What happens when treatment and care transfer to CTP Care after five years?

CTP Care manages eligible treatment and care after transfer. That can include existing approved services and later requests, subject to current need, accident causation, reasonableness, necessity, provider and cost. The transfer does not freeze every service forever at its existing level. Plans can be reviewed as needs change, and decisions should be provided in writing.

A common law damages claim does not transfer to CTP Care. The licensed CTP insurer remains the point of contact for damages and other non-treatment claim issues. Weekly payments generally operate under statutory periods that are separate from CTP Care. Keep both claim references and do not send a damages offer or liability response to the care team as if it were a treatment invoice.

CTP Care is administered by the Lifetime Care and Support Authority, but it is not the same as being a participant in Lifetime Care. Lifetime Care applies to eligible catastrophic injuries and has separate participation criteria. A CTP Care transfer depends on long-term treatment and care entitlement under the 2017 scheme, not automatic Lifetime Care eligibility.

Ask the licensed insurer for the proposed transfer date, CTP Care contact and list of material being transferred. Reconcile current treatment approvals, care rosters, equipment, modifications, provider contracts, unpaid invoices and pending requests. A concise current treatment plan is more useful than assuming CTP Care will reconstruct five years of correspondence.

Tell each provider where to send requests and invoices after the transfer date. Confirm whether an existing approval continues, whether a new service agreement is required and which payer handles an invoice that spans the date. Do not cancel clinically necessary care merely because administration is changing; escalate any gap immediately through both contacts.

If early transfer is proposed, obtain written confirmation that all parties agree, the date, the services covered and how pending decisions will be handled. Official material says early transfer should not affect a separate damages claim, but the practical file split should still be documented.

CTP Care applies the Act and CTP Care Guidelines to requests. SIRA’s injured-person fact sheet states that treatment and care decisions are made within 10 calendar days and approved invoices are paid within 20 calendar days. A refusal or partial approval should include reasons and information about internal review.

A service complaint concerns conduct, delay or communication. An internal review challenges the substance of an eligible decision. If unresolved, a dispute may proceed to the Personal Injury Commission through the pathway that matches the issue. These processes should not be treated as interchangeable.

Where a review or PIC matter crosses the transfer date, the current CTP Care Guidelines address which entity handles treatment and care and the possible need for joinder or substitution. Do not abandon an existing application or start a duplicate one without checking the current party and procedural direction.