Document ID: chunk:federal_register_of_legislation:F2024N00985:clause:1_59
Version: federal_register_of_legislation:F2024N00985
Segment Type: clause
Provision Reference: sch 1 cl 59
Character Range: 120894–122902

59  Department of Veterans Affairs Client Maintenance Co-payment
     (1)        The Department of Veterans Affairs (DVA) pays the Client Maintenance Co-payment for eligible DVA Clients.
     (2)        The DVA Client Maintenance Co-payment is item 777 in the Schedule of Fees.
     (3)        Item 777 is not applicable for Relocated Maintenance.
     (4)        Clients must hold a DVA Gold Card or White Card (for hearing loss).
     (5)        DVA Pensioner Concession Card clients are not entitled to claim item 777.
     (6)        Item 777 is claimed annually with Maintenance claims (items 700, 710), for Initial Fitting claims that include Maintenance Agreement (items 630, 635, 640), Refitting claims where the client has entered a new Maintenance Agreement (820, 825, 830) and with Private Device Maintenance (items 790, 791).
     (7)        Item 777 cannot be claimed with Relocated Maintenance (items 711/722)
     (8)        For item 777 the date of service matches the date of service of the Maintenance claims (items 700, 710, 790, 791) or the date of fitting for Initial Fitting claims that include a Maintenance Agreement (items 630, 635, 640) or the date of fitting for Refitting claims (items 820, 825, 830).
     (9)        The DVA will not pay the Client Maintenance Co-payment for the first 12 months if the client does not attend a Follow up Service.
         (a)   If the client enters into a Maintenance Agreement for a subsequent year, item 777 can be claimed for the Client Maintenance Co-payment.
     (10)   If a DVA Gold or White Card (for hearing loss) holder chooses a partially subsidised device:
         (a)   The DVA will only pay the program's set Client Maintenance Co-payment towards their Maintenance Agreement.
         (b)   The client must pay any difference between the provider's quoted maintenance fee and the program set Client Maintenance Co-payment.
         (c)    The client must still sign a Maintenance Agreement if the Co-payment is paid by the DVA.