Health Insurance (Midwife and Nurse Practitioner) Amendment Determination 2012 (No. 1) (Cth)

Case

Health Insurance (Midwife and Nurse Practitioner) Amendment Determination 2012 (No.1)

Health Insurance Act 1973

I, RICHARD BARTLETT, delegate of the Minister for Health, make this Determination under section 3C of the Health Insurance Act 1973.

Dated      23 October 2012

Richard Bartlett

RICHARD BARTLETT

First Assistant Secretary

Medical Benefits Division

Part 1                 Preliminary

  1. Name of Determination

This Determination is the Health Insurance (Midwife and Nurse Practitioner) Amendment Determination 2012 (No.1).

  1. Commencement

This Determination commences on 1 November 2012.

  1. Amendment of the Health Insurance (Midwife and Nurse Practitioner) Determination 2011

Schedule 1 amends the Health Insurance (Midwife and Nurse Practitioner) Determination 2011.

Schedule 1        Amendments

[1]           After subsection 7A(2)

insert          

(3)        Items 82150, 82151 and 82152 do not apply to a service if the patient, specialist or consultant physician travels to a place to satisfy the requirement in sub-subparagraph (c)(i)(B) of the item. 

[2]           After subsection 13(2)

insert          

(3)       Items 82220, 82221 and 82222 do not apply to a service if the patient, specialist or consultant physician travels to a place to satisfy the requirement in sub-subparagraph (c)(i)(B) of the item. 

[3]           Schedule 1, Part 1

Item no.

omit

insert

82100

52.40

53.40

82105

31.70

32.30

82110

52.40

53.40

82115

313.05

319.00

82120

739.25

753.30

82125

739.25

753.30

82130

52.40

53.40

82135

77.05

78.50

82140

52.40

53.40

[4]           Schedule 1, Part 2, Item 82150

substitute

82150

A professional attendance lasting less than 20 minutes (whether or not continuous) by a participating midwife that requires the provision of clinical support to a patient who:

a) is participating in a video consultation with a specialist practising in his or her speciality of obstetrics or a specialist or consultant physician practising in his or her speciality of paediatrics; and

b) is not an admitted patient; and

c) is located:

(i) both:

(A) outside an Inner metropolitan area; and

(B) at the time of the attendance—at least 15 kms by road from the specialist or consultant physician mentioned in paragraph (a); or

(ii) in Australia if the patient is a patient of:

(A) an Aboriginal Medical Service; or

(B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19(2) of the Act applies.

28.30

[5]Schedule 1, Part 2, Item 82151

substitute

82151

A professional attendance lasting at least 20 minutes (whether or not continuous) by a participating midwife that requires the provision of clinical support to a patient who:

a) is participating in a video consultation with a specialist practising in his or her speciality of obstetrics or a specialist or consultant physician practising in his or her speciality of paediatrics; and

b) is not an admitted patient; and

c) is located:

(i) both:

(A) outside an Inner metropolitan area; and

(B) at the time of the attendance—at least 15 kms by road from the specialist or consultant physician mentioned in paragraph (a); or

(ii) in Australia if the patient is a patient of:

(A) an Aboriginal Medical Service; or

(B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19(2) of the Act applies.

 53.70

  1. Schedule 1, Part 2, Item 82152

substitute

82152

A professional attendance lasting at least 40 minutes (whether or not continuous) by a participating midwife that requires the provision of clinical support to a patient who:

a) is participating in a video consultation with a specialist practising in his or her speciality of obstetrics or a specialist or consultant physician practising in his or her speciality of paediatrics; and

b) is not an admitted patient; and

c) is located:

(i) both:

(A) outside an Inner metropolitan area; and

(B) at the time of the attendance—at least 15 kms by road from the specialist or consultant physician mentioned in paragraph (a); or

(ii) in Australia if the patient is a patient of:

(A) an Aboriginal Medical Service; or

(B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19(2) of the Act applies.

78.95

[7]           Schedule 2, Part 2

Item no.

omit

insert

82200

9.40

9.60

82205

20.55

20.95

82210

39.00

39.75

82215

57.45

58.55

[8]           Schedule 2, Part 3, Item 82220

substitute

82220

A professional attendance lasting less than 20 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who:

a) is participating in a video consultation with a specialist or consultant physician; and

b) is not an admitted patient; and

c) is located:

(i) both:

(A) outside an Inner metropolitan area; and

(B) at the time of the attendance—at least 15 kms by road from the specialist or consultant physician mentioned in paragraph (a); or

(ii) in Australia if the patient is a patient of:

(A) an Aboriginal Medical Service; or

(B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19(2) of the Act applies.

 28.30

[9]           Schedule 2, Part 3, Item 82221

substitute

82221

A professional attendance lasting at least 20 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who:

a) is participating in a video consultation with a specialist or consultant physician; and

b) is not an admitted patient; and

c) is located:

(i) both:

(A) outside an Inner metropolitan area; and

(B) at the time of the attendance—at least 15 kms by road from the specialist or consultant physician mentioned in paragraph (a); or

(ii) in Australia if the patient is a patient of:

(A) an Aboriginal Medical Service; or

(B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19(2) of the Act applies.

 53.70

[10]         Schedule 2, Part 3, ltem 82222

substitute

82222

A professional attendance lasting at least 40 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who:

a) is participating in a video consultation with a specialist or consultant physician; and

b) is not an admitted patient; and

c) is located:

(i) both:

(A) outside an Inner metropolitan area; and

(B) at the time of the attendance—at least 15 kms by road from the specialist or consultant physician mentioned in paragraph (a); or

(ii) in Australia if the patient is a patient of:

(A) an Aboriginal Medical Service; or

(B) an Aboriginal Community Controlled Health Service for which a direction made under subsection 19(2) of the Act applies.

78.95

[11]         Schedule 2, Part 3, Item 82223

substitute

82223

A professional attendance lasting less than 20 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who:

a) is participating in a video consultation with a specialist or consultant physician; and

b) either:

(i)        is a care recipient receiving care in a residential care service; or

(ii)       is at consulting rooms situated within such a complex if the patient is a care recipient receiving care in a residential aged care service; and

c) the professional attendance is not provided at a self-contained unit.

28.30

[12]         Schedule 2, Part 3, Item 82224

substitute

82224

A professional attendance lasting at least 20 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who:

a) is participating in a video consultation with a specialist or consultant physician; and

b) either:

(i)         is a care recipient receiving care in a residential care service; or

(ii)       is at consulting rooms situated within such a complex if the patient is a care recipient receiving care in a residential aged care service; and

c) the professional attendance is not provided at a self-contained unit.

 53.70

[13]         Schedule 2, Part 3, Item 82225

substitute

82225

A professional attendance lasting at least 40 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who:

a) is participating in a video consultation with a specialist or consultant physician; and

b) either:

(i)        is a care recipient receiving care in a residential care service; or

(ii)       is at consulting rooms situated within such a complex if the patient is a care recipient receiving care in a residential aged care service; and

c) the professional attendance is not provided at a self-contained unit.

 78.95

Note

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

Actions
Download as PDF Download as Word Document
Cases Citing This Decision

0

Cases Cited

0

Statutory Material Cited

0