Document ID: chunk:federal_register_of_legislation:C2025C00156:section:106u:p1
Version: federal_register_of_legislation:C2025C00156
Segment Type: section
Provision Reference: s 106U (pt 1/3)
Character Range: 555356–557980

106U  Content of draft and final determinations
 (1) A draft determination or a final determination must contain one or more of the following directions:
 (a) that the Director, or the Director's nominee, reprimand the person under review;
 (b) that the Director, or the Director's nominee, counsel the person under review;
 (c) that any medicare benefit or dental benefit that would otherwise be payable for a service in the provision of which the person is stated in a report under section 106L to have engaged in inappropriate practice cease to be payable;
 (ca) if any medicare benefit or dental benefit for a service:
 (i) that was rendered or initiated by the person under review or an associated person; and
 (ii) in connection with the rendering or initiation of which the person under review or an associated person is stated in a report under section 106L (other than a report based on a finding made under subsection 106K(2) or 106KB(3)) to have engaged in inappropriate practice;
  has been paid (whether or not to the person under review)—that the person under review repay to the Commonwealth the whole or a part of the medicare benefit or dental benefit that was paid for that service;
 (cb) if any medicare benefits or dental benefits for a class of services:
 (i) that were rendered or initiated by the person under review or an associated person; and
 (ii) in connection with the rendering or initiation of which, or of a proportion of which, the person under review or an associated person is stated in a report under section 106L, based on a finding made under subsection 106K(2), to have engaged in inappropriate practice;
  have been paid (whether or not to the person under review)—that the person under review repay to the Commonwealth the whole or a part of the medicare benefits or dental benefits that were paid for the services or that proportion of the services, as the case may be;
 (d) that any amount for treatment under a relevant DVA law that would otherwise be payable for a service in the provision of which the person is stated in a report under section 106L to have engaged in inappropriate practice ceases to be payable;
 (da) if an amount has been paid (whether or not to the person under review) for treatment under a relevant DVA law relating to a service:
 (i) that was rendered or initiated by the person under review or an associated person; and
 (ii) in connection with the rendering or initiation of which the person under review or an associated person is stated in a report under section 106L (other than a report based on a finding made under subsection 106K(2) or 106KB(3))