Return to work services
fee schedule
Effective date: 1 July 2015
Contents
1. Pre-injury employer services
5
Quick reference guide – Service items ------------------------------------------------------------------------------------------- 5
Business process --------------------------------------------------------------------------------------------------------------------- 7
Pre-injury employer service and payment policy ----------------------------------------------------------------------------------8
Pre-injury employer service categories ---------------------------------------------------------------------------------------------8
Service item descriptors------------------------------------------------------------------------------------------------------------ 10
PIE Level 1 intervention service (RAW, RTW, CRTW) ---------------------------------------------------------------------------- 10
PIE Level 2 intervention service --------------------------------------------------------------------------------------------------- 11
PIE Level 2 intervention service - extension -------------------------------------------------------------------------------------- 11
Pre-injury duties transition ------------------------------------------------------------------------------------------------------- 11
Reports ------------------------------------------------------------------------------------------------------------------------------ 12
Outcome payments --------------------------------------------------------------------------------------------------------------- 12
2. Fit for work services
14
Quick reference guide ------------------------------------------------------------------------------------------------------------ 14
Business process ------------------------------------------------------------------------------------------------------------------- 16
Fit for work service and payment policy ----------------------------------------------------------------------------------------17
Service item descriptors------------------------------------------------------------------------------------------------------------ 19
Fitness upgrade assessment and report (FW110A/B) -------------------------------------------------------------------------- 19
Fitness upgrade program---------------------------------------------------------------------------------------------------------- 19
Fitness upgrade program – extension -------------------------------------------------------------------------------------------- 20
Fitness upgrade pathway services ---------------------------------------------------------------------------------------------- 21
Reports ------------------------------------------------------------------------------------------------------------------------------ 23
3. Job placement services
24
Quick reference guide ------------------------------------------------------------------------------------------------------------ 24
Business process ------------------------------------------------------------------------------------------------------------------- 26
Job placement service and payment policy -------------------------------------------------------------------------------------- 27
Service item descriptors ---------------------------------------------------------------------------------------------------------- 28
Intensive job placement services ------------------------------------------------------------------------------------------------- 28
Independent job seeking support ------------------------------------------------------------------------------------------------ 29
Employment pathway services -------------------------------------------------------------------------------------------------- 30
4. Restoration to the community services
35
Quick reference guide ------------------------------------------------------------------------------------------------------------ 35
Restoration to community service and payment policy --------------------------------------------------------------------- 35
Service item descriptors ---------------------------------------------------------------------------------------------------------- 36
Initial assessment (including travel) (RC301)------------------------------------------------------------------------------------ 36
Restoration to the community coordination (RC307) -------------------------------------------------------------------------- 36
5. Return to work assessment services
38
Quick reference guide ------------------------------------------------------------------------------------------------------------ 38
Return to work assessment service and payment policy ------------------------------------------------------------------------ 39
Service item descriptors------------------------------------------------------------------------------------------------------------ 41
Agent case conference support service ------------------------------------------------------------------------------------------ 41
Functional capacity evaluation and report -------------------------------------------------------------------------------------- 41
ReturnToWorkSA - Return to work services fee schedule 2015-16
1
Return to work goal verification service and report ----------------------------------------------------------------------------- 42
Suitable employment assessment ---------------------------------------------------------------------------------------------- 43
Vocational assessment and report ----------------------------------------------------------------------------------------------- 44
Worksite assessment and report------------------------------------------------------------------------------------------------- 45
6. Mediation services
47
Quick reference guide ------------------------------------------------------------------------------------------------------------ 47
Mediation service and payment policy ----------------------------------------------------------------------------------------- 48
7. Invoicing Information
50
Appendix 1 – Definitions
50
Appendix 2 - Useful contacts
53
Appendix 3 – Regional travel postcodes
54
ReturnToWorkSA - Return to work services fee schedule 2015-16
2
Overview
This document contains information on services and fees that apply to return to work (RTW) services, and is for providers
appointed by ReturnToWorkSA for delivery of those services.
All services and fees in this schedule are effective 1 July 2015.
Return to work services comprises the following six service categories:
1.
Pre-injury employer services
2.
Fit for work services
3.
Restoration to the community services
4.
Job placement services
5.
Return to work assessment services
6.
Mediation services
Each of these six categories is described in this document.
The provider must deliver the services in accordance with:
 their Terms and Conditions of Appointment (Appointment), including the conditions, service item descriptors and
guidelines detailed in this fee schedule; and
 the referral instructions provided by the case manager.
ReturnToWorkSA will only pay for return to work services delivered by:



Providers who are appointed as a South Australian Scheme Return to Work Service provider
Providers approved by ReturnToWorkSA to be on its register of Mediator providers
Consultants engaged by the above providers who meet the following qualification and experience requirements and as
specified under the individual service category in this payment policy:
Class A return to work consultants
Professional recognition / registration / accreditation
Experience
Registered with AHPRA as an Occupational therapist
≥ 2 years full-time clinical/treatment experience
Registered with AHPRA as a Physiotherapist
or
Registered with AHPRA as a Psychologist
1 year full-time class B consultant experience with
supervision by a class A consultant
Accredited with ESSA as an Exercise physiologist
Full membership with ASORC or RCAA as a Rehabilitation
counsellor
2 years full-time experience as a rehabilitation counsellor
holding full ASORC/RCAA membership
AHPRA: Australian Health Practitioner Regulation Agency
ESSA: Exercise Sports Science Australia
ASORC: Australian Society of Rehabilitation Counsellors
RCAA: Rehabilitation Counselling Association of Australasia
Class B return to work consultants
Professional recognition / registration / accreditation
 Meet the HWCA minimum qualification requirements
 Have the relevant professional recognition/registration/accreditation
 Do not meet the criteria for class A return to work consultant
HWCA: Heads of Workers Compensation Australia
ReturnToWorkSA - Return to work services fee schedule 2015-16
3
Employment consultants
Professional recognition / registration / accreditation
 Knowledge of workers compensation
 Understanding of suitable employment
Mediators
Professional recognition / registration / accreditation
Experience
 Accredited mediator
3 years full-time equivalent of industrial mediation
experience
 Member of an organisation that complies with the
National Mediator Accreditation System
Hold a degree or post graduate qualification in Industrial
relations, Law, Psychology, Nursing, Medicine or similar
 Member of the RMAB with a specific interest in mediation
in industrial relations setting (IAMA, LEADR or SA Law
Society)
RMAB: Recognised Mediator Accreditation Body
IAMA: The Institute of Arbitrators and Mediators Australia
LEADR: LEADR Association of Dispute Resolvers
A copy of this document is available on the ReturnToWorkSA website www.rtwsa.com.
If you have any questions, please contact ReturnToWorkSA on 13 18 55.
ReturnToWorkSA - Return to work services fee schedule 2015-16
4
1.
Pre-injury employer services
The purpose of pre-injury employer (PIE) services is to assist the worker achieve a timely, safe and durable return to work in suitable
employment with the pre-injury employer. The primary goal is to return the worker to maximum work capacity, with this ideally
being at pre-injury duties and hours.
This service includes an assessment of the physical and/or psychological demands of available duties at the workplace, the
recommendation of appropriate workplace modifications to accommodate a worker’s medically certified work capacity, the
resolution of barriers preventing a successful return to work, and achieving agreement by the involved parties on the return to work
arrangements.
Services provided outside of this fee schedule and policy may be approved by the case manager on a case-by-case basis.
Quick reference guide – Service items
Descriptor
Referral category
Level 1 Intervention
Class A RTW consultant
Class B RTW consultant
$173.90 per hour
N/A
Up to 9 hours
RAW
WR210A
RTW
WR310A
CRTW
WR410A
Level 2 Intervention*
RAW
$173.90 per hour
$141.50 per hour
WR220A
WR220B
RTW
WR320A
WR320B
CRTW
WR420A
WR420B
PIDT
WR520A
WR520B
$147.70 per hour
$141.50 per hour
Level 2 Travel*
RAW
WR230A
WR230B
RTW
WR330A
WR330B
CRTW
WR430A
WR430B
PIDT
WR530A
WR530B
Level 2 Extension*
$173.90 per hour
RAW
WR221A
$141.50 per hour
WR221B
RTW
WR321A
WR321B
CRTW
WR421A
WR421B
Level 2 Travel extension*
$147.70 per hour
$141.50 per hour
RAW
WR231A
WR231B
RTW
WR331A
WR331B
CRTW
WR431A
WR431B
Intervention outcome report
$173.90 fixed fee
$141.50 fixed fee
RAW
WR240A
WR240B
RTW
WR340A
WR340B
CRTW
WR440A
WR440B
All referral types
$147.70 per hour
$141.50 per hour
WR901A
WR901B
Reasonable cost
Reasonable cost
WR907
WR907
Up to $500
Up to $500
WR910
WR910
Supplementary items
Additional travel for regional areas
Travel expense reimbursement
Equipment expense reimbursement
All referral types
All referral types
Outcome payments
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5
Descriptor
Timeframe in which outcome achieved
(Level 2 hours)
Item number
Max fee (ex GST)
≤ 6 hours
WR260
$600.00
≤ 9 hours
WR261
$400.00
≤ 12 hours
WR262
$200.00
≤ 10 hours
WR360
$900.00
≤ 15 hours
WR361
$600.00
≤ 20 hours
WR362
$300.00
≤ 12 hours
WR460
$1,200.00
≤ 20 hours
WR461
$800.00
≤ 28 hours
WR462
$400.00
RAW – Early durable outcome payment
RTW – Early durable outcome payment
CRTW – Early durable outcome payment
RAW – Remain at work
RTW – Return to work
CRTW – Complex return to work
PIDT – Pre-injury duties transition
*Please refer to services for maximum hours and time frame details.
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Business process
The flow chart below identifies the typical decisions and actions taken by the case manager and provider in the provision of preinjury employer services.
Case manager
Return to work consultant
Level 1 intervention
within 10 business
days
Yes
Is a Level 1 intervention
required to resolve barriers
and progress RTW?
Outcome achieved
No outcome achieved
No
Are ongoing RTW services
recommended?
No
Yes
Deliver Level 1
intervention service
and submit a Level 1
intervention report
Consider alternative
strategies to assist return
to work
No
Is Level 2
intervention required to
achieve a RTW outcome
in the near
future?
Yes
Notify the agent in
writing that you are
progressing to Level 2
intervention, and
proceed with service
Outcome
achieved
Intervention
outcome
report
No outcome achieved
Recommend
closure and submit
intervention outcome
report
No
Are ongoing RTW services
recommended?
Yes
No
Is Level 2 intervention
required to achieve a RTW
outcome in the near
future?
No outcome
achieved
Complete service
request form to
request Level 2
extension
Yes
Legend
Case manager
Level 2 extension
Outcome achieved
Return to work consultant
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Pre-injury employer service and payment policy
Who can provide pre-injury employer services
ReturnToWorkSA will only pay for pre-injury employer services delivered by:
 providers who are:
- appointed as a South Australian Scheme Return to Work Service Provider
- authorised to provide services in the pre-injury employer services category.
 consultants engaged by the above providers who are class A or class B return to work consultants and who are specified under
the individual service category in this payment policy.
Pre-injury employer service categories
There are four pre-injury employer service categories:
PIE service category
Referral criteria
Remain at work
(RAW)



Currently working with the pre-injury employer
Working at less than pre-injury hours, and
Receiving income support.
✓
Return to work
(RTW)



Not working
Primary injury is not psychological, and
The referral is made at less than or equal to 50 days after the
date the claims agent or ReturnToWorkSA received the claim.
✓
Complex return to work
(CRTW)


Not working, and
Primary injury is psychological,
or
The date of referral is 51 days or more from the date the claims
agent or ReturnToWorkSA received the claim.
✓
Currently working with the pre-injury employer
Working at pre-injury hours
Working in modified or alternate duties, and
Not receiving income support.


Pre-injury duties transition
(PIDT)




ReturnToWorkSA - Return to work services fee schedule 2015-16
Inclusion in
performance
measurement
8
How much ReturnToWorkSA will pay
ReturnToWorkSA will pay the reasonable cost of pre-injury
employer services up to the maximum amount detailed in this
fee schedule.
What ReturnToWorkSA will pay for
ReturnToWorkSA will pay for pre-injury employer services
that are:
 focused on achieving safe, early and durable return to


work outcomes
reasonable and necessary
approved by ReturnToWorkSA or the claims agent.
What ReturnToWorkSA will not pay for
ReturnToWorkSA will not pay for pre-injury employer services
that include:
 claims management functions
 extended monitoring of the worker’s status without





progress towards the goal (medical, return to work or
otherwise)
advocacy
treatment services
other services referred to by a provider without the prior
approval of the case manager (e.g. return to work
assessment services, activities of daily living assessments)
overseeing or monitoring of the worker’s treatment or
scheduling medical/treatment appointments
worker transport costs and interpreter services, as these
are generally reimbursed to the worker or paid directly by
the case manager.
Referral criteria
Who can refer for pre-injury employer services
These services may only be requested by ReturnToWorkSA or
the claims agent.
The requestor is to include relevant and appropriate
information with the referral, including, but not limited to,
information about the barriers to return to work; medical
reports; and the current Work Capacity Certificate or
WorkCoverSA Medical Certificate.

the expertise of a pre-injury employer service provider to
resolve
it is expected that a pre-injury employer service provider
can resolve the barriers to return to work, and progress
the worker towards pre-injury duties and hours within
four weeks.
Referrals are made for a specific service category based on the
worker’s status at the time of the initial pre-injury employer
service referral. This service category will not change for the
entire duration of the service even if the worker’s status
changes:



during the time allocation of referral
between Level 1 Intervention and Level 2 Intervention
between Level 2 Intervention and Level 2 Extension.
When a referral can be rejected
A pre-injury employer service provider may reject a
referral in very limited circumstances, such as when the:
 referral is for a category for which the provider has
not been appointed
 referral does not meet the referral criteria defined in this





fee schedule for the relevant service item
referral includes services not included in this fee schedule
provider can demonstrate it does not have the
capacity to provide the services in the time required
by ReturnToWorkSA or the claims agent
provider or ReturnToWorkSA has given notice to the
relevant party of termination of their appointment
provider is suspended from receiving new referrals
by ReturnToWorkSA
provider identifies an actual or perceived conflict of
interest exists or may reasonably arise relating to
delivery of any part of the service - unless the provider
notifies ReturnToWorkSA or the claims agent provides
written approval to the provider to proceed despite the
existence or possibility of a conflict of interest.
The provider must advise the case manager in writing of a
rejection of a referral, including the reason, and not proceed with
the requested service.
When a referral can be made to pre-injury
employer services
A case manager may refer a worker for this service when:
 there is information (including medical evidence)

indicating that a remain at work or return to work
outcome with the pre-injury employer is achievable
there are barriers to progressing or achieving a return to
pre- injury duties and / or pre-injury hours which require
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9
When a service can be suspended
A case manager may make a decision to suspend a preinjury employer service for a period up to six weeks. This
may occur up to a maximum total suspension period of 12
weeks for each referral. Suspensions may occur as a result
of:



temporary discontinuance of income support
illness, unexpected surgery or hospital admission
where the provision of pre-injury employer services
during the suspension period is not expected to
improve the worker’s capacity to return to work.
Service item descriptors
PIE Level 1 intervention service (RAW, RTW, CRTW)
Who can deliver a RAW, RTW, CRTW Level 1
intervention service
ReturnToWorkSA will pay for pre-injury employer Level 1
intervention services delivered by:
 Class A RTW Consultants.
Where the suspension criteria is met, a suspension can be
applied at any level of the service.
Providers will be responsible for ensuring the most
appropriately qualified personnel is appointed to deliver the
required components of the service that best meet the
circumstances of the referral.
The provider may recommend a suspension. This
recommendation must be made in writing to the case
manager, including the recommended suspension period.
Acceptance of the suspension must be recorded in the
provider’s file.
What is required within a Level 1 intervention
service
Services will recommence automatically at the end of the
suspension period unless:
The Level 1 intervention service will drive early resumption of
workplace activity, by assisting an employer to identify
suitable duties. This service is to be completed within 10
business days from the referral date.
 the case manager decides to further suspend the service,
The Level 1 intervention will incorporate, but is not limited to:

or
the case manager makes a decision to close the
referral, in which case the provider should complete and
submit an intervention outcome report to the case
manager.
 consulting with the worker, employer and treating

 establishing the worker’s capacity to undertake the
When pre-injury employer return to work services
cease
Pre-injury employer service should cease:
 where there is no evidence of continued progress towards



a pre- injury employer return to work goal
when the worker has achieved full pre-injury hours,
there is an agreed plan to transition them to pre-injury
duties and the employer and case manager agree that
the employer has the capability to manage this plan
when the current goal of ‘return to pre-injury employer’
is no longer appropriate, and this is approved by the
case manager
at the request of the case manager.
When pre-injury employer services cease, an intervention
outcome report should be completed by the provider and
submitted to the case manager.
A provider should discuss their recommendation to cease preinjury employer services with the case manager. This
discussion should be evidenced on the provider’s file.
doctor
assessing the barriers to the worker’s return to work,
and identifying actions to address these






duties and individual tasks giving consideration to the
available medical evidence, and the provider’s
knowledge of the injury, treatment, pathology and
prognosis
identifying suitable duties and recommending
workplace modifications or equipment to accommodate
the worker’s return to work where appropriate
a task analysis where required
establishing agreed return to work arrangements with
the worker, employer and doctor
educating the worker in safe work practices relevant to
their return to work duties
completing and submitting a Level 1 intervention
report, which includes recommended strategies for how
the worker’s return to work arrangements will be
implemented
assisting the case manager in developing a Recovery/
return to work plan where requested.
If a full return to work outcome is achieved, the provider
should complete an intervention outcome report and
submit this to the case manager.
A completed Level 1 Intervention is not a prerequisite to a
referral for a Level 2 Intervention service. A case manager
may refer directly for a Level 2 Intervention service where
they have established a Recovery/return to work plan for
the worker.
ReturnToWorkSA - Return to work services fee schedule 2015-16
10
When Level 2 services are recommended
RAW Level 2
12 hours
13 weeks
After completing a Level 1 Intervention service, a provider can
recommend Level 2 Intervention service, and proceed with
service when:
RTW Level 2
20 hours
26 weeks
CRTW Level 2
28 hours
26 weeks
Pre-injury duties
transition
7 hours
4 weeks
 services are necessary to resolve barriers to achieve a return

to work
the worker and employer are not able to independently
implement the return to work plan.
Level 2 intervention service hours can only be billed using the
respective service codes, within the allocated timeframes, as
specified above.
A provider should notify the case manager when
recommending and progressing to Level 2 intervention
services in writing, and ensure that:
PIE Level 2 intervention service - extension

A case manager may approve a Level 2 intervention service
extension in the following circumstances:

at referral, the agent has not provided instructions for a
Level 1 Intervention service only
the agent has not requested that pre-injury employer
service cease.


PIE Level 2 intervention service
Who can deliver a RAW, RTW, or CRTW Level 2
intervention service
ReturnToWorkSA will pay for pre-injury employer Level 2
intervention services delivered by:
 Class A RTW consultants
 Class B RTW consultants.
subsequent to the completion of a PIE level 2
Intervention service
subsequent to the provision of an intervention
outcome report and a worker’s return to work fails or
regresses and the employer requires assistance to return
the worker to work. In these circumstances:

an extension may be approved to assist the worker
to resume their return to work

the extension hours include notifying the case
manager in writing once an outcome is
achieved

no additional intervention outcome report is
required to be completed

no early durable outcome payment is payable.
where there is a reasonable prospect that the worker
will achieve pre-injury duties and/or pre-injury hours
during the extension period.
What is required within a PIE level 2 intervention
service

The aim of a Level 2 intervention service is to facilitate a
worker’s full return to work by supporting the parties to
implement the return to work arrangements and continuing
to resolve barriers to achieving their return to work goal.
Ideally the worker will achieve full pre-injury duties and
hours.
A provider will have 10 hours of service (including travel)
within a 6-week period for a PIE Level 2 intervention serviceextension.
The case manager may decide to refer direct to Level 2
Intervention service when:
 return to work arrangements have been agreed by the
parties and the employer requires assistance to manage
the RTW process; a Recovery/return to work plan is in
place (referral to PIE Level 2 Intervention services).
Within a Level 2 intervention service, it is expected that a
provider assists the worker in achieving pre-injury hours and
pre-injury duties. Once pre-injury hours are achieved, a
provider should develop a plan to assist the worker and
employer in transitioning to pre-injury duties. The provider
will cease their involvement when they are confident the
worker and employer can progress the developed plan
independently and achieve pre-injury duties.
The following maximum hours and timeframes apply for PIE
Level 2 intervention and Pre-injury duties transition services:
PIE Level 2 maximum hours and timeframes
PIE service
category
Max hours
(incl travel)*
Max timeframe
(excl suspension)*
ReturnToWorkSA - Return to work services fee schedule 2015-16
Pre-injury duties transition
A case manager may refer a worker for pre-injury duties
transition:


where the worker is working at full pre-injury hours, and
the employer requires assistance to transition them to
full pre-injury duties
where the worker is not receiving any income support.
A case manager cannot refer a worker for pre-injury duties
transition:


when there is a concurrent pre-injury employer service
when it is immediately subsequent to a previous preinjury employer service referral closure (as it is expected
this plan be developed with this previous referral).
The allocated hours during this service include:

provision of an intervention outcome report once the
worker has reached their maximum level of durable
return to work. The report should detail a brief
summary of actions taken, the level of duties reached at
11



closure point, and highlight any barriers to the durability
of the return to work status.
a review of the pre-injury employer workplace with
the worker and employer to develop a plan to
transition the worker to their pre-injury duties
any travel that may be required.
Reports
Level 1 Intervention report
A level 1 Intervention report should be completed and provided
to the case manager within 10 business days from the referral. It
should include:
 barriers to return to pre-injury duties and/or pre-injury
hours
 agreed return to work strategies and actions to progress
a RAW or RTW outcome
 summary of the suitable employment identified.
Intervention outcome report
An intervention outcome report should be completed and
provided to the case manager:




when improved durable remain at work or return to work
has been achieved at either PIE Level 1 Intervention, a
PIE Level 2 Intervention, or PIE Level 2 Extension, and a
further intervention service is not required or
where no further improvement in remain at work or
return to work is expected through a Level 2 –
Intervention or extension service, and further
intervention services are not justified or
at the request of a case manager and
within 10 business days from the closure date as it is
agreed with the case manager.
The intervention outcome report should include:





a summary of the service provided, and the outcome and
level of return to work achieved (nil, partial or full)
a brief summary of the RTW consultant’s actions which
supported the outcome
recommended return to work arrangements (in the form
of a Recovery/return to work plan where requested by
the case manager)
recommendations for the future management of the
workers return to work
where a partial or no return to work was achieved, details
regarding:

ongoing return to work barriers that may impact
upon the worker’s recovery and ability to participate
in pre-injury employer services, fit for work services,
job placement services, or to achieve suitable
employment with a new employer

suitable employment information including
transferable skills, qualifications, interests and
abilities identified during the referral period that
may be relevant to the future planning for the
worker’s return to work, including identification of
suitable employment with a new employer


other relevant recommendations and actions
required that may support the worker’s return to
work goal

a summary of the potential suitable employment
options at the pre-injury employer, recommended
pathways to the worker commencing these roles,
and the barriers to achieving this

a recommendation about the appropriateness of
the return to work goal remaining as pre-injury
employer.
other related information as requested by the case
manager
all activities associated with preparation of the report
are included within the fee for this item and cannot be
separately charged under a different item code.
Durable RTW certificate
A durable RTW certificate should be completed and
provided to the case manager:





at 13 weeks following the submission of the intervention
outcome report and
when the worker has sustained their return to work for the
full 13 weeks
the worker is entitled to less than 5% of the income
support they were entitled to at the commencement of
PIE services
where the provider believes they are entitled to a RTW
outcome payment and
on the form specified by ReturnToWorkSA.
Outcome payments
When an early durable outcome payment can be
made
An early durable outcome payment is payable to the provider
where:





a return to suitable duties at full pre-injury hours has
been achieved and sustained for 13 consecutive weeks,
and
a worker receives or is due to receive equal to or less
than 5% of their maximum income support throughout
the durability period and
evidence of 13 weeks’ durability is provided on the
specified Durable RTW Certificate and either
when an outcome is achieved in a level 1 intervention
service, the maximum outcome fee is payable for the
service category, or
where the outcome is achieved in a level 2 intervention
service, the hours invoiced for the level 2 service do not
exceed the specified maximums for the specific outcome
payments (i.e. excludes level 1 hours).
An early durable outcome payment is not payable
to the provider where:
 following a return to suitable duties at full pre-injury
hours, the worker ceases work during the 13 week
durability period. This may be due to:
ReturnToWorkSA - Return to work services fee schedule 2015-16
12






breach of mutuality – section 48 reduction or
discontinuance of weekly payments
worker develops or sustains a non-compensable
injury
worker aggravates their existing injury
worker resigns from pre-injury employer
worker employment is ceased by pre-injury
employer, or seasonal work ceases
worker makes a voluntary discontinuance of income
support.
How the early durable outcome payment is
determined





the durability period is the 13 week period commencing
from the date of the intervention outcome report
a Durable RTW certificate has been received by the case
manager
only 1 payment can be made for each claimant/referral
the fee payable is determined by the number of level 2
hours used for the service and travel combined to achieve
the outcome (refer page 5)
additional regional travel charged under WR901 is
excluded from the calculation.

To receive reimbursement, the provider must submit:





directly related to the provision of chargeable pre-injury
employer services for a referred worker, as described in
this fee schedule
documented in the worker’s case file including purpose,
origin, destination, travel time in minutes, including
return
divided proportionately between each worker where
travel involves provision of services to multiple workers.
Note: For additional information, refer to the invoicing
section.
Additional regional travel (WR901A/B)
The case manager may approve additional regional travel for
up to five additional hours at a time (up to a total maximum of
ten hours):

where the worker’s workplace, office of their employer,
rooms of the worker’s treating doctor, or other
appropriate place to deliver a service is located in one of
the regional postcodes listed in Appendix 3.
a tax compliant invoice for travel expenses incurred, and
a receipt for each travel expense incurred.
The invoice must be clearly itemised if more than one
expense is being claimed e.g. airfare, accommodation, meals,
etc. Economy airfare means the amount determined by
ReturnToWorkSA to be the reasonable cost of undertaking
the travel using a standard economy airfare.
If travel is undertaken for more than one worker, the travel
expenses must be divided proportionately between the two
or more workers.
Equipment expense reimbursement (WR910)
The case manager may approve reimbursement for
equipment expenses incurred by a provider to directly
support the worker’s return to work. Reimbursement will only
be made where:

Travel and equipment
Travel time is included in the PIE Level 1 service fee and is not
charged separately. Travel time must be:
economy airfares, overnight accommodation and
reasonable cost for meals associated with the overnight
stay, taxi fares, car parking and car hire expenses
(excluding fuel costs and vehicle mileage).

there is evidence of prior approval from the case
manager where the cost of the item is greater than $500,
and
tax compliant and itemised invoices for equipment
expenses are provided.
Employers are expected to fund reasonable workplace
modifications and workplace equipment to accommodate a
worker’s injury or disability. Where this is not reasonable and
practical, a request, including items required and their cost,
should be forwarded to the case manager for consideration.
Invoicing
Refer to the invoicing section of this fee schedule.
In addition, the following services must be charged as single
invoice transactions:


intervention outcome reports
early durable outcome payments.
Where a service uses time based billing, the actual time taken
must be accumulated for the day and then rounded to the
nearest 6 minutes.
Note: Only the portion of time taken to travel beyond 50km
from the provider’s closest approved regional office is
chargeable under this item.
Travel expense reimbursement (WR907)
A case manager may require a service to be delivered at a
location greater than 100km from the provider’s closest place
of business. In these circumstances a case manager may
approve reimbursement of the following travel expenses:
ReturnToWorkSA - Return to work services fee schedule 2015-16
13
2.
Fit for work services
The purpose of fit for work services is to upgrade a worker’s medically certified work capacity to maximum hours, ideally to full preinjury hours, in preparation for them gaining suitable employment through job placement services.
As part of this service, the provider will set the worker’s expectation of gaining suitable employment through job placement services.
Services provided outside of this fee schedule and policy may be approved by the case manager on a case-by-case basis.
Quick reference guide
Assessment service
Item number
Class A
Class B
Service descriptor (maximum duration)
FW110A
Fitness upgrade assessment and report
(15 business days)
FW110B
Class A
Class B
$173.90 per hour
(max 8 hours)
$141.50 per hour
(max 8 hours)
Fitness upgrade program
Item number
Service (maximum duration)
Time between claim received date and
referral date
0-12 months
Refer to item numbers
below
Fitness upgrade program (up to 8 weeks duration)
Up to $2,900.00
12+ months
Up to $3,900.00
Maximum funding that may be expended on fitness upgrade
pathway services (See Fitness upgrade pathway services below)
Fitness upgrade pathway services
Item number
Class A
Class B
Fitness upgrade pathway services
Class A
Class B
FW120A
FW120B
Individual worker contact
$173.90 per hour
$141.50 per hour
FW130A
FW130B
Consultation with medical and treatment providers
$173.90 per hour
$141.50 per hour
FW140
Identification of broader employment goals
Reimbursement at reasonable cost
(max $300.00)
FW150
Group based intervention programs
Reimbursement at reasonable cost
FW160A
FW160B
FW170
Arranging and monitoring work trials
Training
$173.90 per hour
$141.50 per hour
Reimbursement at reasonable cost
FW180A
FW180B
Travel (for FW130A/B, FW160A/B)
$147.70 per hour
$141.50 per hour
FW190A
FW190B
Coordinating fitness upgrade pathway services
$173.90 per hour
$141.50 per hour
N/A
Fitness upgrade program extension (4 weeks)
ReturnToWorkSA - Return to work services fee schedule 2015-16
Remaining balance of fitness upgrade
program funding
14
Supplementary items
Item number
Class A
Class B
Service descriptor
FW901A
Additional travel for regional areas
FW901B
Class A
Class B
$147.70 per hour
$141.50 per hour
FW907
Travel expense reimbursement
Reasonable cost
FW910
Equipment expense reimbursement
Reasonable cost
FW242A
FW242B
Intervention outcome report – no upgrade in threshold
$173.90 fixed fee
$141.50 fixed fee
FW246A
FW246B
Intervention outcome report – upgrade to threshold 2
$173.90 fixed fee
$141.50 fixed fee
FW248A
FW248B
Intervention outcome report – upgrade to threshold 3
$173.90 fixed fee
$141.50 fixed fee
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15
Business process
The flow chart below identifies the typical decisions and actions taken by the case manager and provider in the provision of pre-injury
employer services.
Case manager
Fit for work provider
Deliver fitness
upgrade assessment
and report
Yes
Referral criteria
met
No
Implement alternative
strategies to facilitate
return to work outcome
Yes
Has an upgrade
outcome been
achieved?
No
Complete and submit fitness
upgrade program as agreed with
doctor and worker
Review fitness
upgrade program
Deliver fitness upgrade
program (8 weeks)
Consider
referral to job placement
services
Intervention
outcome report
Yes
Has an upgrade
outcome been
achieved?
No
Intervention
outcome report
No
Will an outcome
be achieved with time
extension of
4 weeks?
Yes
No
Is worker likely to
achieve an increase in certified
medical capacity within
extension period
Request fitness upgrade
program extension (one
extension only)
Yes
Approve extension
Deliver fitness pathway
services during extension
period
Legend
Case manager
Return to work consultant
ReturnToWorkSA - Return to work services fee schedule 2015-16
Submit intervention
outcome report and
CLOSE
16
Fit for work service and payment
policy
Referral criteria
Who can provide fit for work services
Who can refer for fit for work services
ReturnToWorkSA will only pay for fit for work services
delivered by:


providers who are:
 appointed as a South Australian Scheme Return to
Work Service Provider
 authorised to provide services in the fit for work
services category.
consultants engaged by the above providers who are
Class A or Class B return to work consultants and who
are specified under the individual service category in
this payment policy.
How much ReturnToWorkSA will pay
ReturnToWorkSA will pay the reasonable cost of fit for
work services up to the maximum amounts detailed in this
fee schedule.
Fit for work services may only be requested by
ReturnToWorkSA or the claims agent.
The requestor is to include relevant and appropriate
information with the referral which may include, but is not
limited to, a Recovery/return to work plan, medical reports,
current medical certificate (Work Capacity Certificate or
WorkCoverSA Medical Certificate) etc.
When a referral can be made to fit for work
services
A case manager may refer a worker for this service:


What ReturnToWorkSA will pay for
ReturnToWorkSA will pay for fit for work services
that are:



focused on achieving safe, early, and durable medical
certification upgrades
reasonable and necessary
approved by ReturnToWorkSA or the claims agent.


What ReturnToWorkSA will not pay for
ReturnToWorkSA will not pay for fit for work services that
include:
 claims management functions
 extended monitoring of the worker’s status without






progress towards the goal (medical, return to work
or otherwise)
advocacy
treatment services
other services referred by a provider without the prior
approval of the case manager (e.g. return to work
assessment services, activities of daily living
assessments etc)
overseeing or monitoring the worker’s treatment or
scheduling medical/treatment appointments
worker transport costs and interpreter services, as
these are to be reimbursed to the worker or paid
directly to the provider by the case manager
job search activities such as resume development and
applications for employment.
when the return to work goal is new employer, or a
decision is made to change the return to work goal
to new employer, and
when the most recent medical evidence from the
treating doctor certifies the worker, for a period
exceeding 14 calendar days, as either:
 unfit for work, or
 fit for less than full pre-injury hours.
where the worker has previously completed a fit for
work service and circumstances have changed such
that the case manager is of the view that the service
may now achieve an outcome
when an increase in medically certified work capacity
cannot reasonably be obtained through other
activities and services.
When a referral can be rejected
A provider may reject a referral in very limited
circumstances, such as when the:
 referral is for a category for which the provider has
not been appointed
 provider can demonstrate it does not have the



capacity to provide the services in the time required
by ReturnToWorkSA or the claims agent
provider or ReturnToWorkSA has given notice to the
relevent party of termination of their Appointment
provider is suspended from receiving new referrals by
ReturnToWorkSA
provider identifies an actual or perceived conflict of
interest which may reasonably arise relating to
delivery of any part of the services – unless the
provider notifies ReturnToWorkSA or the claims
agent and the agent provides written approval to the
provider to proceed despite the existence or
possibility of a conflict of interest.
The provider must advise the case manager in writing of
the rejection of a referral, including the reason, and not
perform the requested service.
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17
When a referral can be suspended
A case manager may make a decision to suspend a fit for
work service as a result of a worker’s:


income support being temporarily discontinued
illness, unexpected surgery or hospital admission.
The provider may recommend a suspension. This
recommendation must be made in writing to the case
manager, including the recommended suspension period.
Acceptance of the suspension must be recorded in the
provider’s file.
Fit for work services will recommence automatically at the
end of the suspension period unless:


the case manager decides to further suspend the
service. This may occur up to a maximum total
suspension period of 4 weeks, or
the case manager makes a decision to close the referral,
in which case the provider should complete and submit
an Intervention outcome report.
When concurrent fit for work and job placement
services (JPS) can be delivered
The case manager is responsible for identifying the need for
concurrent return to work services and will make referrals in
accordance with the respective referral criteria. It is
expected that concurrent services occur in limited
circumstances, for example when:


While concurrent job placement services are being delivered:


When fit for work services cease
Fit for work services should cease:



when further service delivery is unlikely to result in an
increase in medically certified work capacity and
when approved by the case manager or
at the request of the case manager.
When fit for work services cease, the provider should
complete and submit the intervention outcome report
within 10 business days.
ReturnToWorkSA - Return to work services fee schedule 2015-16
a worker is participating in JPS and assistance is
required to upgrade their medically certified work
capacity. In this instance a referral will be limited to a
Fitness upgrade assessment and report only.
a fit for work provider has recommended
commencement of JPS prior to the full completion of a
fitness upgrade program.




the worker will participate in activities as set out by the
job placement service provider
where activities such as work trials and training have
been pre- arranged by the fit for work provider, the
worker is to complete these activities with monitoring
to be conducted by the job placement service provider
there must be timely and regular communication
between service providers to achieve collaborative goal
setting
the focus for the fit for work provider will be to gain an
increase in medically certified work capacity to the
worker’s maximum durable capacity
there must be no conflict in the requirements of the
worker
there must be no duplication of services.
18
Service item descriptors
During the fit for work service, the provider will provide
the case manager with details of the worker’s capacity
upgrades by, wherever possible, submitting a copy of an
updated medical certificate (Work Capacity Certificate or
WorkCoverSA Medical Certificate).
Where there is evidence that the worker has the capacity to
commence job placement services, the fit for work provider
should make this recommendation to the case manager.
Fitness upgrade assessment and report (FW110A/B)
The reporting requirements for this service are either:


submission of an intervention outcome report where
an upgrade to maximum hours is obtained. The report
should detail: the certification obtained; and
recommendations for the job placement specialist to
consider in assisting the worker to gain suitable
employment, or
submission of a fitness upgrade program if an
upgrade to pre-injury hours is not obtained.
Note: Following submission of the fitness upgrade
program, the provider should proceed with delivering and
arranging fitness upgrade pathway services.
Maximum time: 15 business days.
The purpose of this service is to upgrade the worker’s
medically certified work capacity to maximum hours, ideally
at the pre-injury level in preparation for them gaining
suitable employment through job placement services.
This service involves:


worker consultation and engagement including:
 identification of the worker’s employment history,
experience, transferrable skills and work
preferences where such information is not readily
available
 identification of suitable employment options
including labour market analysis of these options
where this information is not already available
 identification of and recommendations to address
barriers to achieving an upgrade in medically
certified work capacity and suitable employment at
maximum capacity
 collaborative development of a proposed fitness
upgrade program (where anticipated it will be
necessary).
treating doctor consultation including:
 discussion about the health benefits of work and the
opportunities available to the worker to re-enter the
workforce
 request that the treating doctor details in the
medical certificate, the worker’s certified work
hours and any relevant restrictions and functional
capabilities
 communication including, but not limited to case
conferences, telephone contact. Travel is included
within allocated hours, where case conferences are
arranged.
 the outcome of this consultation is either:
- obtaining an upgrade in certified capacity for
pre-injury hours, or
- agreement for a fitness upgrade program
(which is aimed at upgrading the worker’s
medically certified work capacity).
Note: This service is not intended to duplicate activity
undertaken by a previous service or concurrent service e.g.
Job placement service.
ReturnToWorkSA - Return to work services fee schedule 2015-16
Fitness upgrade program
Maximum time: 8 weeks duration from date of submission of
the fitness upgrade program.
The purpose of this service is to coordinate and deliver the
fitness upgrade program as agreed between the doctor,
provider and worker. The program is to address specific
barriers that exist and that are preventing the worker’s
medically certified work capacity being upgraded. The aim
is for the worker to be able to re-enter the workforce in
suitable employment, at pre-injury hours.
The minimum service requirements include:


fortnightly contact with the worker (if the worker is
not participating in work or training activity that is at
pre-injury hours, contact must be face-to-face) for 30
minutes
fortnightly progress update to the case manager.
When a fitness upgrade program is implemented, the
provider is responsible for:







arranging or delivering the fitness upgrade pathway
services as agreed by the doctor and worker. The case
manager is not required to approve these services.
monitoring the worker’s progress and participation in
the fitness upgrade program
ensuring fitness upgrade pathway services are
delivered by suitably qualified consultants
ensuring services that have been pre-arranged by the
case manager continue, and that such services are not
duplicated or replaced with another fitness upgrade
pathway service
ensuring short term transport costs and interpreter
services for the worker are reimbursed or paid directly
by the case manager
co-ordinating and making payment for fitness upgrade
pathway services that are arranged through a third
party provider. These services are to be paid by the fit
for work provider who then seeks reimbursement from
the case manager under the relevant item numbers in
the fee schedule
assisting the case manager in developing a
Recovery/return to work plan where requested.
19
Fitness upgrade program – extension
Maximum time: 4 weeks duration.
A case manager may approve one fitness upgrade program
extension where:

there is reasonable prospect that the worker’s
medically certified work capacity will increase to a
level appropriate for commencement of job
placement services.
During the extension period, the provider can continue
delivering services up to the maximum prescribed limits
of the fitness upgrade program funds.
ReturnToWorkSA - Return to work services fee schedule 2015-16
20
Fitness upgrade pathway services
The fitness upgrade pathway services will drive an upgrade in the worker’s medically certified work capacity during the fitness
upgrade program (and extension where approved). They are to be selected in combination and proportion relevant to the worker’s
needs, and agreed upon by the doctor, worker and provider.
Item number
Class A
Class B
Description
Max fee (ex GST)
Class A
Class B
FW120A
FW120B
Individual worker contact
Activity and support required by the worker which will facilitate an
upgrade in the worker’s certified medical capacity
$173.90
per hour
$141.50
per hour
FW130A
FW130B
Consultation with medical and treatment providers
Communication with medical and treatment providers to facilitate an
increase in certified medical capacity.
$173.90
per hour
$141.50
per hour
FW140
Identification of broader employment goals
For example, use of licenced programs for personality profiling to further
clarify suitable employment.
FW150
Group based or individual intervention programs
Non-clinical programs that may assist and facilitate an increase in the
worker’s:





FW160A
FW160B


Reimbursement at
reasonable cost
functional capacity
psychological preparedness for work
motivational levels
overcoming non-vocational barriers
clinical treatment programs are not included.
Arranging and monitoring work trials
Work trials involve placing the worker with a host organisation for a
defined period. This service should:

Reimbursement
(Max $300.00)
$173.90
per hour
$141.50
per hour
provide workplace-based opportunities for the worker to develop
marketable skills
provide an opportunity to test the worker’s physical and
psychological capacity for work
include arrangement and monitoring of progress with the host
employer.
Note: When employment is offered through a work trial, this code can be
used for activity supporting further durable upgrades in return to work.
FW170
Training



training and materials to improve the worker’s employability
prospects, specifically:
 employment-related training courses
 employment-related books and equipment
 literacy, language or numeracy assistance where places in other
eligible government funded programs are unavailable
short term, low cost (less than $500) training certificates and courses
directly related to suitable employment options.
Pre-apprenticeship training or pre-tertiary training is not permitted
under this item number.
Reimbursement at
reasonable cost
Note: Providers are required to seek approval from the case manager for
training courses that exceed $500.00.
FW180A
FW180B
Travel

Required for arranging work trials FW160A/B, and medical and
treatment provider consultation FW130A/B.
ReturnToWorkSA - Return to work services fee schedule 2015-16
$147.70
per hour
$141.50
per hour
21
Item number
Class A
Class B
Description
Max fee (ex GST)
Class A
Class B
FW190A
Coordinating fitness upgrade pathway services
$173.90
per hour
FW190B
This service includes:



$141.50
per hour
sourcing and arranging training materials to improve the worker’s
employability prospects
sourcing and arranging group based or individual intervention
programs
communicating with the case manager to discuss strategies to
resolve barriers to upgrade capacity.
ReturnToWorkSA - Return to work services fee schedule 2015-16
22
Reports
Intervention outcome report
On completion of the fit for work service the provider should
complete and submit the relevant Intervention outcome report
to document the outcome within 10 days following agreement
with the case manager of a closure date. The report should
include:






wide and specific suitable employment options identified
(including details) and the labour market analysis
completed on these
the activity provided to achieve an increase in medically
certified work capacity
the final outcome achieved, including a medical
certificate (Work Capacity Certificate or WorkCoverSA
Medical Certificate) as evidence of certification
recommendations for the job placement specialist to
consider in assisting the worker to gain suitable
employment
any considerations that may impact the worker’s
capacity to maintain this certification
work trials or training completed.
Travel and equipment
Travel time is included in the fitness upgrade assessment and
report service and not charged separately. Travel time must
be:



directly related to the provision of chargeable fit for
work services for a referred worker, as described in this
fee schedule
documented in the worker’s case file including purpose,
origin, destination, travel time in minutes, including
return
divided proportionately between each worker where
travel involves provision of services to multiple
workers.
Note: Additional information is located in the invoicing
section.
Additional regional travel (FW901A/B)
The case manager may approve additional regional travel
for up to five additional hours at a time (up to a total
maximum of ten hours):


where the worker’s treating doctor and/or host
employer (for a work trial) is located in one of the
regional postcodes listed in Appendix 3 and
regional travel is only charged as the portion of time
taken to travel beyond 50km from the provider’s
closest place of business.
Note: Only the portion of time taken to travel beyond 50km
from the provider’s closest approved regional office is
chargeable under this item.
ReturnToWorkSA - Return to work services fee schedule 2015-16
Travel expense reimbursement (FW907)
A case manager may require a service to be delivered at a
location greater than 100km from the provider’s closest
place of business. In these circumstances a case manager
may approve reimbursement of the following travel
expenses:

economy airfares, overnight accommodation and
reasonable cost for meals associated with the overnight
stay, taxi fares, car parking and car hire expenses
(excluding fuel costs and vehicle mileage).
To receive reimbursement, the provider must submit:


a tax compliant invoice for travel expenses incurred,
and
a receipt for each travel expense incurred.
The invoice must be clearly itemised if more than one
expense is being claimed e.g. airfare, accommodation,
meals, etc. Economy airfare means the amount determined
by ReturnToWorkSA to be the reasonable cost of
undertaking the travel using a standard economy airfare.
If travel is undertaken for more than one worker, the travel
expenses must be divided accordingly.
Equipment expense reimbursement (FW910)
The case manager may approve reimbursement for
equipment expenses incurred by a provider to directly
support the worker’s return to work. Reimbursement will
only be made where:


there is evidence of prior approval from the case
manager being obtained
tax compliant and itemised invoices for equipment
expenses are provided.
Employers are expected to fund workplace modifications
such as workplace equipment. Where it is not reasonable
and practical, a request, including items required and their
cost, should be forwarded to the case manager for
consideration of approval.
Invoicing
Refer to the invoicing section of this fee schedule.
When claiming for reimbursement for costs paid to an
external organisation, the provider should supply the
following together with the invoice:


evidence of payment (e.g. attach receipt for payment)
documented date that the service was provided, and a
description of service.
Where a service uses time based billing, the actual time
taken must be accumulated for the day and then rounded to
the nearest 6 minutes.
23
3.
Job placement services
The purpose of job placement services is to assist the worker in achieving sustainable suitable employment within their medically
certified work capacity with a new employer.
Services provided outside of this fee schedule and policy may be approved by the case manager on a case-by-case basis.
Quick reference guide
Max fee (ex GST)
Intensive job placement services
Time elapsed between date the agent or ReturnToWorkSA
received the claim and the referral date
Description
0-12
months
13-36
months
36+ months
or WPI ≥ 30%
Item no
Item no
Item no
Initial assessment and recommended employment pathway plan
$475.20*
JB101
Service fee (First 13 weeks)
$808.40*
JB201
Service fee (Second 13 weeks)
$808.40*
JB202
Additional regional service fee (each 13 weeks)
$380.20*
JB208
Employment pathway services (EPS)
Up to
$3,000.00
Up to
$6,000.00
Up to
$9,000.00
(JB302 - JB306; JB312; JB314; JB315A/B)
Employment placement fee – placement sustained for 2 weeks
Current medical capacity
$787.00*
JB401
Less than current medical capacity
$550.00*
JB402
13 week durability fee – full outcome
$1,475.00
JB410
$2,213.00
JB412
$2,950.00
JB414
$590.00
JB420
$885.00
JB422
$1,180.00
JB424
26 week durability fee – full outcome
$2,950.00
JB430
$4,425.00
JB432
$5,900.00
JB434
26 week durability fee – partial outcome
$1,180.00
JB440
$1,770.00
JB442
$2,361.00
JB444
13 week durability fee – partial outcome
*This is the only fee for the related item number, regardless of months since date of injury.
ReturnToWorkSA - Return to work services fee schedule 2015-16
24
Independent job seeking support
Max fee (ex GST)
Time elapsed between date the agent or ReturnToWorkSA
received the claim and the referral date
Description
0-12
months
13-36
months
36+ months
or WPI ≥ 30%
Item no
Item no
Item no
Service fee at commencement of each 13 week period
$808.40*
JB701
Additional regional service fee (each 13 weeks)
$380.20*
JB708
Employment pathway services (EPS)
Up to $1,000.00
(JB302 - JB306; JB312; JB314; JB315A/B)
Employment placement fee – placement sustained for 2 weeks
Current medical capacity
$787.00*
JB801
Less than current medical capacity
$550.00*
JB802
13 week durability fee – full outcome
$368.00
JB710
$553.25
JB712
$737.50
JB714
13 week durability fee – partial outcome
$147.00
JB720
$221.25
JB722
$295.00
JB724
26 week durability fee – full outcome
$737.50
JB730
$1,106.25
JB732
$1,475.00
JB734
26 week durability fee – partial outcome
$295.00
JB740
$442.50
JB742
$590.25
JB744
*This is the only fee for the related item number, regardless of months since date of injury.
ReturnToWorkSA - Return to work services fee schedule 2015-16
25
Business process
The flow chart below identifies the typical decisions and actions taken by the case manager and provider in the provision of pre-injury
employer services.
Case manager
No
Is the worker ready for
job seeking
Alternative strategies
to assist worker to work
readiness
Yes
Legend
Case manager
Referral criteria
met
Job placement service provider
Yes
Is intensive job seeking
assistance required?
No
Is some assistance
required?
Initial assessment and
employment pathway plan
within 10 days
Yes
13 weeks
Complete RRTWP and refer
to intensive job placement
services
26 weeks
Job placement service
Yes
No
Alternative strategies
to support worker to
employment
Service delivery including
fortnightly meetings with
the worker
Complete RRTWP and refer
to independent job seeking
support
Approve continuation of
independent job seeking
support
Service delivery including
fortnightly meetings with
the worker
Was outcome
achieved during
13 weeks?
Yes
Yes
No
Outcome notification
Was outcome
achieved during
26 weeks?
Yes
Outcome notification
ReturnToWorkSA - Return to work services fee schedule 2015-16
No
Is further job seeking
assistance required?
No
Closure
26
Job placement service and payment
policy
Who can deliver job placement services
ReturnToWorkSA will only pay for job placement services
delivered by providers who are appointed as a
ReturnToWorkSA job placement service provider.
When a referral can be made to job placement
services:
A worker may be referred for this service where:


How much ReturnToWorkSA will pay
ReturnToWorkSA will pay the reasonable cost of job
placement services up to the maximum amounts detailed
in this fee schedule.
What ReturnToWorkSA will pay for
ReturnToWorkSA will pay for job placement services that
are:



focused on achieving safe, early, and durable return to
work outcomes
reasonable and necessary
approved by ReturnToWorkSA or the claims agent.
What ReturnToWorkSA will not pay for
ReturnToWorkSA will not pay for job placement services
that include:
 claims management activity
 travel (except where stated in this fee schedule)
 monitoring of the worker’s status without progress





towards the goal (medical, return to work or
otherwise)
advocacy
treatment services
other services referred to by a job placement service
provider without the prior approval of the case
manager (e.g. return to work assessment services,
activities of daily living assessments)
overseeing or monitoring of the worker’s treatment or
scheduling medical/treatment appointments
relocation assistance for employment.
These functions are not considered to be within the scope of
the job placement services described in this fee schedule.
Referral criteria
Who can refer for job placement services
These services may only be requested by ReturnToWorkSA
or the claims agent.
The requestor is to include relevant and appropriate
information with the referral, which may include, but is not
limited to, medical reports; current medical certificate (Work
Capacity Certificate or WorkCoverSA Medical Certificate); fit
for work provider reports, and a relevant Recovery/return to
work plan(s).
ReturnToWorkSA - Return to work services fee schedule 2015-16

their current return to work goal is return to work with
a new employer
their medically certified work capacity is 15 or more hours
per week, or where the worker’s pre-injury hours were
less than 15 hours per week, the worker is certified to
work their pre-injury hours
they are medically able to travel.
Referrals are made for a specific service category based on
the time elapsed between the date the Agent or
ReturnToWorkSA receive the claim and the date of referral
to job placement service. This elapsed time is fixed, and as
such the employment pathway fund or durability fee
categories will not change.
When a referral can be rejected
A job placement service provider may reject a referral in
very limited circumstances, such as when the:
 referral is for a category for which the provider has not
been appointed
 referral does not meet the referral criteria defined in
this fee schedule for the relevant service item
 referral includes services not included in this fee
schedule
 provider can demonstrate it does not have the



capacity to provide the services in the time required by
ReturnToWorkSA or the claims agent
provider or ReturnToWorkSA has given notice to the
relevant party of termination of their appointment
provider is suspended from receiving new referrals by
ReturnToWorkSA
provider identifies an actual or perceived conflict of
interest exists or may reasonably arise relating to
delivery of any part of the service - unless the provider
notifies ReturnToWorkSA or the claims agent
providers written approval to the provider to proceed
despite the existence or possibility of a conflict of
interest.
The provider must advise the case manager in writing of a
rejection of a referral, including the reason, and not proceed
with the requested service.
When a referral can be suspended
Service may be suspended for a cumulative total of 12
weeks as a result of:



temporary discontinuance of income support
unexpected illness, surgery or hospital admission
hours and capacity falling below the referral criteria,
which requires additional intervention outside of job
placement services.
27
The job placement service provider must make a written
request for suspension, including the recommended
suspension period, and obtain written approval from the
case manager. Approval of the suspension must be recorded
on the worker’s file.
Services will recommence automatically at the end of the
suspension period unless:


a further suspension is approved by the case manager, or
the referral is closed by the case manager.
When job placement services cease
Job placement services should cease:


where there is no evidence of continued progress
towards suitable employment, and approved by the
case manager, or
at the request by the case manager.
Service item descriptors
Intensive job placement services
Initial assessment and recommended
employment pathway plan (JB101)
This service is to be completed within 10 working days
from date of referral and includes:





Concurrent return to work services
Fit for work or return to work assessment services may be
delivered concurrently to a job placement service.
ReturnToWorkSA and the claims agent are responsible for
identifying the need for concurrent services and will make
referrals in accordance with the relevant referral criteria.
The interview with the worker is, at a minimum, to include:



When concurrent return to work services are being
delivered, there must be:



timely and regular communication between service
providers to achieve collaborative goal setting
no conflict in the requirements of the worker
no duplication of services.
Concurrent fit for work and job placement
services may occur where:
 additional support is required to obtain an increase in


the worker’s certified medical capacity to enable them to
obtain suitable employment with a new employer, or
the worker’s medically certified work capacity falls to
below eligibility level requiring the job placement
service provider to suspend the service in accordance
with suspension criteria
a fit for work provider will not arrange a fitness
upgrade program whilst job placement services are
being delivered.
Concurrent return to work assessment services
and job placement services may occur where:



the suitability of identified duties or employment is
uncertain and
additional expertise outside that of a job placement
specialist is required to conclude suitability and/or
additional information regarding suitable employment
options for worker is required to support decisionmaking in the case management process.
ReturnToWorkSA - Return to work services fee schedule 2015-16
review of medical information and other information
provided by the case manager
communication with the fit for work provider where
services have been or are concurrently being provided
interview with the worker to assess skills and expertise
identification of wider suitable employment options, and
a minimum of 3 specific suitable employment options
development of an employment pathway plan which
provides an overview of employment pathway services
to be arranged for the 13 week service period.








confirmation of the worker’s details
an authority to obtain information
explanation of the:
- services that the job placement service provider
will provide
- worker’s rights and responsibilities.
explanation of the job search facilities, where these are
located, and how to access those facilities
provision of an initial list of appropriate job vacancies
an assessment of the worker’s transferable skills,
expertise and work history
development and agreement on an appropriate
employment pathway plan, and what this means in
respect of the worker’s participation
information about the most effective ways to seek
work and successfully obtain employment
discussion about local employment opportunities
provision of information about skills shortage areas
assistance to the worker to prepare or review their
resume.
The job placement service provider is to provide the case
manager with a written employment pathway plan
developed with the worker. The employment pathway plan
is to be completed using the ReturnToWorkSA template, and
include:



specific examples of suitable employment goals
(minimum of 3)
wider suitable employment goals
employment pathway plan activities for the first 13
weeks of service including:
- detailed description of activities to be undertaken
by the worker
- details of the tailored services to address
individual worker needs
28
-
-
where appropriate, recommendations for training
(retraining or on-the-job training) to enable access
to suitable employment opportunities
proposed allocation of employment pathway
services expenditure
proposed review points to adjust the allocation of
services within initial plan.
Service fee (JB201, JB202)
This service fee:






covers a worker’s access to job search facilities in
normal business hours
includes a minimum of fortnightly contact with the
worker (If the worker is not participating in work or
training activity equivalent to pre-injury hours, it is
expected that contact will be face-to-face with the job
placement service provider)
includes fortnightly updates of the worker’s progress in
employment pathway services and return to work, to
ReturnToWorkSA, or the claims agent
is payable in two stages
- 13 week service fee – on the worker commencing
the 26 week program
- 26 week service fee – at 14 weeks where the
worker continues the job placement services
program beyond 13 weeks.
must be charged as a single invoice transaction for
each item number (JB201 and JB202)
covers the provision of an updated employment
pathway plan at week 14 which describes the
employment pathway plan activities for the next 13
weeks of service.
If the worker obtains sustainable employment that meets the
criteria for a durability fee - full outcome, the job placement
service provider is not eligible to charge subsequent service
fees.
Employment pathway services (JB302 JB306; JB312; JB314; JB315A/B)
The job placement service provider can select and arrange
services up to the maximum allowed in this fee schedule.
Payment will only be made for those services delivered.


The maximum fee payable for employment pathway
services is determined by the elapsed time from the
date the agent received the claim to the date of referral
to job placement services as specified in the job
placement services quick reference guide.
The job placement service provider shall monitor
employment pathway services usage to ensure the
expenditure is within the maximums prescribed.
ReturnToWorkSA - Return to work services fee schedule 2015-16
Independent job seeking support
Service fee (JB701)
ReturnToWorkSA or the claims agent may elect to refer the
worker directly to independent job seeking support, or
subsequent to the completion of intensive job placement
services. This service fee:




is payable:
- at commencement of each 13 week period, and
- for a maximum period of 12 months.
covers a worker’s access to job search facilities in
normal business hours
includes as a minimum fortnightly contact with the
worker (where the worker is not participating in work
or a training activity that is at pre-injury hours, it is
expected that contact be face-to-face with the job
placement specialist) for a minimum of 30 minutes
includes a fortnightly update of the worker’s progress
in employment pathway services and return to work,
to the claims agent or ReturnToWorkSA.
If the worker obtains sustainable employment that meets
the criteria for a durability fee - full outcome, the job
placement service provider is not eligible to charge
subsequent service fees.
Employment pathway services (JB302 JB306; JB312; JB314; JB315A/B)
The job placement service provider can select and arrange
services up to $1,000 for workers who participate in
independent job seeking support. This may be from:


continuation of service following intensive job
placement services
a direct referral to independent job seeking support.
Funds are allocated for use with each service fee period (ie
13 weeks). Unused balances will not transfer to subsequent
service fee periods.
The job placement service provider is to provide the case
manager with a written employment pathway plan detailing
the employment pathway.
Additional regional service fee (JB208, JB708)
The case manager may approve this service fee for one
occasion per 13 week service period:


where the worker’s residence, or other appropriate
place to deliver a service is located in one of the
regional postcodes listed in Appendix 3, and
the worker is unable to travel to the job placement
service provider’s premises.
29
Employment pathway services
These services may be selected by the job placement specialist in a combination and a proportion as required by the specific needs
of the worker and their circumstances in order to achieve the suitable employment goal. The employment pathway services
selected relevant to a worker’s requirements will be detailed in the completed employment pathway plan.
 Employment pathway services, where incurred as external costs to the job placement specialist, are to be paid by the job
placement specialist who then seeks reimbursement from ReturnToWorkSA or the claims agent.
 Transport costs will ideally be paid by the worker who will then seek reimbursement from ReturnToWorkSA or the claims agent.
 Interpreter services will be paid directly to the provider by ReturnToWorkSA or the claims agent.
 The Re-employment Incentive Scheme for Employers (RISE) program provides wage subsidies for employers and can be actively
marketed in consultation with the worker. RISE requires approval by ReturnToWorkSA or the claims agent.
 Other wage subsidies are not permitted to be reimbursed as employment pathway services.
Item no
Description
JB302
Training to prepare a worker for employment including:
 employment related training courses
 literacy, language or numeracy assistance where places in other eligible government
funded programs are unavailable
 work tools, tickets and licences.

Max fee (ex GST)
Reimbursement at
reasonable cost
Pre-apprenticeship training or pre-tertiary training is not permitted under this item
number.
Note: Providers must seek approval from the case manager for training courses exceeding
$500.00
JB303
Purchased activities and items to assist the worker find, gain and maintain
employment such as:
Reimbursement at
reasonable cost







identification of wider suitable employment goals
motivational components of programs
purchase of mobile phones, phone cards, and mobile phone pre-paid credit vouchers
clothing to attend an interview where the worker has no suitable clothes
personal presentation, hygiene packs and basic haircuts
work uniforms and safety equipment
workplace assistance and modifications where they are required but not available
through any other government funded program
 police checks.


JB304
Self-employment costs and childcare costs are not available under this item.
Employment pathway services cannot be used for costs to verify employment for the
purpose of an outcome claim.
Group-based job search activities
$10.20 per hour
 Can be billed in ‘blocks’ for example, a worker who attends 30 hours of activity can be
billed as $300.00.
 If a worker cannot attend all program hours due to a medical condition, the job
placement service provider is required to seek to make-up the lost hours through
attendance at vacant slots in other group-based job search programs at no cost.
JB305
Activities delivered by job placement service providers to assist the worker find and
gain employment such as:
$95.00 per hour
 additional one-on-one contacts (over and above the required fortnightly contact)
 activities to manage worker behaviour and participation
 activities to assist worker’s application for jobs including resume and cover letter
development
 arranging and monitoring work trials (including travel)
 one-on-one interview support including attendance and travel where required
 communication with treating providers and agents to plan return to work strategies.
Item no
Description
ReturnToWorkSA - Return to work services fee schedule 2015-16
Max fee (ex GST)
30
JB306
Reverse marketing and job carving
$95.00 per hour
 Reverse marketing can only be claimed where an individual worker is actively marketed
to employers where a vacancy does not exist (that is, the reverse of having employers
request workers with specific skills to fill a particular vacancy).
 Job carving is the creation of a modified job to fit the worker’s skills and capabilities and
can occur in relation to an existing vacancy request from an employer.
 Job carving can relate to several workers, but shall not include general
marketing to employers.
 The cost of job carving shall be allocated across the relevant workers.
 A log of reverse marketing and job carving activities for workers shall be retained by the
job placement service provider.
JB312
Post placement support
$95.00 per hour
Direct contact to support employment durability in addition to the expected one contact
per fortnight with the worker and/or employer.
Post placement support and mentoring can be offered to address issues which are likely to
impact on the worker’s ability to continue in an employment placement.
JB314
Assistance to overcome non-vocational barriers, for example:







mental health support
substance dependency services
gambling rehabilitation
personal development and self-esteem
family support
financial counselling
anger management support.
Reimbursement at
reasonable cost
Only to be incurred
with approval by
ReturnToWorkSA
or the claims agent
Assistance to overcome non-vocational barriers may be reimbursed where the service may
be approved by the case manager.
The job placement service provider must pay these services directly to the relevant
provider then seek reimbursement form ReturnToWorkSA or the claims agent using item
number JB314.
JB315A
Worksite assessment service
JB315B
The purpose of this service is to ensure that a safe and suitable return to work occurs with
the new employer. It is used in circumstances where there is uncertainty about the
suitability of the proposed duties and additional expertise beyond that of job placement
service provider is required. The assessment should include recommendations in relation
to the employment or work trial suitability that will assist the worker’s safe and durable
return to suitable employment.
This service can only be delivered by class A or B consultants (physiotherapists or
occupational therapists) employed by an appointed Return to Work service provider under
the Return to Work scheme.
Class A
$173.90 per hour
(max 6 hours)
Class B
$141.50 per hour
(max 6 hours)
The service is to be delivered in accordance with the worksite assessment service detailed
in the return to work assessment services section of this fee schedule. It includes:





workplace visit with worker and employer/host employer
travel
recommendations for any workplace accommodation and/or education
clarification of worker’s capacity from treating doctor, if required
report summarising recommendations including capacity of the worker to perform
duties and any strategies that will assist the worker’s safe and durable return to the
proposed suitable employment.
ReturnToWorkSA - Return to work services fee schedule 2015-16
31
Outcome fees
 Payable on submission of job placement services outcome report.
 No more than three placement outcome fees can be claimed for a single worker within 12 calendar months.
 Where a worker has independently sourced paid employment and the employment pathway plan has not been initiated, the
job placement service provider is not eligible to claim a placement fee.
Item no
Item no
Description
Intensive job
placement
service
Independent
job seeking
support
Placement
JB401
JB801
Placement at current medical capacity
Max fee (ex
GST)
$787.00
 A placement in paid employment at full current medical capacity
hours for a duration of 2 working weeks from the employment
commencement date.
 This item does not include non-payable placements.
JB402
JB802
Placement less than current medical capacity
$550.00
 A placement in paid employment at less than full medical certified
capacity hours, but greater than or equal to 15 hours per week for
the duration of 2 working weeks from the employment
commencement date.
 This item does not include non-payable placements.
ReturnToWorkSA - Return to work services fee schedule 2015-16
32
13 week durability fees
 Payable on submission of job placement services outcome report.
 No more than two 13 week durability fees can be claimed for a single
worker within 12 calendar months.
Description
Max fee (ex GST)
Time elapsed between date the agent or ReturnToWorkSA
received the claim and the referral date
0-12
months
13-36
months
36+ months
or WPI ≥ 30%
Item no
Item no
Item no
13 week durability fee – full outcome
Fee payable if the worker obtains sustainable employment AND receives
(or is entitled to receive) less than 10% of their maximum income support
throughout week 1 to 13 following the employment commencement date
OR post placement phase and during durability period, case manager
provides communication of worker’s return to work-discontinuance of
weekly payments.
 This item does not include non-payable placements.
13 week durability fee – partial outcome
Fee payable if the worker obtains sustainable employment AND receives
(or is entitled to receive) between 10% and 50% of their maximum income
support throughout week 1 to 13 following the employment
commencement date.
 This item does not include non-payable placements.
Intensive job placement services*
$1,475.00
JB410
$2,213.00
JB412
$2,950.00
JB414
Independent job seeking support
$368.00
JB710
$553.25
JB712
$737.50
JB714
Intensive job placement services*
$590.00
JB420
$885.00
JB422
$1,180.00
JB424
Independent job seeking support
$147.00
JB720
$221.25
JB722
$295.00
JB724
26 week durability fees
 Payable on submission of job placement services outcome report.
Max fee (ex GST)
Time elapsed between date the agent or ReturnToWorkSA
received the claim and the referral date
Description
26 week durability fee – full outcome
Fee payable if the worker obtains sustainable employment AND receives
(or is entitled to receive) less than 15% of their maximum income support
throughout week 14 to 26 following the employment commencement
date OR post placement phase and during durability period, case
manager provides communication of worker’s return to workdiscontinuance of weekly payments.
 This item does not include non-payable placements.
26 week durability fee – partial outcome
Fee payable if the worker obtains sustainable employment AND receives
(or is entitled to receive) between 15% and 50% of their maximum income
support throughout week 14 to 26 following the employment
commencement date.
 This item does not include non-payable placements.
ReturnToWorkSA - Return to work services fee schedule 2015-16
0-12
months
13-36
months
36+ months
or WPI ≥ 30%
Item no
Item no
Item no
Intensive job placement services*
$2,950.00
JB430
$4,425.00
JB432
$5,900.00
JB434
Independent job seeking support
$737.50
JB730
$1,106.25
JB732
$1,475.00
JB734
Intensive job placement services*
$1,180.00
JB440
$1,770.00
JB442
$2,361.00
JB444
Independent job seeking support
$295.00
JB740
$442.50
JB742
$590.25
JB744
33
* Eligibility for Intensive job placement services
durability fee
A provider will be eligible for the Intensive job placement
services 13, and 26 week durability fees (partial and full
outcome) in the following circumstances:
 the worker commences paid employment during the
Intensive job placement services period and that position
is durable and meets the fee criteria, or
 the worker commences paid employment within 12
months from the date of accepting the referral to
Intensive job placement service, and this placement
is sustained for the respective durability period, and
meets the fee criteria.
Changes in employment status
Upgrading employment hours:
 where a worker is initially employed at below full
capacity, providers should continue to assist a worker in
maximising their earnings, and reducing their
maximum income support. This may be through:
- upgrading hours within the existing placement
- obtaining a supplementary placement
- obtaining a new placement with greater
earnings and hours of work.
 the maximum income support threshold for 26 week
durability fee – full outcome is 15% compared to 10%
for 13 week durability fee – full outcome. This is to
provide incentive for the provider to increase a worker’s
hours of work where they are initially employed below
full capacity. Providers who received a 13 week
durability fee – partial outcome who then successfully
increase a worker’s earning capacity during weeks 14 to
26 could be eligible for the 26 week durability fee – full
outcome where the worker’s maximum income support
is 15%.
ReturnToWorkSA - Return to work services fee schedule 2015-16
Re-anchoring:
 if a worker’s employment ceases after being placed by
a job placement service provider, the job placement
service provider has a re-anchoring period of 10
business days to restore the worker to paid
employment. This re-anchoring period will not impact
the calculation of the 13 week and 26 week durability
fee periods.
Invoicing
Please refer to the Invoicing section of this fee schedule.
The following is in addition to the invoicing section:
 initial assessment and employment pathway plan
 service fees
 outcome fees at each milestone.
When claiming for reimbursement for an employment
pathway service for an external organisation cost:
 attach evidence of payment (e.g. receipt for payment)
with invoice
 document date service was provided, description of
service.
34
4.
Restoration to the community services
The purpose of Restoration to the community services is to assist workers to reintegrate into their community activities. For
seriously injured workers, this service may include flexible service requirements to explore employment transition opportunities for
the worker, and/or prepare a worker for considering a future return to work. In cases where a return to work is possible, a separate
referral to a return to work service will be required to drive a return to work outcome.
Services provided outside of this fee schedule and policy may be approved by the case manager on a case-by-case basis.
Quick reference guide
Item no
Description
Max fee (ex GST)
RC301
Initial assessment (including travel)
RC307
Restoration to the community coordination (6 months duration)
$990.80
$141.50 per hour
Max 20 hour blocks
RC907
Travel expense reimbursement
Reasonable cost
RC910
Equipment expense reimbursement
Reasonable cost
RC901
Additional regional travel
$141.50 per hour
Restoration to community service
and payment policy
Who can deliver restoration to the community
services to workers
ReturnToWorkSA will only pay for restoration to the
community services delivered by:
 providers who are:
 appointed as a South Australian Return to work
service provider
 authorised to provide services in the restoration to
the community category.
 consultants engaged by the above providers who are
Class B return to work consultants. Note: A Class A return
to work consultant may deliver this service but the rate
payable is only for a Class B consultant.
How much ReturnToWorkSA will pay
ReturnToWorkSA will pay the reasonable cost of restoration
to the community services up to the maximum amounts
detailed in this fee schedule.
What ReturnToWorkSA will pay for
ReturnToWorkSA will pay for restoration to the community
services that are:
What ReturnToWorkSA will not pay for
ReturnToWorkSA will not pay for restoration to the
community services that include:
 service delivery concurrent to pre-injury employer
services
 claims management functions
 notifying the worker of claim determinations (including





claim decisions, authorisation of payments,
determination of entitlements)
extended monitoring of the worker’s status without
progress towards the goal (medical, return to work or
otherwise)
advocacy
treatment
other services referred to by a consultant without the
prior approval of the case manager (e.g. return to work
assessment services, activities of daily living
assessments etc).
worker transport costs and interpreter services, as
these are to be reimbursed to the worker or paid
directly by the case manager.
 focused on achieving safe, early, and durable outcomes
 reasonable and necessary
 approved by ReturnToWorkSA or the claims agent.
ReturnToWorkSA - Return to work services fee schedule 2015-16
35
Referral criteria
Service item descriptors
Who can request restoration to the community
services
Initial assessment (including travel) (RC301)
These services may only be requested by ReturnToWorkSA
or the claims agent.
The requestor is to include relevant and appropriate
information with the referral, which may include, but is not
limited to: medical reports, current Work Capacity Certificate
or WorkCoverSA Medical Certificate, reports through other
services.
When can a referral be made to restoration to
the community
A case manager may refer a worker for this service where
the worker:


has complex injuries/conditions. Usually, but not
limited to, serious injuries and
does not have reasonable prospects of returning to
work in the foreseeable future.
The purpose of this service is to assess the worker’s needs
and develop a restoration to the community plan. The plan
should be developed as early as practicable in order to assist
the worker to access and participate as fully as possible in the
community. It includes providing information to the case
manager to assist them in establishing the Recovery/return to
work plan.
The initial assessment will incorporate, but is not limited to:







a meeting with the worker, employer (where applicable)
and treating doctor
assessing the barriers to the worker’s access to the
community and identifying actions to address these
establishing an agreement on the Recovery/return to
work plan between all parties
completing and submitting an initial assessment
report, which includes recommended strategies to how
the restoration to the community plan will be
implemented
assisting the case manager in establishing a
Recovery/return to work plan where requested
traveling time required to deliver this service
completing and submitting an initial assessment report
to the case manager. Ideally, this is to be submitted within
15 working days
Restoration to the community coordination (RC307)
The case manager may refer for restoration to the
community coordination. During the restoration to the
community coordination service, the provider will
implementation the restoration to the community plan.
This service includes:



updating relevant parties regarding actions, services
and outcomes of the Recovery/return to work plan on a
fortnightly basis
all travel
up to 20 hours of service can be approved by the case
manager at a time (maximum 6-months duration).
Travel and equipment
Travel time is included in the Restoration to the Community
initial assessment and co-ordination services, and is not
charged separately. Travel time must be:



ReturnToWorkSA - Return to work services fee schedule 2015-16
directly related to the provision of chargeable pre-injury
employer services for a referred worker, as described in
this fee schedule
documented in the worker’s case file including the
purpose, origin, destination, travel time in minutes
(including return)
divided proportionately between each worker where
travel involves provision of services to multiple
workers.
36
Note: Additional information is located in the invoicing
section.
Equipment expense reimbursement (RC910)
Additional regional travel (RC901)
For equipment expenses incurred by a provider to directly
support the worker’s restoration to the community:
The case manager may approve additional regional travel for
up to five additional hours maximum:




for the initial assessment only
where the worker’s workplace, office of their
employer, rooms of the worker’s treating doctor, or
other appropriate place to deliver a service is located
in one of the regional postcodes listed in Appendix 3.
Note: only the portion of time taken to travel beyond
50km from the provider’s closest place of business is
chargeable under this item.
Travel expense reimbursement (RC907)
Where the provider is required to travel to a destination greater
than 100km from the provider’s closest place of business, travel
expenses incurred for a return to work service delivered may be
reimbursed. This must be at the request of the case manager.
These expenses may include:

prior approval from the case manager must be obtained
tax compliant invoices for equipment expenses must be
provided with the relevant invoice before payment will
be made. The invoice must be clearly itemised if more
than one expense is being claimed.
Invoicing
Refer to the invoicing section of this fee schedule.
In addition, the following service must be
charged as a single invoice transaction:

initial assessment.
Where a service uses time based billing, the actual time
taken must be accumulated for the day and then rounded
to the nearest 6 minutes.
economy airfares, overnight accommodation and
reasonable cost for meals associated with the
overnight stay, taxi fares, car parking and car hire
expenses (excluding fuel costs and vehicle mileage).
To receive reimbursement, the provider’s invoice is to
include:


tax compliant invoice for travel expenses incurred,
AND
receipt for travel expenses.
The invoice must be clearly itemised if more than one
expense is being claimed e.g. airfare, accommodation,
meals, etc. Economy airfare means the amount determined
by ReturnToWorkSA to be the reasonable cost of
undertaking the travel using a standard economy airfare.
If travel is undertaken for more than one worker, the travel
expenses must be divided proportionately between the two
or more workers.
ReturnToWorkSA - Return to work services fee schedule 2015-16
37
5.
Return to work assessment services
The purpose of return to work assessment services is to provide an independent opinion that informs and supports the case
manager’s decision-making process. The services will include consultation with required parties to obtain commitment to the
assessment.
Services provided outside of this fee schedule and policy may be approved by the case manager on a case-by-case basis.
Quick reference guide
Assessment services
Item no
Description
Max fee (ex GST)*
Class A
Class B
Class A
Class B
WA001A
WA001B
Agent case conference support service (including
travel time)
Up to 6 hours within 10 business days
$173.90 per hour
$141.50 per hour
WA110A
WA110B
Suitable employment assessment
Up to 6 hours within 10 business days
$173.90 per hour
$141.50 per hour
WA120A
WA120B
Vocational assessment and report
Up to 7 hours within 10 business days
$173.90 per hour
$141.50 per hour
WA130A
WA130B
Worksite assessment and report (including travel time)
Up to 6 hours within 10 business days
$173.90 per hour
$141.50 per hour
WA140A
N/A
Return to work goal verification service and report
(including travel time)
Up to 9 hours within 10 business days
$173.90 per hour
N/A
WA150A
WA150B
Functional capacity evaluation and report
Up to 7 hours within 10 business days
$173.90 per hour
$141.50 per hour
Additional travel for regional areas
$147.70 per hour
$141.50 per hour
Supplementary items
WA901A
WA901B
WA907
Travel expense reimbursement
Reasonable cost
WA910
Equipment expense reimbursement
Reasonable cost
ReturnToWorkSA - Return to work services fee schedule 2015-16
38
Return to work assessment service and payment policy
Who can deliver return to work assessment services
ReturnToWorkSA will only pay for return to work assessment services delivered by:


providers who are:
- appointed as a South Australian Return to work service provider
- authorised to provide services in the pre-injury employer services category.
RTW consultants engaged by the above providers who are class A or class B return to work consultants and who are specified
under the individual service category in this payment policy.
Class B
RTW Consultants
Class A - RTW Consultants
Service
OT
PT
EP
Psych
Rehabilitation
Counsellor
Other HWCA disciplines
Agent case conference support
✓
✓
✓
✓
✓
✓
Functional capacity evaluation
✓
✓
RTW goal verification service
✓
✓
✓
✓
✓
Suitable employment assessment
✓
✓
✓
✓
✓
✓
(Occupational therapists
or Physiotherapists only)
Vocational assessment
Worksite assessment
✓
✓
✓
✓
✓
(Psychologists only)
✓
✓
(Occupational therapists,
Physiotherapists or
Psychologists only)
Note: Further details of required consultant’s qualifications are also provided under each assessment service description.
How much ReturnToWorkSA will pay
What ReturnToWorkSA will not pay for
ReturnToWorkSA will pay the reasonable cost of return to
work assessment services up to the maximum amounts
detailed in this fee schedule.
ReturnToWorkSA will not pay for return to work assessment
services that include:
What ReturnToWorkSA will pay for
ReturnToWorkSA will pay for return to work assessment
services that are:



focused on achieving safe, early, and durable outcomes
reasonable and necessary
in accordance with this fee schedule.
ReturnToWorkSA - Return to work services fee schedule 2015-16





claims management functions
advocacy
treatment services
overseeing or monitoring of the worker’s treatment or
scheduling medical/treatment appointments
worker transport costs and interpreter services, as these
are to be reimbursed to the worker or paid directly to the
provider by the case manager.
39
Referral criteria
Travel expense reimbursement (WA907)
Who can request return to work assessment
services
A case manager may require a service to be delivered at a
location greater than 100km from the provider’s closest
place of business. In these circumstances a case manager
may approve reimbursement of the following travel
expenses:
These services may only be requested by ReturnToWorkSA
or the claims agent.
The requestor is to include relevant and appropriate
information with the referral which may include, but is not
limited to: medical reports, current Work Capacity Certificate or
WorkCoverSA Medical Certificate, previous assessment reports
etc.
Note: The provider is responsible for identifying the
appropriate and qualified return to work consultant within
their organisation to complete the assessment service.
Where multiple specialities are required, the provider is to
coordinate this and submit a single integrated report to the
case manager.
Travel
Travel time is included in the Return to work assessment
services. Travel time must be:



directly related to the provision of the Return to work
assessment service for a referred worker, as described
in this fee schedule
documented in the worker’s case file including
purpose, origin, destination and travel time in minutes
(including return)
divided proportionately between each worker where
travel involves provision of services to multiple
workers.
Note: Additional information is located in the invoicing
section.
Additional regional travel (W901A/B)
The case manager may approve additional regional travel for
up to five hours at a time (up to a total maximum of 10hrs):

where the worker’s workplace, office of their employer,
rooms of the worker’s treating doctor, or other
appropriate place to deliver a service is located in one of
the regional postcodes listed in Appendix 3.
Note: Only the portion of time taken to travel beyond
50km from the provider’s closest approved regional office is
chargeable under this item.

economy airfares, overnight accommodation and
reasonable cost for meals associated with the
overnight stay, taxi fares, car parking and car hire
expenses (excluding fuel costs and vehicle mileage).
To receive reimbursement, the provider must submit:


a tax compliant invoice for travel expenses incurred,
and
a receipt for each travel expense incurred.
The invoice must be clearly itemised if more than one
expense is being claimed (eg airfare, accommodation,
meals, etc). Economy airfare means the amount
determined by ReturnToWorkSA to be the reasonable cost
of undertaking the travel using a standard economy airfare.
If travel is undertaken for more than one worker, the
travel expenses must be divided proportionately
between the two or more workers.
Equipment expense reimbursement (WA910)
The case manager may approve reimbursement for
equipment expenses incurred by a provider to directly
support the worker’s return to work. Reimbursement will
only be made where:


there is evidence of prior approval from the case
manager where the cost of the item is greater than
$500, and
tax compliant and itemised invoices for equipment
expenses are provided.
Employers are expected to fund reasonable workplace
modifications and workplace equipment to accommodate a
worker’s injury or disability. Where this is not reasonable
and practical, a request, including items required and their
cost, should be forwarded to the case manager for
consideration.
Invoicing
Please refer to the Invoicing section of this fee schedule.
All return to work assessment services are to be charged as a
single invoice transaction.
ReturnToWorkSA - Return to work services fee schedule 2015-16
40
Service item descriptors
Agent case conference support service
The purpose of the agent case conference support service is
to assist the case manager in their agent case conferencing.
The nature and the focus of the service will be contingent on
the worker’s needs within their return to work process.
Who can deliver an agent case conference
support service
ReturnToWorkSA will pay for agent case conference support
services delivered by:


Class A RTW consultants
Class B RTW consultants.
Functional capacity evaluation and report
The purpose of the functional capacity evaluation (FCE) is to
determine the worker’s capacity over a range of physical
demands in order to make recommendations for
participation in work and specific duties available to the
worker. The FCE is a standardised battery of tests used to
evaluate a worker’s capacity for work related activities.
Who can deliver a functional capacity evaluation
service
ReturnToWorkSA will only pay for functional capacity
evaluations delivered by Class A or B RTW Consultants who
are:
What ReturnToWorkSA will not pay for


ReturnToWorkSA will not pay for this service concurrent
with:
And who:
 pre-injury employer service
 fit for work service.
It is expected that agent case conference support service
would form part of the service and hours within these two
services.
When can a referral be made
A case manager may refer for this service when the expertise
of a RTW Service provider is required to support an agent
case conference. It is designed to be a very targeted and
short term intervention.
What is required within an agent case conference
support service






discussion or visit with the treating medical practitioner
and/or other treating providers to gather the worker’s
return to work, certified medical capacity and treatment
status and progress
preparation for and/or attendance at the agent case
conference
preparation of a brief report for the case manager
travel to and from the case conference.
Within this service, the case manager will be responsible for:



ascertaining the type of information required
the method by which the information is to be obtained
completing and distributing any necessary outcome
summary documentation and reporting.
are formally trained in FCEs, and when required,
formally certified in their nominated assessment system
have the correct environment and space for the FCE
equipment, and maintain and regularly calibrate the
equipment
have appropriate facilities, equipment and training to
respond to emergencies.
What ReturnToWorkSA will not pay for
ReturnToWorkSA will not pay for more than one functional
capacity evaluation in an 18 month period.
When can a referral be made
A case manager may refer for this service when:

Each referral will have different requirements which may
incorporate a combination of, although is not limited to:

a Physiotherapist or
an Occupational therapist.

an assessment is needed to determine the worker’s
potential for work or to meet the physical demands of
specific duties that are available to the worker
the required information about capacity is not available
through other means.
The case manager is to include with the referral:


evidence of approval for the functional capacity
evaluation from the treating doctor, or advice to the
RTW consultant to seek approval from the treating
doctor for the functional capacity evaluation
return to work options for which the functional capacity
evaluation is being requested.
Note: A medically suitable work trial is often the most valid
test of a worker’s capacity for work.
What is required within a functional capacity
evaluation service
The functional capacity evaluation includes:
ReturnToWorkSA - Return to work services fee schedule 2015-16
41






review of medical information provided by the
requestor
identification of potential return to work goals and
options for which the functional capacity evaluation is
required
identification and consideration of co-morbidities and
their impact on the functional capacity evaluation
assessment of the worker’s functional abilities to
perform the physical demands of the proposed job(s)
and determine whether the worker has the capacity to
undertake these demands
application of appropriate systems and battery of tests
to suit the worker’s circumstances
a self reported pain assessment.
Functional capacity evaluation report
On completion of the service, a functional capacity
evaluation report is to be submitted to the case manager and
includes:












injury/diagnosis
results of subjective interview
results of self-reported measures
current work status
results of physical examination/screening
behavioural aspects including pain behaviour and
effort
pace of work
clinical observations including body mechanics
functional abilities for the assessed physical demands
capacity to perform specified duties when requested
job matching, where a job description including
documentation of the job demands has been provided
appropriate recommendations relevant to the
conclusions drawn from the results obtained during
the evaluation.
Return to work goal verification service and report

 shall be excluded from providing new employer
services in respect of the worker’s return to the
workforce with a new employer.
Class A RTW consultants.
What ReturnToWorkSA will not pay for
ReturnToWorkSA will not pay for a RTW goal verification
service delivered concurrently to:
 fit for work services
 job placement services.
Who can refer for RTW goal verification service
and report
These services may only be requested by ReturnToWorkSA
or the claims agent.
The requestor is to include relevant and appropriate
information with the referral, which may include, but is not
limited to medical reports; current Work Capacity Certificate
or WorkCoverSA Medical Certificate; pre-injury employer
reports where appropriate, and the Recovery/return to work
plan.
Who can be referred for this service
A worker may be referred for this service when:




the worker’s current RTW goal is return to their preinjury employer and
the case manager requires the expertise of a RTW
service provider to assess, or provide an independent
opinion on the availability of suitable employment at
the pre-injury employer and
worker’s medical status is stable and
a pre-injury employer Level 1 or Level 2 service has
been delivered without resulting in a full sustainable
outcome.
Note: If no PIE service has been delivered to date, the
referral should be for a PIE Level 1 service.
The purpose of a Return to work (RTW) goal verification
service is to provide an independent and evidence-based
assessment of the availability of suitable employment at the
pre-injury employer.
The service also includes an assessment of the physical
and/or psychological demands of duties at the workplace
and a recommendation for appropriate workplace
modifications, where required, to accommodate a worker’s
medically certified work capacity.
Who can deliver a RTW goal verification service
and report
ReturnToWorkSA will pay for RTW goal verification services
delivered by:

RTW service providers who are independent, meaning
that their organisation:
 has not provided pre-injury employer services in
respect of the worker at the pre-injury employer
ReturnToWorkSA - Return to work services fee schedule 2015-16
42
What is required within a RTW goal verification
service

The RTW goal verification services includes, but is not
limited to:



a review of the history and return to work progress to
date (including medical, vocational and return to work
services history and reports).
attendance at the pre-injury workplace(s) with worker,
employer.
identification of all suitable employment options at the
pre-injury employer including consideration of:
- physical environment
- mental work demands
- human behaviour




- working conditions

- educational requirements

- other relevant component.








establishing the worker’s capacity to undertake the
available suitable employment giving consideration to
the available medical evidence, and the provider’s
knowledge of the injury, treatment, pathology and
prognosis
assessing the barriers to the worker’s return to work
and identifying actions to address these
consultation with the worker, pre-injury employer and
treating doctor that explores and exhausts all suitable
employment options with pre- injury employer
the outcome of consultation and any agreements made
by the parties with regard to the worker’s capacity to
return to PIE
making recommendations for workplace modifications
or equipment where necessary to accommodate the
worker’s return to suitable employment
recommendation for the RTW goal (PIE or NES)
providing recommended return to work arrangements
that will assist the case manager in establishing a
Recovery/return to work plan where appropriate
a report.

Suitable employment assessment
The purpose of the suitable employment assessment is to
identify suitable employment options for the worker. The
suitable employment options are to be real jobs, which are
currently available in the marketplace, but not necessarily
available at that time.
It is a reasonable expectation that components of the
assessment would already have been conducted as part of
pre-injury or fit for work services. The service must be
tailored to the worker’s circumstances and the information
required for identifying suitable employment.
This service includes a report integrating the evidence:


RTW goal verification service and report
On completion of the service, a RTW goal verification
service and report is to be submitted to the case manager
and include:


an overview of the workplace and the worker’s preinjury duties
suitable employment options at the pre-injury
employer
supporting the suitable employment options, and
of agreement by the treating doctor in respect of
identified suitable employment options.
Who can deliver a suitable employment
assessment
ReturnToWorkSA will only pay for suitable employment
assessments delivered by:


ReturnToWorkSA - Return to work services fee schedule 2015-16
the worker’s capacity to undertake the available
suitable employment giving consideration to the
available medical evidence, and the provider’s
knowledge of the injury, treatment, pathology and
prognosis
the barriers to the worker’s return to work, and
identifying actions to address these
the outcome of consultation and any agreements
made by the parties with regard to the worker’s
capacity to return work in suitable employment at the
pre-injury employer
recommendations for workplace modifications or
equipment where necessary to accommodate the
worker’s return to suitable employment
recommended RTW goal, whether it is the pre-injury
employer or new employer
where the recommended goal is return to the preinjury employer
recommended return to work arrangements that will
assist the case manager in establishing a
Recovery/return to work plan
recommended training required to facilitate the
workers return to suitable employment at the preinjury employer.
a single appointed provider, with qualified personnel
completing each of the respective components, where
required, for the purpose of providing an integrated
report.
RTW consultants engaged by the provider who are:
- Class A RTW consultants
- Class B RTW consultants.
43
When can a referral be made
A case manager may refer for this service, or components of
this service, when the worker has:



partial work capacity and is not in suitable employment
and/or
been paid, or is entitled to be paid, more than 100
weeks of income support and/or
previously been referred to fit for work and/or job
placement services and was unsuccessful in achieving a
suitable employment outcome.








What ReturnToWorkSA will not pay for
ReturnToWorkSA will not pay for:
 suitable employment assessments delivered
concurrently with pre-injury employer services.
What is included in a suitable employment
assessment
The components of the suitable employment assessment
are determined by identifying the information needed but
which is not available on the worker’s claim file or accessible
through other means, and will cover some or all of the
following at the request of the case manager:











interview with the worker
review of pertinent medical, return to work information
and previous vocational assessments (where relevant
and if available)
non-psychometric assessments including an
assessment of a worker’s vocational interest and
preferences
identification of a minimum of 3 suitable employment
options
confirmation that the worker is vocationally suited to
each identified suitable employment option
labour market research that assesses and concludes
that the job options are available at the point of
assessment, and likely to be available in the foreseeable
future
descriptions, rates, award information for each suitable
employment option
information about pathways, timelines and relevant
training details required for the worker to achieve each
suitable employment option
identification of training /re-training needs to improve
worker’s ability to gain suitable employment
confirmation of discussion with the worker
confirmation of discussion with relevant medical
practitioner to obtain agreement on suitable
employment options.



responses to the requestors specific questions
employment and educational history
transferable skills
assessment findings
vocational interest and preferences
a minimum of three suitable employment options for a
worker with a new employer, including pathway and
timeline information for the worker to achieve these
options
details of the services and or training worker requires to
obtain the suitable employment)
labour market research that assesses and concludes
that the job options are available at the point of
assessment, and likely to be available in the foreseeable
future
job descriptions, rates, award information and labour
market analyses
confirmation of worker and treating medical
practitioner agreement
an opinion on whether the new employment options
will meet all criteria of suitable employment as defined
by the Return to Work Act 2014.
Vocational assessment and report
The purpose of this service is to evaluate the worker’s actual
and potential ability, cognitive skills, aptitudes and
competencies and relate these to available and realistic job
options while recognising all relevant background
information.
The aim is to identify potential and suitable employment
opportunities for a worker through integrated clinical and
standardised assessment procedures and instruments. The
service will include tailoring the employment options to the
worker’s specific circumstances and obtaining agreement
from the worker and their treating doctor.
Who can deliver a vocational assessment and
report
ReturnToWorkSA will pay for vocational assessments and
reports completed by:

Class A or B RTW consultants – Psychologist.
Suitable employment assessment report
On completion of the service, a suitable employment
assessment report is to be submitted to the case manager
and include (where relevant):
ReturnToWorkSA - Return to work services fee schedule 2015-16
44
When can a referral be made
A case manager may refer for this service when:


the return to work goal is new employment, or a
decision is made to change the return to work goal to
new employer
job placement services are in place, and more thorough
psychological assessments are required to assist the
identification of suitable employment options.
When referring for this service, the case manager will
provide copies of existing and relevant reports including
medical and return to work services reports and any other
relevant information to the provider.
What is required within a vocational assessment
service
Worksite assessment and report
The purpose of a worksite assessment is to ensure that a
safe and suitable return to work occurs. The service
includes the identification of suitable duties and/or
employment, and an assessment of the physical and / or
psychological demands of duties at the workplace. It also
includes the recommendation of appropriate workplace
modifications to accommodate a worker’s capacity for
work and achieving agreement by the involved parties on
the return to work arrangements.
This service is intended to provide the employer with one off
expert assistance in cases where the return to work strategy
includes the employer managing the return to work rather
than engaging other services, such as PIE services.
This service will incorporate, but is not limited to:
Who can deliver a Worksite assessment service

ReturnToWorkSA will pay for worksite assessment services
delivered by:




assessment of the worker’s actual and potential
abilities, cognitive skills, aptitudes and
competencies through clinical and standardised
assessment procedures and instruments
identification of a minimum of 3 suitable employment
options (available and realistic job options) including job
descriptions
identification of re-training or re-education required in
order for the worker to obtain the proposed suitable
employment options
consultation with the treating doctor regarding the
worker’s ability to perform identified job options, with
the aim of obtaining agreement on the worker’s
capacity to perform these jobs
provision of a report summarising the above findings.


Class A or B RTW consultants – Occupational therapist
or Physiotherapist
Class A or B RTW consultants – Psychologist (for
psychological injuries).
What ReturnToWorkSA will not pay for
ReturnToWorkSA will not pay for worksite assessment
services delivered concurrently to:
 pre-injury employer services
 fit for work services.
When can a referral be made
Vocational assessment report
A case manager may refer for this service when:
On completion of the service, a vocational assessment
report is to be submitted to the case manager and include:






responses to the requestors specific questions
results of the clinical and standardised assessments
details of a minimum of 3 suitable employment options
(available and realistic job options) including job
descriptions
details of re-training or re-education required in order
for the worker to obtain the proposed suitable
employment options
outcome of the consultation with the treating doctor
and any agreement obtained on the worker’s
capacity to perform the recommended suitable
employment options.
ReturnToWorkSA - Return to work services fee schedule 2015-16




the worker’s treating doctor has expressed some
doubts about providing medical certification for duties
due to lack of knowledge about the worksite
the availability and/or suitability of duties needs to be
ascertained
the worker’s supervisor and co-workers needs
assistance to understand recommended work
restrictions and safe work methods
advice regarding workplace design, modification, or
provision of equipment and appliances is required to
assist in achieving or maintaining a durable return to
work
clarification is required regarding the suitability of the
return to work goal being with the pre-injury employer.
45
What is required within the worksite assessment
service
This service comprises of one visit only. It includes:








attendance at the worksite with the worker and
employer
establishing the worker’s capacity to undertake pre
injury duties and individual tasks, giving consideration
to the available medical evidence, and the provider’s
knowledge of the injury, treatment, pathology and
prognosis
identification of suitable duties (which may be preinjury duties, including consideration of:
 physical environment
 mental work demands
 human behaviour
 working conditions
 educational requirements
 other relevant components.
assessing the barriers to the worker’s return to work
and identifying actions to address these
recommending workplace modifications or equipment
where necessary to accommodate the worker’s return
to work
educating the worker in safe work practices relevant to
their return to work duties where appropriate
establishing agreed return to work arrangements with
the worker, employer and doctor
providing recommended return to work arrangements
to the case manager that will assist them to establish a
Recovery/return to work plan.
Worksite assessment report
On completion of the service, a worksite assessment report
is to be submitted to the case manager which includes:







an assessment and an overview of the workplace
including relevant information about the workplace:
 physical environment
 mental work demands
 human behaviour
 working conditions
 educational requirements
 other relevant components.
an assessment of the worker’s pre-injury duties
available suitable duties and/or employment
recommended workplace modification and/or
education
proposed return to work arrangements and the
agreement obtained from the treating doctor regarding
the worker’s ability to perform identified suitable duties
recommended return to work goal (PIE or FFW) (where
requested by the case manager)
details of risks associated with a durable return to work
and recommended actions to address these.
ReturnToWorkSA - Return to work services fee schedule 2015-16
46
6.
Mediation services
The purpose of mediation services is to enable effective, structured and meaningful conflict resolution to resolve barriers that are
preventing a return to work outcome within the first twelve months of a claim. The outcome of service is to facilitate timely, safe and
durable return to work outcomes.
Mediation is a ‘stand-alone’ service. Participation is voluntary and should not proceed where one party is not participative. Mediation
should not be adversely impacted by other claims management activities when determining the compensability of the claim.
Services provided outside of this fee schedule and policy may be approved by the case manager on a case-by-case basis.
Quick reference guide
Item no
Description
Max fee (ex GST)
PCM100
Pre-mediation: Includes initial contacts and meeting with each party independently to
identify issues, develop options and consider alternatives. An assessment must be
made as to whether to proceed to mediation, based on likelihood of a successful return
to work.
$275.90 per hour
PCM200
Mediation: Meeting(s) with parties collectively to address issues, develop options,
consider alternatives and make decisions about future actions and outcomes.
$275.90 per hour
PCM300
Additional mediation: Approval for a further 2 hours of mediation can be sought from
the case manager in exceptional circumstances to enable the mediator to finalise
facilitating a successful return to work outcome.
$275.90 per hour
PCM400
Mediation report: Brief summary report detailing outcome(s) and must be provided to
the case manager within 5 business days following the completion of mediation. A
report is to be provided where pre-mediation does not proceed to mediation.
$275.90 per hour
PCM905
Travel time: Travel by a mediator to regional locations as requested by
ReturnToWorkSA or its claims agents.
PCM907
Travel expenses: Travel expenses incurred for a mediation service delivered at the
request of the case manager, where the provider is required to travel to regional
locations.
ReturnToWorkSA - Return to work services fee schedule 2015-16
Maximum 1 hour
$229.20 per hour
Reasonable cost for
the service
47
Mediation service and payment
policy
Who can provide mediation services
What ReturnToWorkSA will not pay for
ReturnToWorkSA will only pay for mediation services
delivered by a provider who is:
ReturnToWorkSA will not pay for:

approved by ReturnToWorkSA to be on its register of
mediation providers.
ReturnToWorkSA’s expectations for the delivery
of mediation services
ReturnToWorkSA expects that all mediators providing
services in the South Australian Return to Work Scheme
will:


operate in accordance with ReturnToWorkSA Terms
and Conditions of appointment
integrate the Practice Standards of the National
Mediator Accreditation Standards into their service
delivery. These encompass topics including:
 description, starting and ending a mediation
process
 impartial and ethical practice
 confidentiality
 procedural fairness
 information provided by the mediator.
 non-attendance or cancellation fees
 services invoiced in advance of the service delivery.
Referral criteria
Who can refer for mediation services
Mediation services may only be requested by
ReturnToWorkSA or its claims agents.
When a referral can be made to mediation
services
A case manager may refer for mediation when:


there is conflict preventing a return to work, and
it is within the first 12 months of a claim.
When a referral can be rejected
A mediator may reject a referral for mediation in very
limited circumstances, such as when the:
 referral does not meet the referral criteria defined in
this fee schedule
How much ReturnToWorkSA will pay
ReturnToWorkSA will pay the reasonable costs of mediation
services, up to the maximum detailed in this fee schedule.
What ReturnToWorkSA will pay for
ReturnToWorkSA will pay for mediation services that are:




related to a claim for a work related injury or illness
delivered by providers approved by ReturnToWorkSA
reasonable and necessary
referred by ReturnToWorkSA or its claims agents.
 provider can demonstrate they do not have the



capacity to provide the services in the time required by
ReturnToWorkSA or the claims agent
provider or ReturnToWorkSA has given notice to the
relevant party of termination of their appointment
provider is suspended from receiving new referrals by
ReturnToWorkSA
provider identifies an actual or perceived conflict of
interest exists or may reasonably arise relating to the
delivery of any part of the service – unless the provider
notifies ReturnToWorkSA or the claims agent who
provides written approval to the provider to proceed
despite the existence or possibility of a conflict of
interest.
The provider must advise the case manager in writing of a
rejection of a referral, including the reason, and not
proceed with the requested services.
ReturnToWorkSA - Return to work services fee schedule 2015-16
48
Service item descriptors
Mediation referral
Travel time
Within the mediation referral, it is expected that the service
will:
The case manager may approve an agreed amount of time
for the mediator to travel to a regional location. This time
must be agreed with the case manager prior to the referral
commencing.



include the provision of an appropriate meeting facility
that is impartial for attendees
include a maximum of 10 hours for pre-mediation,
mediation and mediation report combined
be delivered within 10 business days from referral
receipt.
Where these conditions cannot be met, the provider should
discuss this with the case manager as soon as possible.
Additional mediation
Travel expense reimbursement
A case manager may require a service to be delivered at a
regional location. In these circumstances, a case manager
may approve reimbursement of the following travel
expenses incurred by the mediator:

A case manager may approve additional mediation service
in the following circumstances:


subsequent to the use of the allocated pre-mediation
and mediation hours, and
where there is a reasonable prospect that the conflict
preventing the return to work can be resolved within
the additional time.
A provider will have 2 hours of service within the additional
mediation service.
Mediation reporting
A mediation report should be completed on
ReturnToWorkSA’s proforma and provided to the case
manager within 5 business days following the completion of
service. This report will detail:


the outcome of mediation services
any other relevant findings and recommendations.
room hire, economy airfares, overnight
accommodation and reasonable cost for meals
associated with the overnight stay, taxi fares, car
parking and car hire expenses (excluding fuel costs and
vehicle mileage).
To receive reimbursement, the provider must submit:


a tax compliant invoice for travel expenses incurred,
and
a receipt for each travel expense incurred.
The invoice must be clearly itemised if more than one
expense is being claimed e.g. airfare, accommodation, meals
etc.
Economy airfares means the amount determined by
ReturnToWorkSA to be the reasonable cost of undertaking
the travel using a standard economy airfare.
If travel is undertaken for more than one referral, the travel
expenses must be divided proportionately between referrals.
The mediator will supply copies of the completed mediation
outcome report to the persons involved in the mediation
service.
ReturnToWorkSA - Return to work services fee schedule 2015-16
49
7.
Invoicing Information
What are the payment conditions

Providers should only invoice for services
described in this fee schedule.
Payment for services (including reports) will not be
made in advance, except for where explicitly noted in
this fee schedule.
There must be written evidence of case manager
referral and authorisation on an approved referral letter
prior to the provision of the service.
Services are only chargeable if provided by a
registered return to work consultant (or employment
consultant for JPS) (ie, services provided by nonqualified administration staff are not chargeable).











How is chargeable time calculated
Where a service uses time based billing, the actual time
taken must be accumulated for the day and then rounded to
the nearest six minutes.
What is not chargeable
Providers should not invoice for the following:
 work undertaken by clerical/administration staff or












other non- qualified staff
file maintenance
typing, photocopying
preparing and submitting billings and accounts
distributing reports
receiving and reading of a medical certificate (Work
Capacity Certificate or WorkCoverSA Medical Certificate)
time already billed on another claim
cancelled appointments
self-marketing
supervision including peer review of files
activities that are part of ReturnToWorkSA’s or the Job
Placement Specialist provider’s quality assurance
process
staff training and professional development
research to improve the knowledge and skills of
consultants.
What records of services rendered are to be
maintained?
Providers are required to maintain on a worker’s file a
record of all services invoiced, including the date those
services were provided and sufficient detail to enable
verification (e.g. copy of email, travel destination and
distance), in accordance with their Conditions of
Appointment.
What information is required on an invoice?
For all invoices, whether a tax invoice or not, the following
information should be provided:
ReturnToWorkSA - Return to work services fee schedule 2015-16

provider details – name, ReturnToWorkSA provider
number, contact and location details
invoice number and invoice date
Australian Business Number (ABN)
worker’s surname and given name(s)
claim number
brief description of the injury to which the services
relate
employer name, if known
each service itemised separately in accordance with
this fee schedule including:

date of service and commencement time

service item number and service description

duration of service in hours/minutes rounded
to the nearest 6 minutes for hourly rate
services

charge for the service

total charge for invoiced items plus any GST
that may be applicable
bank account details for electronic funds transfer (EFT).
ReturnToWorkSA or the claims agent is unable to pay on
‘account rendered’ or statement invoices. Payment will be
made, where appropriate, on an original invoice or
duplicate/copy of the original.
When to submit an invoice
Invoices are to be submitted within four weeks of completion
of the service. Invoices received more than six months after
date of service may not be paid unless in exceptional
circumstances.
GST
All amounts listed in this booklet are exclusive of GST. If
applicable, ReturnToWorkSA will pay to the provider an
amount on account of the provider’s GST liability in
addition to the GST exclusive fee. Return to Work Service
Providers should provide ReturnToWorkSA or the claims
agent with a tax invoice where the amounts are subject to
GST.
For all GST-related queries, please contact the Australian Tax
Office, or your tax advisor.
Changes to provider details
For any amendments to consultant or business details, such
as ABN, change of address or electronic funds transfer
details, please complete the appropriate form available
from your Principal. Once completed either email to
prov.main@rtwsa.com or fax to ReturnToWorkSA on
(08) 8238 5690. For any queries relating to this form, please
contact ReturnToWorkSA on 13 18 55.
Appendix 1 – Definitions
Case manager refers to the person with primary responsibility
for management of the worker’s claim at ReturnToWorkSA or
the claims agent.
50
Conditions of appointment refer to the terms and
conditions under which the provider is appointed under Part
3 of the Act as a Return to Work Service Provider.
Fitness upgrade pathway services refers to fitness upgrade
assistance provided to the worker under the Fitness Upgrade
Program items of this fee schedule.
Return to work consultant means a person employed by a
Provider and registered with ReturnToWorkSA to deliver the
services under the Terms and Conditions of Appointment as a
South Australian Scheme Return to Work Service Provider.
Fee schedule means the Return to Work Services fee
schedule, as amended from time to time, and published on
our website at www. rtwsa.com.
Current medical capacity is the hours for which the worker is
certified as fit for paid employment with or without
restrictions specified on the worker’s most current medical
certificate (Work Capacity Certificate or WorkCoverSA
Medical Certificate) at the relevant time (for example, at the
commencement of paid employment).
Provider organisation (Provider) refers to an organisation
which has been appointed by ReturnToWorkSA to provide
Return to Work Services to assist workers to remain at work
or return to work following a work injury.
Date of injury is the date on which the worker sustained the
injury that is the basis for their claim as recorded on
ReturnToWorkSA or the claims agent’s claims management
information system.
An Employment consultant is a person who provides nonadministrative job seeking assistance to workers who is
employed by a Job Placement Specialist appointed under
Part 3 of the Act.
Employment pathway plan refers to a plan that has been
discussed with the worker specifying, at a minimum, the
following:
 specific suitable employment goals
 wider suitable employment goals
 employment pathway activities plan, including detailed
description of activities to be undertaken by the worker.
In addition, it shall include a planned allocation of
Employment Pathways Services expenditure for discussion
with the case manager (and the worker at the discretion of
the Job Placement Specialist).
Employment pathway services refers to return to work
assistance provided to the worker under the Employment
Pathway Services service items of this fee schedule.
Fitness pathway program refers to a program that has
been discussed with the worker and nominated treating
doctor specifying, at a minimum, the following:
 fitness upgrade goals at specific milestones and
 fitness pathway activities plan, including detailed
description of activities to be undertaken by the worker.
Host organisation refers to a company or business, not the
pre-injury employer, which provides work training or work
hardening.
Maximum income support is the notional weekly earnings
less Part 4, Division 4 income support reductions (step
downs).
A Non-payable placement is a position:
 where the worker obtains employment more than 180
calendar days following the cessation of services from
the Job Placement Specialist provider.
 where the worker obtains employment following the
cessation of services with the Job Placement Specialist
provider, and commencement of services with another
Job Placement Specialist provider or Return to Work
Service Provider that is providing job seeking assistance.
 that would lead to employment involving nudity or in
the sex industry, including retail positions.
 for placement in work experience activities.
 where the worker commences his own business.
 that contravenes Commonwealth, State or Territory
legislation or provides terms and conditions of
employment which are inconsistent with the relevant
workplace/industrial relations laws, or any instrument
made under such laws.
 that pays a commission as either the entire
remuneration or part of the remuneration, except where
any commission being paid to the worker is in addition
to the amount being paid to the worker in accordance
with any applicable Commonwealth or State law and any
applicable award, industrial agreement and/or national
minimum wage order.
 where the type of work is inappropriate for the worker’s
medically certified work capacity.
 for a school-based traineeship and/or apprenticeships.
 in a training course.
 for self-employment opportunities.
 that involves taking up employment in another country,
regardless of whether the salary is paid in Australian
Dollars or by an Australian company.
 for non-ongoing employment or a Work Trial, and/or
 for which the Job Placement Specialist provider has
already claimed the relevant placement or outcome fee.
Potential future suitable employment is where suitable
employment is obtainable following provision of training to
the worker.
In addition, it shall include a planned allocation of Fitness
Pathways Services expenditure for discussion with the case
manager (and the worker at the discretion of the return to
work service provider.
ReturnToWorkSA - Return to work services fee schedule 2015-16
Reasonable costs as defined in section 33 of the Act.
Suitable employment means employment in work for
which the worker is suited, whether or not the work is
available, having regard to the following:
51
 the nature of the worker’s incapacity and previous
employment
 the worker’s age, education, skills and work experience
 the worker’s place of residence
 medical information relating to the worker that is
reasonably available, including in any medical certificate
or report
 the worker’s Recovery/return to work plan, if any.
Specific suitable employment goals include identification
of (1) current suitable employment goals, and (2) potential
future suitable employment goals for the worker. The goals
must be realistic and in areas of the labour market where
employment is known to be commonly available.
Wider suitable employment goals specify the wider criteria
for consideration in assessing further suitable employment.
For example:
‘Any employment that falls within the following generic
employment parameters will be regarded as suitable:
(include a brief summary of the worker’s transferable skills,
qualifications, capacity for work (based on medical
restrictions stated in the latest functional assessment or
Work Capacity Certificate/WorkCoverSA Medical Certificate)’.
Work trial in instances where a worker has limited work
capacity, skills or experience, a graduated program of work
tasks that are conducted in the workplace and progress to
paid employment, may be appropriate. Work trials aim to
prepare a worker to return to paid employment by:
 increasing capacity, tolerance and endurance for the
physical and intellectual demands of specified duties or
employment
 updating existing skills or acquiring new skills
 improving work performance.
ReturnToWorkSA - Return to work services fee schedule 2015-16
52
Appendix 2 - Useful contacts
Claims agents
ReturnToWorkSA EnABLE Unit
All work injury claims (that are not self-insured or serious
injury) are managed by Employers Mutual or Gallagher
Bassett. To identify which claims agent is managing a
worker’s claim, refer to the ‘Claims agent lookup’ function
on our website at www.rtwsa.com.
For claims relating to severe traumatic injuries, please
contact this unit directly.
Phone:
Fax:
13 18 55
(08) 8233 2051
Postal address:
GPO Box 2668, Adelaide SA 5001
Employers Mutual SA
Phone:
Fax:
(08) 8127 1100 or free call 1300 365 105
(08) 8127 1200
Postal address:
GPO Box 2575, Adelaide SA 5001
Online:
www.employersmutualsa.com.au
Self-insured employers
For matters relating to self-insured claims, please contact
the employer directly.
Allianz Australia SA Compulsory Third Party
(CTP)
Gallagher Bassett Services Pty Ltd
Phone:
Fax:
(08) 8177 8450 or free call 1800 664 079
(08) 8177 8451
Postal address:
GPO Box 1772, Adelaide SA 5001
Online:
www.gallagherbassett.com.au
ReturnToWorkSA - Return to work services fee schedule 2015-16
For claims relating to motor vehicle crashes that are
managed by Allianz Australia SA CTP on behalf of the
insurer, the Motor Accident Commission, please contact
them directly.
Phone:
Fax:
1300 137 331
1300 137 431
Postal address:
GPO Box 219, Adelaide SA 5001
Email:
SACTPClaims@allianz.com.au
53
Appendix 3 – Regional travel postcodes
Postcode
Suburbs
0872
Ernabella
5116
Evanston, Evanston Gardens, Evanston Park, Evanston South, Hillier
5118
Bibaringa, Buchfelde, Concordia, Gawler, Gawler Belt, Gawler East, Gawler River, Gawler South, Gawler West,
Hewett, Kalbeeba, Kangaroo Flat, Kingsford, Reid, Ward Belt, Willaston
5172
Dingabledinga, Hope Forest, Kuitpo, Kuitpo Colony, Kyeema, Montarra, Pages Flat, The Range, Whites Valley,
Willunga, Willunga Hill, Willunga South, Yundi
5173
Aldinga, Aldinga Beach, Port Willunga, Silver Sands
5174
Sellicks Beach, Sellicks Hill
5202
Hindmarsh Tiers, Myponga, Myponga Beach
5203
Bald Hills, Parawa, Torrens Vale, Tunkalilla, Wattle Flat, Yankalilla
5204
Cape Jervis, Carrickalinga, Deep Creek, Delamere, Hay Flat, Normanville, Rapid Bay, Second Valley, Silverton,
Wirrina Cove
5210
Mount Compass, Mount Magnificent, Nangkita
5211
Back Valley, Encounter Bay, Hayborough, Hindmarsh Valley, Inman Valley, Lower Inman Valley, Mccracken, Mount
Jagged, Victor Harbor, Waitpinga, Willow Creek, Yilki
5212
Port Elliot
5213
Middleton
5214
Currency Creek, Goolwa, Goolwa Beach, Goolwa North, Goolwa South, Hindmarsh Island, Mosquito Hill, Mundoo
Island
5220
Parndana
5221
American River, Ballast Head, Muston
5222
American Beach, Antechamber Bay, Baudin Beach, Browns Beach, Cuttlefish Bay, Dudley East, Dudley West,
Hungerford, Ironstone, Island Beach, Kangaroo Head, Pelican Lagoon, Penneshaw, Porky Flat, Sapphiretown,
Willoughby, Willson River
5223
Bay Of Shoals, Birchmore, Brownlow K.i., Cape Borda, Cassini, Cygnet River, D’estrees Bay, De Mole River, Duncan,
Emu Bay, Flinders Chase, Gosse, Haines, Harriet River, Karatta, Kingscote, Kohinoor, etc.
5235
Cromer, Eden Valley, Mount Pleasant, Springton
5236
Tungkillo
5237
Apamurra, Milendella, Palmer, Sanderston
5238
Angas Valley, Bonython, Bowhill, Claypans, Coolcha, Cowirra, Forster, Mannum, Nildottie, Pompoota, Ponde,
Punthari, Purnong Landing, Walker Flat, Wall, Wongulla, Woodlane
5253
Avoca Dell, Brinkley, Burdett, Chapman Bore, Ettrick, Gifford Hill, Greenbanks, Long Flat, Mobilong, Murrawong,
Murray Bridge, Murray Bridge East, Murray Bridge North, Murray Bridge South, Northern Heights, Riverglades, etc
5254
Buccleuch, Callington, Caloote, Monarto, Monarto South, Monteith, Murray Bridge, Mypolonga, Pallamana,
Rockleigh, Tepko, The Point
Return to work services fee schedule 2015-16
54
Postcode
Suburbs
5255
Angas Plains, Belvidere, Bletchley, Finniss, Gemmells, Hartley, Highland Valley, Lake Plains, Langhorne Creek,
Mount Observation, Mulgundawa, Nalpa, Red Creek, Salem, Sandergrove, Strathalbyn, Tooperang, Willyaroo,
Woodchester
5256
Clayton, Milang, Nurragi, Point Sturt, Tolderol
5259
Ashville, East Wellington, Jervois, Kepa, Malinong, Narrung, Naturi, Point Mcleay, Poltalloch, Raukkan, Tailem
Bend, Wellington
5260
Bayah, Tailem Bend
5261
Cooke Plains, Coomandook, Culburra, Ki Ki, Yumali
5262
Binnum, Frances, Hynam, Kybybolite
5263
Coonawarra
5264
Coorong, Meningie, Meningie East, Meningie West, Policeman Point, Salt Creek, Waltowa
5265
Coonalpyn, Field
5266
Bunbury, Colebatch, Deepwater, Tintinara
5267
Brimbago, Keith, Laffer, Makin, Mccallum, Mount Charles, Petherick, Shaugh, Sherwood, Willalooka, Wirrega
5268
Bangham, Bordertown, Bordertown South, Cangara, Cannawigara, Lowan Vale, Pooginagoric, Senior, Western Flat
5269
Pine Hill, Wolseley
5270
Buckingham, Carew, Custon, Kongal, Mundulla, Swede Flat
5271
Bool Lagoon, Keppoch, Marcollat, Naracoorte, Padthaway, Spence, Stewart Range, Wrattonbully
5272
Coles, Conmurra, Fox, Greenways, Lucindale, Woolumbool
5273
Avenue Range
5275
Blackford, Boatswain Point, Cape Jaffa, Keilira, Kingston Se, Mount Benson, Pinks Beach, Reedy Creek, Rosetown,
Sandy Grove, Taratap, Tilley Swamp, Wangolina, West Range, Wyomi
5276
Bray, Nora Creina, Robe
5277
Comaum, Glenroy, Nangwarry, Penola, Pleasant Park, Tarpeena
5278
Kalangadoo, Wepar
5279
Koorine, Mount Burr, Mount Mcintyre, Short, Trihi, Wattle Range East
5280
Beachport, Clay Wells, Furner, German Creek, Hatherleigh, Kangaroo Inn, Magarey, Millicent, Rendelsham,
Sebastopol, Southend, Tantanoola, Thornlea
5290
Mount Gambier, Mount Gambier Dc
5291
Allendale East, Blackfellows Caves, Burrungule, Canunda, Cape Douglas, Caroline, Carpenter Rocks, Caveton,
Compton, Dismal Swamp, Donovans, Eight Mile Creek, Glenburnie, Glencoe, Glencoe West, Kongorong, Mil Lel,
Mingbool, Moorak, etc
5301
Carcuma, Geranium, Jabuk, Moorlands, Parrakie, Peake, Sherlock, Wilkawatt
5302
Lameroo, Ngarkat, Smithville
5303
Parilla
5304
Kringin, Peebinga, Pinnaroo
ReturnToWorkSA - Return to work services fee schedule 2015-16
55
Postcode
Suburbs
5306
Wynarka
5307
Karoonda, Karte, Kulkami, Lowaldie, Marama, Mootatunga
5308
Copeville, Galga, Kalyan, Maggea, Mantung, Mercunda, Perponda
5309
Borrika, Halidon, Mindarie, Sandalwood
5310
Caliph, Wanbi
5311
Alawoona, Billiatt, Bugle Hut, Malpas, Meribah, Paruna, Schell Well, Taldra, Woodleigh, Wunkar
5312
Veitch
5320
Bundey, Morgan, Murbko
5321
Cadell
5322
Golden Heights, Qualco, Ramco, Ramco Heights, Sunlands
5330
Boolgun, Devlins Pound, Good Hope Landing, Holder, Holder Siding, Kanni, Lowbank, Overland Corner, Pooginook,
Stockyard Plain, Taylorville, Waikerie, Woolpunda
5331
Kingston-on-Murray
5332
Moorook, Moorook South, Wappilka, Yinkanie
5333
Loxton, Loxton North, Nangari, New Residence, Noora, Pata, Pyap, Pyap West, Taplan
5340
Mundic Creek, Murtho, Paringa, Pike River, Wonuarra
5341
Calperum, Chaffey, Cooltong, Crescent, Renmark, Renmark North, Renmark South, Renmark West, Yamba
5342
Monash
5343
Berri, Gerard, Gurra Gurra, Katarapko, Lyrup, Winkie
5344
Glossop
5345
Barmera, Loveday, Spectacle Lake
5346
Cobdogla
5350
Rosedale, Sandy Creek
5351
Altona
5352
Gomersal, Rowland Flat, Stone Well, Tanunda
5353
Angaston, Black Hill, Cambrai, Keyneton, Kongolia, Moculta, Mount Mckenzie, Sedan, Towitta
5354
Bakara, Bakara Well, Naidia, Punyelroo, Swan Reach
5355
Daveyston
5356
Dutton, St Kitts, Steinfeld, Truro
5357
Blanchetown, Moorundie, New Well, Notts Well, Paisley, Wigley Flat
5360
Greenock, Nain
5371
Roseworthy, Shea-oak Log, Templers
5372
Freeling
ReturnToWorkSA - Return to work services fee schedule 2015-16
56
Postcode
Suburbs
5373
Allendale North, Bagot Well, Bethel, Fords, Hamilton, Kapunda, Koonunga, St Johns
5374
Australia Plains, Bower, Brownlow, Buchanan, Eudunda, Frankton, Hampden, Hansborough, Julia, Mount Mary,
Neales Flat, Ngapala, Peep Hill, Point Pass, Sutherlands
5381
Brady Creek, Emu Downs, Geranium Plains, Hallelujah Hills, Robertstown, Worlds End, Worlds End Creek
5400
Pinkerton Plains, Wasleys, Woolsheds
5401
Alma, Hamley Bridge, Salter Springs
5410
Linwood
5411
Giles Corner, Tarlee
5412
Navan, Rhynie, Riverton, Woolshed Flat
5413
Apoinga
5414
Manoora
5415
Mintaro, Stanley
5416
Farrell Flat
5417
Baldina, Booborowie, Burra, Burra Eastern Districts, Hanson, Leighton, Mongolata, North Booborowie
5418
Collinsville, Mount Bryan
5419
Canowie, Hallett, Mount Bryan East, Pine Creek, Ulooloo, Willalo, Wonna
5420
Canowie Belt, Whyte Yarcowie
5421
Franklyn, Terowie
5422
Cavenagh, Dawson, Erskine, Hardy, Mannanarie, Minvalara, Oodla Wirra, Paratoo, Parnaroo, Peterborough,
Sunnybrae, Ucolta, Yatina
5431
Amyton, Black Rock, Coomooroo, Eurelia, Hammond, Johnburg, Minburra, Morchard, Orroroo, Pekina, Tarcowie,
Wallaway, Willowie, Yalpara
5432
Belton, Carrieton, Cradock, Moockra, Yanyarrie
5433
Bruce, Quorn, Stephenston, Willochra, Yarrah
5434
Barndioota, Hawker, Kanyaka
5440
Cockburn, Manna Hill, Mingary, Nackara, Olary, Yunta
5451
Auburn, Undalya
5452
Leasingham, Watervale
5453
Armagh, Barinia, Benbournie, Boconnoc Park, Clare, Emu Flat, Gillentown, Hill River, Hoyleton, Kybunga,
Penwortham, Polish Hill River, Sevenhill, Spring Farm, Spring Gully, Stanley Flat
5454
Andrews, Spalding
5455
Hilltown
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Postcode
Suburbs
5460
Barabba, Owen, Pinery, Stockyard Creek
5461
Balaklava, Bowillia, Dalkey, Erith, Everard Central, Goyder, Halbury, Hoskin Corner, Mount Templeton, Saints, Stow,
Watchman, Whitwarta
5462
Blyth
5464
Anama, Brinkworth, Bungaree, Condowie, Hart, Koolunga, Marola, Rochester
5470
Yacka
5471
Gulnare
5472
Georgetown
5473
Gladstone
5480
Appila, Laura, Stone Hut
5481
Bangor, Murray Town, Wirrabara, Wongyarra
5482
Booleroo Centre, Wepowie
5483
Melrose
5485
Wilmington
5490
Caltowie
5491
Belalie East, Jamestown
5493
Yongala
5495
Baroota, Mambray Creek, Nectar Brook, Port Flinders, Port Germein
5501
Avon, Calomba, Dublin, Lewiston, Long Plains, Lower Light, Middle Beach, Parham, Port Gawler, Thompson Beach,
Two Wells, Webb Beach, Wild Horse Plains, Windsor
5502
Grace Plains, Korunye, Mallala, Redbanks, Reeves Plains
5510
Lochiel
5520
Barunga Gap, Bumbunga, Burnsfield, Gleeson Hill, Snowtown, Wokurna
5521
Redhill
5522
Fisherman Bay, Lower Broughton, Port Broughton, Ward Hill
5523
Clements Gap, Crystal Brook, Huddleston, Merriton, Narridy, Wandearah, Wandearah East
5540
Bungama, Coonamia, Napperby, Nelshaby, Port Davis, Port Pirie, Port Pirie South, Port Pirie West, Risdon Park,
Risdon Park South, Solomontown, Telowie, Warnertown
5550
Beaufort, Bowmans, Inkerman, Kallora, Nantawarra, Port Wakefield, Proof Range, South Hummocks
5552
Kainton, Paskeville, Sunnyvale, Thrington
5554
Boors Plain, Cunliffe, Jericho, Jerusalem, Kadina, Matta Flat, New Town, Thomas Plains, Wallaroo Mines,
Willamulka
Postcode
Suburbs
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5555
Alford, Dowling, Dowlingville, Hope Gap, Kulpara, Lake View, Melton, Mundoora, Tickera, Winulta
5556
North Beach, Wallaroo, Wallaroo Plain, Warburto
5558
Agery, Cross Roads, East Moonta, Hamley, Kooroona, Moonta, Moonta Bay, Moonta Mines, Nalyappa, North
Moonta, North Yelta, Paramatta, Port Hughes, Yelta
5560
Bute, Ninnes
5570
Clinton, Clinton Centre, Port Clinton, Price
5571
Ardrossan, Black Point, Cunningham, James Well, Petersville, Pine Point, Rogues Point, Sandilands, Tiddy Widdy
Beach
5572
Arthurton, Port Arthur
5573
Balgowan, Chinaman Wells, Maitland, Point Pearce, Port Victoria, South Kilkerran, Urania, Wauraltee, Weetulta,
Yorke Valley
5575
Bluff Beach, Brentwood, Corny Point, Couch Beach, Hardwicke Bay, Koolywurtie, Marion Bay, Minlaton, Point
Souttar, Point Turton, Port Julia, Port Rickaby, Ramsay, Stenhouse Bay, The Pines, White Hut, Wool Bay
5576
Honiton, Port Moorowie, Yorketown
5577
Foul Bay, Inneston, Warooka
5580
Curramulka
5581
Port Vincent, Sheaoak Flat
5582
Port Giles, Stansbury
5583
Coobowie, Edithburgh
5600
Iron Baron, Whyalla, Whyalla Dc, Whyalla Playford
5601
Iron Knob
5602
Cowell, Lucky Bay, Mangalo, Midgee, Minbrie, Mitalie, Mitchellville, Port Gibbon
5603
Arno Bay, Hincks, Verran, Wharminda
5604
Port Neill
5605
Butler, Tumby Bay
5606
Kirton Point, Port Lincoln
5607
Boston, Brooker, Charlton Gully, Coffin Bay, Coomunga, Coulta, Duck Ponds, Fountain, Green Patch, Hawson, Horse
Peninsula, Karkoo, Kellidie Bay, Kiana, Koppio, Lincoln National Park, Lipson, Louth Bay, Mitchell, Moody, etc
5608
Whyalla Norrie, Whyalla Norrie East, Whyalla Norrie North, Whyalla Stuart
5609
Whyalla Jenkins
5630
Edilillie
5631
Cockaleechie, Cummins
5632
Kapinnie, Yeelanna
Postcode
Suburbs
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5633
Boonerdo, Lock
5640
Campoona, Cleve, Jamieson, Waddikee
5641
Barna, Buckleboo, Caralue, Cortlinye, Cunyarie, Kelly, Kimba, Moseley, Panitya, Pinkawillinie, Solomon, Wilcherry,
Yalanda
5642
Darke Peak, Hambidge, Kielpa, Murlong, Rudall
5650
Cootra, Koongawa, Warramboo
5651
Kyancutta
5652
Paney, Wudinna
5653
Yaninee
5654
Cocata, Minnipa, Mount Damper
5655
Poochera, Pygery
5660
Cungena
5661
Pimbaacla, Wirrulla, Yantanabie
5670
Bramfield, Colton, Coolillie, Elliston, Kappawanta, Mount Joy, Mount Wedge, Palkagee, Polda, Talia, Ulyerra
5671
Baird Bay, Calca, Mount Cooper, Port Kenny
5680
Carawa, Chandada, Chinbingina, Haslam, Laura Bay, Mudamuckla, Nunjikompita, Petina, Puntabie, Pureba, Sceale
Bay, Smoky Bay, Streaky Bay
5690
Bookabie, Ceduna, Charra, Coorabie, Denial Bay, Fowlers Bay, Kalanbi, Koonibba, Maltee, Merghiny, Nadia,
Nundroo, Penong, Thevenard, Uworra, Wandana, Watraba, White Well Corner, Yalata
5700
Miranda, Port Augusta, Port Augusta North, Port Augusta West, Willsden
5701
Arkaroola Village, Cook, Glendambo, Kingoonya, Port Augusta, Tarcoola, Woolundunga,
5710
Cook, Glendambo, Kingoonya, Nonning, Port Augusta, Stirling North, Tarcoola
5720
Pimba
5722
Andamooka
5723
Coober Pedy
5724
Marla, Mintabie
5725
Olympic Dam, Roxby Downs
5730
Beltana, Blinman, Parachilna
5731
Coopers Creek, Cordillo Downs, Durham Downs, Innamincka, Leigh Creek, Lyndhurst, Merty Merty, Moolawatana,
Witchelina
5732
Copley, Nepabunna
5733
Farina, Marree
5734
Oodnadatta
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The following free information support services are available:
If you are deaf or have a hearing or speech impairment you can call ReturnToWorkSA through the National Relay Service (NRS):
TTY users can phone 13 36 77 and ask for 13 18 55.
Speak & Listen (speech-to-speech) users can phone 1300 555 727 and ask for 13 18 55.
Internet Relay users connect to NRS on www.relayservice.com and ask for 13 18 55.
For languages other than English call the Interpreting and Translating Centre on 1800 280 203 and ask for an interpreter to call ReturnToWorkSA on 13
18 55. For Braille, audio or e-text call 13 18 55.
ReturnToWorkSA
Enquiries: 13 18 55
400 King William Street, Adelaide SA 5000
info@rtwsa.com
© ReturnToWorkSA 2015
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