Document ID: chunk:federal_register_of_legislation:F2024C00744:front:0:p57
Version: federal_register_of_legislation:F2024C00744
Segment Type: other
Provision Reference: 
Character Range: 152952–156046

(Program).

               6A.4.2 The financial amounts the Department will pay for:

                   (a) GP Care Leadership treatment, Practice Nurse Care Co‑ordination treatment and Aboriginal and/or Torres Strait Islander Health Worker Care Co‑ordination treatment — are set out in the DVA document entitled: "Department of Veterans' Affairs Fee Schedules for Medical Services", referred to in Schedule 1;

                   (b) Community Nurse Care Co‑ordination treatment — are set out in the DVA document entitled: "DVA Community Nursing Schedule of Fees", referred to in Schedule 1.

           Note: the Department of Human Services will pay fees on behalf of the Department under a Services Agreement.

               6A.4.3 Subject to 6A.4.4, the Commission is only to accept financial responsibility for a period of care provided to an entitled person by a general practitioner, practice nurse, community nurse or Aboriginal and/or Torres Strait Islander Primary Health Care worker under the Coordinated Veterans' Care Program (Program) if any previous period of care provided by, respectively, a general practitioner, practice nurse, community nurse or Aboriginal and/or Torres Strait Islander Primary Health Care worker under the Program in respect of the entitled person has expired.

               Note: Under the Coordinated Veterans' Care Program a period of care provided by a general practitioner, practice nurse, community nurse or Aboriginal and/or Torres Strait Islander Primary Health Care worker must be in respect of the Coordinated Veterans' Care Program treatment the health care provider may provide under the Program.

               6A.4.4 A practice nurse or community nurse (collectively called "nurse 2") may provide a period of care comprised of, respectively, Practice Nurse Care Co‑ordination treatment or Community Nurse Care Co‑ordination treatment, to an entitled person under the Program, where a period of care comprised of, respectively, Practice Nurse Care Co‑ordination treatment or Community Nurse Care Co‑ordination treatment being provided in respect of the entitled person by another practice nurse or community nurse, as the case requires, (collectively called "nurse 1") under the Program has not expired — if the general practitioner or DVA‑contracted community nursing provider, as the case requires, for nurse 2, has obtained prior approval.

    Note 1: Where a period of care provided by nurse 2 and nurse 1 overlaps, and prior approval has been obtained for nurse 2's period of care, the Commission may accept financial responsibility for the two simultaneous periods of care.

    Note 2: "prior approval" is defined in 1.4.1 and 3.2.2 is also relevant.  The grant of prior approval is discretionary and for 6A.4.4 will be considered on a case‑by‑case basis.

    6A.4.5 The payment of a fee for Practice Nurse Care Co‑ordination treatment and Aboriginal and/or Torres Strait Islander Health Worker Care Co‑ordination treatment will be made by the Department to the general practitioner who employed or engaged the practice nurse or