Health Insurance (Allied Health and Dental Services) Amendment Determination 2005 (No. 2)

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Health Insurance (Allied Health and Dental Services) Amendment Determination 2005 (No. 2)
I, TONY ABBOTT, Minister for Health and Ageing, make this Determination under subsection 3C (1) of the Health Insurance Act 1973. Dated 6 December 2005 TONY ABBOTT Minister for Health and Ageing
 
1              Name of Determination                 This Determination is the Health Insurance (Allied Health and Dental Services) Amendment Determination 2005 (No. 2). 2              Commencement                 This Determination commences on 1 January 2006. 3              Amendment of Health Insurance (Allied Health and Dental Services) Determination 2005                 Schedule 1 amends the Health Insurance (Allied Health and Dental Services) Determination 2005.

Schedule 1        Amendments (section 3)    [1]           Schedule 1, Part 1, subsection 1 (1), after definition of eligible dietitian insert eligible exercise physiologist means a person who is an eligible allied health professional in relation to the provision of an exercise physiology service. [2]           Schedule 1, Part 2, after item 10952 insert  
10953
Exercise physiology service provided to a person by an eligible exercise physiologist if:    (a)  the service is provided to a person who has a chronic and complex condition that is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under an EPC plan; and    (b)  the service is recommended in the person’s EPC plan as part of the management of the person’s chronic and complex condition; and    (c)  the person is referred to the eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and    (d)  the person is not an admitted patient of a hospital or day-hospital facility; and    (e)  the service is provided to the person individually and in person; and    (f)  the service is of at least 20 minutes duration; and    (g)  after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner mentioned in paragraph (c):          (i)   if the service is the only service under the referral — in relation to that service; or         (ii)   if the service is the first or last service under the referral — in relation to that service; or        (iii)   if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of — in relation to those matters; and    (h)  for a service for which a private health insurance benefit is payable — the person who incurred the medical expenses for the service has elected to claim the medicare benefit for the service, and not the private health insurance benefit — to a maximum of 5 services (including any services to which this item or any other item in this Schedule applies) in a calendar year
53.90
[3]           Further amendments — calendar year                 The following items are amended by omitting ‘12 month period’ and inserting ‘calendar year’: ·    Schedule 1, Part 2, items 10950 to 10970 (inclusive) ·    Schedule 2, Part 2, items 10975 to 10977 (inclusive).
 

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