Recognized Hospitals and Incorporated Health Centres (Compensable and Non-Medicare Patients) Fees Regulations 1989 (SA)

SOUTH AUSTRALIA

RECOGNIZED HOSPITALS AND INCORPORATED HEALTH CENTRES

(COMPENSABLE AND NON-MEDICARE PATIENTS) FEES REGULATIONS, 1989

REGULATIONS UNDER THE SOUTH AUSTRALIAN HEALTH

COMMISSION ACT, 1976

Recognized Hospitals and Incorporated Health Centres

(Compensable and Non-Medicare Patients) Fees Regulations, 1989

being

No. 13 of 1989: Gaz. 26 January 1989, p. 1971

as varied by

No. 111 of 1989: Gaz. 29 June 1989, p. 1777

No. 166 of 1989: Gaz. 24 August 1989, p. 6632

No. 170 of 1989: Gaz. 31 August 1989, p. 764

No. 40 of 1990: Gaz. 29 March 1990, p. 9043

No. 221 of 1990: Gaz. 1 November 1990, p. 14224

No. 229 of 1990: Gaz. 22 November 1990, p. 15835

No. 79 of 1991: Gaz. 20 June 1991, p. 19486

No. 196 of 1991: Gaz. 19 September 1991, p. 851

No. 254 of 1991: Gaz. 19 December 1991, p. 19347

No. 255 of 1991: Gaz. 19 December 1991, p. 19358

No. 8 of 1992: Gaz. 30 January 1992, p. 2809

No. 102 of 1992: Gaz. 25 June 1992, p. 192110

No. 13 of 1993: Gaz. 18 February 1993, p. 62811

No. 185 of 1993: Gaz. 12 August 1993, p. 84012

1 Came into operation (except reg. 3 and clauses 1-6 and 8 of the schedule) 1 February 1989; remainder came into operation 1 March 1989: reg. 4

2 Came into operation 1 September 1989: reg. 2.

3 Came into operation 1 April 1990: reg. 2.

4 Came into operation 1 November 1990: reg. 2.

5 Came into operation 1 December 1990: reg. 2.

6 Came into operation 1 July 1991: reg. 2.

7 Came into operation 1 January 1992: reg. 2.

8 Came into operation 1 January 1992: reg. 2.

9 Came into operation 1 February 1992: reg. 2.

10 Came into operation 1 July 1992: reg. 2.

11 Came into operation 18 February 1993: reg. 2.

12 Came into operation 16 August 1993: reg. 2.

Citation

1. These regulations may be cited as the Recognized Hospitals and Incorporated Health Centres (Compensable and Non-Medicare Patients) Fees Regulations, 1989.

Revocation of part of existing regulations

2. Regulation 9 of the Recognized Hospitals and Incorporated Health Centres Compensable Patients Charges Regulations, 1981 (see Gazette, 27 August, 1981, p. 705) and the seventh schedule to those regulations are revoked.

Later revocation of remainder of existing regulations

3. (1) The remaining provisions of the Recognized Hospitals and Incorporated Health Centres Compensable Patients Charges Regulations, 1981, are revoked.

(2) This regulation will come into operation on 1 March, 1989.

Commencement

4. (1) Subject to regulation 3 and this regulation, these regulations will come into operation on 1 February, 1989.

(2) Clauses 1 to 6 (inclusive) and 8 of the schedule will come into operation on

1 March, 1989.

Interpretation

5. In these regulations—

"compensable patient" means a person receiving services from a recognized hospital or incorporated health centre who is, or may be, entitled to payment, or has received payment, by way of compensation in respect of the injury, illness or disease for which the patient is receiving services:

"in-patient" means a person who is admitted as a patient of a recognized hospital or incorporated health centre and is not discharged until a day subsequent to the day of admission:

"long stay in-patient" means an in-patient who is certified by a legally qualified medical

practitioner as a patient who is unlikely to recover sufficiently to be discharged:

"Medicare patient" means a patient who is an eligible person for the purposes of receiving

medical benefits under the Health Insurance Act 1973 of the Commonwealth:

"prescription item" means—

(a)	a pharmaceutical or other item supplied on the prescription of a medical practitioner, dentist or other person authorized to prescribe the item;
or
(b)	an ancillary item required for the administration of such pharmaceutical or other item:

"private patient" means a patient of a recognized hospital or incorporated health centre who

receives medical or diagnostic services from a medical practitioner selected by the patient:

"same day patient" means a person who is admitted as a patient of a recognized hospital or

incorporated health centre and is discharged on the day of admission:

"teaching hospital" means—

(a)	Royal Adelaide Hospital;
(b)	The Queen Elizabeth Hospital Inc.;
(c)	Flinders Medical Centre;
(d)	Modbury Hospital;
(e)	Adelaide Medical Centre for Women and Children;
(f)	Lyell McEwin Health Service.

Fees to be charged

6. (1) The fee to be charged by a recognized hospital or incorporated health centre for a service of a kind set out in the schedule (other than in clause 7) provided to a compensable patient or to a patient who is not a Medicare patient is as set out in the schedule.

(2) The maximum fee that a recognized hospital or incorporated health centre may charge for a service of a kind referred to in clause 7 of the schedule provided to a compensable patient or to a patient who is not a Medicare patient is as set out in that clause.

Remission of fees

7. A recognized hospital or incorporated health centre may remit the whole or part of a fee payable to it under these regulations in order to alleviate financial hardship.

SCHEDULE

Fees

SERVICE

FEE

$

1. TEACHING HOSPITAL

(a)

in-patient (except long stay in-patient)—

(i)	accommodation fee—per day. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..	510
(ii)	professional service fee*—per day. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..	230

(b)

long stay in-patient—

(i) accommodation fee—per day. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 250

(ii) professional service fee*—per day. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 55

(c)

same day patient—

(i)	accommodation fee. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .	255
(ii)	professional service fee*. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .	230

(d)

other patient—

(i) attendance involving a service provided by a

medical practitioner (except radiology or pathology) .. .. .. .. .. .. .. .. .. .. 170

(ii)              attendance involving a service provided by a person

who is not a medical practitioner (except radiology or pathology). .. .. .. .. .. 120

(iii)             supply of prescription items—per item. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 13

2. OTHER RECOGNIZED HOSPITAL

(a)	in-patient (except long stay in-patient)—
(i) accommodation fee—per day. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 390
(ii) professional service fee*—per day. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 90
(b)	long stay in-patient—
(i) accommodation fee—per day. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 210
(ii) professional service fee*—per day. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 46
(c)	same day patient—
(i) accommodation fee. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 195
(ii) professional service fee*. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 90
(d)	other patient—
(i) attendance involving a service provided by a

medical practitioner (except radiology or pathology) .. .. .. .. .. .. .. .. .. .. 110

(ii)              attendance involving a service provided by a person who is not a medical practitioner (except radiology or pathology). .. .. .. 90

(iii)             supply of prescription items—per item. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 13

3. SOUTH AUSTRALIAN MENTAL HEALTH SERVICE

In-patient accommodation fee—per day. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 270

4. HAMPSTEAD CENTRE NURSING HOME

In-patient accommodation fee—per day. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 234

5. INTELLECTUALLY DISABLED SERVICES COUNCIL INC.

(a)	STRATHMONT CENTRE
In-patient accommodation fee—per day. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 163
(b)	OTHER
In-patient or resident accommodation fee—per day. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 234

6. JULIA FARR CENTRE

(a)	Head Injury Service—
(i) in-patient:

(A)	Rotary Ward A accommodation fee—per day. .. .. .. .. .. .. .. .. .. .	234
(B)	Rotary Ward B accommodation fee—per day. .. .. .. .. .. .. .. .. .. .	296

professional service fee*—per day. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 76

(ii)              Rehabilitation Service:

(A) up to 4 hours in any one day. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 56

(B) more than 4 hours in any one day .. .. .. .. .. .. .. .. .. .. .. .. .. .. 117

(b)

Other Service—

In-patient accommodation fee—per day. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 234

7.

HOSPITAL (ALFREDA REHABILITATION)

THE REHABILITATION SERVICE PROVIDED BY LYELL McEWIN HEALTH SERVICE

INDEPENDENT LIVING CENTRE OF SOUTH AUSTRALIA INC.

THE REHABILITATION SERVICE PROVIDED BY THE HAMPSTEAD CENTRE

THE REHABILITATION SERVICE PROVIDED BY QUEEN ELIZABETH HEALTH SERVICES INC.

(a)	assessment for the development of a rehabilitation programme where the assessment is conducted by—
(i) a medical practitioner—per hour of attendance by the patient (maximum fee). .. 110
(ii) a person who is not a medical practitioner—per hour of attendance by the patient

(maximum fee) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 85

(b)	assessment for the purposes of monitoring a rehabilitation programme where the assessment is conducted by—
(i) a medical practitioner—per hour of attendance by the patient (maximum fee). .. 110
(ii) a person who is not a medical practitioner—per hour of attendance by the patient

(maximum fee) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 85

(c)	treatment forming part of a rehabilitation programme where the treatment is provided by—
(i) a medical practitioner—per hour of attendance by the patient (maximum fee). .. 110
(ii) a person who is not a medical practitioner—per hour of attendance by the patient—

(A)	for individual treatment (maximum fee). .. .. .. .. .. .. .. .. .. .. .. .. 85
(B)	for treatment as one of a group of patients (maximum fee). .. .. .. .. .. . 35
(C)	at a Health Education Course (maximum fee). .. .. .. .. .. .. .. .. .. .. 35
(D)	for the purposes of a rehabilitation service of any other kind (maximum fee) 35

(d) employment or potential employment, including discussions on behalf of the patient with the

services provided in connection with a rehabilitation programme relating to the patient’s (maximum fee). .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 85

8. ALL RECOGNIZED HOSPITALS AND INCORPORATED HEALTH CENTRES

Domiciliary maintenance and care visit—

(a)	attendance involving a service provided by a medical practitioner, registered nurse or other health professional (other than a paramedical aide)—per visit. .. .. .. .. .. .. .. .. .. .. .. 56
(b)	any other attendance—per visit. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 25

* A professional service fee is not payable by a private patient.

APPENDIX

Legislative History

Regulation 5:

definition of "compensable patient" varied by 254, 1991, reg. 3

definition of "prescription item" inserted by 79, 1991, reg. 3

definition of "teaching hospital" varied by 111, 1989, reg. 2

Regulation 6:

varied and redesignated as reg. 6(1) by 185, 1993, reg. 3

Regulation 6(2):

inserted by 185 of 1993 reg. 3(b)

The Schedule:

varied by 166, 1989, reg. 3; 170, 1989, reg. 2; 40, 1990, reg. 3; 221, 1990, reg. 3; 229, 1990, reg. 3; 79, 1991, reg. 4; 196, 1991, reg. 2; 225, 1991, reg. 3; 8, 1992, reg. 3; 102, 1992, reg. 3; 13, 1993, reg. 3; substituted by 185, 1993, reg. 4