South Australian Health Commission (Compensable and Non-Medicare Patients Fees) Regulations 2004 (SA)
South Australia
South Australian Health Commission (Compensable and Non-Medicare Patients Fees) Regulations 2004
under the South Australian Health Commission Act 1976
Contents
Part 1—Preliminary
Short title
Interpretation
Part 2—Determination of fees
Fees
Waiver or remission of fees
Schedule 1—Recognised hospitals: fees for admitted patients
Interpretation
Determination of applicable AR-DRG
Standard fee for admitted patients
Fee for rehabilitation or maintenance care
Medical or diagnostic services not included in fees for private patients
Retrieval fee (admitted patients)
Transportation fee
Tables
Schedule 2—Recognised hospitals: fees for non-admitted patients
Interpretation
Fee for emergency department or emergency occasion of service
Fee for outpatient occasion of service
Fee for outpatient group occasion of service
Fee for outreach occasion of service
Additional fees
Retrieval fee (non-admitted patients)
Transportation fee
Tables
Schedule 3—Recognised hospitals and incorporated health centres: accommodation, rehabilitation, domiciliary care, transportation and related fees
Schedule 3A—Recognised hospitals: Australian Cranio Facial Unit and related fees
Interpretation
Fee for SAG patient
Fee for aliquot patient
Schedule 4—Classification of recognised hospitals
Legislative history
Part 1—Preliminary
1—Short title
These regulations may be cited as the South Australian Health Commission (Compensable and Non-Medicare Patients Fees) Regulations 2004.
3—Interpretation
In these regulations, unless the contrary intention appears—
Act means the South Australian Health Commission Act 1976;
admission means the formal administrative process of a recognised hospital or incorporated health centre by which a patient commences a period of treatment, care and accommodation in the hospital or health centre;
admitted, in relation to a patient, means a patient who has undergone the formal admission process of a recognised hospital or incorporated health centre;
compensable patient means a patient receiving services from a recognised 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 those services;
day means 24 hours (whether a continuous period or in aggregate);
discharge means the formal administrative process of a recognised hospital or incorporated health centre by which a patient ceases a period of treatment, care and accommodation in that hospital or health centre;
discharged, in relation to a patient, means a patient who has undergone the formal discharge process of a recognised hospital or incorporated health centre;
health professional includes a person employed to provide training or instruction to patients or their carers in relation to patient treatment and care;
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;
non-admitted, in relation to a patient, means a patient who is not an admitted patient;
outreach service, in relation to a recognised hospital, means treatment or care provided by the hospital to a non-admitted patient at a location outside the hospital premises (being treatment or care provided as a direct substitute for treatment or care that would normally be provided on the hospital premises);
patient means a person to whom a recognised hospital or incorporated health centre provides treatment or care (including outreach services or domiciliary maintenance and care);
private, in relation to a patient, connotes that the patient receives medical or diagnostic services from a medical practitioner selected by the patient;
public, in relation to a patient, connotes that the patient receives medical or diagnostic services from a medical practitioner selected by the recognised hospital or incorporated health centre of which he or she is a patient;
retrieval team means a team of health professionals, at least one of whom is a medical practitioner, with specialist expertise in the treatment and care of seriously ill or seriously injured patients during transportation;
salaried medical officer, in relation to a recognised hospital, means a medical practitioner who is an officer or employee of the hospital.
A reference in these regulations to a facility of a recognised hospital is a reference to the buildings and facilities of the hospital situated at a particular location in the State where the hospital has buildings and facilities at more than one such location.
Part 2—Determination of fees
4—Fees
Subject to subregulations (3) and (4), the fee to be charged by a recognised hospital for services of a kind set out in Schedule 1 provided to an admitted patient—
(a)who is a compensable patient; or
(b)who is not a Medicare patient,
is the fee set out in, or determined in accordance with, that Schedule.
Subject to subregulations (3) and (4), the fee (or, where specified, the maximum fee) to be charged by a recognised hospital for services of a kind set out in Schedule 2 provided to a non-admitted patient—
(a)who is a compensable patient; or
(b)who is not a Medicare patient,
is the fee set out in, or determined in accordance with, that Schedule.
Subject to subregulation (4), the fee (or, where specified, the maximum fee) to be charged by a recognised hospital or incorporated health centre for services of a kind set out in Schedule 3 provided to a patient—
(a)who is a compensable patient; or
(b)who is not a Medicare patient,
is the fee set out in, or determined in accordance with, that Schedule.
The fee to be charged by a recognised hospital for services of a kind set out in Schedule 3A provided to a public patient—
(a)who is not a compensable patient; and
(b)who is not a Medicare patient,
is the fee set out in, or determined in accordance with, that Schedule.
5—Waiver or remission of fees
A recognised hospital or incorporated health centre may waive payment of, or remit, the whole or any part of a fee payable to it under these regulations.
Schedule 1—Recognised hospitals: fees for admitted patients
1—Interpretation
In this Schedule, unless the contrary intention appears—
AR-DRG means Australian Refined Diagnosis Related Group;
leave hour means an hour for which an admitted patient of a recognised hospital is on leave from the hospital without being discharged from the hospital;
maintenance care (formerly Nursing Home Type care) means treatment and care of an admitted patient in which the treatment goal is to prevent deterioration in the patient's health or ability to function and where care over an indefinite period, but not further complex assessment or stabilisation, is required;
Manual means the Australian Refined Diagnosis Related Groups, Version 5.0, Definitions Manual, published in 2002 by the Commonwealth Department of Health and Ageing;
non‑teaching, in relation to a hospital, means a recognised hospital or a facility of a recognised hospital listed in the first column of the table in Schedule 4 whose classification in relation to the provision of services to admitted patients is specified in the fourth column of the table as Non‑teaching;
rehabilitation, or rehabilitation care, means the treatment and care of a patient with an impairment, disability or handicap in which the treatment goal is to improve the ability of the patient to function;
rounded to the nearest hour, in relation to the determination of a number of hours, means that where a number of hours includes a fraction of an hour, the number is to be rounded up to the nearest whole hour if the fraction consists of 30 minutes or more and rounded down to the nearest whole hour (or, where necessary, to zero) if the fraction consists of less than 30 minutes;
teaching, in relation to a hospital, means a recognised hospital or a facility of a recognised hospital listed in the first column of the table in Schedule 4 whose classification in relation to the provision of services to admitted patients is specified in the fourth column of the table as Teaching.
For the purposes of this Schedule—
(a)AR-DRG reference numbers or descriptions are as set out in the Manual; and
(b)terms and abbreviations used in AR-DRG descriptions have the meanings given by the Manual.
A reference in this Schedule to a Table of a specified number in this Schedule is a reference to the Table of that number in clause 9.
2—Determination of applicable AR-DRG
For the purposes of this Schedule, the AR-DRG applicable to a patient must be determined in accordance with the guidelines contained in South Australian Morbidity Coding Standards and Guidelines (Inpatients), effective 1 July 2006, published by the Department of Health.
3—Standard fee for admitted patients
Subject to this Schedule, the fee to be charged by a recognised hospital for a period of treatment, care and accommodation of an admitted patient to whom an AR‑DRG specified in the first and second columns of Table 3 in this Schedule is applicable must be calculated as follows:
where—
(a)the Price is the price specified in the second column of Table 1 in this Schedule according to the hospital classification (teaching or non‑teaching) specified in the first column of the Table; and
(b)the Cost Weight is the cost weight specified in the third, fourth, fifth or sixth column of Table 3 in this Schedule according to the hospital classification (teaching or non‑teaching) and patient classification (public or private) specified in those columns for the AR‑DRG applicable to the patient.
5—Fee for rehabilitation or maintenance care
Despite clause 3, the fee to be charged by a recognised hospital for a period of treatment, care and accommodation of an admitted patient where the treatment and care consists of rehabilitation or maintenance care must be calculated as follows:
where—
(a)the Price is the price specified in the third or fourth column of Table 2 in this Schedule according to the hospital classification (teaching or non‑teaching) specified in those columns, the patient classification (public or private) specified in the first column and the type of treatment or care specified in the second column, of the Table; and
(b)the LOS (length of stay) means the number of hours (rounded to the nearest hour) between—
(i)the admission of the patient to the hospital or, where the patient receives maintenance care, the commencement of maintenance care, whichever is the later; and
(ii)the discharge of the patient from the hospital,
excluding any leave hours (rounded to the nearest hour) for the patient during that period, expressed as a figure in days (including parts of days) and rounded up to the nearest whole day.
6—Medical or diagnostic services not included in fees for private patients
In the case of a private patient, a fee determined in accordance with this Schedule does not include a fee for the cost of medical or diagnostic services provided by a medical practitioner selected by the patient.
7—Retrieval fee (admitted patients)
Where a retrieval team provided by a recognised hospital monitors and treats a seriously ill or seriously injured admitted patient of that or any other recognised hospital during the transportation of the patient to the hospital or to another facility of the hospital, the fee to be charged by the recognised hospital providing the retrieval team is as follows:
Provision of retrieval team—$1 749.
8—Transportation fee
Where, in addition to providing a service referred to in this Schedule, a recognised hospital transports, or arranges for the transportation of, a patient to or from (or between different facilities of) the hospital, the hospital may charge an additional fee equal to the cost to the hospital of providing, or arranging for the provision of, that transportation.
Subclause (1) does not apply to the transportation of a patient with a retrieval team provided by the hospital.
9—Tables
Table 1: Prices
Hospital Classification
Price
Teaching Hospital
$4 785
Non‑teaching Hospital
$3 272
Table 2: Rehabilitation and Maintenance Care Fees
Public or Private Patient
Type of Treatment
Price (per day)
Teaching Hospital
Non‑teaching Hospital
Public
Maintenance care
$233
$233
Private
Maintenance care
$229
$229
Public
Rehabilitation—Spinal
$1 280
$1 176
Private
Rehabilitation—Spinal
$1 184
$1 088
Public
Rehabilitation—Stroke, Acquired Brain Injury, Amputee
$747
$686
Private
Rehabilitation—Stroke, Acquired Brain Injury, Amputee
$691
$635
Public
Rehabilitation—Other
$535
$491
Private
Rehabilitation—Other
$495
$454
Table 3: Cost Weight Table for All Recognised Hospitals
Schedule 2—Recognised hospitals: fees for non-admitted patients
1—Interpretation
In this Schedule, unless the contrary intention appears—
disposition category, in relation to a non-admitted patient of a recognised hospital, means the disposition category of the patient following an occasion of service provided by an emergency department of the hospital, being one of the following:
(a)admitted—where the patient is admitted to the recognised hospital, transferred to another recognised hospital or provided with outreach services;
(b)died—where the patient dies in the emergency department after treatment or care has commenced (this excludes patients who are dead on arrival at the hospital);
(c)home—where the patient (not being a patient referred to in paragraph (a) or (b)) leaves the emergency department after treatment or care has commenced (whether or not treatment or care has been completed);
emergency department, in relation to a recognised hospital, means a designated accident and emergency department of the hospital that provides emergency treatment and care to non-admitted patients;
emergency department service means treatment or care provided by an emergency department of a recognised hospital;
emergency occasion of service means an occasion of service in which emergency treatment or care is provided by a recognised hospital or facility of a recognised hospital;
group occasion of service, in relation to outpatient services provided by a recognised hospital to a non-admitted patient, means each occasion on which—
(a)the same treatment or care is provided by the outpatient clinic to two or more patients; or
(b)treatment or care by more than one medical practitioner or other health professional is provided by the clinic to the same patient;
occasion of service, in relation to services provided by a recognised hospital, means each occasion on which treatment or care is provided by the hospital to a non-admitted patient and includes any diagnostic or imaging services (other than Magnetic Resonance Imaging) performed as part of that treatment or care;
outpatient clinic, in relation to a recognised hospital, means a designated outpatient clinic of the hospital that provides non-emergency treatment and care (usually by appointment) to non-admitted patients;
outpatient service means treatment or care provided by the outpatient clinic of a recognised hospital;
outreach occasion of service means an occasion of service in which outreach services are provided by a recognised hospital;
prescription item means—
(a)a pharmaceutical or other item supplied on the prescription of a medical practitioner, dentist or other person authorised to prescribe the item; or
(b)an ancillary item required for the administration of such pharmaceutical or other item;
SMO means salaried medical officer;
specialist, teaching, other metropolitan, country A&E SMO, large country and other country, in relation to the emergency department or outpatient classification of a recognised hospital or facility of a recognised hospital, means a hospital or facility referred to in the first column of the Table in Schedule 4 whose emergency department or outpatient classification is identified in the second or third columns of that Table as specialist, teaching, other metropolitan, country A&E SMO, large country or other country, as the case may be;
triage, in relation to a non-admitted patient of a recognised hospital, means an assignment by the hospital to the patient of a classification of the level of urgency of the treatment required by the patient on an occasion of service in an emergency department of the hospital, determined in accordance with the following scale:
(a)triage 1—Resuscitation, where the patient requires treatment within seconds;
(b)triage 2—Emergency, where the patient requires treatment within 10 minutes;
(c)triage 3—Urgent, where the patient requires treatment within 30 minutes;
(d)triage 4—Semi-urgent, where the patient requires treatment within 60 minutes;
(e)triage 5—Non-urgent, where the patient requires treatment within 120 minutes.
A reference in this Schedule to a Table of a specified number in this Schedule is a reference to the Table of that number in clause 9.
2—Fee for emergency department or emergency occasion of service
The fee to be charged by a recognised hospital for an occasion of service provided by an emergency department of the hospital to a non-admitted patient must be calculated as follows:
where—
(a)the ED Price is the price specified in the second or third column of Table 1 in this Schedule (according to the classification of the patient as public or private) for an emergency department service; and
(b)the ED Cost Weight is the cost weight specified in the third, fourth, fifth, sixth or seventh column (according to the emergency department classification of the hospital or hospital facility providing the service) of Table 2 in this Schedule for the disposition category and triage of the patient specified in the first and second columns of the Table.
Where the emergency department classification of a recognised hospital or facility of a recognised hospital is other country, the fee to be charged by the recognised hospital for an emergency occasion of service provided by the hospital or facility to a non-admitted patient must be calculated as follows:
where—
(a)the ED Price is the price specified in the second or third column of Table 1 in this Schedule (according to the classification of the patient as public or private) for an emergency department service; and
(b)the Emergency Service Cost Weight is 0.406.
3—Fee for outpatient occasion of service
The fee to be charged by a recognised hospital for an occasion of service provided by an outpatient clinic of the hospital to a non-admitted patient must be calculated as follows:
where—
(a)the OP Price is the price specified in the second or third column of Table 1 in this Schedule (according to the classification of the patient as public or private) for an outpatient service; and
(b)the OP Cost Weight is the cost weight specified in the second, third, fourth, fifth or sixth column (according to the outpatient classification of the hospital or hospital facility providing the service) of Table 3 in this Schedule for the category of the treatment or care provided that is specified in the first column of the Table.
4—Fee for outpatient group occasion of service
The fee to be charged by a recognised hospital for a group occasion of service provided by an outpatient clinic of the hospital to a non-admitted patient must be calculated as follows:
where—
(a)the OP Price is the price specified in the second or third column of Table 1 in this Schedule (according to the classification of the patient as public or private) for an outpatient service; and
(b)the OP Cost Weight is the cost weight specified in the second, third, fourth, fifth or sixth column (according to the outpatient classification of the hospital or hospital facility providing the service) of Table 4 in this Schedule for the category of treatment or care provided that is specified in the first column of the Table.
5—Fee for outreach occasion of service
The fee to be charged by a recognised hospital for an outreach occasion of service provided by the hospital to a non-admitted patient must be calculated as follows:
where—
(a)the Outreach Price is the price specified in the second or third column of Table 1 in this Schedule (according to the classification of the patient as public or private) for an outreach service; and
(b)the Outreach Cost Weight is the cost weight specified in the second column of Table 5 in this Schedule for the category of the treatment or care provided that is specified in the first column of the Table.
6—Additional fees
The fees specified below (payable in addition to any other fee prescribed in this Schedule for an occasion of service) are to be charged by a recognised hospital for the provision to a non-admitted patient of the services specified:
(a)Magnetic Resonance Imaging (maximum fee per scan)—$627.20;
(b)supply of prescription item (per item)—$24.60.
7—Retrieval fee (non-admitted patients)
Where a retrieval team provided by a recognised hospital monitors and treats a seriously ill or seriously injured patient (who is not an admitted patient of that or any other recognised hospital) during the transportation of the patient to the hospital, the fee to be charged by the recognised hospital providing the retrieval team is as follows:
Provision of retrieval team—$1 749.
8—Transportation fee
Where, in addition to providing a service referred to in this Schedule, a recognised hospital transports, or arranges for the transportation of, a non-admitted patient to or from (or between different facilities of) the hospital, the hospital may charge an additional fee equal to the cost to the hospital of providing, or arranging for the provision of, that transportation.
Subclause (1) does not apply to the transportation of a patient with a retrieval team provided by the hospital.
9—Tables
Table 1: Non‑admitted Patient Prices
Type of Service
Price
Public Patient
Private Patient
Emergency Department
$198
$147
Outpatient
$159
$79
Outreach
$153
$77
Table 2: Emergency Department (ED) Weights
Patient Classification
Hospital or Facility ED Classification
Disposition
Triage
Specialist
Teaching
Other Metro
Country A&E SMO
Large Country
HOME
1
2.213
2.137
1.165
1.165
0.632
HOME
2
1.481
2
1.935
1.935
1.245
HOME
3
1.361
1.735
1.877
1.877
1.044
HOME
4
1.258
1.43
1.421
1.421
0.901
HOME
5
1.166
1.152
1.217
1.217
0.75
ADMITTED
1
6.112
5.379
2.272
2.272
2.77
ADMITTED
2
2.071
2.87
1.565
1.565
1.321
ADMITTED
3
1.723
2.623
1.521
1.521
1.157
ADMITTED
4
1.638
2.247
1.282
1.282
0.953
ADMITTED
5
0.929
2.247
1.286
1.286
0.88
DIED
1
2.988
2.988
2.988
2.988
1.247
DIED
2
2.988
2.988
2.988
2.988
1.247
DIED
3
2.988
2.988
2.988
2.988
1.247
DIED
4
2.988
2.988
2.988
2.988
1.247
DIED
5
2.988
2.988
2.988
2.988
1.247
Table 3: Outpatient (OP) Weights
Table 4: Outpatient (OP) Group Weights
Table 5—Outreach Weights
Treatment or Care
Outreach
Acc & Emergency
1.83
Allied Health
0.68
Dental
0.88
Groups
1.12
Medical
1.1
Obstet & Gynae
0.69
Paediatrics
0.79
Psychiatry
1.03
Radiology
1
Surgical
0.57
Schedule 3—Recognised hospitals and incorporated health centres: accommodation, rehabilitation, domiciliary care, transportation and related fees
| 1—Glenside Hospital, Hillcrest Hospital (Howard House) | ||
| Fee for inpatient accommodation—per day or part day | $426.00 | |
| 2—Hampstead Centre | ||
| Head Injury Service— | ||
| (a) Inpatient— | ||
| (i) inpatient accommodation fee—per day or part day | $785.00 | |
| (ii) professional service fee (not payable by private patient)—per day or part day | $55.00 | |
| (b) Rehabilitation service for non-admitted patients— | ||
| (i) assessment or treatment provided by a medical practitioner, per hour of attendance by the patient (maximum fee) | $169.00 | |
| (ii) individual assessment or treatment provided by a person who is not a medical practitioner, per hour of attendance by the patient (maximum fee) | $127.00 | |
| (iii) treatment as one of a group of patients provided by a person who is not a medical practitioner, per hour of attendance by the patient (maximum fee) | $53.50 | |
| 4—All recognised hospitals and incorporated health centres | ||
| (1) | Domiciliary maintenance and care visit— | |
| (a) attendance involving a service provided by a medical practitioner or other health professional (other than a paramedical aide)—per visit | $80.00 | |
| (b) any other attendance—per visit | $35.75 | |
| (2) | Where, in addition to providing a service referred to in this Schedule, a recognised hospital or incorporated health centre transports, or arranges for the transportation of, a patient to or from (or between different facilities of) the hospital or health centre, the hospital or health centre may charge an additional fee equal to the cost to the hospital or health centre of providing, or arranging for the provision of, that transportation | |
| (3) | Subclause (2) does not apply to the transportation of a patient with a retrieval team provided by a recognised hospital where a retrieval fee for the provision of such a team by the hospital during transportation is applicable under Schedule 1 or 2 | |
Schedule 3A—Recognised hospitals: Australian Cranio Facial Unit and related fees
1—Interpretation
In this Schedule, unless the contrary intention appears—
aliquot public non-Medicare patient (aliquot patient) means a public patient—
(a)who is not a compensable patient or Medicare patient; and
(b)who the Australian Cranio Facial Unit has undertaken in writing to admit for specified treatment or care as an aliquot patient for a specified fee;
Australian Cranio Facial Unit means the Australian Cranio Facial Unit of the Women's and Children's Hospital;
occasion of service means an occasion on which treatment or care is provided to a non-admitted patient and includes any diagnostic or imaging services performed as part of that treatment or care;
South Australian Government Funded public non-Medicare patient (SAG patient) means a public patient—
(a)who is not a compensable or Medicare patient; and
(b)who the Australian Cranio Facial Unit has undertaken in writing to admit for specified treatment or care as a SAG patient for no fee;
Women's and Children's Hospital means the Women's and Children's Hospital facility of the Children, Youth and Women's Health Service Incorporated.
2—Fee for SAG patient
No fee is to be charged by a recognised hospital for Australian Cranio Facial Unit or related treatment or care of a South Australian Government Funded public non-Medicare patient.
In this clause—
Australian Cranio Facial Unit or related treatment or care, in relation to a SAG patient, means the following:
(a)a period of treatment, care and accommodation of an admitted patient by the Australian Cranio Facial Unit, or an occasion of service provided to a non-admitted patient by that Unit, where the treatment, care and accommodation, or occasion of service, forms part of the treatment or care for which the patient was admitted as a SAG patient;
(b)a period of treatment, care and accommodation of an admitted patient by a recognised hospital, or an occasion of service provided to a non-admitted patient by a recognised hospital, where the treatment, care and accommodation, or occasion of service, is arranged by the Australian Cranio Facial Unit and is related to treatment or care of the patient by that Unit;
(c)accommodation for a patient between or following admissions or occasions of service referred to above where the Australian Cranio Facial Unit determines that it is necessary for the proper treatment and care of the patient for the patient to remain in this State during that period;
(d)accommodation for one escort of a patient while the patient is an admitted patient of a recognised hospital or during a period referred to in paragraph (c);
(e)transportation of a patient between recognised hospitals or between different facilities of a recognised hospital,
but does not include the following:
(f)the provision of meals to an escort of a patient;
(g)the provision of meals to a patient other than while he or she is an admitted patient;
(h)transportation of a patient or escort to or from a recognised hospital (other than as specified in paragraph (e)).
3—Fee for aliquot patient
The fee to be charged by a recognised hospital for Australian Cranio Facial Unit treatment or care of an aliquot public non-Medicare patient is $27 218.
In this clause—
Australian Cranio Facial Unit treatment or care, in relation to an aliquot patient, means the following:
(a)a period of treatment, care and accommodation of an admitted patient by the Australian Cranio Facial Unit, or an occasion of service provided to a non-admitted patient by that Unit, where the treatment, care and accommodation, or occasion of service, forms part of the treatment or care for which the patient was admitted as an aliquot patient;
(b)a period of treatment, care and accommodation of an admitted patient by any other part of the Women's and Children's Hospital, or an occasion of service provided to a non-admitted patient by any other part of that Hospital, where the treatment, care and accommodation, or occasion of service, is arranged by the Australian Cranio Facial Unit and is related to treatment or care of the patient by that Unit;
(c)accommodation for a patient between or following admissions or occasions of service referred to above where the Australian Cranio Facial Unit determines that it is necessary for the proper treatment and care of the patient for the patient to remain in this State during that period;
(d)accommodation for one escort of a patient while the patient is an admitted patient of the Women's and Children's Hospital (whether in the Australian Cranio Facial Unit or otherwise) or during a period referred to in paragraph (c),
but does not include the following:
(e)the provision of meals to an escort of a patient;
(f)the provision of meals to a patient other than while he or she is an admitted patient of the Women's and Children's Hospital (whether in the Australian Cranio Facial Unit or otherwise);
(g)any transportation of a patient or escort.
Schedule 4—Classification of recognised hospitals
Hospital classifications for emergency department (ED) services, outpatient (OP) services and services to admitted patients
| Recognised hospital or facility | ED type | OP type | Admitted type |
| Central Northern Adelaide Health Service Incorporated (CNA) | |||
| • CNA Crammond Clinic facility | Teaching | Teaching | Non-teaching |
| • CNA Hampstead Rehabilitation facility | Teaching | Teaching | Non-teaching |
| • CNA Lyell McEwin Health Service facility | Teaching | Teaching | Non-teaching |
| • CNA Royal Adelaide Hospital facility | Teaching | Teaching | Teaching |
| • CNA St Margaret's Rehabilitation Hospital facility | Other Metro | Other Metro | Non-teaching |
| • CNA The Queen Elizabeth Hospital facility | Teaching | Teaching | Teaching |
| • CNA Modbury Hospital facility | Teaching | Teaching | Non-teaching |
| Children, Youth and Women's Health Service Incorporated (CYW) | |||
| • CYW Women's and Children's Hospital facility (Paediatric) | Specialist | Specialist | Teaching |
| • CYW Women's and Children's Hospital facility (Women's) | Other Metro | Teaching | Teaching |
| Gawler Health Service Incorporated | Other Country | Large Country | Non-teaching |
| Repatriation General Hospital Incorporated | Other Metro | Teaching | Non-teaching |
| Southern Adelaide Health Service Incorporated (SAdel) | |||
| • SAdel Flinders Medical Centre facility | Teaching | Teaching | Teaching |
| • SAdel Noarlunga Health Service facility | Other Metro | Other Metro | Non-teaching |
| Balaklava and Riverton Districts Health Service Incorporated | Other Country | Other Country | Non-teaching |
| Barossa Area Health Services Incorporated | Other Country | Other Country | Non-teaching |
| Booleroo Centre District Hospital and Health Services Incorporated | Other Country | Other Country | Non-teaching |
| Bordertown Memorial Hospital Incorporated | Other Country | Other Country | Non-teaching |
| Burra Clare Snowtown Health Service Incorporated | Other Country | Other Country | Non-teaching |
| Ceduna District Health Services Incorporated | Other Country | Other Country | Non-teaching |
| Central Yorke Peninsula Hospital Incorporated | Other Country | Other Country | Non-teaching |
| Coober Pedy Hospital and Health Services | Other Country | Other Country | Non-teaching |
| Crystal Brook District Hospital Incorporated | Other Country | Other Country | Non-teaching |
| Eastern Eyre Health and Aged Care Incorporated | Other Country | Other Country | Non-teaching |
| Eudunda and Kapunda Health Service Incorporated | Other Country | Other Country | Non-teaching |
| Hawker Memorial Hospital Incorporated | Other Country | Other Country | Non-teaching |
| Kangaroo Island Health Service | Other Country | Other Country | Non-teaching |
| Kingston Soldiers Memorial Hospital Incorporated | Other Country | Other Country | Non-teaching |
| Leigh Creek Health Services Incorporated | Other Country | Other Country | Non-teaching |
| Lower Eyre Health Services Incorporated | Other Country | Other Country | Non-teaching |
| Loxton Hospital Complex Incorporated | Other Country | Other Country | Non-teaching |
| Mallee Health Service Incorporated | Other Country | Other Country | Non-teaching |
| Meningie & Districts Memorial Hospital and Health Service Incorp. | Other Country | Other Country | Non-teaching |
| Mid-west Health | Other Country | Other Country | Non-teaching |
| Millicent and District Hospital and Health Services Incorporated | Other Country | Other Country | Non-teaching |
| Mt Barker District Soldiers' Memorial Hospital Incorporated | Other Country | Other Country | Non-teaching |
| Mt Gambier and Districts Health Service Incorporated | Country A&E SMO | Large Country | Non-teaching |
| Murray Bridge Soldiers' Memorial Hospital Incorporated | Other Country | Other Country | Non-teaching |
| Naracoorte Health Service Incorporated | Other Country | Other Country | Non-teaching |
| Northern Adelaide Hills Health Service Incorporated | Other Country | Other Country | Non-teaching |
| Northern Yorke Peninsula Health Service | Other Country | Other Country | Non-teaching |
| Orroroo and District Health Service Incorporated | Other Country | Other Country | Non-teaching |
| Penola War Memorial Hospital Incorporated | Other Country | Other Country | Non-teaching |
| Peterborough Soldiers' Memorial Hospital and Health Service Incorp. | Other Country | Other Country | Non-teaching |
| Pt Augusta Hospital and Regional Health Services Incorporated | Large Country | Large Country | Non-teaching |
| Pt Broughton District Hospital & Health Services Incorporated | Other Country | Other Country | Non-teaching |
| Pt Lincoln Health Services Incorporated | Other Country | Other Country | Non-teaching |
| Pt Pirie Regional Health Service Incorporated | Large Country | Large Country | Non-teaching |
| Quorn Health Services Incorporated | Other Country | Other Country | Non-teaching |
| Renmark Paringa District Hospital Incorporated | Other Country | Other Country | Non-teaching |
| Riverland Regional Health Service Incorporated | Other Country | Other Country | Non-teaching |
| Rocky River Health Service Incorporated | Other Country | Other Country | Non-teaching |
| South Coast District Hospital Incorporated | Other Country | Other Country | Non-teaching |
| Southern Yorke Peninsula Health Service Incorporated | Other Country | Other Country | Non-teaching |
| Strathalbyn & District Health Service | Other Country | Other Country | Non-teaching |
| Tailem Bend District Hospital | Other Country | Other Country | Non-teaching |
| The Jamestown Hospital and Health Service Incorporated | Other Country | Other Country | Non-teaching |
| The Mannum District Hospital Incorporated | Other Country | Other Country | Non-teaching |
| The Whyalla Hospital & Health Service Incorporated | Large Country | Large Country | Non-teaching |
| Waikerie Health Services Incorporated | Other Country | Other Country | Non-teaching |
Legislative history
Notes
•Variations of this version that are uncommenced are not incorporated into the text.
•Please note—References in the legislation to other legislation or instruments or to titles of bodies or offices are not automatically updated as part of the program for the revision and publication of legislation and therefore may be obsolete.
•Earlier versions of these regulations (historical versions) are listed at the end of the legislative history.
•For further information relating to the Act and subordinate legislation made under the Act see the Index of South Australian Statutes or of regulations
The South Australian Health Commission (Compensable and Non-Medicare Patients Fees) Regulations 2004 were revoked by Sch 3 cl 1(g) of the Health Care Regulations 2008 on 1.7.2008.
Legislation revoked by principal regulations
The South Australian Health Commission (Compensable and Non-Medicare Patients Fees) Regulations 2004 revoked the following:
South Australian Health Commission (Recognised Hospital and Incorporated Health Centre—Compensable and Non-Medicare Patients Fees) Regulations 1995
Principal regulations and variations
Year No Reference Commencement 2004 225 Gazette 28.10.2004 p4093 1.11.2004: r 2 2005 44 Gazette 26.5.2005 p1379 1.7.2005: r 2 2006 8 Gazette 19.1.2006 p288 19.1.2006: r 2 2006 100 Gazette 15.6.2006 p1751 1.7.2006: r 2 2007 109 Gazette 7.6.2007 p2439 1.7.2007: r 2 2008 15 Gazette 14.2.2008 p502 1.3.2008: r 2 2008 120 Gazette 5.6.2008 p2101 1.7.2008: r 2 Provisions varied
Entries that relate to provisions that have been deleted appear in italics.
Provision How varied Commencement r 2 omitted under the Legislation Revision and Publication Act 2002 1.7.2005 r 4 r 4(1) varied by 8/2006 r 4(1) 19.1.2006 r 4(2) varied by 8/2006 r 4(2) 19.1.2006 r 4(3) varied by 8/2006 r 4(3) 19.1.2006 r 4(4) inserted by 8/2006 r 4(4) 19.1.2006 Sch 1 cl 1 cl 1(1) FFS deleted by 15/2008 r 4(1) 1.3.2008 inlier patient deleted by 15/2008 r 4(1) 1.3.2008 length of stay deleted by 15/2008 r 4(1) 1.3.2008 long stay outlier patient deleted by 15/2008 r 4(1) 1.3.2008 the Manual deleted by 15/2008 r 4(3) 1.3.2008 Manual inserted by 15/2008 r 4(2) 1.3.2008 Non-FFS deleted by 15/2008 r 4(2) 1.3.2008 non-teaching inserted by 15/2008 r 4(2) 1.3.2008 overnight stay deleted by 15/2008 r 4(2) 1.3.2008 same day deleted by 15/2008 r 4(3) 1.3.2008 teaching inserted by 15/2008 r 4(3) 1.3.2008 cl 2 varied by 15/2008 r 4(4) 1.3.2008 cl 3 substituted by 15/2008 r 4(5) 1.3.2008 cl 4 deleted by 15/2008 r 4(5) 1.3.2008 cl 5 varied by 15/2008 r 4(6), (7) 1.3.2008 cl 7 varied by 15/2008 r 4(8) 1.3.2008 cl 9 Tables 1, 2 and 3 substituted by 15/2008 r 4(9) 1.3.2008 Sch 2 cl 2 cl 2(1) varied by 15/2008 r 5(1) 1.3.2008 cl 2(2) varied by 15/2008 r 5(2) 1.3.2008 cl 3 varied by 15/2008 r 5(3) 1.3.2008 cl 4 varied by 15/2008 r 5(4) 1.3.2008 cl 5 varied by 15/2008 r 5(5) 1.3.2008 cl 6 varied by 15/2008 r 5(6), (7) 1.3.2008 cl 7 varied by 15/2008 r 5(8) 1.3.2008 cl 9 Table 1 substituted by 15/2008 r 5(9) 1.3.2008 Table 3 substituted by 15/2008 r 5(10) 1.3.2008 Table 5 varied by 8/2006 r 5 19.1.2006 Sch 3 before substitution by 100/2006 substituted by 44/2005 r 4 1.7.2005 heading varied by 8/2006 r 6(1) 19.1.2006 cl 5 cl 5(1) cl 5 redesignated as cl 5(1) by 8/2006 r 6(2) 19.1.2006 cl 5(2) and (3) inserted by 8/2006 r 6(2) 19.1.2006 Sch 3 substituted by 100/2006 r 4 1.7.2006 substituted by 109/2007 r 4 1.7.2007 cl 3 deleted by 15/2008 r 6 1.3.2008 Sch 3A inserted by 8/2006 r 7 19.1.2006 cl 3 cl 3(1) varied by 100/2006 r 5 1.7.2006 varied by 109/2007 r 5 1.7.2007 Sch 4 substituted by 15/2008 r 7 1.3.2008 Sch 5 omitted under the Legislation Revision and Publication Act 2002 1.7.2005
Transitional etc provisions associated with regulations or variations
South Australian Health Commission (Compensable and Non-Medicare Patients Fees) Variation Regulations 2008 (No 15 of 2008), Sch 1
1—Interpretation
In this Schedule, unless the contrary intention appears—
principal regulations means the South Australian Health Commission (Compensable and Non-Medicare Patients Fees) Regulations 2004.
2—Transitional provisions
Despite regulation 4 of these regulations, the fees prescribed for a period of treatment, care and accommodation of an admitted patient of a recognised hospital for a specified AR‑DRG, by Schedule 1 of the principal regulations, as in force immediately before the commencement of these regulations, continue to apply to such a period of treatment, care and accommodation after the commencement of these regulations if the period began before, and continues after, that commencement.
For the purpose of calculating the fee for a period of rehabilitation or maintenance care for an admitted patient of a recognised hospital under Schedule 1 of the principal regulations where the period began before the commencement of these regulations and continues after that commencement—
(a)clause 5 of Schedule 1 as in force immediately before the commencement of these regulations applies to the portion of the length of stay (LOS) of the patient that occurs before that commencement; and
(b)clause 5 of Schedule 1 as in force after the commencement of these regulations applies to the portion of the length of stay (LOS) of the patient that occurs after that commencement.
Historical versions
| 1.7.2005 |
| 19.1.2006 |
| 1.7.2006 |
| 1.7.2007 |
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