Workers’ Compensation and Rehabilitation Regulation 2025

For section 232O(3) of the Act, this section prescribes requirements about an eligible worker’s support plan.

The support plan must state—

the name of the worker; and

the outcomes of the assessment under section 232O(1)(a) of the Act; and

the matters mentioned in section 161(2), if known by the insurer; and

any treatment, care and support needs resulting from the worker’s serious personal injury the insurer considers are necessary and reasonable in the circumstances; and

any treatment, care or support resulting from any other injury resulting from the same event as the serious personal injury that the insurer considers is necessary and reasonable in the circumstances; and

any other treatment, care or support for the serious personal injury, or any other injury resulting from the same event as the serious personal injury, the insurer agrees to, wholly or partly, pay for under chapter 4A of the Act, having regard to the following matters—

whether the treatment, care or support is needed by the worker as a result of the injury;

whether it would be fair and reasonable in the circumstances for the insurer to, wholly or partly, pay for the treatment, care or support;

whether providing the treatment, care or support will, or is likely to, reduce the worker’s treatment, care and support needs for the injury;

whether the insurer considers paying, wholly or partly, for the treatment, care or support is more practical or cost-effective than the insurer paying for the worker’s treatment, care and support needs for the injury, without compromising the level of treatment, care or support received by the worker under chapter 4A of the Act;

whether the treatment, care or support is excluded treatment, care or support;

where the treatment, care or support is to be provided, including, for example, whether the treatment, care or support is to be provided outside Australia; and

the intervals at which an assessment under section 232O(1)(a) of the Act will be carried out for the worker.

The support plan must be consistent with an existing decision about a service request relating to the worker.

However, subsection (3) applies only to the extent the support plan relates to the period covered by the existing decision.