Document ID: chunk:federal_register_of_legislation:F2024C00744:front:0:p38
Version: federal_register_of_legislation:F2024C00744
Segment Type: other
Provision Reference: 
Character Range: 100231–103277

as not requiring prior approval in Part 5 or in a DVA document incorporated into the Principles;

         (da) diabetes educator services, except where otherwise indicated in Principle 7.6A;

(e) the prescription and supply of pharmaceutical items as set out in Part 6;

         (f) subject to paragraph 7.3.5, the provision of community nursing services by a community nurse in accordance with paragraph 7.3.3 after the services have been provided;

  Note:see principle 7.3.

          (fa) treatment under the Veterans' Home Care Program except a service of emergency short term home relief (ESTHR) within 24 hours of a previous service of ESTHR;

 Note:see principle 7.3A.

(g) optometrical treatment provided by an optometrist to an entitled person in accordance with these Principles and the dispensing of optical products by an optometrist (or an optical dispenser) provided that, if an optical product is dispensed, any requirement for prior approval in relation to that product imposed by 3.2.1(s) is satisfied.

              Note: see principle 7.4.

         (h) physiotherapy treatment, except where otherwise indicated in principle 7.5.

         (j) podiatry treatment, except where otherwise indicated in principle 7.6.
         (k)  treatment at a hospital under the conditions set out in paragraph 9.1.8;
         (ka) convalescent care at a private hospital or public hospital;
         (kb) respite care in an institution — where the institution is a private hospital or public hospital.

         (m) ambulance transport in an emergency or where that is the arrangement between ambulance service providers and the Commission;
              Note: see paragraph 12.1.5.

(n) referral to the Australian Hearing Service; and

(o) chiropractic or osteopathic treatment.

3.4 Other retrospective approval
3.4.1 On application, the Commission may approve, and pay the cost of, any treatment that was undertaken in the period between:

(a) the effective date of eligibility under the Act; and

(b) the date on which the person is notified of entitlement.

3.4.2 The Commission may provide approval for treatment that has already been given or has commenced to be given in circumstances where:

(a) it would have accepted financial responsibility if prior approval had been sought before the service was provided; and

(b) there are exceptional circumstances justifying the failure to seek prior approval;

or where:

(c) a request for prior approval was incorrectly processed or failed to be processed due to an administrative error or processing error on the part of the Department or an officer of the Department.

3.4.3 The Commission will accept financial responsibility for emergency treatment for entitled persons and, subject to principle 2.2, for emergency treatment overseas for a war‑caused injury or disease without prior approval only if approval is sought as soon as possible after the event.

Note: this Principle does not to apply to residential care or residential care (respite) provided overseas or in Australia.