QLD CTP: The CTP insurer has offered to fund my rehabilitation. How does this work in practice?

Ongoing, pre-approved funding of treatment options like physiotherapy and psychological treatment can take the stress out of your recovery journey, allowing you to focus on getting better. But how do you establish such an arrangement?  

Following an initial consultation with a treatment provider, the treatment provider will complete a Provider Treatment Plan, requesting funding from the CTP insurer. The Provider Treatment Plan sets out a number of matters, including a subjective or objective assessment of your condition, the treatment provider’s provisional diagnosis of your injuries, your functional ability, factors affecting your recovery your injuries and symptoms. Importantly, it also detail’s the nature of the treatment provider’s proposed treatment, along with the frequency of treatment required (e.g. X number of sessions over Y weeks).  

Thereafter, your treatment provider will provide the Provider Treatment Plan to the relevant CTP insurer. The CTP insurer than assesses the Provider Treatment Plan and determines whether they consider the treatment to be reasonable and appropriate in the circumstances. In addition to legislative obligations, the Motor Accident Insurance Commission has developed rehabilitation standards and guidelines for CTP insurers, which provide best-practice industry standards when assisting claimant’s with their rehabilitation journey. Whilst not legally binding in the same way as the Act, the Commission expects that CTP insurers decisions are made consistent with these rehabilitation standards and guidelines. In the event that funding for the requested treatment is approved, you can then attend the number of sessions approved, without having to worry about the cost of these appointments.  

After the pre-approved funded sessions have been attended, the above process repeats.