National Injury Insurance Scheme (Queensland) Act 2016
sec.26Making support plan
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sec.26 Making support plan
After carrying out the first assessment of a participant under section 25 , the agency must make a plan (a support plan ) that states— the name of the participant; and the outcomes of the assessment under section 25 (1) ; and the matters stated in section 25 (2) , if known by the agency; and any treatment, care and support needs the agency considers are necessary and reasonable in the circumstances as a result of the participant’s injury; and any other treatment, care or support the agency considers should be funded, in whole or part, under the scheme, having regard to the following matters— whether the treatment, care or support is needed by the participant as a result of the participant’s injury or another personal injury resulting from the motor accident; whether it would be fair and reasonable in the circumstances to fund, in whole or part, the treatment, care or support; whether providing the treatment, care or support will, or is likely to, reduce the participant’s treatment, care and support needs; whether funding all or part of the treatment, care or support is more practical or cost-effective than funding the participant’s treatment, care and support needs, without compromising the level of treatment, care or support received by the participant under the scheme; whether the treatment, care or support is excluded treatment, care and support; where the treatment, care or support is to be provided, including, for example, whether the treatment, care or support is to be provided outside Australia; and any other matter prescribed by regulation. After making the support plan, the agency must give the participant a copy of the plan. A support plan made for a participant must be consistent with an existing decision on a service request relating to the participant. However, subsection (3) applies only to the extent the support plan relates to the period covered by the existing decision. (sec.26-ssec.1) After carrying out the first assessment of a participant under section 25 , the agency must make a plan (a support plan ) that states— the name of the participant; and the outcomes of the assessment under section 25 (1) ; and the matters stated in section 25 (2) , if known by the agency; and any treatment, care and support needs the agency considers are necessary and reasonable in the circumstances as a result of the participant’s injury; and any other treatment, care or support the agency considers should be funded, in whole or part, under the scheme, having regard to the following matters— whether the treatment, care or support is needed by the participant as a result of the participant’s injury or another personal injury resulting from the motor accident; whether it would be fair and reasonable in the circumstances to fund, in whole or part, the treatment, care or support; whether providing the treatment, care or support will, or is likely to, reduce the participant’s treatment, care and support needs; whether funding all or part of the treatment, care or support is more practical or cost-effective than funding the participant’s treatment, care and support needs, without compromising the level of treatment, care or support received by the participant under the scheme; whether the treatment, care or support is excluded treatment, care and support; where the treatment, care or support is to be provided, including, for example, whether the treatment, care or support is to be provided outside Australia; and any other matter prescribed by regulation. (sec.26-ssec.2) After making the support plan, the agency must give the participant a copy of the plan. (sec.26-ssec.3) A support plan made for a participant must be consistent with an existing decision on a service request relating to the participant. (sec.26-ssec.4) However, subsection (3) applies only to the extent the support plan relates to the period covered by the existing decision.