Guidelines and policies
The Lifetime Care and Support Scheme pays for treatment, rehabilitation and care for people who have been severely injured in a motor accident in NSW.
Our legislation, guidelines and policies provide the governing framework that determine how we make decisions.
Lifetime Care and Support Guidelines
The Lifetime Care and Support Guidelines are issued under the Motor Accidents (Lifetime Care and Support) Act 2006 and provide information about:
- eligibility for the Scheme, and how decisions are made about eligibility
- how we make decisions
- services, and requests for services.
Service providers should refer to the Guidelines when completing requests for services.
Download Parts 1-23 of the Guidelines and review the Summary of Changes
Select the Guidelines tab to download an individual part of the Lifetime Care and Support Guidelines.
Select the Summary of Changes June 2025 tab to download the list of changes made to the Guidelines.
Guidelines
- Part 1- Eligibility for participation in the Lifetime Care and Support Scheme
- Part 2 - Disputes about eligibility (injury criteria)
- Part 3 - Disputes about eligibility (motor accident)
- Part 4 - Disputes about participants’ treatment and care needs
- Part 5 - Assessment of treatment and care needs
- Part 6 - Determination of reasonable and necessary treatment and care needs
- Part 7 - Rehabilitation
- Part 8 - Attendant care services
- Part 9 - Education support services
- Part 10 - Respite care services
- Part 11 - Participants living overseas
- Part 12 - Transport modification (modifications to a motor vehicle)
- Part 13 - Aids and appliances (equipment)
- Part 14 - Home modifications
- Part 15 - Prostheses
- Part 16 - Vocational rehabilitation and vocational training
- Part 17 - Buying into the Lifetime Care and Support Scheme
- Part 18 - Payments under the Scheme (approved providers and special circumstances)
- Part 19 - Alternative expenditure option
- Part 20 - This part has been left blank
- Part 21 - Dental treatment
- Part 22 - Medical treatment including pharmaceuticals
- Part 23 - Workplace and education facility modifications
Summary of Changes June 2025
Download the Lifetime Care and Support Guidelines Summary of changes hereProsthetics guidance
Health Literacy Framework

Guidance on the support needs of adults with spinal cord injury
Guidelines and policies for the prescription of wheelchairs and mobility scooters
- Guidelines for the prescription of a wheelchair 3 MB(pdf)
- Summary of the guidelines for the prescription of a seated wheelchair or mobility scooter 0.38 MB(pdf)
- Consumer information - Wheelchair Guidelines 1 MB(PDF)
- Wheelchair Guidelines - supplement on wheelchair features - standing wheelchair 0.42 MB(pdf)
- Technical report on the guidelines for the prescription of a seated wheelchair or mobility scooter 2 MB(PDF)
- Goals checklist for wheelchairs 0.20 MB(pdf)
- Shoulder injury prevention checklist 0.13 MB(pdf)
- Long term needs checklist for wheelchairs 0.13 MB(pdf)
- Training topics checklist for wheelchairs 0.13 MB(pdf)
- Injury prevention during transport checklist 0.13 MB(pdf)
- Maintenance checklist for wheelchairs 0.13 MB(pdf)
- Wheelchair comfort tool 0.17 MB(pdf)
Social Support Policy
Capital Management Policy
Restrictive Practices Policy
Building Capability and Safeguarding Policy
Child Safety Policy
Childhood to Adulthood Guidance
Guidance on assistance and therapy animals and pets
Guidance on provider travel when delivering treatment and rehabilitation services
Lifetime Care Sexuality Policy
Consequential Injuries Policy
Family and friends as support worker policy
Neuropsychological assessment guidelines
These neuropsychological assessment guidelines provide information on assessment and reporting of neuropsychological impairment following traumatic brain injury sustained in a motor accident. Visit the SIRA website to learn more.
ACT Lifetime Care and Support Guidelines
We have an agreement with the ACT Commissioner to pay for reasonable and necessary treatment, rehabilitation and care services for participants on behalf of the ACT Lifetime Care and Support Scheme.
We use the ACT Lifetime Care and Support Guidelines to make these decisions which are issued under ACT legislation. Information about the ACT Lifetime Care and Support Scheme can be found at the ACT Treasury website.