Document ID: chunk:federal_register_of_legislation:F2024C00800:front:0:p11
Version: federal_register_of_legislation:F2024C00800
Segment Type: other
Provision Reference: 
Character Range: 27552–30415

in section 5 of the Act.

"episode of care" means services provided to a patient by a health provider that:

 (a) have been detailed in a patient care plan;

 (b) are characterised by continuity of treatment or provision of service;

 and an episode of care arises:

 (c) every time a service provider sees a new patient; or

          (d)  where a service provider has not seen a patient for some time and therefore no continuity of service can be provided, and the original patient care plan is no longer applicable or appropriate.

"exceptional case process" means the process whereby the Commission may accept financial liability for community nursing services provided to an entitled person who, due to dependency or complex needs, requires community nursing services which, in the opinion of the Commission, fall significantly outside those referred to in any arrangement between the Commission and a DVA‑contracted community nursing provider.

    Note: paragraph 3.5.1 (after paragraph (f)) enables the Commission, in exceptional circumstances to, among other things, accept financial liability for fees higher than those set out in an arrangement.

    "excluded service" means:

    (a) a HACC Review Agreement (National Partnership) service; or

    (b) a Commonwealth Home Support Programme service;

that is the same type of service that may be provided under the MRCA Home Care Program as a Home Care service (category A) or Home Care service (category C).

        Note: the intention is that a Home Care service (category A), Home Care service (category B) and Home Care service (category C) are mutually exclusive.

"exempt amount" means an amount of money not payable by an entitled person in respect of any Home Care service (category A) or Home Care service (category C) provided to the entitled person by an approved provider, because the entitled person is an exempt entitled person.

"exempt entitled person" means, in relation to the provision of any Home Care service (category A) or Home Care service (category C) to an entitled person, an entitled person who:

         (a) has a dependent eligible young person; or

          Note:  under the Acts Interpretation Act 1901 the singular includes the plural meaning a person can have more than one dependent eligible young person.

         (b)  is a person who, in the opinion of the Commission, is experiencing severe financial hardship or who could experience severe financial hardship if the person was to make a payment in respect of the service; or

         (c)  is in receipt of an income support payment at the maximum rate and does not earn, derive or receive ordinary income exceeding $40 per fortnight.

          Note:  the Commission may allow exemption from payment for a period or until the occurrence of an event.

    "Fee Schedule" means a DVA document approved by the