Document ID: chunk:federal_register_of_legislation:F2024C00744:reg:18:p13
Version: federal_register_of_legislation:F2024C00744
Segment Type: reg
Provision Reference: reg 18 (pt 13/47)
Character Range: 206456–209566

is worked out using the following steps:

         (a) work out the number of entitled people who received from the provider a service under the program for which a claim for payment was approved in each calendar month during the quarter;
         (b) multiply the number worked out under paragraph (a) by the amount determined, in writing, by the Commission for this paragraph.

7.3B.4 To remove any doubt, for the purposes of paragraph 7.3B.3(a), an entitled person is counted once for a calendar month even if more than one claim for payment was approved in the calendar month for services that the person received from the provider.

7.4 Optometrical services
7.4.1 The Commission may accept financial responsibility for optometrical services provided by an optometrist (with a current provider number) to an entitled person in accordance with these Principles and the
Notes for Allied Health Providers (Section 1 General Information and Section 2(h)(as section 2(h) affects optometrists)).

7.4.2 The Commission may accept financial responsibility for optometrical products provided by an optical dispenser (who may be an optometrist) to an entitled person if those products have been provided in accordance:

         (a) the Principles; and

         (b) the Notes for Allied Health Providers (Section 1 General Information and Section 2(h)(as section 2(h) affects optometrists and optical dispensers)); and

         (c)              the DVA document entitled "Pricing Schedule for Visual Aids", referred to in Schedule 1.
7.4.3 Optometrical products are those referred to in the DVA document entitled "Pricing Schedule for Visual Aids", referred to in Schedule 1

    Note:The Pricing Schedule for Visual Aids is available at any office of the Department.

    7.4.4 An optometrist or optical dispenser may render the account for services provided to an entitled person either to the Department or to the Department of Human Services under the direct billing arrangements.

    7.4.5 When an optometrist or optical dispenser direct bills the Department of Human Services and visual aids are prescribed, these may be provided under paragraph 7.4.2.

7.5 Physiotherapy
7.5.1 The Commission will accept, subject to paragraph 7.5.3, financial responsibility for physiotherapy treatment for a period, where a general practitioner or medical practitioner refers an entitled person to a registered physiotherapist who has a provider number.
Note: Physiotherapy includes hydrotherapy (see paragraph 1.4.1).

7.5.2 The period referred to in paragraph 7.5.1 commences on the date of the general practitioner's, or medical specialist's, referral.

7.5.3 Prior approval is required for physiotherapy treatment where those services are to be provided in a public hospital.

7.5.4 The Commission may accept financial responsibility for hydrotherapy treatment that does not include recreational water exercises or recreational swimming.
     7.6 Podiatry
7.6.1 Subject to paragraph 7.6.6, the Commission will accept financial responsibility for podiatry treatment where a general practitioner or medical specialist