Searchshow menu

Psychology policy

Policy

Comcare can fund the reasonable cost of Psychology or Counselling treatment required as a result of work-related injuries where the service is referred by and is under the supervision of a legally qualified medical practitioner.

Refer to section 4 Safety, Rehabilitation and Compensation Act 1988 (SRC Act).

Guidelines

What Psychology / Counselling services can Comcare fund?

Comcare can fund the reasonable cost of Psychology/Counselling services where:

  • there is clinical justification for treatment
  • the treatment is likely to be effective and achieve or maintain measurable functional improvement
  • the treatment promotes progress towards functional independence, participation and self management
  • there is an up to date referral (within 12 months) from a legally qualified medical practitioner and a has been provided to Comcare.

Commencing treatment

Comcare is able to fund:

  • An initial five sessions, each of a maximum 60 minute consultation, of Psychology/Counselling for a new Injured Worker prior to the submission of a Psychology /Counselling Treatment Notification Plan (TNP).

Comcare requires a TNP to be completed and submitted by the Psychologist/Counsellor when:

  • Psychology/Counselling is expected to exceed 5 treatment sessions
  • there has been a gap in treatment of greater than 12 months
  • the Comcare Injured Worker attends a new Psychology/Counselling clinic

Only one TNP is usually required during the life of the claim. All fields on the TNP must be completed.

If reasonable additional Psychology/Counselling services are required following the completion of a treatment plan, it is requested that the Psychologist/Counsellor will contact the Claims Services Officer by phone to discuss the progress of the injured worker and the need for further services. Psychologists/Counsellors should not submit multiple TNPs, a report or review plans unless specifically requested by Comcare.

Extended Consultations

Psychology and Counselling providers are required to obtain prior approval where there is reasonable justification for consultations to exceed beyond 60 minutes in duration. In the absence of prior approval, Comcare will only fund a maximum of 60 minutes per consultation per day.

Request for extended consultations can be made via fax on an Extended Psychology/Counselling Consultations Request. This form is required in addition to any Treatment Notification Plan and Review Treatment Plans.

Significant gaps in treatment

For the purpose of this policy, a gap in treatment is when no Psychology/Counselling services have been sought for more than 12 months and treatment resumes after this period. Comcare is able to fund Psychology/Counselling services after a gap in treatment via the following process:

  • Completion of a TNP
  • Confirmation that the treatment is related to the work-related injury
  • An up to date referral has been made by a legally qualified medical practitioner

Ongoing treatment

For injured workers receiving long term Psychology or Counselling services, Comcare may request a review of treatment goals and progress. Comcare will write to the Psychology/Counselling service provider and request completion of a Psychology/Counselling Review Treatment Plan (RTP) on a case by case basis. The RTP template will be sent to the provider for completion at the time of the review.

Billing information required from psychology/counselling providers

Comcare requires that the actual provider of the service be identified on each invoice for payment. It is the responsibility of the registered provider to ensure invoices submitted to Comcare are correct, regardless of who has prepared the account. Invoices sent to Comcare must display the following information:

  • injured worker name
  • injured worker claim number
  • date of services
  • description of services
  • service location
  • amount billed for each service
  • name of the treating Psychologist/Counsellor
  • Australian Health Practitioners Regulation Authority Registration Number (where applicable).

Relevant forms and notes

Provider use only


Page last updated: 26 Sep 2014