Document ID: chunk:federal_register_of_legislation:F2024N00985:clause:1_5:p1
Version: federal_register_of_legislation:F2024N00985
Segment Type: clause
Provision Reference: sch 1 cl 5 (pt 1/2)
Character Range: 19803–22772

5  General Program requirements
     1.    General Program Service Requirements apply to all program services.
     2.    Providers must comply with the following requirements for each service:
      (a)   the hearing services available to a client are subject to an assessment of the client's clinical need for that service; and
      (b)   clients must have a current voucher and the date of service must be on or between the start and end date of the voucher, except where a fitting begins on one voucher and a follow up is completed on a new voucher;
      (c)    providers must ensure the service is available on the client's current voucher before delivering and claiming for the service; and
      (d)   services must be performed by a QP or Provisional Practitioner under supervision of a QP in accordance with PPB requirements, excluding maintenance and rehabilitation plus group services; and
      (e)   clients must be referred to an appropriate medical practitioner where clinically necessary; and
      (f)     services must be delivered in accordance with the PPB Code of Conduct, Scope of Practice; and
      (g)   services must be delivered in accordance with current Australian laws and standards, including Australian Privacy and Consumer Laws, ambient noise level testing and audiometric equipment standards; and
      (h)   the practitioner's QP number must be active and linked to the provider in the Portal and the QP must be a current financial member of a PPB in an approved membership category at the date of service; and
      (i)      the Site ID must be valid at the date of service; and
      (j)      a Claim for Payment/Tax Invoice form must be correctly completed; and
      (k)    supporting evidence must be documented on the client record, as per the requirements published on the Department's website and evidence requirements for each service item; and
      (l)      the Portal information for the client must be updated as required, including:
           (i)      contact information; and
           (ii)    3FAHL results after each audiogram; and
           (iii)  any change to the device used by the client; and
           (iv)  if the client is changing from monaurally fitted to binaurally fitted, or vice versa, the fitting configuration in the Portal and on the provider's software must be updated prior to claiming; and
           (v)    if a client is eligible for Specialist Services, the Portal client record must be updated to notify the program of the client's specialist status.
      (m)  if a service is provided via telehealth, this must be documented on the client record. and the client must be informed that a telehealth appointment is a claimable service.
      (n)   Clients eligible for Specialist services must be advised that they may be eligible for additional services through Hearing Australia. Details of the information provided to the client, and the client's decision of where to receive services,