Document ID: chunk:federal_register_of_legislation:F2015L00376:reg:16aa:p3
Version: federal_register_of_legislation:F2015L00376
Segment Type: reg
Provision Reference: reg 16AA (pt 3/4)
Character Range: 57927–60860

at the time of the supply:
 (i) a concessional beneficiary or a dependant of a concessional beneficiary; or
 (ii) the holder of a concession card or entitlement card;
 (b) for a person mentioned in subparagraph (a)(i)—the number specified on a card, issued by the Commonwealth, as an entitlement number (however described) in relation to the person;
 (c) for a person mentioned in subparagraph (a)(ii)—the number of the concession card or entitlement card.
       (3) The supplier must include the information collected under subsection (2) in the claim for a payment from the Commonwealth in relation to the supply using the Claims Transmission System, within the meaning given by subsection 99AAA(1) of the National Health Act 1953.

    10 Section 24A (including the note)

    omit.

    11 Section 24

    at the end, insert:

    Note (1): this provision incorporates into the Scheme, among other relevant "National Health Act 1953 requirements" (particularly the requirements in the claims rules made under subsections 98AC(4) and 99AAA(8) of the National Health Act 1953), the requirement for a claimant to include a "supply certification form" with a claim (manual and electronic).

    Note (2): if a claim is made electronically, the supply certification form is to be given electronically (claims rules).

    Note (3): for electronic claims, prescriptions need not be provided (claims rules).

    12  Section 24B

    omit.

    13 Section 25

    substitute:

25 Claims Requirements and Payment

       (1) The payment of a claim under the Scheme is subject to:

         (a) compliance with the Scheme, in particular section 24; and
         (b) submission of a completed supply certification form under the claims rules.

    13A Section 37

    substitute:

    37 The annual value of the pharmaceutical allowance is calculated as follows:

        (a)          for a member in receipt of the MRCA supplement or veterans supplement at different times throughout the year, the amount of $6 per fortnight, indexed according to section 198F of the Veterans' Entitlements Act 1986:

            (i) as if the amount of $6 is the dollar amount in subsection 198F(1);

            (ii) since September 2009 (i.e. once annually since 1 January 2010), calculated at a daily rate and valued according to the number of days in the calendar year the MRCA supplement or veterans supplement was payable;

         (b) Subject to (d), for a member in receipt of an income support payment or an income support payment under the Social Security Act 1991 that attracts a pension supplement or a social security pension supplement greater than the basic amount of pension supplement, the amount of $6 per fortnight, indexed according to Division 18 of Part IIIB of the Veterans' Entitlements Act 1986:

            (i) as if the amount of $6 is an amount of PS rate (pension supplement rate) in Item 1A of the CPI Indexation Table in