Document ID: chunk:federal_register_of_legislation:F2024C00744:reg:18:p1
Version: federal_register_of_legislation:F2024C00744
Segment Type: reg
Provision Reference: reg 18 (pt 1/47)
Character Range: 175904–179007

18   Outreach Program Counsellor                                                                      VVCS OPC Provider Notes

7.1B  Disqualified Health Care Providers

7.1B.1 The Commission is not to accept financial responsibility for the cost of a service provided to an entitled person by, or on behalf of, a health care provider if, at the time the service was provided, a medicare benefit would not have been payable in respect of the service under section 19B of the Health Insurance Act 1973 (in force from time to time) if the health care provider had provided the service as a practitioner under that Act.

7.2 Registration or enrolment of providers
7.2.1 Where a provider of a service specified in principle 7.1 (other than a service of community nursing) is practising in a State or Territory that has legislation requiring the registration of the occupation, the provider must be registered under that legislation.

Note: the occupational registration of DVA‑contracted community nursing providers is dealt with in the arrangements between the Commission and DVA‑contracted community nursing providers.

7.2.2 Where a State or Territory does not have legislation concerning registration, a provider of a service specified in principle 7.1 (other than a service of community nursing) must be registered in another State or possess qualifications that would permit registration in another State or must be registered in another Territory or possess qualifications that would permit registration in another Territory, if that other State or other Territory has legislation requiring the registration of the occupation in question

Note: the occupational registration of DVA‑contracted community nursing providers is dealt with in the arrangements between the Commission and DVA‑contracted community nursing providers.

7.2.3 Where the provider of a service specified in principle 7.1 (other than a service of community nursing) is a corporate entity and is practising in a State or Territory that has legislation enabling registration of the corporate entity, both the person actually delivering the service and the corporate entity must be registered under the relevant legislation.

Note: the occupational registration of DVA‑contracted community nursing providers is dealt with in the arrangements between the Commission and DVA‑contracted community nursing providers.

7.3 Community nursing
7.3.3 The Commission will accept financial responsibility for community nursing services for an entitled person only if:

         (a) the person has been referred to a community nursing provider by a general practitioner, a treating doctor in a hospital, a hospital discharge planner, an authorised nurse practitioner, or a VHC assessment agency; and

         Note: paragraph 7.3.6 sets out the community nursing provider to whom an entitled person can be referred under paragraph 7.3.3(a).

         (b) a community nursing provider, pursuant to an arrangement with the Commission, has undertaken a nursing assessment of the entitled person prior to the commencement of care and assessed that