Document ID: chunk:federal_register_of_legislation:F2024C00744:reg:18:p37
Version: federal_register_of_legislation:F2024C00744
Segment Type: reg
Provision Reference: reg 18 (pt 37/47)
Character Range: 271189–274102

Commission will accept financial responsibility for the use of ambulance transport in a medical emergency for an entitled person if an office of the Department is notified on the first working day after the ambulance transport is used or as soon thereafter as is reasonably practicable.

12.1.5  Prior approval for ambulance transport for entitled persons is not required where the transport is provided under arrangements between the ambulance service provider and the Commission.

12.2 Treatment under Medicare Program
12.2.1  Entitled persons may choose to have their treatment arranged through the Department or under a medicare program.

12.2.2  Subject to these Principles, entitled persons who are treated under a medicare program may also receive services that are not covered by the MBS at the Commission's expense.
12.2.3  When part or all of the cost of a treatment item has been paid as a medicare benefit, the Commission will not pay for the same professional or ancillary service regardless of the person's entitlement under the Act.

12.3 Compensable patients
12.3.1  Unless otherwise indicated in these Principles, the Commission will not accept financial responsibility for the cost of treating a compensable patient.
Note: Where expenses have been incurred in relation to the treatment of a compensable patient, costs will be recovered from the patient or the person or authority responsible for compensation in accordance with section 93 or 93A of the Act.

12.4 Prejudicial or unsafe acts or omissions by patients
12.4.1  The Commission may refuse to be financially responsible for, or provide treatment to, or any further treatment to, an eligible person who, by an act or omission, deliberately prejudices his or her own, or a fellow patient's, treatment or the safety of persons providing treatment.

12.5 Veterans' Home Services program
12.5.1  For the duration of an entitled person's episode of need, and subject to the availability of funds, the Commission may operate the Veterans' Home Services program for that person if he or she:

(a) had been assessed as being in need of home‑help services at 15 September 1987;and

(b) had been in receipt of those services at that date; and

(c) has continuously needed and received those services since that date.

12.5.2  The services provided under paragraph 12.5.1 may supplement, but may not duplicate for the entitled person, home‑help services provided by State, Territory and local government authorities and community agencies.

12.5.3  Assessment of continuing need for home‑help services provided in accordance with paragraph 12.5.1 is carried out by the Commission's Aged and Extended Care Departments or by other bodies authorised by the Commission.

12.5.4  In making these assessments, continuing need for services provided in accordance with paragraph 12.5.1 will be considered to have been established if these have enabled