UPDATES FOR MAIAS ACCREDITED MEDICAL PRACTITIONERS

Return here for information regarding Scheme updates.


UPDATE 10 JULY 2020:

Telehealth for GEPIC ISV Assessments

The COVID 19 pandemic has led to the trial use of telehealth conferencing for pure mental harm GEPIC assessments where it is safe and clinically appropriate to do so. The trial commences on 13 July 2020 and concludes on 13 October 2020.

To support this, at the approval of the Attorney General, the MAIAS has introduced an update to MAIAS Rule 6 - Service Standards. The new rule specifies the need to comply with a telehealth protocol that outlines an Accredited Medical Practitioner’s obligations in preparing and performing these assessments and the appropriate circumstances in which to do so. Accredited Medical Practitioners must use the Telehealth ISV GEPIC Assessment Template.

The trial includes an evaluation that focuses on the claimant’s experience in using this process to inform the decision about the ongoing use of telehealth services for GEPIC assessments. To assist with this evaluation, please notify us at MAIAS@sa.gov.au of all telehealth assessments booked or completed during the trial period.

For more information please visit MAIAS.

UPDATE 25 JUNE 2020:

MAIAS Training

MAIAS training has been developed to support AMPs with ISV Medical Assessment Report quality compliance in line with section 7 of the MAIAS Rules.

Training commences from September 2020 and will be delivered through various modalities including face to face training (when permitted) and publication of materials within a dedicated secure area of the website. Further details and times will be provided at a later date.

Training content will reference accreditation requirements including relevant sections of the Civil Liability Act and Regulations, the MAIAS Training Manual, the American Medical Association Guide to the Evaluation of Permanent Impairment 5th Edition (AMA 5) or the Guide to the Evaluation of Psychiatric Impairment for Clinicians (GEPIC). A summary of the training topics is provided below:

Physical

  • Expectations for assessing Injury Stability
  • Applying the Spine Chapter – DRE or ROM
  • Application of the Pain chapter AMA 5, Chapter 18 and an overview of common errors from the 2019 audit
  • Using skin and scarring Item Numbers
  • Assessing resolved or non-MVA related injuries
  • Delivering high quality ISV Medical Assessments

Pure Mental Harm

  • GEPIC assessment - Matching symptoms to functions:
  • Delivering high quality GEPIC Assessments and the difference between Pure Mental Harm and Consequential Mental Harm.

Should you have any questions or suggestions for additional training topics, please call 1300 303 558 or email MAIAS@sa.gov.au.


UPDATE 14 MAY 2020:

Applications for Motor Accident Injury Accreditation Scheme Medical Expert Peer Reviewers

The Motor Accident Injury Accreditation Scheme (MAIAS) Administrator is seeking to appoint a number of medical experts with an interest in conducting quality assurance reviews, peer mentoring, coaching and training.

As part of a team, medical expert peer reviewers support the MAIAS Administrator by contributing to:

  • the structure and delivery of quality assurance activities
  • the annual quality assurance review of Injury Scale Value (ISV) Medical Assessment Reports
  • ongoing feedback and mentoring of Accredited Medical Practitioners to improve performance
  • development and delivery of training to support Accredited Medical Practitioners.

To be eligible, applicants must have CTP Scheme knowledge, and expertise in AMA5 or GEPIC.

Information on the appointments and how to apply is available via a simple login at www.tenders.sa.gov.au/tender/view?id=225589. Applications must be submitted via the Tenders SA website by close of business on 23 June 2020.

For further enquiries, call 1300 303 558 or email MAIAS@sa.gov.au.


UPDATE 24 MARCH 2020:

COVID – 19 Virus: Update from the MAIAS Administrator

Firstly, I’d like to acknowledge the challenging times we are all experiencing with the COVID-19 virus, adjusting to new ways of working while maintaining services. My focus continues to be on the injured person experiencing the best possible support and service from the scheme.

As Regulator of the privately underwritten CTP Scheme, my office is in constant contact with the CTP Claims Managers of AAMI, Allianz, SGIC and QBE.

All CTP Insurers are reporting no disruptions to their business.

No insurers are conducting business face to face. All have commenced operating remotely with staff working from home and providing services to claimants and progressing claims through to settling claims via all other channels - phone, letter, email, video conferencing.

I am aware that interstate Accredited Medical Practitioners (AMPs) can no longer proceed with conducting ISV Medical Assessments (ISVMAs) in South Australia due to the restrictions of entry to the State.

I am monitoring whether this could create a barrier to settling a claim if an ISVMA is unable to be conducted because of low availability of AMPs, and considering possible alternatives while still working with the legislation and Court Rules. I will keep you updated.

I would like to make clear that assessments via telepresence are not to proceed at this time and I have communicated this to all CTP Insurers.

We are currently checking the availability of all AMPs to conduct business as usual in SA. The central register available for all on the MAIAS web page (https://maias.sa.gov.au/) will be updated to provide details of AMPs currently conducting business as usual.

Please notify MAIAS on MAIAS@sa.gov.au as soon as possible when your availability changes, and if you have any questions arising from this communication.

I thank you all for your continued support of CTP claimants.


UPDATE 20 FEBRUARY 2019:

Attorney-General appoints the CTP Regulator as Administrator from 20 February 2019

The Attorney-General appointed the CTP Regulator (established under the Compulsory Third Party Regulation Act 2016) as the MAIAS Administrator from 20 February 2019, and has approved the 2019 MAIAS Rules and 2019 ISV Medical Assessment Report templates. The MAIAS Rules prescribe the regulatory and service standards required for medical practitioners to achieve and maintain accreditation under the MAIAS.

The MAIAS Administrator has collaborated with the Return to Work Impairment Assessor Accreditation Scheme (RTW Scheme), administered by ReturntoWorkSA (RTWSA) to develop a joint process for applications, training and competency assessments.


UPDATE 1 JULY 2016:

New CTP Insurance Regulator and Insurers in South Australia

The new CTP Insurance Regulator (Regulator) is established as an independent statutory regulator under the Compulsory Third Party Insurance Regulation Act 2016. The Regulator is responsible for the oversight, monitoring and reporting of approved CTP insurer activities in the South Australian market, ensuring that a fair and affordable CTP Insurance Scheme (Scheme) is maintained, continuing to improve Scheme outcomes for the injured, providing consumer protections for motorists, and having oversight of the CTP Insurance premium setting process.

Since 1 July 2016, four private insurers provide CTP Insurance in SA:

  • AAMI
  • Allianz Australia Insurance Limited
  • QBE Insurance (Australia) Limited
  • SGIC

CTP claims for persons injured in Motor Vehicle Accidents prior to 1 July 2016 will continue to be managed by the Motor Accident Commission (MAC) and Allianz CTP Insurance.

For more information go to www.ctp.sa.gov.au.