Health Insurance (Gippsland and South Eastern New South Wales Mobile MRI Service) Amendment Determination (No. 2) 2011 (Cth)

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Health Insurance (Gippsland and South Eastern New South Wales Mobile MRI Service) Amendment Determination (No.2) 2011

__________________________________________________________________

I, Dr RICHARD BARTLETT, Delegate of the Minister for Health and Ageing, make this Determination under subsection 3C (1) of the Health Insurance Act 1973.

Dated               13  December 2011

Dr_RICHARD BARTLETT                  ______   __

First Assistant Secretary

Medical Benefits Division

Department of Health and Ageing

  1. Name of Determination

This Determination is the Health Insurance (Gippsland and South Eastern New South Wales Mobile MRI Service) Amendment Determination (No.2) 2011.

  1. Commencement

This Determination commences on 31 December 2011. 

  1. Amendment of Health Insurance (Gippsland and South Eastern New South Wales Mobile MRI Service) Determination 2009

The Schedule amends the Health Insurance (Gippsland and South Eastern New South Wales Mobile MRI Service) Determination 2009.

SCHEDULE          AMENDMENTS

  1. Section 3, Cessation

omit

“23:59, 31 December 2011”

substitute

“23:59, 30 June 2013”

  1. Subsection 4(1), Interpretation

insert

diagnostic imaging services table means the table prescribed under section 4AA of the Act.”

  1. Subsection 4(1), Interpretation, definition of eligible equipment

omit definition

  1. Subsection 4(1), Interpretation, definition of eligible location

omit definition

  1. Subsection 4(1), Interpretation

insert

funding agreement means the funding agreement between Regional Imaging Pty Limited [ABN 81 095 630 792] and the Commonwealth of Australia as represented by the Department of Health as in force on the day this Determination commences.”

  1. Paragraph 4(2)(d), Interpretation

omit paragraph

  1. Paragraph 5(1)(b), Circumstances where this Determination applies

omit paragraph and substitute

“(b)        where the service is performed pursuant to the funding agreement; and”

  1. Section 7, MRI and MRA services – meaning of scan

omit section and substitute

“Clause 2.5.7 of Part 2 of Schedule 1 of the diagnostic imaging services table shall have effect as if the reference to “items 63001 to 63482” in that clause was a reference to “items 63002 to 63483” of the Schedule.”

  1. Section 8, MRI and MRA services – related services that can be claimed in a 12 month period

omit

“Subclause 2.5.9(2) of Part 1 of Schedule 1 of the Health Insurance (Diagnostic Imaging Services Table) Regulations 2010”

Substitute

Subclause 2.5.9(2) of Part 2 of Schedule 1 of the diagnostic imaging services table”

  1. Section 9, MRI services – limit for items 63472 and 63475

omit section and substitute

“Clause 2.5.10 of Part 2 of Schedule 1 of the diagnostic imaging services table shall have effect as if:

(a)the reference to item 63473 in subclause (1) was a reference to “item 63472, 63473 or 63475”;

(b)the reference to item 63470 in subclause (2) was a reference to “item 63470, 63472 or 63475”;

(c)there is an additional subclause (3) as follows “Item 63472 does not apply to the service described in that item if the person to whom the service is provided has previously been provided with that service or a service described in items 63470, 63473 or 63475”; and

(d)there is an additional subclause (4) as follows “Item 63475 does not apply to the service described in that item if the person to whom the service is provided has previously been provided with that service or a service described in item 63470, 63472 or 63473”.

  1. Section 10, limit for item 63478

omit

“Part 1 of Schedule 1 of the Health Insurance (Diagnostic Imaging Services Table) Regulations 2010”

substitute

“Part 2 of Schedule 1 of the diagnostic imaging services table”

  1. Section 11, MRI and MRA services – modifying item

omit section and substitute

“Clause 2.5.11 of Part 2 of Schedule 1 of the diagnostic imaging services table shall have effect as if:

(a)the reference to item 63491 in that clause was a reference to item 63492; and

(b)the references to item 63494 in that clause were references to item 63493; and

(c)the references to item 63497 in that clause were references to item 63495.”

Note

1.       All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003. See

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