What services we provide
The Lifetime Care and Support Scheme pays for a range of treatment, rehabilitation, care and support services, but they must be ‘reasonable and necessary’ and ‘injury-related’.
This can include:
- medical treatment, like medication, hospital stays and doctor's appointments
- rehabilitation, like physiotherapy, occupational therapy, speech therapy
- aids and equipment, like wheelchairs
- home and vehicle modifications, like ramps or bathroom rails
- attendant care services, like personal care, domestic services and home or garden maintenance
- help to return to study or work.
What does ‘reasonable and necessary’ mean?
Services requested must meet all of the following criteria to be ‘reasonable and necessary’:
- Benefit to you – how the service will help with your goals for function and participation in daily life (for example, how your ability to propel your wheelchair is helped by physiotherapy)
- Appropriateness of service – how the service is right for your injury (for example, what evidence is there that hydrotherapy is the most effective treatment for your injury and goals? What alternatives have been considered/ruled out? How will it fit in with your other services?)
- Appropriateness of provider – how the service provider is right for you and your injury (for example, is the service provider qualified and experienced in your type of injury, and if possible located near you)
- Cost-effectiveness – how the service is the most cost-effective option to meet your needs (for example, how will a specialised piece of equipment reduce the need for attendant care)
- Injury-related – how the service relates to the injury sustained in the motor accident (for example, the need for an X-ray is due to your motor accident, not due to another injury/condition you already had before the accident, unless there is evidence it has been made worse by the accident).