Remedial massage therapists fees order 2014

under the

Workers Compensation Act 1987

I, Julie Newman, Chief Executive Officer of the WorkCover Authority of New South Wales, make the following Order pursuant to section 61 (2) of the Workers Compensation Act 1987.

Dated this 16th day of December 2013.

JULIE NEWMAN,

P.S.M., Chief Executive Officer,

WorkCover Authority

Explanatory Note

Treatment by a “masseur” is one of the categories of medical and related treatment covered under the Workers Compensation Act 1987. For the purposes of this Order, the term “masseur” is interchangeable with “Remedial Massage Therapist”. This Order sets the maximum fees for which an employer is liable under the Act for reasonably necessary treatment by a WorkCover approved Remedial Massage Therapist of an injured worker’s work related injury.

This Order makes provision for Remedial Massage Therapy Management Plans and the approval by workers compensation insurers of certain Remedial Massage Therapy services. No fees are payable for Remedial Massage Therapy services provided by a person who is not a WorkCover approved Remedial Massage Therapist. Injured workers are not liable for the cost of any medical or related treatment. Employers are liable for the cost of treatment. Employers are only liable to pay the amounts for Remedial Massage Therapy services set out in this Order.

The incorrect use of any item referred to in this Order can result in penalties, including the Remedial Massage Therapist being asked to repay monies to WorkCover that the provider has incorrectly received.

Workers Compensation (Remedial Massage Therapy Services Fees) Order 2014

1. Name of Order

This Order is the Workers Compensation (Remedial Massage Therapy Services Fees) Order 2014.

2. Commencement

This Order commences on 1 January 2014.

3. Definitions

In this Order:

GST means the Goods and Services Tax payable under the GST Law; and

GST Law has the same meaning as in the A New Tax System (Goods and Services Tax) Act 1999 of the Commonwealth.

Remedial Massage Therapist means a WorkCover approved Remedial Massage Therapist.

Remedial Massage Therapy Management Plan means the document used by the Remedial Massage Therapist to indicate treatment timeframes and anticipated outcomes for an injured worker to the relevant workers compensation insurer.

A Remedial Massage Therapy Management Plan provides the mechanism to request approval from the relevant workers compensation insurer for treatment beyond:

(a) the initial five (5) consultations (when an injured worker has not attended for any previous treatment of a physical nature for this injury) or

(b) the initial consultation/treatment (when an injured worker has attended for previous treatment of a physical nature for this injury).

A Remedial Massage Therapy Management Plan can request approval for up to an additional five (5) consultations unless otherwise approved by the insurer.

Remedial Massage Therapy services refers to treatment services delivered by a WorkCover approved Remedial Massage Therapist and is limited to soft tissue massage targeting specific musculoskeletal injuries. Each service is to be billed according to Schedule A.

The Act means the Workers Compensation Act 1987.

WorkCover means the WorkCover Authority of New South Wales.

WorkCover approved Remedial Massage Therapist means a Remedial Massage Therapist who has, either before or after the commencement of this Order, by a date notified by WorkCover, been approved by WorkCover to provide Remedial Massage Therapy services and, at the time the service is provided, has a current, active WorkCover approval number.

4. Application of Order

This Order applies to treatment provided on or after 1 January 2014, whether it relates to an injury received before, on or after that date.

5. Maximum fees for Remedial Massage Therapy

(1) The maximum fee amount for which an employer is liable under the Act for treatment of an injured worker by a Remedial Massage Therapist, being treatment of a type specified in Column 1 of Schedule A to this Order, is the corresponding amount specified in Column 2 of that Schedule.

(2) No fees are payable for Remedial Massage Therapy provided by a person who is not a WorkCover approved Remedial Massage Therapist.

6. Services provided interstate

Any Remedial Massage Therapy services provided to a NSW injured worker in a State/Territory other than NSW must be paid in accordance with the fee that would apply to the workers compensation jurisdiction of the State/Territory of service, up to the maximum amount allowable under the WorkCover NSW fee Schedule. In such instances the service provider number is INT0000 and the payment classification code is the one that is relevant to a WorkCover approved Remedial Massage Therapist.

To provide these services, the service provider must meet the requirements for approval as a Remedial Massage Therapist in NSW (including membership of the relevant professional association) and must adhere to the NSW Workers Compensation system requirements including but not limited to submission of Remedial Massage Therapy Management Plans, approval for services, etc.

7. Goods and Services Tax (GST)

(1) Remedial Massage Therapy services are subject to GST.

(2) An amount fixed by this Order is exclusive of GST. An amount fixed by this Order may be increased by the amount of any GST payable in respect of the service to which the cost relates, and the cost so increased is taken to be the amount fixed by this Order. This clause does not permit an allied health practitioner to charge or recover more than the amount of GST payable in respect of the service to which the cost relates.

SCHEDULE A

Maximum fees for WorkCover approved Remedial Massage Therapists

ItemColumn 1
Type of Treatment
Column 2
Maximum Amount
RMA001Consultation and treatment (60 minutes duration)$75.10
RMA002Consultation and treatment (45 minutes duration)$56.40
RMA003Consultation and treatment (30 minutes duration)$37.60
WCO005Fees for providing copies of medical notes and records.The maximum fee for providing copies of medical records is $35 (for 33 pages or less) and an additional $1.25 per page if more than 33 pages.

Note: Fees will only be paid after services have been rendered.

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