SIRA NSW

The State Insurance Regulatory Authority (SIRA) regulates insurance for:
• Workers compensation
• Motor accidents CTP
• Home building compensation

There are several SIRA approved insurers who coordinate the rehabilitation services.

Latest News

On 27 May 2022 SIRA published in the government gazette that the fees order for exercise physiology would change with the implementation of a session-based fee for initial and subsequent consultations and the introduction of a new item code for Consultation C. They further advised that if it is clinically appropriate for the practitioner to provide the more comprehensive Consultation C treatment sessions after 1 August 2022, the practitioner will be required to submit an AHRR to the insurer with documentation of relevant evidence based standard outcome measures to assist the insurer in their review. iCare have advised that they have been working with the treatment leads around ensuring the Case managers have the knowledge and information to assess AHRRs in preparation for the introduction of Consultation C code in the fee schedule on August 1.
Here is a link to access information about Consultation C.

The workers compensation fees orders do not apply to services delivered for persons injured and eligible for compensation under the CTP (including Lifetime Care) scheme. The CTP scheme does not set maximum fees for allied health treatment services. These fees are agreed between the insurer and practitioner. Although some insurers use the workers compensation fees as a proxy/guide, they are not legislated in the CTP scheme.

How do I register?

Treatment Services

To be eligible to provide EP treatment services you need to obtain a provider number by:

  1. Hold current AEP accreditation with ESSA. 
    Note: You will need your ESSA accreditation number for your SIRA application
  2. Complete the SIRA Allied Health Practitioners Training Program. This is a mandatory three-module course delivered by the Personal Injury Education Foundation (PIEF) and costs $107 per module. ESSA CPD points (3 points per module, 9 maximum) are available upon successful completion.
  3. Complete the SIRA Allied Health Practitioner Application Form.

Note: This must be submitted to SIRA

Workplace Rehabilitation Services

To be eligible to provide workplace rehabilitation services, an individual MUST:

  1. Be an AEP with ESSA AND
  2. Have completed a course that includes all Workplace Rehabilitation elements (See list below) 
  3. Request a certificate and letter of support from ESSA. Please email info@essa.org.au

Once eligible, the AEP must be employed by a SIRA approved workplace rehabilitation provider to be able to provide workplace rehabilitation services.

What services can I provide?

Exercise Physiology Treatment Services

AEPs can provide exercise physiology (i.e. clinical) treatment services to help a worker recover following a workplace injury on referral from a GP or insurance case manager.

When you receive a referral, you must contact the insurer before your first appointment with the worker to confirm:

  • Their claim has been accepted;
  • They are eligible for payment of medical and related expenses; and
  • The insurer agrees treatment is reasonably necessary.

You must submit an Allied Health Recovery Request (AHRR) Form when seeking pre-approval for treatment services.

Services can include:

  • Individual exercise interventions
  • Group exercise sessions
  • Education sessions
  • Telehealth – you must consider the appropriateness of this mode of service delivery on a case-by-case basis. Telehealth services require pre-approval from the insurer and must be consented to in advance by all parties involved - the worker, the allied health practitioner and the insurer.

Workplace Rehabilitation Providers

Workplace rehabilitation providers are organisations accredited to deliver workplace rehabilitation services to help injured workers return to work. They have employees (e.g., AEPs) who have the qualifications, experience and expertise appropriate to provide timely intervention, with services based on the assessed need of the worker and the workplace.

Services include:

  • Functional Capacity Evaluations (FCE)
  • Workplace Assessments (WPA)

What do I charge, and how do I bill?

Services are paid for by the SIRA approved insurer.

You must charge fees that do not exceed the maximum outlined in the Accredited Exercise Physiologist Fees Order. This is updated annually.

GST applies to these services. Fees listed are GST exclusive.

Your invoices must include:

  • Worker's first and last name, and claim number
  • ABN and payee details
  • Your name and SIRA provider number
  • Date of service
  • SIRA workers compensation payment classification code and service costs
  • Date of invoice (must be on the day of or after last date of service listed on the invoice)

Travel costs require pre-approval from the insurer.

What else do I need to know?

  • SIRA does not generally support the use of pool or gym programs for work related injuries.
  • Allied health practitioners do not have approval to enter a workplace to provide treatment services for a worker (not applicable for workplace rehabilitation providers).
  • Interstate allied health practitioners providing treatment services to a NSW worker outside of NSW do not need to be approved by SIRA, or complete the NSW allied health practitioner online training. They must adhere to the NSW workers compensation system requirements.
  • Allied health practitioners can bill for video consultations (telehealth services).

Who do I contact with questions?

General AHHR questions: 13 10 50 or providers@sira.nsw.gov.au

Specific claim questions: Case manager or approved insurer

What's New?

*Update on certificates of capacity/fitness (April 2020). Unfortunately ESSA has not been successful in its advocacy efforts proposing AEPs are included in any legislative amendments enabling a second or subsequent Certificate of Capacity/Fitness as part of the NSW Government’s COVID-19 emergency plan. ESSA is committed to continuing to advocate for AEPs and will advise as soon as there is an update.

Resources

Approved Professional Development

Course Name

Years Available

Australian Catholic University

Occupational Assessment and Rehabilitation Unit

2019-current

Exercise & Sport Science Australia / Southern Cross University

Workplace Rehabilitation

March 2013 – September 2017

2021 Information

If you are looking to undertake the Occupational Assessment and Rehabilitaiton Unit in 2022, courses are run for the following date:
Professional Term 5: Commencing July 2022. 

Courses are run online with two days required on campus (ACU Strathfield campus, Sydney). If you would like to enrol or have further questions please contact Alice Taylor



Approved Universities

University

Course Code

Course Name

Campus

Graduating Cohorts

Australian Catholic University

MCEP

Master of Clinical Exercise Physiology

Strathfield

2016-2026

Banyo, Fitzroy

2019-2026

Charles Sturt University

4717EP

Master of Clinical Exercise Physiology

Bathurst

2017-2022

Deakin University

H743

Master of Clinical Exercise Physiology

Burwood

2019-2023

Edith Cowan University

M90

Bachelor of Science (Exercise & Rehabilitation Science)

Joondalup

2021-2025

Federation University

PJ4

Graduate Diploma of Clinical Exercise Physiology

Ballarat

2016-2019

PJ9

Master of Exercise Physiology

Ballarat & Mt Helen

2020-2024

Flinders University

MCEP

Master of Clinical Exercise Physiology

Bedford Park, Sturt and Tonsley

2020-2024

Griffith University

4157

Graduate Diploma of Exercise Science

Gold Coast

2017-2019

1604

Bachelor of Clinical Exercise Physiology

Gold Coast

2020-2024

La Trove University

HMEPB

Master of Exercise Physiology

Bendigo

2019-2024

Queensland University of Technology

XN51

Bachelor of Clinical Exercise Physiology

Kelvin Grove

2020-2024

XN52

Bachelor of Clinical Exercise Physiology: Honours

Kelvin Grove

2020-2024

Southern Cross University

1207247

Master of Clinical Exercise Physiology

Lismore

2016-2023

Gold Coast

2019-2023

University of Canberra

266JA

Bachelor of Exercise Physiology and Rehabilitation

Bruce

2019-2023

University of New England

BCEP

Bachelor of Clinical Exercise Physiology

Armidale

2016-2022

University of New South Wales

3871

Bachelor of Exercise Physiology

Sydney

2016-2022

University of Queensland

BClinExP-Hons

Bachelor of Clinical Exercise Physiology: Honours

St Lucia

2020-2025

University of South Australia

IBCP

Bachelor of Clinical Exercise Physiology

Adelaide

2019-2024

University of Southern Queensland

BSEH-CEP

Bachelor of Sport and Exercise: Honours – Clinical Exercise Physiology

Ipswich

2018-2022

University of Sydney

ExPhys

Master of Exercise Physiology

Lidcombe

2021-2025

University of Tasmania

54C

Bachelor of Exercise and Sport Science with Clinical Honours in Exercise Physiology

Launceston

2020-2024

University of Wollongong

851-2

Bachelor of Exercise Science and Rehabilitation

Wollongong

2016-2022

2612

Graduate Diploma in Exercise Rehabilitation**

Wollongong

2016-2022

434

Master of Clinical Exercise Physiology**

Wollongong

2016-2022

** Students completing these courses MUST have completed the University of Wollongong undergraduate course.

Victoria University

AMEP

Master of Clinical Exercise Science and Rehabilitation

Footscray

2020-2024

Updated July 2022.