Document ID: chunk:federal_register_of_legislation:F2024C00744:front:0:p43
Version: federal_register_of_legislation:F2024C00744
Segment Type: other
Provision Reference: 
Character Range: 114636–117625

in accordance with the Principles and the
              Notes for Allied Health Providers (Section 1 General Information and Section 2(a)(as section 2(a) affects psychologists (other than as a clinical psychologist));

              (sa) a social worker (general)  the amount worked out under the DVA document entitled "Social Workers Schedule of Fees", referred to in Schedule 1, on condition that the treatment was provided in accordance with the Principles and the Notes for Allied Health Providers (Section 1 General Information and Section 2(a)(as section 2(a) affects social workers (other than as a social worker (mental health));

              (s) a social worker (mental health)  the amount worked out under the DVA document entitled "Social Workers (Mental Health) Schedule of Fees", referred to in Schedule 1, on condition that the treatment was provided in accordance with the Principles and the Notes for Allied Health Providers (Section 1 General Information and Section 2(a)(as section 2(a) affects social workers (mental health));

              (u) a speech pathologist  the amount worked out under the DVA document entitled "Speech Pathologists Schedule of Fees", referred to in Schedule 1, on condition that the treatment was provided in accordance with the Principles and the Notes for Allied Health Providers (Section 1 General Information and Section 2(l)(Speech Pathologists));

    except where the Commission, having regard to the matters specified in paragraph 3.2.2, is satisfied that there are exceptional circumstances justifying payment of a higher fee.

3.5.2 The Commission will only accept financial responsibility for treatment:

(a) that is reasonably necessary for the adequate treatment of the eligible person;

(b) that is given by an appropriate category of health care provider; and

         (c) if a claim for payment in respect of treatment:

             (i) is in the form, if any, approved by the Commission for this purpose ('approved form'); and

             (ii) contains, or is accompanied by, any information required by any direction in any approved form; and

             (iii) is lodged at an appropriate place or with an appropriate person within the period of 2 years (or such longer period as is allowed in accordance with paragraph 3.5.2A) from the date of rendering the service to which the claim relates.

             Note 1: a claim is taken to have been lodged on the day it is received.

              Note 2: 'appropriate place' means an office of the Department in Australia, the Department of Human Services or a place approved by the Commission for the purpose of lodging claims.

             Note 3: 'appropriate person' means a person approved by the Commission for the purpose of lodging claims.

             Note 4: a claim may be lodged by means of an electronic transmission.

3.5.2A  Upon application in writing, by a claimant, to the Commission, the Commission may, in its discretion, by notice in writing