Document ID: chunk:federal_register_of_legislation:F2024C00744:reg:18:p27
Version: federal_register_of_legislation:F2024C00744
Segment Type: reg
Provision Reference: reg 18 (pt 27/47)
Character Range: 244116–247043

between the approved provider and the POW or VC recipient;

         (b) whether the care was otherwise provided in accordance with the relevant provisions of the Aged Care Act 1997 and relevant instruments under that Act; and

     Note (1): Part 3.3 of Chapter 3 of the Aged Care Act 1997 deals with flexible care.

         Note (2): The Approval of Care Recipients Principles 2014, the Subsidy Principles 2014, the Quality of Care Principles 2014, the Accountability Principles 2014 and the User Rights Principles 2014 are relevant to short‑term restorative care – a form of flexible care.

          (c) whether the care essentially duplicates treatment the POW or VC recipient is receiving under other provisions of these Principles (double‑dipping).

         10.14 Billing

10.14.1 An approved provider is to bill the Department of Human Services (via Medicare) for the co‑payment for short‑term restorative care, rather than the POW or VC recipient (client) but if the client is billed, the Commission may, subject to 10.13.1 and 10.13.2, accept financial responsibility for the amount.

PART 11 — THE PROVISION OF REHABILITATION APPLIANCES

11.1 Rehabilitation Appliances Program
11.1.1  The Commission may provide:

(a) a surgical appliance; and
(b) an appliance for self‑help and rehabilitation purposes;

    to an entitled person, for an injury or disease of the person, unless:

        (c) the Commission could provide the appliance to the person, for that injury or disease, under a part of the Act other than Part V; or
        (d) the MRCC could provide the appliance to the person, for that injury or disease, under DRCA or MRCA.

    Note (1): an appliance could be provided to a person under Part VIA of the Act (Rehabilitation).

    Note (2): an appliance could be provided to a person under Part III or s.148 of DRCA (but not under s.16(1) by virtue of 144B(5)DRCA) and under Chapters 3 or 4 of MRCA or under MRCA Treatment Principle 11.1.1.

    Note (3): the Commission providing an appliance means the Commission arranges for its provision or accepts financial responsibility for the cost of the appliance where its provision is arranged by a third party.

    Note (4): the RAP National Schedule of Equipment and the Rehabilitation Appliances Program (RAP) National Guidelines are DVA documents that provide guidance to the Commission and to prescribers and suppliers in relation to the provision of surgical aids and appliances for self‑help and rehabilitation to entitled persons.

11.1.2 The aim of the Rehabilitation Appliances Program is to restore, facilitate or maintain functional independence and/or minimise disability or dysfunction as part of the provision of quality care to entitled persons.

11.1.3  Appliances shall be provided:

(a) according to an assessed clinically indicated need; and

(b) in an efficient manner of delivery; and
(c) towards meeting health care objectives;