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
All requests for services and equipment for a severely injured person need to be submitted to us on the correct form.
Requests should include the payment codes for the treatment, rehabilitation or care service being requested.
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 lifetime care or workers care coordinator to request these services.Contact us
Discharge Service Notification
Discharge Service Notification form for lifetime care – Adults
Discharge Service Notification form for lifetime care – Children
Discharge Service Notification form for workers care - Adults
Use one of these forms to notify us of the services the injured person requires on discharge from hospital.
Assessment and service request forms
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 forms
Care Needs Report (adults)
Use this form to document the injured person’s overall care needs related to the injury.
Care and Needs Scale (for adults)
The Care and Needs Scale (CANS) must be completed when undertaking a care needs review for adults with a brain injury.
Care Needs Report (PCANS-2) (for children ages 5-15 years)
Use this form to document the overall care needs for children and young people (aged 5-15 years) related to the motor accident injury and submit with the most recent PCANS-2. See tools and resources for more information and forms for the PCANS-2.
Attendant Care Service Request
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 - 15 years).
Equipment Request form
Use this form to request equipment, aids or appliances (excluding continence or consumable products). Equipment prescribers are required to meet the qualifications and experience listed in the Professional Criteria for Prescribers and the Professional Criteria for Prescribers of exercise and fitness equipment.
EasyOrder can be used by icare coordinators, occupational therapists, physiotherapists, speech pathologists, clinical nurse consultants and case managers to order low cost/low risk equipment (up to $800) without first completing an Equipment Request Form. Coordinators are able to order these items on behalf of clinicians who do not have access to the EasyOrder Scheme.
For more information about the EasyOrder scheme, speak with a coordinator, download our EasyOrder information sheet or email email@example.com
All EasyOrder requests should be sent to firstname.lastname@example.org.
Equipment Evaluation Form
Use this form to evaluate equipment. This should be completed following a minimum of four weeks of use in the person’s home or community.
We have purchased a MOTOmed for injured people to use on a 'loan' basis. Injured people wishing to access this item must have a current treating physiotherapist to assist with the set-up, program design and outcome measurement of the loan.
For more information, speak with a coordinator, or email the equipment officer at email@example.com
Continence and Consumables Request Form
Use this form to prescribe and request continence equipment and ongoing consumables. Consumables are items required regularly and normally disposed of after single or several uses (for example, catheters, catheter bags, dressings, feeding tubes).
Prosthetic request form
Use this form when a new, interim or permanent prosthesis is required, or to change a prescription of an existing prosthesis (excluding socket replacements).
Prosthetic repair/replacement and consumables request form
Use this form when repair or replacement of a prosthetic component is required, or to request prosthetic consumables (e.g. liners or stump socks).
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.
Minor building modification assessment report & authority to install form
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.
Major building modification assessment report
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 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.
Returning to work and study requests
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 – Requests for tutoring for students with a brain injury.
Use this form to clarify pre-vocational and work options and identify the recommended services for lifetime care participants.
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.
Use this form to request travel and accommodation bookings for a service provider.
Cabcharge Booking Form
Use this form to request taxi eTickets only (not other travel and accommodation) for participants, workers or service providers.