Date amended:

The following table provides a very general overview of the pathway as a client progresses through the DVA claims and rehabilitation system from the submission of their claim through to the closure of their rehabilitation plan. 

Pathway StepsFurther details
CLIENT SUBMITS CLAIM

Compensation claim is determined and if DVA accepts liability...

 

NEEDS ASSESSMENT

A needs assessment is undertaken to identify the client's medical, income support, rehabilitation, permanent impairment and other needs. For more information, see Needs Assessment on DVA website.

 

OTHER SOURCES OF REHABILITATION REFERRALS

R&C Liability delegate, R&C Incapacity Payments delegate, self-referral (incl. VVRS), GP or treating specialist. 

 

DVA REHABILITATION DELEGATE

Referral received by a DVA Rehabilitation Delegate for action to address any identified urgent and longer-term needs.

 

REFERRAL TO REHABILITATION PROVIDER

DVA Rehabilitation Delegate refers the client to an approved DVA Rehabilitation Provider for a Rehabilitation Assessment to be undertaken and also for the development of a Rehabilitation Plan. For more information, see section 3.3 in this library.

Note: This is a formal determination point and as such is a reviewable decision.

 

REHABILITATION ASSESSMENT REPORT & PLAN
  • Assessment Report will cover: physical and mental health status, psychosocial circumstances, vocational skills/interests, identifying possible barriers to rehabilitation, provider recommendations, rehabilitation goals and objectives. For more information, see section 3.8.1 in this library.
  • Rehabilitation Plan will cover: overall rehabilitation goal/s, specific activities/items, people involved, expenses, timeframes, plan reviewed and approved, rights and obligations.  Plan agreed with client/provider/delegate. For more information, see section 3.8.2 in this library.

Note: This is a formal determination point and as such is a reviewable decision.

 

PROGRESS REPORTS

Reviewing and monitoring of rehabilitation activities via Progress Reports. For more information, see section 3.8.5 in this library.

 

REHABILITATION PLAN CHANGES
  • Plan amendment: Changes to activities, goals, timeframes or funding, but not the overall focus of the plan. Note: This is not a formal determination point and not a reviewable decision
  • Plan variation: If the overall focus or intent of the plan changes, i.e. from a return to work plan to a non-return to work plan. Note: This is a formal determination point and as such is a reviewable decision.

For more information, see section 3.8.4 in this library.

 

PLAN CLOSURE

Closure of the Rehabilitation Plan generally occurs when: all rehabilitation goals have been met, the program is no longer appropriate for the client, the client withdraws or is non-compliant with their plan. For more information, see section 3.10 in this library.

Note: This is a formal determination point and as such is a reviewable decision.