11AAssessed treatment and care needs of participants to be paid for by Authority

#### 11A Assessed treatment and care needs of participants to be paid for by Authority 11A Assessed treatment and care needs of participants to be paid for by Authority > > (1) The Authority is to pay for all of the reasonable expenses incurred by or on behalf of a person in relation to the assessed treatment and care needs of the person while the person is a participant in the Scheme. > > > (2) The assessed treatment and care needs of a person who is a participant in the Scheme are those treatment and care needs that are assessed by the Authority, in its treatment and care needs assessment, to be treatment and care needs that— > > > > > (a) are reasonable and necessary in the circumstances, and > > > > > (b) relate to the motor accident injury in respect of which the person is a participant. > > > (3) No expenses are payable in respect of— > > > > > (a) excluded treatment and care needs, and > > > > > (b) treatment and care needs that are not assessed treatment and care needs. > > > (4) As an alternative to paying the expenses for which it is liable under this section as and when they are incurred, the Authority may pay those expenses by the payment to the participant of an amount to cover those expenses over a fixed period pursuant to an agreement between the Authority and the participant for the payment of those expenses by the participant. > > > (5) The LTCS Guidelines may make provision for or with respect to determining which treatment and care needs of a participant in the Scheme are reasonable and necessary in the circumstances and relate to the motor accident injury in respect of which the person is a participant. > > **s 11A:** Ins 2012 No 48, Sch 1 \[6\].