sec.167Appropriateness of provider

sec.167 Appropriateness of provider

The insurer must consider whether treatment, care or support for, or relating to, the worker’s treatment, care and support needs is provided by an appropriate provider. In considering the matter mentioned in subsection (1) , the insurer must also have regard to the following matters— whether the provider, or the provider’s staff, are appropriately qualified to provide the treatment, care or support; whether the provider is appropriate having regard to, for example, the worker’s age, culture, ethnicity and location; whether the provider is acceptable to the worker; whether the provider has or may have a conflict of interest in providing the treatment, care or support to the worker; whether the provider’s fee is reasonable; if, under section 232K (2) of the Act , the treatment, care or support must be provided by a registered provider—whether the provider is a registered provider. (sec.167-ssec.1) The insurer must consider whether treatment, care or support for, or relating to, the worker’s treatment, care and support needs is provided by an appropriate provider. (sec.167-ssec.2) In considering the matter mentioned in subsection (1) , the insurer must also have regard to the following matters— whether the provider, or the provider’s staff, are appropriately qualified to provide the treatment, care or support; whether the provider is appropriate having regard to, for example, the worker’s age, culture, ethnicity and location; whether the provider is acceptable to the worker; whether the provider has or may have a conflict of interest in providing the treatment, care or support to the worker; whether the provider’s fee is reasonable; if, under section 232K (2) of the Act , the treatment, care or support must be provided by a registered provider—whether the provider is a registered provider.

• (a) whether the provider, or the provider’s staff, are appropriately qualified to provide the treatment, care or support;
• (b) whether the provider is appropriate having regard to, for example, the worker’s age, culture, ethnicity and location;
• (c) whether the provider is acceptable to the worker;
• (d) whether the provider has or may have a conflict of interest in providing the treatment, care or support to the worker;
• (e) whether the provider’s fee is reasonable;
• (f) if, under section 232K (2) of the Act , the treatment, care or support must be provided by a registered provider—whether the provider is a registered provider.