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How to request services on behalf of an injured person

Download request forms and find out how to request services on behalf of an injured person.

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Request services - CTP Care

Request services - Lifetime Care/Workers Care

How to request services on behalf of a Lifetime Care participant and a worker in Workers Care

We pay for treatment, rehabilitation and care for people who have been severely injured either in a motor accident or a workplace in NSW; and have been accepted as a participant in the Lifetime Care and Support Scheme or a worker in the icare Workers Care Program.

The treatment, rehabilitation and care needs of severely injured people are complex, often needing treatment from multiple service providers.

Most participants and workers have a case manager who is responsible for coordinating their treatment, rehabilitation and care services.

Getting services approved

icare has a ‘Fast Track’ approval process for simple and low risk requests for services for Lifetime Care participants and workers in the Workers Care Program.

There are multiple service types that can be requested with no need to submit a form. A list of these services and the request process is explained in our  Fast Track information sheet (PDF, 0.11 MB) .

All other requests for services and equipment for a severely injured person need to be submitted to us on the correct form.

Services we pay for need to be pre-approved. They are usually organised and requested as part of a plan by a case manager, who is the primary point of contact for other service providers.

If you're an individual service provider, such as a physiotherapist or occupational therapist, you should contact the case manager to inform them of the injured person’s needs, and the types and amounts of services they require to meet their ongoing goals.

These services can be requested as part of their plan.

If the injured person doesn't have a case manager, you can contact an icare coordinator  to request these services.

Invoicing and payment for services

Requests should include the payment codes for the treatment, rehabilitation or care service being requested.

Download the payment codes (below) or go to the Invoicing and payment for services  page for more information.

icare Workers Care payment codes mapped to Navigator codes.

Download this document for a list of general payment codes for treatment, rehabilitation and care services provided in the Lifetime Care and Support Scheme.

Forms to request services

Assessment request form

Use this form to request assessments required either before a My Plan can be developed, or that were unforeseen when the My Plan was submitted. This should be used for the assessment and report (if required) only, not for any additional services.

Service request form

Use this form to request services outside of those approved in the My Plan.

Care Needs Assessment Report (CNAR adults)

Used by an icare panel care needs assessor to document the injured person's overall care needs related to the injury when a referral from icare for a standard or complex Care Needs Assessment has been received.

Guide to completing a Care Needs Assessment Report

Information to assist care needs assessors to complete a Care Needs Assessment Report.

Care Needs Review Report (CNRR)

Service providers/case managers to use this form to document the injured person's care needs when a referral from icare has been received for a Care Needs Review.

Guide to completing a Care Needs Review Report

Information to assist service providers/case managers to complete a Care Needs Review Report.

Care and Needs Scale form (for adults)

The Care and Needs Scale (CANS) must only be completed when requested on the referral form for a Care Needs Assessment. This form can be completed by hand.

Care and Needs Scale electronic form (eCANS)

The Care and Needs Scale electronic form (eCANS) must only be completed when requested on the referral form for a Care Needs Assessment. This form can be completed electronically, including automatic scoring.

Care Needs Assessment Report – Child (CNAR) form

This form is for Care Needs Assessors in Lifetime Care to document care needs for a child or young person and submit with the most recent PCANS-2 (ages 5-15 years). See tools and resources for more information and forms for the PCANS-2.

Guide to completing Care Needs Assessment Reports for children

Care Needs Assessors in Lifetime Care use this guide to assist them complete the Care Needs Assessment Report (CNAR) for children.

Attendant care service request form

Use this form to request the attendant care services the injured person would like to receive. This request needs to be linked to a Care Needs Report (adults and children under 5 years) or Care Needs Report - PCANS-2 (children and young people aged 5 to 15 years).

Equipment and maintenance

icare can pay for equipment needed due to a motor accident or workplace injury for participants in the Lifetime Care Scheme or workers in the Workers Care Program.

Visit our Equipment and maintenance page for more information.

Healthcare consumables

icare can pay for healthcare consumables needed due to a motor accident or workplace injury for participants in the Lifetime Care Scheme or workers in the Workers Care Program.

Visit our Healthcare consumables  page for more information. 

Prosthetics

icare can pay for prosthetics needed due to a motor accident or workplace injury for participants in the Lifetime Care Scheme or workers in the Workers Care Program.

Visit our Prosthetics page  for more information

• Planning Lifetime Care and Workers Care Program use a person-centred planning toolkit for people with severe injury called My Plan. The My Plan toolkit is available on our Planning with an injured person page.

Participant and worker travel booking form

Use this form to request travel and accommodation bookings for a participant or workers in Lifetime Care or Workers Care including taxi eTickets.

Service provider travel booking form

Use this form to request travel and accommodation bookings for a service provider working with Lifetime Care and Workers Care.

Cabcharge booking form

Cabcharge request form

Use this form to request taxi eTickets only (not other travel and accommodation) for participants, workers or service providers in Lifetime Care and Workers Care.

Discharge destination form

Use this form to advise us of the injured person’s current status and proposed discharge destination. This form can be completed by the injured person, a family member/guardian or therapist. The information in this form helps us to determine whether a minor or major home modification may be required. Major home modification assessments can only be completed by our panel of building modification occupational therapists.

Home assessment report (minor home modifications)

Use this form for assessing and reporting on the injured person’s status and their minor home modification needs. It also includes an Authority to Install which must be signed by the owner of the property (whether the owner is the injured person or someone else) to agree to the proposed modifications.

Building modification assessment report (major home modifications)

Building modification occupational therapists from our panel can use this form for assessing and reporting on the injured person’s status and their major home modification needs.

Building modification variation request

Building modification variation request form

Building modification occupational therapists and project managers from our panel can use this form to request additional costs outside the approved project plan or fee schedule for major home modifications. This form needs to be submitted and written approval received from us prior to providing the requested variation in services.

Use one of these forms to notify us of the services the injured person requires on discharge from hospital:

• Discharge service notification form for Lifetime Care
• Discharge service notification form for Workers Care - Adults

Education support request form

Use this form to request education support services for school aged icare Lifetime Care participants. The school can submit a request for additional education services by completing this form. Refer to our Guide for completing the education support request .

All requests for tutoring should be included in an Education Support Request. Refer to our Guidance Note –  Guide to tutoring requests for school students with brain injury

Work Options Plan

Use this form to clarify pre-vocational and work options and identify the recommended services for Lifetime Care participants.

Guide to completing the Work Options Plan

Participant training requests

Participant training requests form

Use this form to request pre-vocational and vocational training for Lifetime Care participants. This should be linked to the participant’s Work Options Plan.

Vocational Services Funding Guide

Use this guide to assist you in requesting different vocational services when working with Lifetime Care participants.

• Workers Care Program
• Lifetime Care
• Claims and applications
• Families and carers

Related content

Information

We make direct payments to service providers for approved treatment, rehabilitation and care services.

Forms 12 Feb

Lifetime Care forms and resources

Browse forms, resources and information sheets for practitioners and providers working in Lifetime Care.

Training and workshops

icare offer online learning and face to face workshops for service providers working with people with severe injuries. All eLearning and workshop registrations are managed through our learning management system, Lifetime Learning.

Workers Care forms and resources

Browse forms, resources and information sheets for practitioners and providers working in Workers Care.

Our website and other digital products use free online language translation services to automatically translate our content into a number of community languages. The automatic translation provided is quick and convenient, however is a guide only and icare does not guarantee that the information is translated accurately. If you provide information via one of our digital products, it may go abroad to be translated. We do not recommend using this feature especially if your information is of a sensitive nature.

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