Health Insurance (Allied Health Services) Amendment Determination 2012 (No. 1)
Health Insurance Act 1973
I, Dr Richard Bartlett, First Assistant Secretary, Medical Benefits Division, Department of Health and Ageing, make this Determination under subsection 3C (1) of the Health Insurance Act 1973.
Dated: 2 February 2012
DR RICHARD BARTLETT
First Assistant Secretary
Medical Benefits Division
Department of Health and Ageing
 
1            Name of Determination
This Determination is the Health Insurance (Allied Health Services)
Amendment Determination 2012 (No. 1).
 
2            Commencement
This Determination commences on 1 March 2012.
 
3            Amendment of Health Insurance (Allied Health Services) Determination 2011
Schedule 1 amends the Health Insurance (Allied Health Services)
Determination 2011.
 
 
 
 
 
Schedule 1 - Amendments
(section 3)                             
 
 
[1]         Section 6, Limitation on certain individual items
substitute:
(1)     This section applies to items 80000, 80005, 80010, 80015, 80100, 80105, 80110, 80115, 80125, 80130, 80135, 80140, 80150, 80155, 80160 and 80165 in Schedule 2.
(2)          From 1 March 2012 until midnight 31 December 2012, for any particular patient, an item mentioned in subsection (1) applies in a calendar year only if the service described in the item is:
(a)    one of the first 10 relevant services provided to the patient in the calendar year; or
(b)    if exceptional circumstances exist in relation to the patient – one of the first 16 relevant services provided to the patient in the calendar year.  
(3)          From 1 January 2013, for any particular patient, an item mentioned in subsection (1) applies in a calendar year only if the service described in the item is one of the first 10 relevant services provided to the patient in the calendar year.
(4)          In this section:
 
(a)    exceptional circumstances exist in relation to a patient if:
(i) the patient has, in a calendar year, received at least 10 relevant services; and
(ii) the patient’s referring medical practitioner is satisfied that there has been a significant change in the patient’s clinical condition or care circumstances which necessitates a further referral for a service described in an item mentioned in the definition of relevant service; and
(b)    relevant service means a service to which any of items 2721 to 2727 of the general medical services table, or items 80000 to 80015, 80100 to 80115, 80125 to 80140, or 80150 to 80165 in Schedule 2, apply.
 
 
 
Note
1.         All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003. See http://www.frli.gov.au.