Document ID: chunk:federal_register_of_legislation:C2024C00580:section:32b
Version: federal_register_of_legislation:C2024C00580
Segment Type: section
Provision Reference: s 32B
Character Range: 44692–46534

32B  When this Part applies
 (1) This Part applies if the Chief Executive Medicare:
 (a) has a reasonable concern that an amount paid, purportedly by way of dental benefit, in respect of one or more dental services, may exceed the amount (if any) that should have been paid; and
 (b) has taken into account advice given to him or her by a dental practitioner, or a medical practitioner, who is a Human Services employee about the types of documents that contain information relevant to ascertaining whether amounts paid in respect of dental services of the same kind or kinds as the service or services referred to in paragraph (a) should have been paid; and
 (c) has taken reasonable steps to consult with a relevant professional body about the types of documents that contain information relevant to ascertaining whether amounts paid in respect of dental services of the same kind or kinds as the service or services referred to in paragraph (a) should have been paid.
Note: For the purposes of paragraph (a), the Chief Executive Medicare may, for example, have a reasonable concern about payments made in respect of:
(a) dental services rendered by or on behalf of individual dental providers; or
(b) dental services rendered by or on behalf of particular kinds of dental providers; or
(c) the rendering of dental services to which specific items, or groups of items, relate.
 (2) In forming a reasonable concern for the purposes of subsection (1), the Chief Executive Medicare is not to take account of whether the service is clinically relevant.

Definition
 (3) In this section:
relevant professional body means a body declared by the Minister under subsection (4) to be a relevant professional body.
 (4) The Minister may, by legislative instrument, declare a body to be a relevant professional body for the purposes of this section.