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CTP rehabilitation guide · Sydney & NSW

The NSW CTP rehabilitation process—from referral to recovery.

CTP rehabilitation is a coordinated process that connects the injured person, insurer and treating team around practical recovery goals after a motor vehicle accident.

At a glance

This guide explains when a rehabilitation provider becomes involved, why insurer approval matters and what you can expect from the first assessment through to completion.

When does CTP rehabilitation become involved?

A rehabilitation provider may become involved when recovery after a NSW motor accident needs more coordination than treatment appointments alone. This may include difficulties with everyday function, accessing suitable services, resuming community activities, returning to study or work, or keeping several providers aligned.

SIRA explains that a CTP insurer will usually initiate the rehabilitation-provider referral. The insurer may request an assessment only or an assessment followed by a rehabilitation plan. An injured person can also nominate a preferred provider, subject to suitability and insurer approval.

1. Enquiry, referral and consent

The process starts with the information currently available: the person's contact details, accident and claim information, injuries, treating team and the reason rehabilitation is being considered. Consent is obtained before relevant personal or health information is exchanged.

Complete the COH Rehab consent form or send a referral or enquiry.

2. Clarifying the referral question

COH Rehab clarifies what the insurer and injured person need the service to achieve. The referral may ask for a focused assessment, recommendations about particular barriers or a broader rehabilitation plan. A clear question keeps the work relevant and the reporting useful.

3. Written insurer approval

Funded rehabilitation services do not begin until the insurer has approved the proposed work. The approval should identify the service, scope and agreed costs. SIRA advises rehabilitation providers to obtain insurer approval before providing services, including the initial assessment.

Read SIRA's official rehabilitation-provider guidance

4. Initial assessment and recovery goals

The initial assessment builds a practical picture of the person's health, treatment, everyday function, home and community roles, study or work demands, strengths and barriers. Goals are agreed with the injured person and connected to activities that matter in their life.

5. Rehabilitation plan and coordination

The plan turns the assessment into clear actions. Depending on the approved scope, COH Rehab may coordinate treating providers, clarify responsibilities, facilitate case conferences, monitor agreed services and help address practical or psychosocial barriers affecting progress.

6. Progress reviews, reporting and completion

Progress is reviewed against the agreed goals. Updates should explain what has changed, what remains difficult and what action is recommended next. Rehabilitation may finish when goals are achieved, the person can self-manage, further services are not indicated or the insurer and recovery team agree that the approved role is complete.

What COH Rehab does—and does not do

COH Rehab supports recovery, function, coordination and participation. We do not determine claim liability, provide legal advice or advocate in litigation. Medical decisions remain with qualified treating practitioners, and funded rehabilitation remains subject to insurer approval.

View COH Rehab's CTP rehabilitation service

Help with everyday activities and driving

Finding everyday activities difficult? Read what happens in an ADL assessment.

Have questions about returning to driving? Read what an OT driving assessment involves.

Frequently asked questions

Who usually refers someone for CTP rehabilitation?

The CTP insurer commonly initiates a rehabilitation-provider referral. An injured person, doctor, treating practitioner or family member can also raise the need or contact COH Rehab so the correct insurer-approved pathway can be clarified.

Can CTP rehabilitation start before insurer approval?

COH Rehab confirms written insurer approval and the agreed service scope before funded rehabilitation services commence. This protects the injured person from uncertainty about responsibility for the cost.

What does a CTP rehabilitation provider do?

The provider identifies recovery needs and goals, coordinates agreed services, facilitates communication, monitors progress and helps the injured person resume meaningful home, community, study or work activities.

Can I nominate COH Rehab?

Yes. You can nominate COH Rehab and provide consent for relevant communication. The insurer still decides whether the proposed funded service and scope are approved.

A connected approach

Clear next steps start with a conversation.

View referral & enquiry options