Lifetime Care and Support (Catastrophic Injuries) Act 2014

This section applies to a payment (a LTCS-related payment) payable by the LTCS commissioner for the following treatment or services given to a participant in the LTCS scheme:

medical treatment;

dental treatment;

rehabilitation services;

attendant care services.

This section also applies to the payment payable to a private hospital for any treatment at the hospital.

However, this section does not apply to a payment for treatment or a service mentioned in subsection (1) if—

the treatment or service is given to the participant at a public hospital (whether as an inpatient or outpatient); and

the payment is payable to the public hospital, and not the treatment or service provider.

The Minister may determine the maximum amount the LTCS commissioner is liable for in relation to a claim for a LTCS-related payment.

A determination under subsection (4) is a disallowable instrument.

A LTCS-related payment may be determined by reference to—

fees recommended by the Australian Medical Association or other health professional association; or

a schedule of fees.

A regulation may prescribe the way in which the LTCS commissioner must pay a LTCS-related payment.

The LTCS guidelines may make provision for the maximum amount payable for LTCS-related payments that are not determined by the Minister.

Note The LTCS guidelines are made under s 93.

Part 10 Administration of LTCS scheme

Division 10.1 Funding the LTCS scheme