4846GOVERNMENT GAZETTE, WA 7 October 2022

4846 GOVERNMENT GAZETTE, WA 7 October 2022 Part 2 — Exercise based programs EXE20 Initial Consultation/Assessment Review of current medical and vocational status. Communication/liaison with relevant parties. Physiological assessment/testing. Screening questionnaires relating to worker’s level of function. Program design based on above. Exercise facility/equipment coordination (pool or gym based). Provider to patient ratio must be 1:1 for the duration of the consultation. EXE21 Subsequent Exercise Consultation/Assessment • program implementation — prescription and provision of exercises (land or pool based); • program monitoring; • post program screening questionnaire relating to worker’s level of function; • psychosocial reassessment; • communication/liaison with relevant parties. 1 hour** EXE02 Initial report • initial assessment report outlining results (self-reported and objective), recommendations and exercise rehabilitation plan; 1 hour** • current status as per medical certification and proposed outcome status; • detailed cost plan outlining proposed outcome, services required and proposed costs for insurer approval.

7 October 2022 GOVERNMENT GAZETTE, WA 4847 EXE03 Subsequent reports Progress report to be provided at the request of the referrer. 30 minutes** EXE04 Final report Comprehensive report to be provided at the end of the service delivery detailing — • physiological testing results pre and post program; • worker attendance/program compliance. 30 minutes** EXE05 Gym membership/Entry fees Includes direct cost of membership (pool or gym). Prior approval from insurer required. Market rates EXE06 Travel Travel when the most appropriate management of the patient requires the provider to travel away from their normal practice. The insurer must provide pre-approval for travel in excess of 1 hour. If services are provided to more than 1 worker before leaving a venue, the fee for the journey is to be apportioned equally between workers. EXE08 Communication Any requested or required oral communication with relevant parties (treating medical practitioners, employers and insurers) relating to the treatment of a specific worker. Excludes courtesy communication such as acknowledgment of referral and brief updates to the medical practitioner. Maximum time allowable per communication of 30 minutes. per 6 minute