Document ID: chunk:federal_register_of_legislation:F2024C00800:front:0:p29
Version: federal_register_of_legislation:F2024C00800
Segment Type: other
Provision Reference: 
Character Range: 75964–79019

guidelines prepared by the Commission.
Note: The guidelines are prepared by the Commission after, and subject to, consideration of advice from the National Advisory Committee on the Veterans and Veterans Families Counselling Service.

2.7A—TRCP treatment (Training, Research, Communication‑improvement, Policy Development for ADF‑Members' etc Health Issues)

     Note: This provision is for information only.  TRCP treatment is provided to members and former members and certain dependants under the Treatment Principles under the Veterans' Entitlements Act 1986 pursuant to a determination under s.88A(1)(d) of that Act.

2.7B Australian Centre for Posttraumatic Mental Health Treatment

       2.7B.1 The Commission may accept financial liability for ACPMH treatment provided for the benefit of an entitled member who is entitled to such treatment under the Act.

       Note (1): under subsection 13(1) of the Act treatment can be action taken with a view to maintaining a person in physical or mental health.

       Note (2): the intention is that the Commission may accept liability for ACPMH treatment even though such treatment is not necessarily provided by the Australian Centre for Posttraumatic Mental Health but under its auspices.

       Note (3): prior approval for ACPMH treatment is not required.

2.8 Loss of eligibility for treatment
    2.8.1 The Commission will not accept financial responsibility for treatment provided to a person if that person is not, in the Commission's opinion, entitled to the treatment.

    2.8.2 Where a person was entitled to treatment but is considered by the Commission to no longer be entitled to treatment or the person has received treatment for which, in the Commission's opinion, he or she was not entitled, the Commission or an employee of the Department must make a reasonable effort to notify the person that they are not entitled to treatment .

PART 3 — COMMISSION APPROVAL FOR TREATMENT

3.1 Approval for treatment
3.1.1 The Commission's prior approval may be required for treatment.

3.2 Circumstances in which prior approval is required
3.2.1 Treatment requiring prior approval includes:

         (b) provision of services that are not made available under the Medicare Benefits Schedule except where otherwise stated.

         Note: see paragraph 4.2.3.

(d) outpatient treatment at a private hospital where the requirement for prior approval for such treatment is specified in a contract;

         (e) treatment at a hospital according to the requirements contained in section 4 of the MPPPs;

          Note: where the patient is a holder of a White Card and eligibility for the treatment required is uncertain, the Commission will not accept financial responsibility for the cost of care unless the Department has verified eligibility.

         (f) admission to a hospital or the provision of hospital treatment not otherwise specified;

          Note: see paragraph 9.1.9.

(h)  convalescent care in an institution — except where the institution is a private hospital or public