Maximum fees payable for services not provided at public hospitals
41 Maximum fees payable for services not provided at public hospitals
This section applies to—
the fee payable for any medical treatment of a participant in the Scheme; and
the fee payable for any dental treatment of a participant in the Scheme; and
the fee payable for any rehabilitation service provided to a participant in the Scheme; and
the fees payable for any attendant care and support services provided to a participant in the Scheme; and
the fees payable for any other services identified by the Minister for the purposes of this section by notice published in the Gazette—
on the recommendation of the Authority; and
after consultation with the Minister for Health, but does not apply to any such treatment or service that is provided at a public hospital (whether to an in‑patient or out‑patient) and for which any payment is required to be made to the hospital and not to the treatment or service provider.
This section also applies to the fee payable to a private hospital for any treatment at the hospital.
The Minister may, by notice published in the Gazette—
on the recommendation of the Authority; and
after consultation with the Minister for Health, fix the maximum amount for which the Authority is liable in respect of any claim for fees to which this section applies.
Any such fees may (but need not) be fixed by reference to fees recommended by a professional association recognised by the Minister for the purposes of this section or by reference to any other scale of fees.
A payment by the Authority in respect of a service provided in connection with the treatment, care and support needs of a participant in the Scheme is to be made consistently with any notice published under subsection (3).
This Act’s bill:Second reading speech
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