Document ID: chunk:federal_register_of_legislation:F2024C00800:front:0:p45
Version: federal_register_of_legislation:F2024C00800
Segment Type: other
Provision Reference: 
Character Range: 120227–123224

(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 financial responsibility for Pharmaceutical Benefits that are not available under the PBS and are required as part of dental treatment:

         (a) for a service injury or service disease of a person who hold a White Card; or

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

but such a prescription must be written on a private prescription.

5.8 Other dental services
5.8.1 The Commission will not accept financial responsibility for dental treatment that involves the use of intravenous sedation or relative analgesia technique in a Local Dental Officer's or dental specialist's surgery.

PART 6 — PHARMACEUTICAL BENEFITS

6.1 MRCA Pharmaceutical Benefits Scheme
6.1.1 The MRCA Pharmaceutical Benefits Scheme (prepared by the Commission under paragraph 286(1)(c) of the Act) relates to the supply of Pharmaceutical Benefits to entitled persons by community pharmacists as defined in that Scheme.

6.2 Entitlement under the MRCA Pharmaceutical Benefits Scheme
6.2.1 A person is eligible to receive Pharmaceutical Benefits under the MRCA Pharmaceutical Benefits Scheme if that person holds:

         (a) a White Card for a service injury or service disease; or

       (b) a Gold Card.

PART 6A — COORDINATED VETERANS' CARE PROGRAM

 6A.1 Outline

         The "Coordinated Veterans' Care Program" (program) is an initiative that aims to improve the health of a class of entitled persons so they have fewer hospital admissions.

      The entitled persons are:

                 Gold Card holders with complex care needs due to diagnosis of a particular chronic health condition (set out in Principle 6A.5); and

                 White Card holders with an accepted mental health condition with complex care needs due to the diagnosis of that mental health condition as a chronic health condition (set out in Principle 6A.5).

         The element of the program intended to reduce hospital admissions is external oversight of a person's health regimen for a period of care of 3 months (carried over to consecutive periods of 3 months if the treatment is proving positive).

         The oversight will be performed by a general practitioner and the general practitioner's practice nurse (or a community nurse (via a DVA‑contracted community nursing provider) or an Aboriginal and/or Torres Strait Islander Primary Health Care worker, if more appropriate).

         Essentially the general practitioner will prepare a comprehensive care plan for the entitled person and the general practitioner's practice nurse (or a community nurse or Aboriginal and/or Torres Strait Islander Primary Health Care worker) will co‑ordinate health care services under the plan. The general practitioner will provide oversight throughout.  In cases where a general practitioner is