When requests for treatment are denied this is a reviewable decision under S62 of the SRCA. The determination must be in writing to the claimant and must include reasons for the decision as well as a statement that the determination can be reconsidered if the employee or claimant is dissatisfied with the determination. The medical provider supplying the treatment that we are not paying for also need to be advised. If a Departmental medical advisor has been asked to comment on the case and recommends that treatment be declined their written comments are to be placed on the client's E-file, and paper file, reflecting that recommendation. A note in Defcare should also be made.
Chiropractic, osteopathic or naturopathic treatment should aim at providing functional outcomes for the client. These outcomes should be identifiable and form part of the practitioner's treatment plan.
When requests for treatment are denied this is a reviewable decision under S62 of the SRCA. This must be in writing to the claimant and must include reasons for the decision. The medical provider supplying the treatment that we are not paying for also needs to be advised. If a Departmental medical advisor has been asked to comment on the case and recommends that treatment be declined, their written comments are to be placed on the client's E-file, and paper file, reflecting that recommendation. A note in Defcare should also be made.
RCG Medical Treatment |
Links
[1] https://clik.dva.gov.au/user/login?destination=node/20552%23comment-form
[2] https://clik.dva.gov.au/user/login?destination=node/20528%23comment-form
[3] https://clik.dva.gov.au/user/login?destination=node/20563%23comment-form