674GOVERNMENT GAZETTE, WA 5 April 2024

674 GOVERNMENT GAZETTE, WA 5 April 2024 WC403 WORKERS COMPENSATION (MEDICAL SERVICES) FEES ORDER 2024 In accordance with section 73 of the Workers Compensation (Medical Services) Fees Order 2024. ———— Workers Compensation (Medical Services) Fees Order 2024. This Order fixes the maximum amount of compensation payable for a medical expense, incurred or to be incurred, for a medical service as a result of a worker’s injury from employment under the Compensation and Injury Management Act 2023. This Order fixes the maximum amount by reference to—

1. The specified fee for a medical expense for a medical service as set out in the AMA Fees List, except where otherwise specified in this Order.
2. The specified fee for a medical expense for a medical service relating to the provision of a workers compensation ancillary service by a medical practitioner or medical specialist as set out in this Order.
3. The specified fee for a medical expense for a medical service relating to the provision of a diagnostic imaging service as set out in this Order. This Order applies to a medical service provided on or after 1 July 2024, whether or not it relates to an injury from employment suffered before, on, or after that date. AMA Fees List means the document entitled List of Medical Services and Fees published by the Australian Medical Association on the AMA website, as amended or replaced from time to time, that is the current edition at the date of service delivery. Certificate of capacity means a certificate issued in accordance with section 169 of the Act. Health professional means— (a) a person registered under the Health Practitioner Regulation National Law (Western Australia) to practice a health profession (other than as a student); or (b) a person who is not resident in a State but who is recognised as a health professional for the purposes of the Act by WorkCover WA. MBS item number means the item number corresponding to a service described in the Medicare Benefits Schedule published by the Commonwealth, as amended or replaced from time to time, that is the current edition at the date of service delivery. Medical practitioner means— (a) a person registered under the Health Practitioner Regulation National Law (Western Australia) in the medical profession; or (b) a person who is not resident in a State but who is recognised as a medical practitioner for the purposes of the Act by WorkCover WA.

5 April 2024 GOVERNMENT GAZETTE, WA 675 Medical specialist means— (a) a medical practitioner whose name is contained in a register of specialists kept by the Medical Board of Australia under the Health Practitioner Regulation National Law (Western Australia) section 223; or (a) a medical practitioner who is not resident in a State but who is recognised as a medical specialist for the purposes of the Act by WorkCover WA. Return to work case conference means a return to work case conference convened under section 165 of the Act. Return to work program means a return to work program established under section 160(2) of the Act. Treating medical practitioner means the medical practitioner who is the worker’s treating medical practitioner under section 170 of the Act. An injured worker’s entitlement to medical expenses compensation is to be calculated using the net cost of the medical service, without deducting any GST component. 7. Requirement for invoices Invoices for medical services must include service codes and fees relevant to the service or services 8. Medical service fees—AMA Fees List The maximum fee or charge payable for a medical expense for a medical service is the amount specified in the AMA Fees List, except for services covered in items 9 and 10 of this order. For the purposes of section 73(3)(d) of the Act, the conditions that apply to the charging for the provision of a medical service as set out in the AMA Fees List are—