Document ID: chunk:federal_register_of_legislation:F2024L00144:reg:65:p13
Version: federal_register_of_legislation:F2024L00144
Segment Type: reg
Provision Reference: reg 65 (pt 13/38)
Character Range: 74837–77558

end of the quarter nine quarters previously]. The retention index should be reported correct to two decimal points.

    Example

  The reporting/current quarter is June 2007

  As at 30 June 2005 there were 100 policies over all states for the fund

  The number of new polices joining after 30 June 2005 is 20

  The number of policies over all states for the fund as at 30 June 2007 is 110

  The retention index is

    As the retention index will provide an indicator for the total fund membership the calculation is not specific to individual states. The number reported should be the same for each state and territory reported in HRF 601.1 for a fund in a quarter.

    The Retention index cannot be greater than 100 per cent.

Part 8 Benefits Paid for Chronic Disease Management Programs

(NOTE see the section on Guidance for insurers for eligible CDMP benefits for risk equalisation in these reporting instructions for further information on CDMPs)

The data in this part is to be reported as cumulative totals over the quarter being reported and include both eligible and ineligible benefits. The data reported in this part should only be for programs that satisfy the criteria for CDMP as defined under the Act and associated Rules.

    29.         Benefits Paid for CDMPs - report the number of services, benefits and fees charged in each of the categories in the quarter they are paid. Note that only Planning, Coordination and Allied Health Services components are eligible for Risk Equalisation so it will be necessary for health insurers to identify "Other" goods and services involved in the delivery of the program.

    30.         Benefits Paid by Program Type - report the number of programs, benefits and fees charged for each of the program types.

    31.         Programs are reported in the quarter that they commenced. The commencement date of the program may be hard to determine due to the different ways benefits can be paid, as well as delays in this information being provided to health insurers. The first quarter that benefits are paid for a CDMP should be taken as the quarter in which the program commences.

    Programs that run continuously for more than one year are classed as completed at the end of the calendar year from commencement and a new program is reported as commencing in the next quarter that benefits are paid for the program.

       (a)          The commencement date of the program, and thus the first quarter in which the program is deemed to have commenced, should be taken as the date on which benefits were first paid for under the program.

       (b)          The number of programs does not refer to the particular programs offered by the health insurer,