Document ID: chunk:federal_register_of_legislation:F2024C00744:front:0:p58
Version: federal_register_of_legislation:F2024C00744
Segment Type: other
Provision Reference: 
Character Range: 155785–159203

The payment of a fee for Practice Nurse Care Co‑ordination treatment and Aboriginal and/or Torres Strait Islander Health Worker Care Co‑ordination treatment will be made by the Department to the general practitioner who employed or engaged the practice nurse or Aboriginal and/or Torres Strait Islander Primary Health Care worker, as the case may be, at the time the treatment was provided.

               6A.4.6 The payment of a fee for Community Nurse Care Co‑ordination treatment provided by a community nurse will be made by the Department to the DVA‑contracted community nursing provider who employed or engaged the nurse at the time the treatment was provided.

6A.4A Arrangements with Service Providers

    6A.4A.1 For the purpose of facilitating the provision of Coordinated Veterans' Care Program treatment to entitled persons, the Commission or the Department may enter into an arrangement with a person to:

           (a) assist in identification of possible participants in the Coordinated Veterans' Care Program and provide general support to the Commission or Department in respect of the program including:

              (i) data analysis to identify and notify potential participants and their usual general practitioner or medical practitioner;
              (ii) undertaking ongoing analysis and reporting to support program evaluation and monitoring;
              (iii) promoting the program and providing supplementary support materials for general practitioners and participants in the Program; or

           (b) deliver training modules and resources in Chronic Disease Management to general practitioners, medical practitioners, Practice Nurses and Community Nurses; or
           (c) undertake ongoing and independent monitoring and evaluation of the Coordinated Veterans' Care Program .

           6A.5 Entitlement to Participation in the Coordinated Veterans' Care Program and to Coordinated Veterans' Care Program Treatment under the program

    6A.5.1 Subject to 6A.3 and 6A.6, an entitled person is entitled to participation in the Coordinated Veterans' Care Program (program) and to Coordinated Veterans' Care Program treatment under the program if:

               (1) in the opinion of a general practitioner treating the person:

                  (a)  in the opinion of a general practitioner treating the person the entitled person has a chronic health condition (including an accepted mental health condition); and

                          (b) the condition in (1)(a) has resulted in the person being admitted frequently to hospital or could reasonably result in the person being admitted frequently to hospital; and

                          (c) the entitled person has complex care needs for the condition in (1)(a), being:

                      (i) one or more of:

                                (aa) multiple co‑morbidities that complicate the treatment regimen for the person;

                                (bb) the person's condition is unstable with a high risk of acute exacerbation;

                                (cc) the condition is contributed to by frailty, age and/or social isolation factors;

                                (dd) there are limitations in self management and monitoring;
                  and:

                      (ii)  needs which require a treatment regimen that involves one or more of the following complexities of ongoing