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Sensitive Claims Provider Information Sharing Session

Sensitive Claims Provider Information Sharing Session. November & December 2011. Welcome and Introductions. Emma Powell – Category Manager Specialised Treatment Services (Gaylia Powell interim manager) Sarah Boggs – Category Advisor Specialised Treatment Services

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Sensitive Claims Provider Information Sharing Session

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  1. Sensitive Claims Provider InformationSharing Session November & December 2011

  2. Welcome and Introductions • Emma Powell – Category Manager Specialised Treatment Services (Gaylia Powell interim manager) • Sarah Boggs – Category Advisor Specialised Treatment Services • Kris Fernando – National Advisor Psychology and Mental Health • Frances Rangihuna – Pae Arahi • Jeanie Robinson – SCU Branch Manager

  3. Session Outline • Client processes from claim lodgement to cover decision • Support Sessions for Sensitive Claims • Anticipated changes to mental injury assessments • New look letters, fact sheets and communications • Q and A

  4. Client processes from claim lodgement to cover decision

  5. Modified Support Sessions Process for Sensitive Claims

  6. Outline • Why has the process been modified? • What is the process? • Quick reference guide • Invoicing, payment and reporting • Transitioning to the new process

  7. Why has the process been modified? • Need to strengthen the processes and reporting requirements around this service • Client’s won’t see any changes to the counselling service they receive • All clients will still be able to access up to 16 hours of support • From 28 November 2011 the new process will be launched

  8. What is the process?

  9. Quick Reference Guide

  10. Support Sessions Focus • Contact and Engagement • Assessing and attending to immediate needs • Helping clients increase stability in their lives • Provision of information and education re coping strategies • Social Support • Information Gathering

  11. Reporting Requirements • ACC5934a – Support Sessions Plan • New Zealand Resident • Event details • Presenting issues and current functioning • Support Session areas and proposed plan • Other agency involvement • ACC5934b – Support Sessions Report • Update presenting issues and functioning • Detail the outcome of the support sessions against plan • Client decision (progress to cover or withdraw claim) • Additional information to support cover assessment • Your involvement in the assessment • Management of client’s withdrawal

  12. Transitioning to the new process • The new process applies only to new claims lodged from 28 November 2011 onwards • If you have existing clients in support, please continue to manage them as usual as the client’s full 16 sessions have been pre-approved. • You still need to submit the ACC2922 Service Provider Notification form • You still need to indicate to ACC whether the client wishes to proceed to a cover assessment or withdraw their claim by the 12th session.

  13. Invoicing, Payment and Reporting

  14. Questions

  15. Anticipated changes to mental injury assessments Immediate changes 2011: • Diagnostic and Treatment Assessment (DATA) Service • Inclusion of additional assessment tools • Expectation of counsellor involvement in assessment • Responding to referrals within 48 hours • Removal of reporting templates • Removal of standard and complex DATA service items Changes in 2012: • Mental injury Assessment Service • Sensitive Claims, Physical Injury , Work Related Mental Injury • Assessor criteria – focus on skills, qualifications, experience over specified discipline

  16. New look letters, fact sheets and communications • Demystifying terminology • Versions for clients and providers • Educate on what to expect • Consistent messages • Friendlier tone • Providing options for the client • Guardian and client versions

  17. Questions and Answers

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