Pathways to Pain Management – Clinician & Practice FAQ
Frequently asked questions
- 01
Pathways to Pain Management is a structured, community-based chronic pain self-management and education program delivered by Pain Education and Management. The program supports patients to better understand their pain, develop practical self-management skills, and, where required, access coordinated multidisciplinary support.
The program is underpinned by a biopsychosocial model of care and is designed to complement general practice and existing GP Chronic Condition Management Plans (GPCCMPs).
For more information, download the brochure
- 02
WorkCover patients are fully funded, with no out-of-pocket costs, for Steps 1, 2 and 3 once approval is granted. Funding for Step 4 support (including allied health services and coaching) is allocated based on the treatment proposal developed in Step 3 and subject to subsequent approval.
For self funded patcients
Step 1:
Free for all referred patients with no out-of-pocket costs
Step 2:
Each consultation is normally priced at $108.75. GPCCMP referral, NDIS or private health rebates may apply
Steps 3 & 4:
Standard pricing applies, as published on our website (see services tab). Costs may vary depending on funding eligibility and individual circumstances.
- 03
Delivery is matched to each step of the program to maximise access, flexibility, and clinical appropriateness:
Step 1 – Online Education Delivered entirely online, allowing patients to commence immediately after referral and complete the education modules at their own pace.
Step 2 – Telehealth Delivered via telehealth, enabling access to multidisciplinary support regardless of location and reducing the need for travel.
Steps 3 & 4 – Telehealth and Face-to-Face (as Clinically Appropriate) Delivered using a combination of telehealth and face-to-face services, depending on:
Clinical need
Discipline involved
Patient location and access
Individual circumstances
This hybrid model ensures flexibility while maintaining high clinical standards and accessibility for rural and regional patients.
- 04
We recommend involving a family member or support person where possible. Evidence shows that completing the program with a support person can improve engagement and outcomes.
- 05
No. There is no cost to the practice to refer patients into the program.
- 06
Currently, there are two primary funding streams
WorkCover QLD
Private funding - Rebates from MBS, NDIS or Private Health extras may apply
Future funding streams currently under review are
DVA
NDIS
Private Health
- 07
Generally, practices are not required to manage billing or claiming for program components.
The exceptions are
Case conferences, which are claimed directly to Medicare (MBS) or Workcover QLD by each participating clinician in line with standard requirements.
Allied Health providers offering Step 4 services in the Workcover Pathway will bill Workcover QLD directly at the published WCQ Tables of Costs rates.
Privately funded consultations outside the scope of the program
- 08
Patients must:
Have persistent or chronic pain
Be referred by a GP or Partnering Allied Health Provider
Be suitable for a structured education and self-management program
Provide informed consent to participate
- 09
There are three referral pathways available to support different practice workflows:
1. Best Practice Template
Practices can refer using the Pathways to Pain Management referral template within Best Practice.
2. PDF Referral Form
Practices may complete the standard PDF referral form and hand it to the patient for upload after signing.
3. Online Referral Form
Practices can submit referrals directly using the secure online referral form.
- 10
Yes. Patients may self-initiate the referral process by:
Downloading the referral form
Taking it to their GP for completion and signature
Self-registering online and uploading the signed referral form
All referrals must be signed by a GP prior to program entry.
- 11
No - The referral form allows the GP to indicate whether the referral:
Is part of a GPCCMP, or
Is not linked to a GPCCMP
Both options are accepted for program entry.
- 12
Once the referral form is completed and signed, it is handed back to the patient. The patient then:
Self-registers online using the secure registration link (provided on the referral form)
Uploads the signed referral form as part of registration
Is automatically granted direct access to the Pathways to Pain Management online learning program
This enables immediate program entry with no administrative delay once the GP or Clinician has signed the referral.
- 13
All referrals are submitted by the patient after it is signed via the secure online registration portal.
The referring practice is only required to complete and sign the referral form.
- 14
If the required information is missing:
The patient is contacted to obtain the missing details
If GP clarification is required, the practice is contacted directly
Program access may be paused until mandatory fields are complete
- 15
Yes.
A Program Information sheet is available for use in waiting rooms, consultation rooms, and during GP, Allied Health or nurse consultations. This flyer explains the program in plain language and includes referral and self-registration instructions for patients.
A Patient DL Brochure and Workcover Flyer are also available for patients earlier in the decision process
- 16
The referring GP remains the primary treating practitioner at all times. Pain Education and Management provides multidisciplinary input and recommendations under formal clinical governance.
- 17
Yes
Steps 1 & 2
Progression reports are provided where the referral is part of a GP Chronic Condition Management Plan (GPCCMP). These reports outline:
· Patient engagement
· Module progression
Step 3
Full multidisciplinary clinical reports are provided, including:
· Comprehensive assessment findings
· MDT recommendations
· Agreed pain management plan
· Case conference outcomes (where held)
Step 4
Standard allied health reports are completed and returned to the referring GP in line with normal professional and Medicare reporting requirements for each discipline involved.
- 18
Reports are delivered via secure email or Medical Objects, based on the practice’s preference.
- 19
No. This is not an acute, flare-up or emergency service. Patients are directed to continue engaging with their GP or local emergency services for urgent medical needs.
