Allied health providers
Allied health providers play a vital role in helping workers stay at or return to work after an injury. Allied health providers:
- treat and manage the clinical care of the injury/illness
- make a significant contribution to improving health and return to work outcomes, under the direction of the treating medical practitioner.
Before you can provide any medical treatment, the worker must have a current medical certificate or have been referred by a registered medical practitioner.
All claims are managed in house by WorkCover. We do not organise treatment—this remains the responsibility of the treating medical practitioner. We rely on the medical information you provide us to develop a tailored rehabilitation program to help the worker get back to work after an injury.
As an allied health provider, the best way to support a worker’s return to work is by focusing on what functions they can do, rather than what they can't. If we know what they can do, we can develop a suitable duties plan, if necessary find a host employer, and get the worker back to work and on the road to recovery.
Follow these principles to help your worker return to work as quickly and safely as possible.
- Assess the worker’s condition and communicate to them the importance of staying active and, if possible, at work to restore function and decrease disability or long periods of time off work.
Research shows that when a person is off work for long periods of time, the less likely they are to return.
- Provide relevant medical treatment, identify any risks that may hinder their recovery or return to work, and set realistic treatment goals that focus on what the worker can do, not what they can’t.
- Encourage, where appropriate, the worker to self-manage.
- Provide information, advice and feedback (verbal/written) to the employer and WorkCover. Information should be clear and detail the worker’s injury, treatment approach and a positive and realistic return to work expectation.
- Identify suitable duties and possible workplace adjustments.
The information you give us helps us manage the worker’s injury and rehabilitation program. You should provide us with:
- the results of initial assessment, what treatment is planned
- the goals of treatment (including return to work goal)
- expected recovery timeframe and pathway and how much treatment is anticipated
- results of simple screening and outcome measures.
To receive payments for services, you need to be registered with WorkCover as an allied health provider. We only approve treatment by a registered or non-registered approved provider as per the table of costs. The table of costs specify the item codes that can be charged and who is qualified to provide them. The Act uses the term ‘registered’ to refer to those professions covered by a health registration board. The registered professions we recognise can also be found at http://www.ahpra.gov.au/.
Registered and non-registered approved providers include:
- occupational therapists
- exercise physiologists
Non-approved providers include:
- massage therapists
- pilates instructors
- personal trainers
Frequently asked questions
- Do I have to reveal all details of the consultation?
- We appreciate the nature of the doctor/patient relationship. You may limit the information provided, but basic information that we need includes what the patient said about work related events, examination findings, diagnosis and proposed treatment and rehabilitation options.
- Why would I contact WorkCover?
- to find out if a claim is accepted
- to see if we will pay for a treatment or rehabilitation not usually covered by Medicare
- to provide a verbal response to a request for a written report
- to discuss a specific issue relating to a claim or patient.
- Can I charge WorkCover for contact?
- In some circumstances you can charge WorkCover for contact however there are exclusions that you need to be aware of (for example, WorkCover will not pay for contact that is of general administrative nature). Please see the Supplementary Allied Health Table of Costs for the relevant item codes and exclusions.
- What is a provider management plan?
- The provider management plan is a form used by allied health providers to advise our customer advisor of a worker’s progress and ongoing rehabilitation needs.
- How do I register with WorkCover Queensland as a provider?
- You need to complete the service provider application form for health providers or call us on 1300 362 128. All applications can be faxed to 1300 651 387 or uploaded using our online service.