Health Insurance (Gippsland and South Eastern New South Wales Mobile MRI Service) Amendment Determination 2012 (No. 1)

 __________________________________________________________________

I, RICHARD BARTLETT, Delegate of the Minister for Health and Ageing, make this Determination under subsection 3C (1) of the Health Insurance Act 1973.

Dated 27 April 2012

RICHARD BARTLETT

FIRST ASSISTANT SECRETARY

MEDICAL BENEFITS DIVISION

DEPARTMENT OF HEALTH AND AGEING

1.                      Name of Determination

This Determination is the Health Insurance (Gippsland and South Eastern New South Wales Mobile MRI Service) Amendment Determination 2012 (No. 1).

2.                      Commencement

This Determination commences on 1 May 2012. 

3.                      Amendment of Health Insurance (Gippsland and South Eastern New South Wales Mobile MRI Service) Determination 2009

The Schedule amends the Health Insurance (Gippsland and South Eastern New South Wales Mobile MRI Service) Determination 2009.

SCHEDULE   AMENDMENTS

[1] Section 1, Name of determination

omit

(Gippsland and South Eastern New South Wales Mobile MRI Service)

insert

(Gippsland and South Eastern New South Wales Mobile MRI Service and Rockhampton, Bundaburg and Gladstone Mobile MRI Service)

[2] Subsection 4(1), Interpretation, eligible provider

omit

Medicare Australia CEO

insert

Chief Executive Medicare

[3] Subsection 4(1), Interpretation, funding agreement

omit

[4] Subsection 4(1), Interpretation, before item

insert

LSPN means a location specific practice number allocated under section 23DZQ of the Act.

[5] Subsection 4(1), Interpretation, after definition of relevant service

insert

RIL funding agreement means the funding agreement between Regional Imaging Pty Ltd [ABN 81 095 630 792] and the Commonwealth of Australia as represented by the Department of Health and Ageing as in force on 31 December 2011.

[6] Subsection 4(2), Interpretation, paragraph (c)

omit

time; and

insert

time.

[7] Section 5, Circumstances where this Determination applies

omit

5 Circumstances where this Determination applies

(1) This Determination applies to a relevant service provided where the following circumstances apply:

(a) in respect of items 63002 to 63483, where the service is performed pursuant to a request that is in accordance with subsection (2); and

(b) where the service is performed pursuant to the funding agreement; and

substitute

5 Circumstances where this Determination applies – Gippsland and South Eastern New South Wales Mobile MRI services

(1) This Determination applies to a relevant service provided using mobile diagnostic imaging equipment that has as its base for mobile diagnostic imaging the Latrobe Regional Hospital, Princes Highway Traralgon West, Victoria 3844 where the following circumstances apply:

(a) in respect of items 63002 to 63483, where the service is performed pursuant to a request that is in accordance with subsection (2); and

(b) where the service is performed pursuant to the RIL funding agreement; and

[8] After Section 5

insert

Section 5AA Circumstances where this Determination applies –Rockhampton, Bundaburg and Gladstone Mobile MRI services

(1) This Determination applies to a relevant service provided using mobile diagnostic imaging equipment that has as its base for mobile diagnostic imaging the Mater Misericordiae Hospital Rockhampton, Ward St Rockhampton, Queensland 4700, where the following circumstances apply:

(a) in respect of items 63002 to 63483, where the service is performed pursuant to a request that is in accordance with subsection (2); and

(b) the service is:

(i) both:

(A) performed under the professional supervision of an eligible provider who is available to monitor and influence the conduct and diagnostic quality of the examination including, if necessary, by personal attendance on the patient; and

(B) reported by an eligible provider; or

(ii) performed in emergency; and

(c)                    the equipment is operated at a location mentioned in the Table; and

(d) the equipment used to perform the service is a General Electric Signa Echo Speed with Excite with a magnet strength of 1.5 Tesla and is mounted on a specifically built semi-trailer.

(2) The request referred to in paragraph (1)(a) must:

(a)                    be made by a practitioner who is a specialist, consultant physician or dental practitioner; and

(b)                    be made in writing; and

(c)                    identify the clinical indications for the service.

(3) For paragraph (1)(c), the operation of equipment at a location includes the operation of the equipment within the grounds of the location.

Table

[9] Section 5A, Bulk billing incentive

substitute

Paragraph 1.2.5A(1)(a) of Part 2 of Schedule 1 of the diagnostic imaging services table shall have effect as if the reference to “a service that is mentioned in an item in Division 2.5 of the table” in that clause included a reference to a service mentioned in an item in the Schedule to this Determination.

Note

1. All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003. See http://www.frli.gov.au.