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Dental Benefits Amendment Rule 2017 (No. 2)

Authoritative Version
  • - F2017L01502
  • No longer in force
Rules/Other as made
This rule amends the Dental Benefits Rules 2014.
Administered by: Health
Registered 21 Nov 2017
Tabling HistoryDate
Tabled Senate27-Nov-2017
Tabled HR04-Dec-2017
Date of repeal 02 Jan 2018
Repealed by Division 1 of Part 3 of Chapter 3 of the Legislation Act 2003
Table of contents.

 

Dental Benefits Amendment Rule 2017 (No. 2)

Dental Benefits Act 2008

I, GREG HUNT, Minister for Health, make this Rule under subsection 60(1) of the Dental Benefits Act 2008.

Dated             2010

 

Dated  15:11:17

GREG HUNT


Contents

PART 1              PRELIMINARY

 

1    Name of Rule                                                                                     3

2    Commencement                                                                                  3

3    Authority                                                                                            3

4    Schedules                                                                                          3

 

SCHEDULE                 Amendments                                                                                      4

 

 


Part 1        Preliminary

    

1              Name of Rule

                This Rule is the Dental Benefits Amendment Rule 2017 (No. 2).

2              Commencement

                This Rule commences on 1 January 2018.

3              Authority

                This Rule is made under subsection 60(1) of the Dental Benefits Act 2008.

4              Schedules

                Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.

 


Schedule –     Amendments

 

Dental Benefits Rules 2014

 

1       Rule 17

 

Repeal the rule, substitute:

 

17       Limitation on number of certain services

                        For any particular eligible dental patient:

               (a)     an item of the Dental Benefits Schedule mentioned in column 2 of the following table is applicable to a service not more than the number of times mentioned in column 3 of the table in the period mentioned in column 4 of the table;

 

Item

Item of service

Number of times

Period

1

88311, 88314, 88322, 88323, 88324

1

1 day

2

88111, 88114, 88121

1

5 months

3

88942

1

12 months

4

88221, 88721, 88722

1

24 months

5

88115, 88213

2

12 months

6

88013, 88572

3

3 months

7

88458

3

12 months

8

88022, 88161, 88575

4

1 day

9

88768

8

24 months

 

               (b)     items 88111, 88114 and 88121 must not be provided more than two times per calendar year.

 

2       Rule 18

 

Repeal the rule, substitute:

 

18       Limitation on provision of certain services

                        For any particular eligible dental patient:

               (a)     an item of the Dental Benefits Schedule mentioned in column 2 of the following table is applicable to a service provided by a particular eligible dental provider, not more than once in the period mentioned in column 3 of the table:

 

Item

Item of service

Period

1

88012

5 months

2

88011

24 months

 

               (b)     item 88012 must not be provided more than two times by a particular eligible dental provider per calendar year.

 

3       Paragraph 19(b)

 

Omit “6”, substitute “5”.

 

4       After rule 24

 

Insert:

 

24A     Limitation on Denture Bases

                        For any particular eligible dental patient:

               (a)     item 88721 does not apply to a service provided within a 6 month period of a service described in item 88723;

               (b)     item 88722 does not apply to a service provided within a 6 month period of a service described in item 88724;

               (c)     item 88723 must not be provided more than once;

              (d)     item 88724 must not be provided more than once.

 

5       Paragraphs 25(a), (b) and (c)

 

Omit “88721 or 88722”, substitute “88721, 88722, 88723 or 88724”.

 

6       Paragraph 25(d)

 

Omit “either item 88721 or 88722”, substitute “item 88721, 88722, 88723 or 88724”.

 

7       After rule 27

 

Insert:

 

27A     Limitation on items 88586 and 88587

                        For any particular eligible dental patient, only one of either item 88586 or 88587 is applicable for a service provided in respect of a particular tooth on a day.

 

8       Schedule 1 (item 88111, column headed “Service”)

 

After “teeth”, insert “and/or implants”.

 

9       Schedule 1 (item 88576)

 

Repeal the item.

 

10     Schedule 1 (after item 88579)

 

Insert:

 

88586

Crown - metallic - with tooth preparation – preformed

Placing a preformed metallic crown as a coronal restoration for a tooth.

(Item is subject to Rule 27A)

257.05

88587

Crown - metallic - minimal tooth preparation – preformed

Placing a preformed metallic crown as a coronal restoration for a tooth and where minimal or no restoration of the tooth is required. Commonly referred to as a ‘Hall’ crown.

(Item is subject to Rule 27A)

152.50

 

11     Schedule 1 (item 88721, column headed “Service”)

 

Omit “Rule 17”, substitute “Rules 17 and 24A”.

 

12     Schedule 1 (item 88721, column headed “Benefit ($)”)

 

Omit “322.95”, substitute “436.60”.

 

13     Schedule 1 (item 88722, column headed “Service”)

 

Omit “Rule 17”, substitute “Rules 17 and 24A”.

 

14     Schedule 1 (item 88722, column headed “Benefit ($)”)

 

Omit “322.95”, substitute “436.60”.

 

15     Schedule 1 (after item 88722)

 

Insert:

 

88723

Provisional partial maxillary denture

Provision of a patient removable partial dental prosthesis replacing the natural teeth and adjacent tissues in the maxilla which is designed to last until the definitive prosthesis can be constructed. This item should only be used where a provisional denture is not an intrinsic part of item 88721.

(Item is subject to Rules 24A and 25)

327.45

88724

Provisional partial mandibular denture

Provision of a patient removable partial dental prosthesis replacing the natural teeth and adjacent tissues in the mandible which is designed to last until the definitive prosthesis can be constructed. This item should only be used where a provisional denture is not an intrinsic part of item 88722.

(Item is subject to Rules 24A and 25)

327.45

 

16     Schedule 1 (item 88733, column headed “Benefit ($)”)

 

Omit “67.00”, substitute “36.15”.