Contents
- Part I Preliminary
- Part II Medicare benefits
- Part IIA Special provisions relating to pathology
- Part IIB Special provisions relating to diagnostic imaging services
- Part IIBA Prohibited practices in relation to pathology services and diagnostic imaging services
- Part IIC Radiation Oncology Register
- Part IV Health program grants
- Part IVAA Payments relating to the former Health and Hospitals Fund
- Part V Incentive payment programs
- Part VA National Rural Health Commissioner
- Part VAA The Professional Services Review Scheme
- Part VB Medicare Participation Review Committees
- Part VC Quality assurance confidentiality
- Part VD Bonded Medical Program
- Part VE Publication of information about professional services
- Part VIA Civil penalties
- Part VII Miscellaneous
Contents
7,445 provisions, too many to show on one page. Open a part or section to read it with its history and connections, or search inside the text.
- Part I · Preliminary
- 1 Short title
- 2 Commencement
- 3 Interpretation
- 3AAA Accreditation of podiatrists
- 3AAB Review by Administrative Review Tribunal
- 3AA Approved pathology practitioners to ensure proper supervision of pathology services
- 3B Meaning of medical entrepreneur
- 3C Health service not specified in an item
- 3D Recognition as specialists of members of certain organisations on advice from the organisation
- 3DA Period of section 3D recognition
- 3DB Alternative method of recognition as a specialist or consultant physician
- 3DC Period of effect of determination
- 3E Recognition as consultant physicians etc. of certain medical practitioners
- 3GA Register of Approved Placements
- 3GB Removal from the Register
- 3GC Use of computer programs to manage Register of Approved Placements
- 4 General medical services table
- 4AAA Multiple general medical services
- 4AA Diagnostic imaging services table
- 4AB Multiple diagnostic imaging services
- 4A Pathology services table
- 4B Multiple pathology services
- 4BAA Conditional specification of services in table items
- 4BA Pathologist-determinable services
- 4BB Prescribed pathology services
- 6 Certain persons in Australia to be treated as eligible persons etc.
- 6A Certain prescribed persons in Australia to be treated as eligible persons etc.
- 7 Agreement for reciprocal treatment of visitors to Australia and other countries
- 7A External Territories
- 7B Application of the Criminal Code
- Part II · Medicare benefits
- 8 Interpretation
- 8A Minister may determine registered family is FTB(A) family
- 9 Medicare benefits calculated by reference to fees
- 10 Entitlement to Medicare benefit
- 10AA Registered families
- 10AB Consequences of altered family composition
- 10AC Safety-net—families
- 10ACA Extended safety-net—families
- 10AD Safety-net—individuals
- 10ADA Extended safety-net—individuals
- 10AE Confirmation of family composition
- 10A Indexation
- 10B Determinations for subsections 10ACA(7A) and 10ADA(8A)
- 14 Medicare benefit not to exceed medical expenses incurred
- 15 Medicare benefit in respect of 2 or more operations
- 16 Administration of anaesthetic and assistance at operation
- 16A Medicare benefits in relation to pathology services
- 16B Medicare benefits in relation to R-type diagnostic imaging services
- 16C Medicare benefits in relation to diagnostic imaging services rendered in contravention of State or Territory laws
- 16D Medicare benefits not payable for certain diagnostic imaging services: registration
- 16E Medicare benefit is payable once a suspension of a registration is lifted
- 16EA Medicare benefits not payable for certain diagnostic imaging services: accreditation
- 16F Medicare benefits not payable for certain radiation oncology services
- 16G Medicare benefit is payable once a suspension of a registration is lifted
- 17 Medicare benefits not payable in respect of certain medical expenses
- 19 Medicare benefit not payable in respect of certain professional services
- 19AA Medicare benefits not payable in respect of services rendered by certain medical practitioners
- 19AB Medicare benefits not payable in respect of services rendered by certain overseas trained doctors etc.
- 19ABA Medicare benefits not payable in respect of services rendered by doctors who breach certain contracts with the Commonwealth
- 19ABB Waiver of amounts owing by a person who is or was a party to an MRBS contract
- 19ABC Medicare benefits not payable to certain MRBS participants
- 19ABD Reconsideration and review of determination that medicare benefits are not payable to certain MRBS participants
- 19AC Reconsideration and review of decisions under subsection 19AB(3)
- 19AD My Health Record—medicare benefits not payable in respect of certain professional services
- 19AE My Health Record—approval of period during which sharing with the My Health Record system is not required
- 19AF My Health Record—record keeping requirement
- 19AG My Health Record—advance payment before information is shared with the My Health Record system
- 19AH My Health Record—recovery of payments
- 19AI My Health Record—upload rules
- 19B Medicare benefit not payable in respect of services rendered by disqualified practitioners
- 19C Medicare benefit not payable where medical practitioner not authorised to render service
- 19CA Review of decisions
- 19CB Offence in relation to a medical practitioner rendering an unauthorised service
- 19CC Offence in relation to a medical practitioner rendering a service for which a medicare benefit is not payable
- 19D Offences in relation to disqualification of practitioner
- 19DA Offence in relation to deregistered practitioner
- 19DB Offence where approval of premises as accredited pathology laboratory has been revoked
- 20 Persons entitled to medicare benefit
- 20A Assignment of Medicare benefit
- 20AAA Simplified billing assignments: additional matters
- 20AAB Minister may determine categories of professional services
- 20AA Security interest must not be created in medicare benefit
- 20AB Approved billing agents
- 20AC Revoking approvals of billing agents
- 20AD Review of decisions
- 20B Claims for medicare benefit
- 20BA Confirmation of referral to a consultant physician or specialist
- 20BB Confirmation of other referrals
- 21 Meaning of eligible midwife
- 21A Common form of undertaking by eligible midwife
- 21B Undertaking by eligible midwife
- 21C Review and effect of refusal by Minister to accept undertaking by eligible midwife
- 22 Common form of undertaking by eligible nurse practitioner
- 22A Undertaking by eligible nurse practitioner
- 22B Review and effect of refusal by Minister to accept undertaking by eligible nurse practitioner
- Part IIA · Special provisions relating to pathology
- Part IIB · Special provisions relating to diagnostic imaging services
- Division 1 Requests for, and records relating to, diagnostic imaging services
- Division 1A Continuing medical education and quality assurance in respect of providers of diagnostic imaging services
- Division 2 Remote area exemptions
- Division 4 Diagnostic Imaging Register
- Division 5 Diagnostic imaging accreditation
- Part IIBA · Prohibited practices in relation to pathology services and diagnostic imaging services
- Part IIC · Radiation Oncology Register
- 23DZZJ Radiation Oncology Register
- 23DZZK What is a base for mobile radiation oncology equipment?
- 23DZZL What are radiation oncology premises?
- 23DZZM Who may apply for registration?
- 23DZZN Who is a proprietor?
- 23DZZO Application procedure
- 23DZZP Registration
- 23DZZQ Primary information
- 23DZZR Register may be maintained electronically
- 23DZZS Extract of the Register to be made available on request
- 23DZZT Minister may publish an extract of the Register on the internet
- 23DZZU Proprietors to notify the Minister of changes to primary information
- 23DZZV Minister may request further information
- 23DZZW Suspension for failure to comply with a request
- 23DZZX Cancellation for failure to provide information within 3 months after the response period
- 23DZZY Cancellation at the request of the proprietor
- 23DZZZ Cancellation on other grounds
- 23DZZZA Cancellation to be noted on the Register
- 23DZZZB Limits on registration after cancellation under section 23DZZX or 23DZZZ
- 23DZZZC Minister must invite submissions before cancelling registration
- 23DZZZD Application to Administrative Review Tribunal for review of a decision to cancel registration
- 23DZZZE Proprietor of unregistered premises must notify patients that medicare benefit not payable
- 23DZZZF Proprietor of unregistered base must notify patients that medicare benefit not payable
- 23DZZZG Debt recovery where proprietor fails to inform patient that premises or base not registered
- 23DZZZH Application of this Part to partnerships
- Part IV · Health program grants
- 39 Interpretation
- 40 Approval of organizations
- 41 Approval of health services
- 41A Approval of health service development projects
- 42 Entitlement to health program grant
- 42A Entitlement to grant in respect of approved project
- 42B Grants in respect of certain payments made by approved organizations
- 43 Conditions of payment of grants
- 45 Claims for grants
- 46 Advances
- Part IVAA · Payments relating to the former Health and Hospitals Fund
- Part V · Incentive payment programs
- Part VA · National Rural Health Commissioner
- 79AA Object of this Part
- 79AB Simplified outline of this Part
- 79AC National Rural Health Commissioner
- 79AD Functions of the National Rural Health Commissioner
- 79AE Keeping the Rural Health Minister informed
- 79AF Appointment
- 79AG Acting appointments
- 79AH Terms and conditions
- 79AI Remuneration
- 79AJ Leave of absence
- 79AK Other paid work
- 79AL Resignation
- 79AM Termination of appointment
- 79AN Disclosure of interests
- 79AO Application of the finance law
- 79AP Annual report
- 79AQ Minister may give directions to the National Rural Health Commissioner
- 79AR Assistance from APS employees
- 79AS Review of the operation of this Part
- Part VAA · The Professional Services Review Scheme
- Division 1 Preliminary
- Division 2 The Director and Associate Directors of Professional Services Review and the Professional Services Review Panel
- Division 3 Role of Chief Executive Medicare
- Division 3A Review by Director
- Division 4 Professional Services Review Committees
- Division 5 Determining Authority
- Division 5A Referral of professional issues to regulatory and other bodies
- Division 6 Provisions relating to the Director, Associate Directors, Panel members, staff and consultants, the Determining Authority and the provision of services to a Committee or the Authority
- Division 6A Application of the finance law
- Division 7 Miscellaneous
- Part VB · Medicare Participation Review Committees
- 124B Interpretation
- 124BA Application of Part to providers who are not practitioners
- 124C Chairpersons
- 124D Chairperson etc. to be notified if practitioner convicted of relevant offence or civil contravention
- 124E Chairperson to establish Medicare Participation Review Committee
- 124EA Membership of Committees
- 124EB Qualification of members
- 124EC Provision of information to the person in relation to whom a Committee is convened
- 124F Determinations in relation to relevant offences and relevant civil contraventions
- 124FA Committee may add parties to proceedings in relation to breach of undertaking by approved pathology practitioner or approved pathology authority
- 124FB Determinations in relation to breach of undertaking by approved pathology practitioner
- 124FC Determinations in relation to breach of undertaking by approved pathology authority
- 124FD Committee may be established and proceedings may continue after undertaking ceases to be in force
- 124FE Committee may add parties to proceedings in relation to pathology and diagnostic imaging offences and contraventions
- 124FF Determinations in relation to pathology and diagnostic imaging offences and contraventions
- 124G Hearings
- 124H Guidelines relating to making a determination
- 124J Procedure of hearings
- 124K Hearings to be in public except in special circumstances
- 124L Summons to give evidence etc.
- 124M Refusal to be sworn etc.
- 124N Protection of members of Committees etc.
- 124P Contempt
- 124Q Chairperson to give notice of determinations by Committee
- 124R Review by Administrative Review Tribunal
- 124S Giving effect to determinations
- 124T Chairperson to abolish Committee
- 124U Fees and allowances
- Part VC · Quality assurance confidentiality
- 124V Object of this Part
- 124W Interpretation
- 124X Minister may declare quality assurance activity to be an activity to which this Part applies
- 124Y Information about declared quality assurance activity not to be disclosed
- 124Z Minister may authorise disclosure of information about a serious offence
- 124ZB Immunity from suit of members of assessment or evaluation committees
- 124ZC This Part is to complement corresponding State and Territory laws
- Part VD · Bonded Medical Program
- Part VE · Publication of information about professional services
- Part VIA · Civil penalties
- Part VII · Miscellaneous
- 126 Prohibition of certain medical insurance
- 127 Assignor of medicare benefit to be given notifications etc.
- 127A Record-keeping in relation to assignments
- 128 Offences in relation to returns
- 128A False statements relating to medicare benefits etc.
- 128B Knowingly making false statements relating to medicare benefits etc.
- 128C Charging of fees for provision of public hospital services to public patients
- 129 False statements etc.
- 129AA Private hospitals—bribery
- 129AAB Offences against 2 or more provisions
- 129AAC Statements inadmissible as evidence
- 129AACA Notice to give information etc. relevant to Act administration
- 129AACB Consequences of failure to give information etc. relevant to Act administration
- 129AAD Notice to produce documents relating to professional services or incentive payment programs
- 129AADA Requirement to keep documents relating to notice to produce
- 129AAE Civil penalty—failure to comply with requirement in notice
- 129AAF Self-incrimination etc.
- 129AAG Chief Executive Medicare or Departmental employee may deal with documents etc. produced
- 129AAH Notice of decision: no amount recoverable because amounts paid substantiated etc.
- 129AAI Notice of decision: amounts recoverable
- 129AAJ Review of decisions to claim amounts as debts
- 129AAK Recovery of amounts—overpayments in general
- 129AC Recovery of amounts—false or misleading information, failure to produce document etc.
- 129ACA Shared debt determinations
- 129ACB Review of decisions relating to shared debt determinations
- 129AD Recovery of certain determined amounts
- 129AE Recovery of amounts paid in respect of certain diagnostic imaging services
- 129AEA Liability for administrative penalty
- 129AEB Amount of administrative penalty
- 129AEC Notice of administrative penalty and review of assessments
- 129AECA Power to obtain information relating to a debt
- 129AED Waiver and repayment of certain debts arising under the Chronic Disease Dental Scheme
- 129AEE Notice of decision to waive, or not to waive, a debt
- 129AEF Recoverable amounts may be set off
- 129AEG Garnishee notices
- 129AEH Failure to comply with garnishee notice
- 129AF State and Territory authorities to be notified of contraventions of certain laws
- 129A Special arrangements for optometrical services
- 129B Authorisations—dealings with certain information relating to medicare program integrity etc.
- 129C Authorisations—dealings with officer obtained or generated information for program integrity etc.
- 129D Authorisations—dealings with information for enforcement, public revenue or integrity purposes
- 129E Authorisation—disclosure of information by Director of Professional Services Review
- 129F Authorisation—use for authorised disclosure
- 129G Use or disclosure authorised by incentive payment programs rules
- 130 Officers to observe secrecy
- 130AAA Authorisations and exemptions do not limit each other
- 130AAB References to the integrity or sustainability of a medicare program
- 130AAC Information relating to deceased persons
- 130AA Prosecution of offences
- 130G Evidence
- 130H Exceptions etc. to civil penalty provisions—burden of proof
- 130J Obligations not affected by State or Territory laws
- 131 Delegation—delegation to officers
- 131A Delegation to other persons
- 132 Evidence
- 132A Regulations relating to the manner of patient referrals
- 133 Regulations
Sourced from the Federal Register of Legislation at legislation.gov.au, © Commonwealth of Australia, licensed under CC BY 4.0. Compilations may have been reformatted.