Document ID: chunk:federal_register_of_legislation:F2024C00800:front:0:p44
Version: federal_register_of_legislation:F2024C00800
Segment Type: other
Provision Reference: 
Character Range: 117491–120460

provided to an entitled person where the treatment is provided in accordance with:

    (a) the Principles;
         (b) the "Fee Schedule of Dental Services for Dentists and Dental Specialists", referred to in Schedule 1;
         (c) the "Fee Schedule of Dental Services for Dental Prosthetists", referred to in Schedule 1; and
         (d) the Notes for Allied Health Providers;

as those documents relate to the treatment, but if prior approval is required for the treatment then the Commission's retrospective approval for the treatment must be sought as soon as possible after the treatment is provided and approval must be granted if the Commission is to accept financial liability for the emergency dental treatment.

    Note: Schedule C of the "Fee Schedule of Dental Services for Dentists and Dental Specialists" imposes an annual monetary limit

5.4.2 Financial responsibility for emergency dental treatment for persons who hold a White Card will only be accepted for treatment of a service injury or service disease.

5.5 Orthodontic treatment for children
5.5.1 Orthodontic treatment will continue to be provided for an eligible young person of a deceased member if the eligible young person has ceased to be eligible for treatment because he or she has turned sixteen years of age or has ceased full‑time education if:

(a) the treatment is approved by the Commission while the eligible young person is still eligible; and

(b) the treatment is commenced while the eligible young person is still eligible; and

(c) the treatment will be completed within two years of commencement of treatment or such longer time as the Commission considers reasonable.

5.6 General anaesthesia
5.6.1 Financial responsibility for a general anaesthetic provided as part of dental treatment will be accepted only if:

              (a) the anaesthetic is administered by a specialist anaesthetist or approved medical practitioner in a hospital, Day Procedure Centre or dental surgery where adequate resuscitation equipment is provided; and

              (b) unless the anaesthetic is administered in a Tier 1 Hospital or Contracted Day Procedure Centre — prior approval has been obtained.

5.7 Prescribing of pharmaceutical benefits by dentists
5.7.1 Local Dental Officers or dental specialists may prescribe Pharmaceutical Benefits for entitled persons.

5.7.2 Subject to paragraph 5.7.4, prescriptions prescribed under paragraph 5.7.1 must be in accordance with the PBS.

5.7.3 The Commission will accept financial responsibility for Pharmaceutical Benefits, available under the PBS that are required as part of dental treatment:

         (a) for a service injury or service disease of an entitled person who holds a White Card; or

(b) for an entitled person who holds a Gold Card;

other than the amount that would have been payable by the person if the person were a "concessional beneficiary" under the National Health Act 1953.

5.7.4 The Commission will accept