of a normal treatment session by physiotherapists.
We support massage as part of a course of treatment, not a standalone treatment, where there's evidence of positive clinical and functional outcomes. There isn't a separate item code for massage. This is billed as a standard consultation.
Massage therapists, remedial massage therapists, and myotherapists are not registered providers in Queensland, so we’re unable to pay for services by these providers
Massage oil and creams are considered consumables and won’t be covered by us.
We support Pilates when provided by a registered service provider, e.g. physiotherapists and exercise physiologists.
The registered provider must be the person providing the services either in a one-on-one session or directly supervising a group with a maximum of 8 participants.
We don’t cover distant supervision, for example, in the next room.
Use the standard physiotherapy, exercise physiology consultation and group exercise session item codes for Pilates sessions.
This doesn't include the initial program development and instruction or program instruction subsequent consultation item codes 100314 and 100402.
Talk to us before using item codes for complex cases (e.g. multi-trauma, post-operative rehabilitation, chronic pain) as these require prior approval. This includes:
- 100406 - initial Pilates program (one-on-one)
- 100407 - ongoing Pilates sessions (one-on-one).
If you're using pre-approved sessions, you can't then use other pre-approved items. (e.g. if you are using the above pre-approved item codes, you can’t use the standard seven pre-approved sessions at the same time).
To request services, submit a provider management plan. Make sure you include the duration and number of sessions needed on the plan.
As a general rule, individual treatment sessions with a physiotherapist and Pilates sessions should occur on different days. There may be factors that require two services on the same day (e.g. regional locations). Chat to us before providing same day services.
We support the use of RTUI as a reliable and valid treatment by physiotherapists to evaluate muscle structure and form and to examine patterns of muscle activation.
RTUI may be used as part of an assessment and as an addition to physiotherapy treatment.
Please speak to us before providing RTUI services, as these require prior approval. You will also need to complete and submit a provider management plan detailing the duration and number of sessions required.
- Initial diagnostic ultrasound session - 100406
- Ongoing therapeutic, diagnostic ultrasound sessions -100407
If you're using pre-approved sessions, you can’t then use other pre-approved items (e.g. if you are using the above pre-approved item codes, you can’t use the standard seven pre-approved sessions at the same time).
You can choose to either specifically charge for RTUI or use standard physiotherapy consultation item codes.
Level C or D consultation item codes (100101 & 100102) are not supported for RTUI. The exception is where there are two or more injuries/conditions being assessed and treated, with the treatment to one area not impacting the other/s.