Australian Government

REPATRIATION COMMISSION

VETERANS' ENTITLEMENTS ACT 1986

Treatment Principles

 

 


Table of provisions

 

 

PART 1 — INTRODUCTION.............................................

1.2 Application of Repatriation Private Patient Principles...............

1.3 Delegation................................................

1.4 Interpretation..............................................

PART 2 — ELIGIBILITY FOR TREATMENT................................

2.1 Treatment for eligible persons in Australia.......................

2.2 Treatment for entitled persons residing or travelling overseas.........

2.3 Treatment of associated non-war-caused injuries or diseases.........

2.4 Treatment of malignant neoplasia, pulmonary tuberculosis, and post-traumatic stress disorder.             

2.5 Determination that specified veteran is eligible for specified kind of treatment             

2.6 Referrals by the Vietnam Veterans’ Counselling Service............

2.7 Gulf War Health Study

2.8 Loss of eligibility for treatment................................

PART 3 — COMMISSION APPROVAL FOR TREATMENT....................

3.1 Approval for treatment.......................................

3.2 Circumstances in which prior approval is required.................

3.3 Circumstances in which prior approval may not be required..........

3.4 Other retrospective approval..................................

3.5 Financial responsibility......................................

PART 4 — MEDICAL PRACTITIONER SERVICES...........................

4.1 LMO or other GP Scheme....................................

4.2 Providers of services........................................

4.3 Financial responsibility......................................

4.4 Referrals by LMO or other GPs................................

4.5 Referrals by medical specialists................................

4.6 Referrals to medical specialists in country or Territory areas.........

4.7 Referrals: prior approval.....................................

4.8 Other matters..............................................

PART 5 — DENTAL TREATMENT........................................

5.1 Providers of services........................................

5.2 Financial responsibility......................................

5.3 Eligibility.................................................

5.4 Emergency dental treatment...................................

5.5 Orthodontic treatment for children..............................

5.6 General anaesthesia.........................................

5.7 Prescribing of pharmaceutical benefits by dentists.................

5.8 Other dental services........................................

PART 6 — PHARMACEUTICAL BENEFITS................................

6.1 Repatriation Pharmaceutical Benefits Scheme.....................

6.2 Eligibility under the Repatriation Pharmaceutical Benefits Scheme....

PART 7 — TREATMENT GENERALLY FROM OTHER HEALTH PROVIDERS...

7.1 Prior approval and financial responsibility for health services........

7.2 Registration or enrolment  of providers..........................

7.3 Community nursing.........................................

7.3A Veterans' Home Care Program.................................

7.4 Optometrical services........................................

7.5 Physiotherapy..............................................

7.6 Podiatry..................................................

7.7 Chiropractic and osteopathic services...........................

7.8 Other services..............................................

PART 9 — TREATMENT OF ENTITLED PERSONS AT HOSPITALS AND INSTITUTIONS             

9.1 Admission to a hospital or institution............................

9.2 Financial responsibility......................................

9.3 Nursing-home-type care......................................

9.5 Convalescent care...........................................

9.6 Other matters..............................................

PART 10 — RESIDENTIAL CARE.........................................

10.1 Residential care arrangements.................................

10.2  Residential care amount for former prisoners of war................

10.4 Payment of residential care amount for certain veterans with dependants 

PART 11 — THE PROVISION OF REHABILITATION APPLIANCES............

11.1 Rehabilitation Appliances Program.............................

11.2 Supply of rehabilitation appliances.............................

11.3 Restrictions on the supply of certain items.......................

11.4 Visual aids................................................

11.5 Hearing aids...............................................

11.6 Other rehabilitation appliances.................................

11.7 Repair and replacement......................................

11.8 Treatment aids from hospitals.................................

11.9 Provision of aids and appliances for accident prevention and personal safety             

PART 12 — OTHER TREATMENT MATTERS...............................

12.1 Ambulance transport........................................

12.2 Treatment under Medicare....................................

12.3 Compensable patients........................................

12.4 Prejudicial or unsafe acts or omissions by patients.................

12.5 Veterans’ Home Services program..............................

12.6 Recovery of moneys.........................................

 

Index

accident, 53, 54

acute care certificate, 7, 43

Aged Care Act 1997, 45

ambulance, 19, 21, 55

attendant care, 7

audiology, 34, 50

Australian Hearing Service, 21

Australian Medical Association Ltd, 12

care plan, 9, 12, 35, 37

carer, 7, 11, 13, 40

child, 9, 31, 32, 61

Commission-funded treatment, 7

community nursing, 34, 35, 36

community patient, 7

community services, 7, 59, 60

compensable patient, 7, 55

compensation, 7, 49, 55

contracted private hospital, 7, 43

convalescent admission, 7

convalescent care, 44

counselling, 17

country area, 7, 52

defence-caused, 14, 61

delegation, 7, 63

dental prosthetist, 8, 30

dental schedules, 8, 30, 63

dental specialist, 8, 30, 32

dental treatment, 19, 21, 30, 31, 32

dentists, 24

determination, 9, 17

determined condition, 8, 14

determined residential care condition, 8, 26, 30

Diagnostic and Statistical Manual of Mental Disorders, 16

dietetics, 34

DVA Registered LMO or other GP, 8, 11, 25

elective surgery, 8, 18, 29, 41

eligible person, 8, 22, 23, 40, 56

emergency, 8, 15, 21, 22, 31, 40, 55

entitled person, 9, 13, 17, 25, 26, 28, 29, 30, 31, 34, 35, 36, 40, 41, 43, 44, 49, 50, 52, 53, 55, 56, 61, 63

entitled veteran, 9

entitled widow, 9, 15

entitled widower, 9

episode of care, 9, 36

former prisoner of war, 45

friendly society, 7, 24, 29

Gold Card, 32, 33

Gold Card, 9, 15, 26, 31, 45

guide dog, 48

Guidelines for Nurses, 35

health insurance, 7, 22, 24, 29, 43

Health Insurance Act 1973, 7, 11, 12, 41, 43, 45

Health Insurance Commission, 9

health provider, 9, 11, 12, 23, 34

hearing aids, 50

herbalists, 39

high level of residential care, 45

home, 7, 11, 18, 35, 40, 43, 56, 59, 63

homeopaths, 39

hospital maintenance charges, 41, 43, 63

hydrotherapy, 12, 34, 36

inoculation, 29

inpatient, 21, 40, 41, 43, 44, 53

Inter-Departmental Committee on Fees and Allowances, 23

in-vitro fertilisation, 29

iridologists, 39

Local Dental Officer, 30, 32, 63

Local Dental Officer Scheme, 30, 63

LMO or other GP, 8, 11, 21, 25, 26, 35, 39

LMO or other GPs, 21, 22, 25, 26, 28, 29, 30, 36, 63

low level of residential care, 45

malignant neoplasia, 16, 30, 31, 48, 52, 56, 61

masseurs, 39

medical certificate, 24, 29

medical practitioner, 7, 11, 15, 16, 25, 32, 43

Medicare, 11, 22, 23, 24, 25, 26, 29, 36, 55

Medicare Benefits Schedule, 11, 23, 25, 29

Memorandum of Understanding, 8, 12, 22, 25

metropolitan area, 7, 21

minor procedure, 12, 18, 29

misrepresentation, 56

mistake, 56

multi-phasic screening, 29

naturopaths, 39

Notes for Nurses, 63

nursing home, 43, 63

occupational therapy, 34

offsetting moneys, 57

optometrist, 13

optometrists, 36, 49

outpatient, 18, 40, 53

outpatient service, 12

overseas, 15, 22, 29, 46, 52, 63

Papua New Guinea, 16

partner, 29, 40

pathology, 29

PBS, 12, 32, 52

personal safety, 53, 54

physiotherapists, 24

physiotherapy, 12, 19, 21, 34, 36

podiatrist, 24, 36

podiatry, 19, 21, 34, 36

pregnancy, 28

prior approval, 6, 12, 18, 19, 21, 22, 28, 29, 30, 31, 32, 34, 36, 40, 41, 44, 47, 49, 52, 53, 55

prisoner of war, 12, 13, 30, 31, 44, 45, 46, 58

prisoners of war, 45

private hospital, 12, 18, 21, 40, 41, 43

prostheses, 43

provider number, 35, 36, 37, 39

Provision of aids and appliances for accident prevention and personal safety, 53

psychiatric illness, 43

psychiatric institution, 12, 43

psychology, 34

psychotherapy, 28

public hospital, 6, 12, 18, 21, 40, 41, 43

pulmonary tuberculosis, 16, 61

radiology, 29

recognized hospital, 12

recovery, 56, 57

registration, 7, 8, 35, 36, 49

rehabilitation appliance, 15, 19, 47, 49, 52

Repatriation Private Patient Principles, 6, 18, 21, 28, 29, 40, 41

residential care, 11, 13, 15, 19, 34, 44, 45, 46, 58

RESIDENTIAL CARE, 45

residential care amount, 13, 46

residential care subsidy, 13, 44, 45, 46, 58

respite, 11, 13, 18, 40, 58, 59, 60

RPBS, 12, 33, 52

RPPPs, 6, 13

Schedule of Prescribable Items, 13, 36, 49, 50

sequelae, 16

social work, 34

specialist, 8, 11, 18, 21, 25, 26, 28, 29, 30, 32, 36

spectacles, 49, 50, 53

speech pathology, 34

stoma, 52

surgical appliances, 47

theatre fees, 12, 43

travel, 15, 29

unidentifiable condition, 14

vaccination, 29

vehicle, 48

Victoria Cross, 15

Vietnam veteran, 9, 14, 15, 17, 40, 61

visual aids, 19, 36, 49

wheelchairs, 48

White Card, 31, 32, 33

White Card, 14, 15, 26, 31, 45

written authorisation, 14, 15, 31


 

Australian Government

 

REPATRIATION COMMISSION

 

Veterans’ Entitlements Act 1986

 

Section 90

Treatment Principles

Instrument No. R8 of 2004

 

PART 1 — INTRODUCTION

1.1.1 The Treatment Principles, prepared by the Repatriation Commission under section 90 of the Act, set out the circumstances in which, and conditions subject to which, treatment may be provided for eligible persons under Part V of the Act and are to be read subject to the Act.

 

1.1.2 The Treatment Principles state the policies under which the Repatriation Commission may provide, or accept financial responsibility for the cost of, treatment for persons eligible under the Act.

Note: Consistent with the Act, treatment extends beyond medical treatment and also encompasses social and domestic assistance.

 

1.1.3 On 1 January 2005 the Treatment Principles constituted by Instrument No. 5 of 1993 (as amended) are revoked and these Principles commence.

 

1.2.1 The Repatriation Private Patient Principles (the RPPPs), determined by the Commission under section 90A of the Act, apply in all States in which a Repatriation General Hospital has been integrated into the State health system and in those States and Territories in which the Commission has declared that they apply.

 

1.2.2 In those States or Territories where the RPPPs apply, a provision of the Treatment Principles does not apply if it is inconsistent with the RPPPs.

 

1.2.3 Nothing in these Principles is to be taken to require prior approval for admission at a public hospital in any State or Territory in which the RPPPs apply.

 

1.3.1 The Commission may delegate all or any of its powers under the Principles (except this power of delegation) in the same manner, and subject to the same conditions, that it may delegate all or any of its powers under the Act.

Note: section 213 of the Act sets out the circumstances in which the Commission may delegate its powers.

 

 

 

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1.4.1 In these Principles, unless a contrary intention appears:

 

“Act” means the Veterans’ Entitlements Act 1986.

 

“acute care certificate means a certificate given by a medical practitioner in similar form to the acute care certificate provided for in section 3B of the Health Insurance Act 1973 to the extent that the provisions of that section are applicable.

 

"approved provider" means a State, Territory or Local Government, or incorporated organisation, or person, that has entered into an arrangement with the Commission for the provision of a Home Care service (category A) or a Home Care service (category B) or a limited VHC-type service, to an entitled person, whether by the approved provider or a sub-contractor engaged by it.

 

“attendant care means assistance with essential daily activities, such as bathing, dressing and eating.

 

“Board of Management” means the group of representatives from the Departments of Defence and Veterans’ Affairs and from the University of Queensland, responsible for the management of the Centre for Military and Veterans’ Health.

 

“carermeans a person who provides ongoing care, attention and support for a severely incapacitated or frail person to enable that person to continue to reside in his or her home, and is not limited to a person who is receiving a carer service pension.

 

 

“CMVH treatment” means action taken with a view to maintaining an entitled veteran in physical or mental health and includes:

 

(a) training members of the Defence Force in the health care disciplines that could benefit the health of an entitled veteran;

(b) conducting research into injuries or diseases suffered by members of the Defence Force or into the state of health generally of such members with the resulting knowledge being applied to the benefit of the health of an entitled veteran;

(c) improving communication on health care matters between members of the Defence Force who are staff-managers and an entitled veteran; and

(d) conducting health-care policy research with the outcomes of that research being applied to the benefit of the health of an entitled veteran.

 

Note (1): under subsection 80(1) of the Act treatment can be action taken with a view to maintaining a person in physical or mental health.

 

Note (2): the terms “member”, “Defence Force”, “member of the Defence Force”, are defined in the Act.

 

“Commission” means the Repatriation Commission.

 

"Commission-funded treatment" means treatment for which the Commission may accept financial responsibility.

Note: although the Commission may accept financial responsibility for treatment, actual payment for that treatment is made by the Commonwealth.

 

"community nursing services" means the community nursing services provided to an entitled person, in respect of which the Commission will accept financial responsibility for under Part 7 of the Principles.

 

"community nursing provider" means a health provider that has a contract with the Commission and, or, the Department, to provide community nursing services to entitled persons.

 

“community patient means a person for whom treatment is provided under sections 87 or 88 of the Act.

 

“community services means services provided by Commonwealth, State, Territory or local government authorities or agencies (other than the Department of Veterans’ Affairs or the Repatriation Commission) and other community agencies (whether or not funded in whole or in part by a government).

 

“compensable patient means a person who has established, or is likely to establish, an entitlement to damages or compensation from, or has commenced an action for damages against, another party that is not a registered health insurance organisation or a friendly society, for treatment of an injury, disease or other medical condition.

 

“contracted private hospital means a private hospital with which the Commission has entered into arrangements for the care and welfare of eligible persons.

 

“convalescent admission means a short period of medically prescribed convalescence for a entitled person who is recovering from an acute illness or an operation.

 

"co payment" means an amount of money an approved provider or a sub-contractor is permitted to charge an entitled person, pursuant to an arrangement between the approved provider and the Commission, in respect of a Home Care service (category A).

 

“country area” means that part of the State outside the metropolitan area of the capital city of that State, determined by the Commission to be a country area under paragraph 80(2)(b) of the Act.

 

“dental prosthetist means a person, however described, authorised under a law of a State or a Territory, to carry out the work of dental prosthetics without a written work order from a dentist or other person who may lawfully give a written work order for that purpose.

 

“dental schedulesmeans the documents known as Dental Schedules A, B and C and the Dental Prosthetist Schedule that:

 

(a) list the dental services provided or arranged by the Commission; and either

 

(b) are prepared by the Commission under paragraph 5.2.1; or

 

(c) are deemed, by paragraph 1.5.2, to have been in force on 1 June 1993.

 

“dental specialist means a qualified dental practitioner who:

 

(a) is registered with a Dental Board of the State or Territory in which he or she practises; and

 

(b) has obtained an appropriate higher qualification; and

 

(c) has been recognised as a specialist in the particular field by:

 

(i) a Dental Board of the State or Territory in which he or she practises, where the Dental Board of the State or Territory has available a mechanism for such recognition; or

 

(ii) another appropriate body mutually agreed in advance with the Australian Dental Association Incorporated.

 

“Department” means the Commonwealth as represented by the Department of Veterans’ Affairs.

 

“Department of Health” means the Commonwealth Department of State, however named, that from time to time is responsible for the administration of the National Health Act 1953 and the Aged Care Act 1997.

 

"determined condition" means any injury, disease, condition, or symptom of a condition (whether the condition is identifiable or not) that may be treated under and subject to these Principles, pursuant to, and subject to, a determination under section 88A of the Act.

 

"determined residential care condition" means a determined condition in respect of which Commission-funded treatment is available solely by reason of the Determination No.20/2000 made under section 88A of the Act.

 

Note: Determination No.20/2000 extends Commission-funded residential care to a non-war caused etc condition of veterans with a White Card ("the determined condition").  Unless that determined condition attracts other Commission-funded treatment pursuant to another determination under section 88A of the Act, it may receive Commission-funded residential care only and not Commission-funded medical treatment or dental treatment etc.

 

"Domestic Assistance" means the service under the Veterans' Home Care  Program consisting of:

 

(a)     assistance with domestic chores, including assistance with cleaning, dishwashing, clothes washing and ironing, shopping and bill paying; and

(b)    help with meal preparation where this is not the primary focus of the occasion of the service; and

(c)     in remote areas, activities such as collecting firewood.

 

“elective surgery means any non-urgent surgical procedure performed for diagnostic or therapeutic purposes.

 

“eligible person means a person who is eligible for treatment under section 53, 85, 86, 87, 88 or, subject to the terms of any determination under section 88A of the Act, section 88A of the Act.

 

“emergency means a situation where a person requires immediate treatment in circumstances where there is serious threat to the person’s life or health.

 

"emergency short term home relief" means care provided to an entitled person in his or her home on the following conditions:

 

 (a) the person or the person's carer is unable to provide care due to sudden and unforeseen               circumstances; and

 

 (b) the period for which the care is provided does not exceed 72 hours (episode) per  emergency except that, if the entitled person requires further care within 24 hours after the               end of the previous episode in an emergency, and obtains prior approval, a further episode               of care (up to 72 hours) may be provided in that emergency; and

 

 (c) the cumulative period of the care provided to the entitled person did not exceed 216 hours               in a Financial year.

 

 Note (1):  emergency short term home relief is not relevant to the calculation of residential care amounts for residential care or residential care (respite).

 

 

“entitled person means a person who is:

 

(a) an entitled veteran; or

 

(b) an entitled widow; or

 

(c) an entitled widower; or

 

(d) a child eligible for treatment under section 86 of the Act, but not a child who is eligible only under sub-section 86(5) of the Act;or

 

 (e) subject to the terms of any determination under section 88A of the Act, a former child of a               veteran who is eligible for treatment in accordance with a determination under section 88A               of the Act; or

  

  Note (1): "child" under the Act has a different meaning to its normal meaning and means a  

  person who has not turned 16 or, in the case of a child receiving full-time education, has not               

  turned 25.  Accordingly a child of a veteran ceases to be a child of the  

  veteran upon turning 16 or 25, as the case may be.  The child is, therefore, a former child of  

  the veteran. 

 

 Note (2): this paragraph is relevant to the provision of limited VHC-type services to former children of veterans receiving the Veterans' Home Care services of Domestic Assistance and Home and Garden Maintenance.  See also Determination 7/2001.

 

 (f)  subject to the terms of any determination under section 88A of the Act, a dependant of a                              veteran who is the partner of the veteran.

 

 Note: this paragraph is relevant to the provision of limited VHC-type services to partners  of               entitled veterans receiving the Veterans' Home Care services of Domestic Assistance and               Home and Garden Maintenance.  See also Determination 7/2001.

 

“entitled veteran means:

 

(a)                 a person who is eligible for treatment under section 85 of the Act, but not a person who is eligible only under subsection 85(9) of the Act; or

(b) subject to the terms of any determination under section 88A of the Act, a veteran who is eligible for treatment in accordance with a determination under section 88A of the Act.

Note 1: subsection 85(9) concerns Vietnam veterans requiring urgent treatment for any disease or injury, whether war-caused or not.  See also principle 2.5.

Note 2: section 88A of the Act enables the Commission to determine a class of veterans to be eligible for specified treatment.

 

“entitled widow” or “entitled widower means a person who is eligible for treatment under subsection 86(1) or 86(2) of the Act or, subject to the terms of any determination under section 88A of the Act, a person who is a widow or widower who is eligible for treatment in accordance with a determination under section 88A of the Act.

 Note: section 88A of the Act enables the Commission to determine a class of veterans, or current or former dependants of veterans, to be eligible for specified treatment.

 

"episode of care" means services provided to a patient by a health provider that:

 

 (a) have been detailed in a patient care plan;

 

 (b) are characterised by continuity of treatment or provision of service;

 

 and an episode of care arises:

 

 (c) every time a service provider sees a new patient; or

 

 (d) where a service provider has not seen a patient for some time and therefore no continuity of service                             can be provided, and the original patient care plan is no longer applicable or                                           appropriate.

 

“exceptional case process” means the process whereby the Commission may accept financial liability for community nursing services provided to an entitled person who, due to dependency or complex needs, requires community nursing services which, in the opinion of the Commission, fall significantly outside those referred to in any arrangement between the Commission and a community nursing provider.

 

Note: paragraph 3.5.1 (after paragraph (f)) enables the Commission, in exceptional circumstances to, among other things, accept financial liability for fees higher than those set out in an arrangement.

 

"excluded service" means a service within the scope of the Home and Community  Care Program established under the Home and Community Care Act 1985, as amended from time to               time, that is commonly known as:

 

 (a) domestic assistance or personal care; or

 (b) home maintenance; or

 (c) respite care.

  

 Note (1): for the purposes of this definition, "respite care" does not include centre-based day care (also called "day centre respite" or adult day activity centres").

 

 Note (2): the intention is that Home Care services categories A and B are mutually exclusive.

 

"exempt amount" means an amount of money not payable by an entitled person in  

 respect of any Home Care service (category A) provided to the entitled person by an approved  provider, because the entitled person is an exempt entitled person.

 

"exempt entitled person" means, in relation to the provision of any Home  

 Care service (category A) to an entitled person, an entitled person who:

 

(a) has a dependent child; or

 

 Note: dependent child is defined in the Act as having the same meaning as in the Social Security Act.  Note also that under the Acts Interpretation Act 1901 the singular includes the plural meaning a person can have more than one dependent child.

 

(b) is a person to whom section 52Y of the Act applies; or

 

Note: the application of section 52Y to a person means the person avoids severe financial hardship.

 

(c) is in receipt of an income support payment at the maximum rate and does not earn, derive or receive ordinary income exceeding $40 per fortnight; or

  

 (d) in the opinion of the Commission, could suffer severe hardship if the person was to make a payment in respect of the service.

  

 Note: the Commission may allow exemption from payment for a period or until the   

 occurrence of an event.

 

“Gold Card means the identification card described as the Repatriation Health Card - For All Conditions and provided to a person who is eligible under the Act for treatment, subject to these Principles, for all injuries or diseases.

 

"Health Insurance Commission" means the Health Insurance Commission established under the Health Insurance Commission Act 1973.


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"health provider means a person who provides treatment services.

 

"high level of residential care" has the meaning given in clause 1 of Schedule 1 to the Aged Care Act 1997.

Note: Clause 1 of Schedule 1 to the Aged Care Act 1997 provides that: ‘high level of residential care means a level of residential care corresponding to a classification level applicable to residential care (other than a classification level applicable only to respite care) that is not lower than the mid-point of all such classification levels that could apply to residential care.

The phrases ‘classification level’ and ‘respite care’ used in this definition are also defined in the Aged Care Act 1997.

This definition does not exclude entitled persons in respite care or convalescent care.

 

“home includes:

 

(a) the premises, or part of the premises, where the person normally resides; or

 

(b) a share house where the person normally resides;

 

but does not include:

 

 (c) a hospital; or

 

(d)            the premises where the person is receiving residential care.

 

 Note: ‘residential care is also defined in paragraph 1.4.1.”.

 

"Home and Community Care Program service" means a service of Home and Community Care provided under the auspices of the Home and Community Care Act 1985.

 

"Home and Garden Maintenance" means the service, under the Veterans' Home Care Program, of maintaining the home, garden or yard of an entitled person, and includes:

 

(a)            assistance with minor maintenance and minor repair of the home (e.g changing light bulbs, minor carpentry, minor painting, replacing tap washers, but not the supply of replacement items), garden or yard to keep the home, garden or yard safe and habitable;

(b)            lawn mowing;

 

but does not mean:

 

(c) tree felling or tree removing or other major tasks related to a garden or yard;

(d) provision of materials.

 

Note: recipients of Veterans' Home Care services will be expected to supply materials used in home maintenance, eg replacement light bulbs and tap washers.  Service providers will be required to provide any equipment needed, eg garden tools.

 

"Home Care service (category A)" means the provision of Domestic Assistance, Personal Care, Home and Garden Maintenance or Respite Care to an entitled person pursuant to the Veterans' Home Care Program.

 

"Home Care service (category B)" means the provision of treatment, pursuant to the Veterans' Home Care Program, that would satisfy the description of a service within the scope of the Home and Community Care Program established under the Home and Community Care Act 1985, as amended from time to time, but does not mean the provision of treatment, pursuant to the Veterans' Home Care Program, that would satisfy the description of an excluded service.

 

"income support payment" has the same meaning it has in the Social Security Act 1991, save that it includes an income support supplement under the Act.

 

Note: As at 1 January 2001 income support payments were:(a) a social security benefit; (b) a job search allowance; (c) a social security pension; (d) a youth training allowance; (e) a service pension.

 

“in-home respite means care provided to a person in his or her own home for a maximum of 196 hours in a Financial year  to provide rest or relief from the role of caring:

 

(a) to the person; or

 

(b) to the person’s carer.

 

Note: in-home respite is not relevant to the calculation of residential care amounts for residential care or residential care (respite).

 

“inpatient” means a person formally admitted for treatment by a hospital.

 

"Level A attendance" means a medical attendance described in an item in Level A, Group A1, Schedule of Services, Category 1-Professional Attendances, General Medical Services, of the Medical Benefits Schedule.

 

"limited VHC-type service" means a service identical to Domestic Assistance or Home and Garden Maintenance, provided, or to be provided, by an approved provider to a person eligible to receive a limited VHC-type service.

 

Note: eligibility for a limited VHC-type service is conferred by express  provisions in Part V of the Act (treatment for certain dependants) or by Determination 7/2001 made under paragraph 88A(1)(b) of theAct (treatment for dependants not eligible for treatment under express provisions in Part V).  In general, where an entitled veteran or an entitled widow (er) dies and immediately before his/her death the veteran/widow(er) was receiving Domestic Assistance or Home and Garden Maintenance, or both, then a widow/widower of the deceased veteran or a child or former child of the entitled widow (er) is eligible for a limited VHC-type service ie. a service like Domestic Assistance and/or Home and Garden Maintenance.  Other categories of dependants of veterans are also entitled to limited VHC-type services.

 

“LMO” means a medical practitioner who has a written agreement (that has not expired or been terminated) with the Commission or the Department (on behalf of the Commission) whereby the practitioner has agreed to provide treatment to entitled persons and charge the Commission, the Department or the Health Insurance Commission for the treatment instead of the entitled person.

 

"low level of residential care" means a level of residential care that is not a high level of residential care.

 

"Medicare benefit", in relation to a medical attendance or medical procedure, means the benefit payable in respect of that attendance or procedure under Part II of the Health Insurance Act 1973.

 

“medical practitionerhas the same meaning as “medical practitioner” has in the Health Insurance Act 1973.

 

“medical specialist means a medical practitioner who is recognised as a consultant physician or as a specialist, in the appropriate specialty, for the purposes of the Health Insurance Act 1973.

 

“Medicare Benefits Schedulemeans:

 

(a) Schedule 1 to the Health Insurance Act 1973 as substituted by regulations made under subsection 4(2) of that Act; and

 

(b) Schedule 1A to the Health Insurance Act 1973 as substituted by regulations made under subsection 4(2) of that Act; and

 

(c) the table of diagnostic imaging services prescribed under subsection 4AA(1) of that Act as in force from time to time.

 

“minor procedure means a surgical procedure that:

 

(a) does not involve hospitalisation or theatre fees; and

 

(b) is of a type that is undertaken routinely in doctors’ and specialists’ rooms; and

 

(c) does not require general anaesthesia; and

 

(d) is not undertaken in a private day facility centre.

 

"ordinary income" has the same meaning it has under the definition of "ordinary income" in the "Social Security Act 1991" including where terms in that meaning are further defined save that "ordinary income" does not include a payment of Income support supplement.

 

Note: Income support supplement is described in Part IIIA of the Veterans' Entitlements Act 1986.

 

“other GP means a medical practitioner who provides treatment to an entitled person otherwise than under a written contract with the Commission or the Department (on behalf of the Commission) and who does not, directly or indirectly, impose any charge on the entitled person in relation to that treatment but instead charges the Commission, the Department or the Health Insurance Commission for the treatment.

 

“outpatient service means a health service or procedure provided by a hospital but not involving admission to the hospital.

 

"patient care plan" means a document that is completed by a health provider who provides a service to a patient and that contains details of:

 

 (a) the patient's medical history;

 

 (b) the injury or disease in respect of which the service is to be provided;

 

 (c) the proposed management of the injury or disease; and

 

 (d) an estimation of the duration and frequency of the service to be provided.

 

"Personal Care" means the service under the Veterans' Home Care Program  consisting of assistance with daily self care tasks, such as eating, bathing, toileting, dressing,               grooming, getting in and out of bed, and moving about the house.

 

“PBS means the Pharmaceutical Benefits Scheme authorised under the National Health Act 1953.

 

“physiotherapy includes hydrotherapy.

 

“Principles” means the Treatment Principles constituted by Instrument No. R8 of 2004.

 

“prior approval means that approval for the assumption by the Commission of the whole, or partial, financial responsibility for certain treatment must be given by the Commission before that treatment is commenced or undertaken.

 

“prisoner of war includes a person who, as a civilian, was detained by the enemy during World War 2 - but being a civilian within the meaning of “eligible civilian” in the Act.

 

“private hospital means premises that have been declared specifically as private hospitals for the purposes of the Health Insurance Act 1973.

 

"proscribed amount" means, in relation to the Veterans' Home Care Program:

 

(a)            subject to paragraph (b), an amount of money that if paid by an entitled person would mean the entitled person has paid in respect of a Home Care service (category A) comprised of Domestic Assistance provided to that entitled person by any approved provider or by any sub-contractor during a week or part thereof, an amount exceeding $5;

 

Note: for the purpose of ascertaining if an amount of money is a proscribed amount where the amount demanded, received or assigned is in respect of a service (s) provided during two or more weeks, without the service (s) being related to the particular week in which the service(s) was delivered, the amount               shall be apportioned pro rata to those weeks.

 

(aa) subject to paragraph (b), an amount of money that if paid by an entitled person would mean the entitled person has paid in respect of a Home Care service (category A) comprised of Home and Garden Maintenance, provided to that entitled person by any approved provider or by any sub-contractor during the relevant period referred to in paragraph 7.3A.3 (2) of the Principles, an amount exceeding $75;

 

Note (1): the "relevant period" is a period of 12 months.

Note (2): under paragraph 7.3A.8(a) of the Principles, an entitled person cannot be charged more than $5 per hour of service.

 

(b)           an amount of money that if paid by an entitled person receiving a Home Care service (category A) that was similar to a Home and Community Care Program service provided to the person immediately before 1 January 2001 would mean the entitled person has paid in respect of the Home Care service (category A) provided to that entitled person by any approved provider or by any sub-contractor, an amount exceeding the maximum amount the person could have been required to pay over a particular period in respect of the Home and Community Care Program service formerly provided to the person that was similar to the Home Care service (category A) provided to the entitled person;

 

Note: for the purpose of ascertaining if an amount of money is a proscribed amount where the amount demanded, received or assigned is in respect of a service (s) provided during two or more weeks, without the service (s) being related to the particular week in which the service(s) was delivered, the amount shall be apportioned pro rata to those weeks.

 

(c)            subject to paragraph (b), an amount of money that if paid by an entitled person would mean the entitled person has paid, in respect of a Home Care service (category A) comprised of Personal Care provided to that entitled person by any approved provider or by any sub-contractor during a week or part thereof, an amount exceeding $10;

 

 Note: for the purpose of ascertaining if an amount of money is a proscribed amount where the amount demanded, received or assigned is in respect of a service (s) provided during two or more weeks, without the service (s) being related to the particular week in which the service(s) was delivered, the amount               shall be apportioned pro rata to those weeks.

 

(d)           an amount of money in respect of Respite Care provided, or to be provided, by an approved provider or by a subcontractor, to an entitled person;

 

 Note: the intention is that any amount charged for Respite Care is a proscribed amount regardless of whether it would or would not exceed $5 per hour of service.

 

(e)            an amount of money in respect of a Home Care service (category A) provided or to be provided to an entitled person that was a similar service to a Home and Community Care Program service the entitled person received immediately before 1 January 2001 and in respect of which the entitled person had not been required to pay a charge;

  

  Note: the intention is that any amount charged for a service similar to a free former Home and Community Care Program service previously received is a proscribed amount regardless of whether it would or would not exceed $5 per hour of service.

 

(f)             an amount of money, in respect of a Home Care service (category A) provided or to be provided to an entitled person that was a similar service to a Home and Community Care Program service the entitled person received immediately before 1 January 2001, that exceeds any amount of money the entitled person had been required to pay in respect of the Home and Community Care Program service;

 

 Note: It is the intention that any amount charged for a service similar to a Home and Community Care Program service previously received that is over and above the amount the entitled person previously paid in respect of the Home and Community Care Program service is a proscribed amount notwithstanding that the sum of the amounts that could and could not be charged did not exceed $5 per hour of service.  The limitation on the maximum amount a person could be required to pay in (a), (aa) and (b) above applies to this situation (maximum amount payable over a period).

 

(g)            an exempt amount;

 

 Note: the intention is that an exempt amount remains a proscribed amount and therefore not chargeable notwithstanding it would or would not exceed $5 per hour of service.

 

"provision of a Home Care service (category A) to an entitled person by an approved provider" includes the situation where an approved provider engages a sub-contractor to provide a Home Care service (category A) to an entitled person.

 

"provision of a Home Care service (category B) to an entitled person by the Commission" includes the situation where the Commission engages a sub-contractor to provide a Home Care service (category B) to an entitled person.

 

“public hospital has the same meaning as “recognized hospital as defined in the Health Insurance Act 1973.

Note: Section 3 of the Health Insurance Act 1973 defines “recognized hospital” in terms of hospitals recognized for the purposes of the Medicare agreement, or hospitals declared by the Minister who administers the Health Insurance Act 1973 to be recognized hospitals.

 

"Repatriation Pharmaceutical Benefits Card" means the identification card entitled 'Repatriation   

Pharmaceutical Benefits Card' which is provided to a person pursuant to a determination under section 93X of the Act and which entitles the person to pharmaceutical benefits in accordance with the Repatriation Pharmaceutical Benefits Scheme.

Note: Part VA of the Act extends pharmaceutical benefits to eligible Commonwealth veterans, eligible allied veterans and to eligible allied mariners.

 

“Repatriation Pharmaceutical Benefits Scheme means Part I of the Scheme made under section 91 of the Act.

 

"residential care" means personal care or nursing care, or both personal care and nursing care, that is provided to a person in a residential care facility in which the person is also provided with:

(a) meals and cleaning services; and

 

(b)                 appropriate staffing, furnishings, furniture and equipment for the

 provision of that care and accommodation;

 

but does not include any of the following:

 

(c) care provided to a person in the person’s private home; or

 

(d) care provided in a hospital or psychiatric facility; or

 

(e) care provided in a residential facility that primarily provides care to people who are not frail and aged.

 

"residential care amount" means:

 

(a) in relation to an entitled person in a hospital — an amount determined under the Health Insurance Act 1973 to be the resident contribution applicable under that Act to a nursing-home-type patient of that hospital; or

 

(b) in relation to an entitled person (including a former prisoner of war or a person awarded the Victoria Cross) who is receiving, or received, residential care  an amount equivalent to the maximum daily amount of resident fees worked out under Division 58 of the Aged Care Act 1997.

Note:‘maximum daily amount of resident fees’ is worked out under section 58-2 of the Aged Care Act 1997.

 

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"residential care (respite)" means residential care provided as respite and includes residential care (28 day respite).

 

"residential care (28 day respite)" means residential care provided as respite for up to 28 days in a Financial year pursuant to the Veterans' Home Care Program.

 

"residential care subsidy" means an amount worked out under Chapter 3 of the Aged Care Act 1997 that is payable by the Commonwealth in respect of an entitled person’s residential care according to the classification level determined under Part 2.4 of that Act.

 

“respite means a rest, break or relief for a person’s carer or a person caring for himself or herself, from the role of caring.

 

"Respite Care" means the service under the Veterans' Home Care Program consisting of in-home respite, residential care (28 day respite) or emergency short term home relief.

 

Note: by virtue of Determination 4/2001 made under  section 88A of the Act, "Respite Care" may be applied in respect of all conditions of a white-card holder - not just for war-caused conditions.

 

“respite admission” means the admission of an entitled person to an institution to provide rest or relief for that person’s carer, or admission to an institution of an entitled person caring for himself or herself.

 

“revoked Treatment Principles” means the Treatment Principles Instrument No. 5 of 1993.

 

"Rural Enhancement Scheme" means the scheme established by the Commission under subsection 84(1) of the Act, in consultation with the Australian Medical Association Ltd, and which has the following features:

 

(a) LMOs who provide medical services (services) to entitled persons under the Rural Enhancement Scheme (Scheme) receive higher payments (as set out in the Principles) from the Department for those services than they would receive if the services were not provided under the Scheme;

 

(b) the Scheme only applies to LMOs who provide medical services to entitled persons at certain rural public hospitals (identified rural hospitals);

 

(c) an identified rural hospital is a hospital at which a medical practitioner may provide a medical service (service) to the public and receive from the state or territory government that, respectively, administers the state or territory in which the hospital is located, an extra amount (extra amount) for that service.

 

(d) the extra amount is an amount representing the difference between the amount the State or Territory actually pays the medical practitioner for the service and the fee for the service listed in the Medicare Benefits Schedule.

 

 Note: as at 1 January 2005 the Rural Enhancement Scheme only operated in NSW, Vic, SA and WA.

 

“RPPPs means the Repatriation Private Patient Principles determined by the Commission under section 90A of the Act.

 

“Schedule of Prescribable Itemsmeans the schedule prepared by the Commission under paragraph 7.4.1 that lists the products that may be supplied under these Principles by optometrists and other optical dispensers.

 

"sub-contractor" means, in relation to the Veterans' Home Care Program, a State, Territory or Local Government, or incorporated organisation, or person, engaged by an approved provider or the Commission to provide a Home Care service (category A) or a Home Care service (category B), respectively, to an entitled person.

 

“veteran” has the same meaning as it has in sections 80 and 81 of the Act.

Note: In sections 80 and 81 of the Act, “veteran” means a person:

 

(a) who is, because of section 7 of the Act, taken to have rendered eligible war service; or

(b) in respect of whom a pension is, or pensions are, payable under subsection 13(6) of the Act, other than a person who is a veteran under paragraph (a) by reason only that the person rendered service as a member of the Forces of a Commonwealth country of a kind described in paragraphs 6(1)(f) or (g) of the Act and was not domiciled in Australia or an external Territory immediately before the person’s appointment or enlistment in those forces.

Section 81 of the Act provides that “veteran” is also to be read as a reference to a “member of the Forces” or a “member of a Peacekeeping Force” as defined in subsection 68(1) of the Act.

 

"Veterans' Access Payment" means:

(a) an amount of $4.00 payable by the Department to an LMO for a medical service (other than a Level A attendance) provided by the LMO to an entitled person where that service is provided pursuant to the LMO's arrangement with the Commission; or

(b) an amount of $5.50 payable by the Department to an LMO for a medical service that is a Level A attendance provided by an LMO to an entitled person where that service is provided pursuant to the LMO's arrangement with the Commission;

being an amount in addition to any amount otherwise payable by the Department to an LMO for a medical service provided to an entitled person by the LMO pursuant to the LMO's arrangement with the Commission.

 

"Veterans' Home Care Program" means the treatment program under which the Commission ensures the provision of care and assistance services to entitled persons who are frail, or who have disabilities, with the aim of maintaining the independence of those people, allowing them to remain in their own home for as long as possible, and reducing avoidable illness and injury, and includes the Determination 13/2000 and Principles made under section 90 of the Act and the arrangements in support thereof.

 

VHC assessment agency” means a person to whom the Commission has delegated its power to assess whether a person needs a Home Care service (category A), or a Home Care service (category B), under the Veterans’ Home Care Program.

 

Note: as at 19 June 2003 paragraph 7.3A.1(1) empowered the Commission to make assessments for the Veterans’ Home Care Program.

 

“Vietnam veteranmeans a veteran who, while a member of the Defence Force, rendered continuous full-time service outside Australia in the area described in item 4 or 8 of Schedule 2 (in column 1) to the Act while that area was an operational area, whether or not the veteran rendered that service:

 

(a) as a member of a unit of the Defence Force that was allotted for duty; or

 

(b) as a person who was allotted for duty.

 

“war-caused” is to be read as including “defence-caused” by force of section 81 of the Act.

 

"week" means the period from Sunday to Saturday, inclusive.

 

"White Card" means the identification card described as the Repatriation Health Card - For Specific Conditions and provided to a person who is eligible under the Act for treatment, subject to these Principles and any determination under section 88A of the Act, of one or more of the following conditions:

 

(a)     war-caused injury;

(b)     war-caused disease;

(c)     malignant neoplasia;

(d)     pulmonary tuberculosis;

(e)     post traumatic stress disorder;

(f)      a determined condition (other than an unidentifiable condition);

 

and also means a written authorisation issued on behalf of the Commission under subparagraph 2.1.1(a)(iii) and provided to a person who is eligible under the Act for treatment, subject to these Principles and any determination under section 88A of the Act, of the following condition:

 

(g)     unidentifiable condition.

 

 Note: an "unidentifiable condition" is governed by Determination 19/2000

 

1.4.2 In the Treatment Principles, if a Note follows a principle, paragraph or subparagraph, the Note is taken to be part of that principle, paragraph or subparagraph, as the case may be.

 

 

 


PART 2 — ELIGIBILITY FOR TREATMENT
2.1 Treatment for eligible persons in Australia
2.1.1 Subject to these Principles, the Commission may provide or arrange for treatment in Australia of:

 

(a) entitled persons who have been issued with:

 

(i) a Gold Card;or

 

(ii) a White Card; or

 

(iii) a written authorisation issued on behalf of the Commission; and

 

(b) Vietnam veterans and their dependants, who are not otherwise eligible, and who are certified by a medical practitioner as requiring urgent hospital treatment for an injury or disease.

Note: See Principle 2.5 in relation to urgent treatment for Vietnam veterans and their dependants.

 

2.2.1 Subject to these Principles, the Commission will accept financial responsibility for the treatment overseas of war-caused injuries or diseases only for:

 

(a) a veteran who is resident overseas; or

 

(b) a veteran who is travelling overseas.

 

2.2.2 Except where the Commission decides otherwise, the Commission will not accept financial responsibility under paragraph 2.2.1 for costs incurred in the treatment of a war-caused injury or disease while a veteran is temporarily absent from Australia unless, prior to departure, an office of the Department has been notified of the veteran’s intention to travel.

 

2.2.3 Except in an emergency, financial responsibility under paragraph 2.2.1 will be limited to:

 

(a) except in the cases of residential care or residential care (respite), the cost of treatment provided in               accordance with the mode and duration that would have been provided or arranged, under these               Principles, in Australia; or

 

(b) except in the cases of residential care or residential care (respite), the cost of treatment provided by a               health authority or facility nominated by the Commission; or

 

(c) in the case of residential care or residential care (respite) provided for a period to a veteran, whether               provided in an emergency or not the lesser of:

 

 (i) the amount charged the veteran; or

 (ii) the amount of residential care subsidy (at classification level 1 for residential care or at

  classification level 3 for residential care (respite)) and the residential care amount (if any) that

  would have been accepted by the Commission in respect of the veteran if the veteran had received

  residential care or residential care (respite), as the case may be, at the classification level 1 or the

  classification level 3, respectively, for the same period in Australia;or

 


 Note (1): A "veteran" includes a former POW.  In most, but not all cases, the Commission accepts liability for the residential care amount for former POWs receiving residential care or residential care (respite) but, in the case of entitled persons other than former POWs, who receive residential care (respite), the Commission only accepts liability for the residential care amount for up to 28 days in a Financial year and in the case of residential care being provided to such persons, does not accept liability for any residential care amount.

 

 Note (2): Subject to the Principles, the Commission will not accept financial responsibility for medical or allied-health treatment applied to the "non-war caused conditions" (i.e non-accepted conditions) of the holder of a Gold Card or White Card residing or travelling overseas.

 

 Note (3): "classification level 1" and "classification level 3" mean "residential care classification level 1"and "residential care classification level 3", respectively, under the Aged Care Act 1997.  By virtue of Part 10 of the Principles the Commission, in the first instance, rather than the Commonwealth, accepts financial responsibility for the provision of residential care and residential care (respite) under the Aged Care Act 1997 to entitled persons (the veteran community).

 

 Note (4): the "residential care amount", also commonly known as the "basic daily care fee" or "resident fee", is the amount to be worked out under section 58-3, or the amount to be worked out under subsection 58-4(1), of the Aged Care Act 1997 as amended from time to time, depending on which of those provisions applied to the circumstances of the veteran.

 

(d) in the case of residential care (respite), the cost of that care (as worked out under paragraph (c)) for               only a maximum of 63 days in any Financial year.

 

Note (1):the intention is that the Commission will not accept any further financial responsibility for "a respite admission" in a Financial year where in that year the person had already spent 63 days in residential care as a respite admission.

 

 Note (2): for the purpose of calculating the number of days spent by a veteran in residential care (respite) in a Financial year, any day spent in residential care (respite) in Australia in that year is also to be taken into account.

 

2.2.5 Notwithstanding paragraphs 2.2.2 or 2.2.3, the Commission will not be responsible for treatment costs incurred by any person who travels overseas from Australia where a significant reason for that travel is to obtain treatment or rehabilitation appliances.

 

2.2.6 Subject to these Principles, the Commission will accept financial responsibility for the treatment of an entitled widow who is resident overseas if her husband had been awarded the Victoria Cross.

 

2.2.7 Subject to these Principles, the Commission will accept financial responsibility for the treatment of entitled persons who were residing in Papua New Guinea at the date of independence (16 September 1975) and who have continued to reside there.

Note: Travelling to, or taking up, residence in Papua New Guinea after the date of independence is regarded as travelling to or residing in a foreign country.

 

 

 

 

 

 No Overseas Veterans' Home Care or HomeFront

 

2.2.8  The Commission will not accept financial liability for the provision overseas of treatment under the Veterans' Home Care Program or under the HomeFront Program.

 

Note:the HomeFront Program is the common name given to accident prevention and personal safety treatment provided under paragraphs 11.9.1 to and including paragraph 11.9.8 of the Principles.

 

2.3.1 Subject to these Principles, the Commission will provide, arrange, or accept financial responsibility for treatment of an injury or disease that is not war-caused to the extent that it is a necessary part of treatment for a war-caused injury or disease.

 

 

2.4.1 The Commission will provide, or accept financial responsibility for, treatment of a veteran for malignant neoplasia, pulmonary tuberculosis, and post-traumatic stress disorder (even if that injury or disease is not war-caused) on and from the date that is three months before the date on which an application to be provided with that treatment is received at an office of the Department in Australia.

 

2.4.2 The Commission will provide, or accept financial responsibility for, treatment of a veteran under paragraph 2.4.1 if the treating medical practitioner considers that a malignant neoplasm or pulmonary tuberculosis, as the case may be, is the actual or most likely diagnosis.

 

2.4.2A The Commission will provide, arrange, or accept financial responsibility for, treatment of a veteran under paragraph 2.4.1 in respect of post-traumatic stress disorder if the veteran has been assessed and diagnosed as suffering from post-traumatic stress disorder, by a psychiatrist, in accordance with the criteria for such assessment and diagnosis as set out in the fourth edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (commonly known as DSM-IV).

 

2.4.2B For the purpose of establishing whether or not post-traumatic stress disorder is the actual or most likely diagnosis, the Secretary may require a veteran to be examined, at Commonwealth expense, by a psychiatrist.

 

2.4.3 Continuing financial responsibility for treatment under paragraph 2.4.1 may be reviewed and may be withdrawn by the Commission if —

 

(a)            the diagnosis is not confirmed to the satisfaction of the Commission within

 three months from the day on which an application to be provided with that treatment (referred to in subsection 85(2) of the Act) is received at an office of the Department in Australia; or

 

(b) the Commission is satisfied that the veteran does not suffer, or no longer suffers, any incapacity from a malignant neoplasm, pulmonary tuberculosis, or post-traumatic stress disorder.

 

2.4.4 The Commission will provide or accept financial responsibility for the treatment of other conditions, symptoms, or sequelae resulting from the treatment of malignant neoplasia where it has provided treatment or accepted financial responsibility under paragraph 2.4.1.


2.4.5 The Commission will provide, arrange, or accept financial responsibility for the reasonable treatment of an injury or disease that is not war-caused to the extent that it is a necessary part of, and is directly associated with, the treatment of the veterans' post-traumatic stress disorder.

Note:Injuries or diseases to which this paragraph might apply include alcohol or other substance abuse.

 

 

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2.5.1  Subject to these Principles, the Commission will accept financial responsibility for treatment of a veteran eligible for that treatment pursuant to a determination under section 88A of the Act.

 

2.6.1 The Vietnam Veterans’ Counselling Service may refer its clients to other counselling services.

 

2.6.2 The Commission will accept financial responsibility for counselling referred under paragraph 2.6.1 only where that referral is in accordance with 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 Vietnam Veterans’ Counselling Service.

 

2.7.1  Entitlement to medical examination, diagnostic test, radiology and pathology services, transport, accommodation, and meals  and leave-of-absence from employment or work (social assistance).

 

(1) The following terms are defined for the purposes of paragraph 2.7.1:

 

Claim Form means the form approved by the Commission under subsection 111(2) of the Act to be used to apply for travelling expenses in connection with travel under subsection 110 of the Act.

 

Determination 22/2000 means the Determination made under section 88A of the Act entitled Veterans' Entitlements Treatment (Gulf War Health Study) Determination 22/2000.

 

 Note:Although "section 88A Determinations" are not part of the Principles copies are stored at the end of the Principles for convenience.

 

 Gulf War Health Study means the Gulf War Health Study defined in Determination 22/2000;

 

 Leave-of-absence treatment means that part of the treatment a Veteran is eligible for under Determination 22/2000 comprised of the provision of, in the case of a Veteran employed by another person, unpaid leave from the Veteran's employment (social assistance) and, in the case of a self-employed Veteran, absence from the Veteran's work (social assistance).

 

 Note:As the provision of unpaid leave from employment/work is treatment, the Commission may accept financial responsibility for the cost of that treatment.  The cost of that treatment is the earnings the Veteran would otherwise have received but for the Veteran taking unpaid leave from employment/work to participate in the Gulf War Health Study.  It is not the intention that the Commission accept financial responsibility for any cost to a Veteran's employer that may have resulted from the provision of the unpaid leave.

  

  Medical Treatment means that part of the treatment a Veteran is eligible for under                              Determination 22/2000 comprised of a medical examination, diagnostic test, radiology                                           service, and pathology service.

 

Travel Treatment means that part of the treatment a Veteran is eligible for under Determination 22/2000 comprised of transport, accommodation, and meals.

 

 Travel Regulations means those provisions in the Veterans' Entitlements Regulations 1986 that govern the circumstances in which the Commission may accept financial liability for travelling expenses in connection with a person who travels for treatment under section 110 of the Act;

 

 Note: the reference to "treatment" (last occurring) does not include treatment comprised of transport, accommodation or meals.

 

 treatment means (unless there is a contrary intention) medical examination, diagnostic test, radiology service, pathology service, transport, accommodation, and meals and leave-of-absence from employment or work;

 

 Veteran means a veteran eligible for treatment under Determination 22/2000.

 

(2) The Commission will accept financial liability in accordance with Part 4 of the Principles for Medical Treatment provided to a Veteran, and will accept financial liability for Travel Treatment provided to a Veteran, and will accept financial liability for Leave-of-absence treatment provided to a Veteran, on condition that:

 

 (a) the conditions of eligibility for treatment for the Veteran under Determination 22/2000 are

satisfied; and

 

 Note: it is a condition of eligibility for treatment under Determination 22/2000 that the treatment relates to the Gulf War Health Study.

 

(b) in the case of Travel Treatment, the Commission would have accepted financial liability for the Travel Treatment under the Act, as amended from time to time, and under the Travel Regulations, as amended from time to time, if the Veteran had been a person who had travelled, with the approval of the Commission, for the purpose of obtaining treatment, and who, during the course of travel, had incurred transport, accommodation or meal costs, as the case may be;and

 

 Note: the reference to "treatment" (last occurring) does not include treatment comprised of transport, accommodation or meals.

  

  (c) in the case of Leave-of-absence treatment:

 

 (A) the Veteran provides to the Commission satisfactory evidence of:

  

  (i) where the Veteran has an employer — the provision to the Veteran of unpaid leave               from employment by the employer and the amount of salary, wages or other               earnings the Veteran would have received but for taking that unpaid leave;or

 

  (ii) where the Veteran is apparently self-employed — self-employment and the amount               of earnings the Veteran would have received but for being absent from work.

 

 (B) the Commission is not financially liable for that part of the cost of leave-of-absence treatment that exceeds, in respect of a day of unpaid leave from employment or a day of absence from work —$1,000.00.

 

   (3) For the purposes of (2)(b):

 

  (a) a reference in the Act relating to travel for the purposes of section 110 of the Act shall mean  travel for the purposes of the Gulf War Health Study;

  

  (b) a reference in the Travel Regulations or in the Claim Form to "application", "Claim", or "form" or to a similar word respectively shall mean an application under the Principles by a Veteran for reimbursement of any transport, accommodation or meal costs incurred by the Veteran in relation to the Gulf War Health Study;

  

  (c) a reference in the Act, the Travel Regulations or the Claim Form to "travelling expenses" shall mean the amount required to reimburse a Veteran for costs incurred by the veteran for transport, accommodation or meals in relation to the Gulf War Health Study;

  

  (d) a reference in the Travel Regulations relating to travel by an entitled person for the purposes of section 110 of the Act shall mean travel by a Veteran in relation to the Gulf War Health Study;

 

(e) a reference in the Travel Regulations to "entitled person" and a reference in the Claim Form to "veteran" shall mean a Veteran;

 

(f) a reference in the Travelling Regulations and in the Claim Form to "treatment" shall mean Medical Treatment of a Veteran for the purposes of the Gulf War Health Study;

 

(g) a reference in the Travelling Regulations to "treatment location" shall mean the location at which a Veteran receives Medical Treatment for the purposes of the Gulf War Health Study;

 

(h) a reference in the Travel Regulations relating to "endorsed for treatment" shall mean written confirmation endorsed on a Veteran's application for travelling expenses, as modified for (2)(b), by the veteran's treating practitioner, that the treatment location was as close as practical to the Veteran's residence and that the treatment of the Veteran was for the purposes of the Gulf War Health Study;

Note: the reference to "treatment" (last occurring) means Medical Treatment.

 

(i) a requirement in the Claim Form relating to details of a condition of a veteran shall be satisfied by providing the details: "Gulf War Health Study";

 

(j) a requirement in the Claim Form relating to details of whether the treatment of the veteran met the health care needs of the veteran and whether the Health Provider was the closest practical provider shall be deemed to be a requirement for details as to whether any Medical Treatment of the Veteran was for the purposes of the Gulf War Health Study and whether the Health Provider was the closest practical provider to provide that Medical Treatment.

 

2.7A Centre for Military and Veterans’ Health Treatment

 

2.7A.1 The Commission may accept financial liability for CMVH treatment provided for the benefit of an entitled veteran who is eligible for such treatment by virtue of Determination no.6/2003 made under section 88A of the Act and entitled Veterans’ Entitlements Treatment (Centre for Military and Veterans’ Health) Determination 2003.

 

Note (1): under subsection 80(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 CMVH treatment even though such treatment is not provided by the Centre for Military and Veterans’ Health.

 

Note (3): The Treatment Principles establish the treatment called “CMVH treatment” and Determination no.6/2003 establishes eligibility for that treatment.

 

Note (4): Unlike most of the eligibility provisions in Part V of the Act, eligibility for treatment under a “s.88A determination” need not relate to an injury or disease but can relate to a person’s condition generally.

 

Note (5): prior approval for CMVH treatment is not required.

 

2.8.1 Unless the Commission makes a determination under subsection 85(8) of the Act, it will not provide, arrange, or accept financial responsibility for treatment for a person, as an entitled person, on or from:

 

(a) the date of notification that the person is no longer eligible under section 85, 86 or 88A of the Act; or

 

(b) the effective date of reduction or cancellation of the qualifying pension;

 

whichever is the later.

Note: Subsection 85(8) provides, in effect, that where a service pension is suspended, the Commission may determine that, for the purposes of treatment eligibility, the person is deemed to be continuing to receive that pension during the period, or part of the period, of suspension.

 

2.8.2 Where a person’s pension is reduced or cancelled because the person supplied false or misleading information, and that reduction or cancellation results in a reduction or loss of eligibility for treatment, treatment benefits will be reduced or will terminate from the date of reduction or cancellation of the pension.

 


PART 3 — COMMISSION APPROVAL FOR TREATMENT

3.1.1 The Commission’s prior approval may be required for treatment.

 

  Note: Paragraph 1.5.1 provides that any approval given for treatment under the Treatment Principles revoked upon the commencement of these Treatment Principles is deemed to have been given for the purposes of, and under, these Principles.

 

3.2.1 Treatment requiring prior approval includes:

 

(a) all medical specialist services in metropolitan areas;

Note: see paragraph 4.7.1.
Prior approval is not required in States or Territories where the RPPPs apply — see paragraph 1.2.2.

 

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

 

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 RPPPs.

 

 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 9.1.8.

 

(h)           respite or convalescent admission to an institution;

 

Note: see paragraph 9.6.1.

 

(j) in-home respite care;

 

 (ja) emergency short term home relief (ESTHR) to be provided within 24 hours after a previous                             service of ESTHR;

  

  Note: the intention is that 3 days (the max ESTHR per emergency) should                               be sufficient time for alternative respite care to be arranged and prior                                                                       approval is required before a further immediately subsequent service of                                                         ESTHR may be provided.

 

(k) provision of residential care in Australia or overseas;

 

Note: see paragraph 2.2.4 and Part 10

 

(n) dental treatment specified as requiring prior approval in Part 5;

 

(o) community nursing services specified as requiring prior approval in Treatment Principle 7.3;

 

(p) physiotherapy that exceeds the limits specified in paragraph 7.5.1;

 

(q) podiatry that is not specified in paragraph 7.6.1;

 

(r) provision of rehabilitation appliances;

 

Note: see Part 11.

 

(s) provision of visual aids not included under the arrangements entered into between the Commission and suppliers;

 

Note: see paragraph 11.4.1.

 

(t) repair of a rehabilitation appliance;

 

Note: see paragraph 11.7.2.

 

(u) chiropractic services that exceed the limits specified in paragraph 7.7.1;

 

(v) osteopathic services that exceed the limits specified in paragraph 7.7.1; and

 

(w) ambulance transport, except for that provided by certain ambulance services specified in paragraph 12.1.1;

 

(x) cosmetic surgery;

 

(y) medical devices not included on the Department's schedule of 'Benefits Payable in Respect of Surgically Implanted Prostheses, Human Tissue Items and Other Medical Devices;

 

(z) psychiatric inpatient care or psychiatric day patient program care.

 

3.2.2 In considering whether prior approval will or will not be given and what conditions, if any, will apply, the following will be taken into account:

 

(a) any specific requirements contained in these Principles or the Act;

 

(c) the extent of funds that are available;

 

(d) reasonable control over expenditure;

 

(e) the clinical need for the proposed treatment; and

 

(f) the suitability and quality of the proposed treatment.

 


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3.3.2 Treatment not requiring prior approval includes:

 

(a) treatment by LMO or other GP except where otherwise indicated in Part 4;

 

(b) medical specialist consultations in country and Territory areas, except where otherwise indicated in principle 4.7;

Note: Prior approval is not required for medical specialist consultations in States or Territories where the RPPPs apply — see paragraph 1.2.2.

 

(c) dental treatment specified as not requiring prior approval in Part 5;

 

(d) dental prosthetic treatment specified as not requiring prior approval in Part 5;

 

(e) the prescription and supply of pharmaceutical items as set out in Part 6;

 

(f) subject to paragraph 7.3.5, the provision of community nursing services by a nurse in accordance with paragraph 7.3.3 after the services have been provided;

 

  Note:see principle 7.3.

 

 (fa) treatment under the Veterans' Home Care Program  except a service of emergency short                             term home relief (ESTHR) within 24 hours of a previous service of ESTHR;

 

 Note:see principle 7.3A.

  

(g) optometrical treatment and the dispensing of optical products under the arrangements between optometrists and optical dispensers and the Commission;

Note: see principle 7.4.

 

(h) physiotherapy treatment, except where otherwise indicated in principle 7.5.

 

(j) podiatry treatment, except where otherwise indicated in principle 7.6.

(k) treatment at a hospital under the conditions set out in paragraph 9.1.8;

 

(m) ambulance transport in an emergency or where that is the arrangement between ambulance service providers and the Commission;

Note: see paragraph 12.1.5.

 

(n)            referral to the Australian Hearing Service; and

 

(o)            chiropractic or osteopathic treatment, except where otherwise indicated in principle 7.7.

 

3.4.1 On application, the Commission may approve, and pay the cost of, any treatment that was undertaken in the period between:

 

(a) the effective date of eligibility under the Act; and

 

(b) the date on which the person is notified of entitlement.

 

3.4.2 The Commission may provide approval for treatment that has already been given or has commenced to be given in circumstances where:

 

(a) it would have accepted financial responsibility if prior approval had been sought before the service was provided; and

 

(b) there are exceptional circumstances justifying the failure to seek prior approval;

 

or where:

 

(c) a request for prior approval was incorrectly processed or failed to be processed due to an administrative error or processing error on the part of the Department or an officer of the Department.

 

3.4.3 The Commission will accept financial responsibility for emergency treatment for entitled persons and, subject to principle 2.2, for emergency treatment overseas for a war-caused injury or disease without prior approval only if approval is sought as soon as possible after the event.

 

Note:this Principle does not to apply to residential care or residential care (respite) provided overseas or in Australia.  In such cases the extent of Commission liability is determined under paragraphs 2.2.3 (c) and (d), and Part 10, of the Principles.

 

3.4.4 The Commission’s financial liability under paragraphs 3.4.1 and 3.4.3 is limited to the difference between:

 

(a) the reasonable cost of treatment; and

 

(b) the amount that an eligible person has claimed or is entitled to claim from Medicare, a health insurance fund or another third party.

 

3.4.5 The Commission’s financial liability under paragraph 3.4.2 is limited to the difference between:

 

(a) the cost of treatment for which it is financially responsible under paragraph 3.5.1; and

 

(b) the amount that an eligible person has claimed or is entitled to claim from Medicare, a health insurance fund or another third party.

 

3.4.6 The Commission will not pay or reimburse taxation levies for Medicare or for health insurance fund payments.

 

3.4.7 The Commission will accept financial responsibility under paragraphs 3.4.1, 3.4.2, and 3.4.3 if an application is supported by accounts, receipts, declarations or other evidence of the condition treated.

 

3.5.1 The extent of the financial liability accepted by the Commission for the provision of treatment for entitled persons is, subject to the Act and these Principles, as follows:

 

(a) in respect of the fee charged by an LMO for a medical attendance or medical procedure, pursuant to the LMO's arrangement with the Commission an amount equal to 115% of the fee listed in the Medicare Benefits Schedule for that attendance or procedure, together with, for each attendance or procedure, a Veterans' Access Payment.

 

(aa) in respect of the fee charged by an LMO for a medical attendance or medical procedure where:

  

(i) the LMO is registered under the Rural Enhancement Scheme;and

 

(ii) the attendance or procedure is, respectively, provided or performed under the Rural Enhancement Scheme and pursuant to the LMO's arrangement with the Commission;

 

an amount equal to 125% of the fee listed in the Medicare Benefits Schedule for that attendance or procedure, together with, for each attendance or procedure, a Veterans' Access Payment.

 

(b) in respect of the fees charged by an other GP:

 

(i) for a medical attendance — an amount equal to the Medicare benefit for that attendance plus 60 cents per attendance; and

 

(ii)                for a medical procedure — an amount equal to the fee listed in the Medicare Benefits Schedule for that procedure;

 

(c) in respect of the fee charged for a medical attendance, or medical procedure, provided by a Medical Specialist who is not an anaesthetist, a pathologist or a diagnostician — an amount equal to the fee listed in Schedule 2 (Repatriation Medical Fee Schedule) for that attendance or procedure.

 

(cc) in respect of the fee charged for a medical procedure provided by a Medical Specialist who is a pathologist or diagnostician — an amount equal to the fee listed in the Medicare Benefits Schedule for that procedure.

 

(d)           in respect of the fee charged for a medical procedure by a Medical Specialist who is an anaesthetist:

 

(i) an amount equal to the fee for that attendance or procedure listed in the Medicare Benefits Schedule;or

 

(ii) if the anaesthetist has elected to be so paid, payment in accordance with the DVA time-based rates of pay for anaesthetists as determined by the Commission;

 

(e) in respect of the fees payable to dental practitioners and dental prosthetists the financial liability that may be accepted by the Commission under Part 5 of the Principles;

 

(f) in all other cases — in accordance with the fees payable under arrangements made by the Commission;

 

except where the Commission, having regard to the matters specified in paragraph 3.2.2, is satisfied that there are exceptional circumstances justifying payment of a higher fee.

 

 

 

3.5.2 The Commission will only accept financial responsibility for treatment:

 

(a) that is reasonably necessary for the adequate treatment of the eligible person; 

 

(b) that is given by an appropriate category of health provider; and

 

(c)            if a claim for payment in respect of treatment:

 

(i)                  is in the form, if any, approved by the Commission for this purpose ('approved form'); and

(ii)                contains, or is accompanied by, any information required by any direction in any approved form; and

(iii)              is lodged at an appropriate place or with an appropriate person within the period of 6 months (or such longer period as is allowed in accordance with paragraph 3.5.2A) from the date of rendering the service to which the claim relates.

Note 1: a claim is taken to have been lodged on the day it is received.

Note 2: 'appropriate place' means an office of the Department in Australia or a place approved by the Commission for the purpose of lodging claims.

Note 3: 'appropriate person' means a person approved by the Commission for the purpose of lodging claims.

Note 4: a claim may be lodged by means of an electronic transmission.

 

3.5.2A  Upon application in writing, by a claimant, to the Commission, the Commission may, in its discretion, by notice in writing served on the claimant, allow a longer period for lodging a claim than the period of 6 months referred to in subparagraph 3.5.2(c).

Note: 'claimant' means an appropriate category of health provider seeking payment in respect of treatment provided under the Principles.

 

3.5.2B  In exercising its power under paragraph 3.5.2A to allow a longer period for lodging a claim, the Commission shall have regard to all matters that it considers relevant, including, but without limiting the generality of the foregoing, any hardship that might be caused to the claimant if a longer period is not allowed.

 

Note: 'claimant' means an appropriate category of health provider seeking payment in respect of treatment provided under the Principles.

 

3.5.2C  Subparagraph 3.5.2(c) does not apply to a claim for payment in respect of treatment where that treatment was given before 1 July 1999.

 

3.5.3 The Commission will not accept financial responsibility for the cost of the following treatment by health providers, including treatment by dentists, physiotherapists and podiatrists:

 

(a) services that have been paid for, wholly or partly, by Medicare or a health insurance fund; or

 

(b) services where the cost is otherwise recoverable, wholly or partly, by way of a legal claim; or

 

(c) examination for employment purposes; or

 

(d) examination for a medical certificate for membership of a friendly society.

 

3.5.4 Where the Commission accepts financial responsibility under these Treatment Principles, it does so on behalf of the Commonwealth.

 

PART 4 — MEDICAL PRACTITIONER SERVICES
4.1 Local Medical Officers / other General Practitioners

 

4.1.2 Outline

 

4.1.3 The aim of the medical services program is to ensure that as far as practicable entitled persons have access to free, safe and cost-effective treatment.

 

To achieve this objective the Commission or the Department deals with medical practitioners on three levels.

 

At the first level the Commission or the Department enters into agreements with general medical practitioners.  These medical practitioners are called LMOs. 

 

The second level of engagement is where the Commission or the Department deals with medical practitioners who are willing to treat entitled persons without charging the entitled person but who are not willing to enter into any written agreement with the Commission or the Department in relation to providing the treatment.  These medical practitioners are called other GPs.

 

Because LMOs sign an agreement with the Commission or the Department (on behalf of the Commission) they receive higher rates of remuneration from the Department than do other GPs.

 

The feature that distinguishes LMO-treatment or other GP-treatment from treatment provided by other medical practitioners is that LMOs and other GPs do not charge the entitled person for that treatment.  They charge the Commission, the Department or the Health Insurance Commission (hereafter in this Outline these bodies are referred to collectively as DVA).

 

It should be noted that while it is the Commission that accepts financial liability for treatment it is the Department (Commonwealth) that actually pays for the treatment.

 

The third level of interaction between the Commission or the Department and medical practitioners is where the medical practitioner is a specialist. 

 

Unlike LMOs, medical specialists do not have written agreements with the Commission/Department (as at 1 January 2005) but if they are prepared to treat an entitled person at the rate set out in the Principles and charge DVA and not the entitled person, then the relationship between DVA and the specialist is covered by the Principles.

 

4.1.4 Subject to paragraph 3.5.1, the Commission may accept financial liability for medical treatment provided to an entitled person by an LMO, an other GP or a medical specialist.

 

Note: paragraph 3.5.1 sets out the financial limits on Commission liability for treatment.

4.2.1 Unless otherwise indicated in these Principles, an entitled person may be provided with only those services included in the Medicare Benefits Schedule.

 

4.2.2 The services referred to in paragraph 4.2.1 may be provided only by:

 

(a) a LMO or other GP; or

 

(b) a medical specialist.

 

4.2.3 (1) An entitled person may be provided with services that are not made available under the Medicare Benefits Schedule ("unlisted services"). 

 

(2) Unlisted services are not to be provided to an entitled person if the Commission is satisfied that they  

are:

(a) a mere improvement on existing Medicare Benefits Schedule listed services; or

(b) experimental and have not been demonstrated to be effective or safe by extensive clinical trials.

 

4.2.4  Subject to paragraph 4.2.3(2), unlisted services are to be provided to an entitled person under paragraph 4.2.3(1) if the Commission is satisfied that the services will provide a substantial benefit to the health of the entitled person.

Note 1: the prior approval of the Commission is required before unlisted services may be provided (Paragraph 3.2.1 (b)).

Note 2: the availability of funds and the need to reasonably control expenditure are factors to be considered in granting prior approval (Subparagraphs 3.2.2 (c) and (d))

 

4.2.5 The services referred to in paragraph 4.2.3 may be provided only by:

 

(a) a LMO or other GP; or

 

(b) a medical specialist.

 

4.3.1 Subject to paragraph 3.5.1, and unless otherwise indicated in these Principles, the Commission will accept financial responsibility for treatment costs where a LMO or other GP or specialist provides or arranges for treatment of:

 

(a)            an entitled person who has been issued with a Gold Card ;or

 

(b) a veteran who has been issued with a White Card for any war-caused or other specifically listed injury or disease or for a determined condition; or

 

(c) a person who has been issued with a written authorisation on behalf of the Commission;

 

but the Commission will not accept financial responsibility for treatment costs where a LMO or other GP or specialist provides or arranges for treatment of a "determined residential care condition".

 

4.3.2 In relation to any occasion of service to an entitled person under these Principles, a LMO or other GP or specialist shall bill only:

 

(a) the Department; or

 

(b) the Commission; or

  

 (c) the Health Insurance Commission,

 

and that bill shall be for full settlement of the account for the service provided to the entitled person.

 

4.3.3 Any billing method described in paragraph 4.3.2 may be used on each occasion of service.

 

4.3.4 Subject to paragraph 4.7.3, the Commission will accept financial responsibility for any of the services described in paragraph 4.4.1, irrespective of the billing arrangement chosen under paragraph 4.3.2 by the referring LMO or other GP or specialist.

 


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4.4.1 A LMO or other GP may refer an entitled person for:

 

(a) treatment from a medical specialist, subject to paragraph 4.7.1, and principles 4.5 to 4.8;or

 

(b) treatment from a LMO or other GP who has expertise or recognition in a particular field but is not a qualified medical specialist, subject to principles 4.5 to 4.8;or

 

(c) treatment in a hospital or other institution as indicated in these Principles; or

 

(d) other health-care services not requiring prior approval, as indicated in principles 7.3, 7.5 and 7.6.

 

4.5.1 In providing treatment, a medical specialist, to whom an entitled person is referred under these Principles, may:

 

(a) arrange diagnostic tests;or

 

(b) refer the entitled person to another specialist in the same way as may a LMO or other GP;or

 

(c) arrange treatment in a hospital or other institution as indicated in these Principles; or

 

(d) refer the entitled person to a health-care provider in accordance with principles 7.3, 7.5 or 7.6, in the same way as may a LMO or other GP.

 

4.6.1 Subject to principles 4.7 and 4.8, the Commission will accept, without the need for prior approval, financial responsibility for treatment of entitled persons upon referral to medical specialists in a country or Territory area, provided that the entitled persons are referred by LMO or other GPs to medical specialists in the local area.

Note: Prior approval is not required in States or Territories where the RPPPs apply — see paragraph 1.2.2.

 

4.6.2 Referrals under paragraph 4.6.1 shall be valid from the date of the specialist’s or consultant physician’s first service.

 

4.7.1 In all instances other than those described in principle 4.6 and paragraph 4.7.3, prior approval is required for the referral of entitled persons to medical specialists.

 

4.7.2 Prior approval is required for:

 

(a) the provision of treatment for pregnancy and pregnancy related conditions;or

 

(b) the provision of psychotherapy treatment to entitled persons; or

 

(c) the provision of services under paragraph 4.2.3.

 

4.7.3 Prior approval is not required when a LMO or other GP or medical specialist refers an entitled person for radiology or pathology services not requiring admission:

 

(a) if the provider direct bills at 85 per cent or less of the fee set out in the Medicare Benefits Schedule as full settlement of the account for the services rendered; or

 

(b) if the Commission so determines.

Note: Prior approval is not required in States or Territories where the RPPPs apply — see paragraph 1.2.2.

 

4.8.1 The Commission will not accept financial responsibility for the cost of:

 

(a) elective surgery undertaken without prior approval with the exception of minor procedures carried out in a LMO or other GP’s or specialist’s rooms where the only charge is equivalent to the charge that would be applicable under the Medicare Benefits Schedule for that procedure; or

Note: Prior approval is not required for elective surgery undertaken in public hospitals in States or Territories where the RPPPs apply — see paragraph 1.2.2.

 

(b) examination for a medical certificate for life assurance purposes; or

 

(c) examination for a medical certificate for membership of a friendly society; or

 

(d) examination for employment purposes; or

 

(e) multi-phasic screening; or

 

(f) services where the cost is otherwise recoverable wholly or partly, by way of a legal claim; or

 

(g) services that have been paid for, wholly or partly, by Medicare or a health insurance fund; or

 

(h) treatment for infertility for the partner of an entitled person, unless that partner is personally eligible for treatment for the disability under the Act; or

 

(j) procedures associated with in-vitro fertilisation programs; or

 

(k) vaccination or inoculation in connection with overseas travel.


PART 5 — DENTAL TREATMENT

5.1.1 The Commission may prepare a Local Dental Officer Scheme, not inconsistent with these Principles, concerning the provision of dental treatment to entitled persons by private dental practitioners under arrangements entered into with the Commission.

 

5.1.2 Compliance with the Local Dental Officer Scheme, as in force at 1 June 1993, is a condition of the contract for services with each Local Dental Officer.

 

5.1.3 Dental prosthetic services may be provided to entitled persons by dental prosthetists under arrangements entered into with the Commission.

 

5.1.4 Subject to prior approval and these Principles, the Commission will accept financial responsibility for dental treatment provided in a hospital.

 

5.1.5 Subject to prior approval, an entitled person may be referred to a dental specialist by a Local Dental Officer, dental prosthetist or a dental specialist.

 

5.2.1 The Commission may prepare Dental Schedules A, B and C and a Dental Prosthetist Schedule that list dental services provided or arranged by the Commission and the limits of financial responsibility accepted by the Commission.

Note: Copies of the Local Dental Officer and Dental Prosthetists Fees Bulletins that contain details of these Schedules may be obtained from any office of the Department.

 

5.2.2 The Commission may set a monetary limit that will apply to entitled persons for services provided under Dental Schedule C for a calendar year.

 

5.2.3 The Commission will not accept financial responsibility for dental services provided to an entitled person under Dental Schedule C that exceed, in total, the annual monetary limit for that person as set under paragraph 5.2.2.

 

5.2.4 Until the annual limit has been exceeded, the Commission will pay up to the Schedule fee for each item.

 

5.2.5 The annual monetary limit set under paragraph 5.2.2 will not apply in relation to a dental service where that service is for:

 

(a) a war-caused injury or disease or a determined condition except a determined residential care condition of an entitled person receiving residential care; or

 

(b) a condition associated with malignant neoplasia; or

 

(c) a former prisoner of war.

 

5.2.6 Subject to paragraph 5.5.1, the Commission will not accept financial responsibility for dental treatment after a person is no longer eligible.

 

5.3.1 Subject to these Principles, an entitled person who holds a Gold Card, White Card or written authorisation issued on behalf of the Commission, may be provided with dental services at the expense of the Commission.

 

5.3.2 A person who holds a Gold Card and who is not a former prisoner of war will be provided with the following dental services:

 

(a) for treatment of an injury or disease that is not war-caused:

 

(i) without prior approval — those dental services listed in Schedule A, except where specified;

 

(ii) with prior approval — those dental services listed in Schedule B; and

 

(iii) without prior approval and subject to paragraph 5.2.2 — those dental services listed in Schedule C;

 

(b) for treatment of a war-caused injury or disease or malignant neoplasia:

 

(i) without prior approval — those dental services listed in Schedule A, except where specified;

 

(ii) with prior approval — those dental services listed in Schedules B and C, but without the limit referred to in paragraph 5.2.2.

 

5.3.3 A person who holds a Gold Card  and who is a former prisoner of war will be provided with the following dental services:

 

(a) without prior approval — those dental services listed in Schedule A, except where specified;

 

(b) with prior approval — those dental services listed in schedules B and C, but without the limit referred to in paragraph 5.2.2.

 

5.3.4 Persons who hold a “White Card" are entitled to dental treatment of an accepted disability, a determined condition except a determined residential care condition of an entitled person receiving residential care, or of a dental condition associated with malignant neoplasia and, subject to prior approval, may be provided with any dental services listed in the Schedules.

 

5.4.1 Prior approval is not necessary for emergency dental treatment but the Commission will not accept financial liability for the treatment if approval has not been obtained as soon as possible after treatment. 

 

5.4.2 Financial responsibility for emergency dental treatment for persons who hold a “White Card " will only be accepted for treatment of a war-caused injury or disease or of a condition associated with malignant neoplasia for which the person is receiving treatment under principle 2.4, or of a determined condition except a determined residential care condition of an entitled person receiving residential care.

 

5.5.1 Orthodontic treatment will continue to be provided for an entitled child of a deceased veteran if the child has ceased to be eligible for treatment because he or she has turned sixteen years of age or has ceased full-time education if:

 

(a) the treatment is approved by the Commission while the child is still eligible; and

 

(b) the treatment is commenced while the child is still eligible; and

 

(c) the treatment will be completed within two years of commencement of treatment or such longer time as the Commission considers reasonable.

 

5.6.1 Financial responsibility for a general anaesthetic provided as part of dental treatment will be accepted only if:

 

(a) the anaesthetic is administered by a specialist anaesthetist or approved medical practitioner in a hospital or dental surgery where adequate resuscitation equipment is provided; and

 

(b) prior approval has been obtained.

 

5.7.1 Local Dental Officers or dental specialists may prescribe Pharmaceutical Benefits for entitled persons.

 

5.7.2 Subject to paragraph 5.7.4, prescriptions prescribed under paragraph 5.7.1 must be in accordance with the PBS.

 

5.7.3 The Commission will accept financial responsibility for Pharmaceutical Benefits, available under the PBS, that are required as part of dental treatment:

 

(a) for a war-caused injury or disease or other specifically listed condition or for a determined condition except a determined residential care condition of an entitled person receiving residential care, for entitled persons who hold a “White Card "; or

 

(b) for entitled persons who hold 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 war-caused injury or disease or other specifically listed condition or for a determined condition except a determined residential care condition of an entitled person receiving residential care, for persons who hold a“White Card "; or

 

(b) for persons who hold a“Gold Card ";

 

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

 

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.

 

 

 


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PART 6 — PHARMACEUTICAL BENEFITS

6.1 Repatriation Pharmaceutical Benefits Scheme
6.1.1 The Repatriation Pharmaceutical Benefits Scheme (Part I of the Scheme prepared under section 91 of the Act) relates to the supply of Pharmaceutical Benefits to entitled persons by community pharmacists as defined in that Scheme.

 

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

 

(a) a “White Card" " for a war-caused injury or disease, or other specifically listed conditions or for a determined condition except a determined residential care condition of an entitled person receiving residential care; or

(b) a Gold Card; or

(c)  a Repatriation Pharmaceutical Benefits Card.

 

7.1.1  Subject to the exceptions set out in paragraphs 3.3.2, 7.3 to 7.6 and 7.3A.13 the Commission will accept financial responsibility for treatment services provided by a health provider only if the Commission has given prior approval for those services to be provided.

 

7.1.1A    In relation to any occasion of service to an entitled person under these Principles, except an occasion of service that is a service under the Veterans' Home Care Program, a health provider shall bill only the Department and that bill shall be for full settlement of the account for the service provided to the entitled person but in relation to any occasion of service to an entitled person under these Principles that is the provision of a service under the Veterans' Home Care Program, a health provider shall bill the Department but not for any co-payment payable by an entitled person to the health provider and the bill presented to the Department shall be for full settlement of the account for the service provided to the entitled person.

 

7.1.2 Subject to these Principles and in addition to services provided under principle 2.6 and paragraph 5.1.3, the Commission may provide, arrange, or accept financial responsibility for the following:

 

(a) audiology

 

(b) dietetics;

 

(c) chiropractic services;

 

(d) community nursing;

 

(e) occupational therapy;

 

(f) optometry;

 

(g) orthoptics;

 

(h) osteopathic services;

 

(i)              Home Care service (category A); Home Care service (category B);

 

(j) physiotherapy;

Note: Physiotherapy includes hydrotherapy (see paragraph 1.4.1)

 

(k) podiatry;

 

(l) psychology;

 

(m) social work;

 

(n) speech pathology.


7.1.3 The Commission will not accept financial responsibility for services listed in paragraph 7.1.2 for an entitled person receiving a high level of residential care where the provision of those services is covered by a State or Commonwealth subsidy.

 

7.1.4 Treatment in an entitled person’s home may be approved where the entitled person is medically unable to attend the relevant facilities or where the entitled person is entitled to treatment at home under the Veterans' Home Care Program.

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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 community nursing providers is dealt with in the arrangements between the Commission and 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 community nursing providers is dealt with in the arrangements between the Commission and 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 community nursing providers is dealt with in the arrangements between the Commission and community nursing providers.

 

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 LMO or other GP, treating doctor in a hospital, hospital discharge planner or VHC assessment agency; and

 

Note: paragraph 7.3.6 sets out the community nursing providers 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 the person has a clinical need or a personal care need, or both, for the community nursing service.

 

7.3.4 All of an entitled person’s care documentation prepared by a community nursing provider shall be provided to the Department upon request by the Department to the community nursing provider.


7.3.5 An entitled person whose care needs, due to their complexity and care regime, are significantly outside of the scope of the community nursing classification to which they belong, is treated under the exceptional case process.  Before a person can be treated under the exceptional case process, prior approval must be obtained from the Commission.

 

7.3.6  A referral to a community nursing provider is to be made only to a community nursing provider that has entered into, and is bound by, a contract with the Commission or the Department to provide community nursing services during the relevant period of treatment and in the geographical area in which the entitled person resides.

 

7.3.6A If no community nursing provider referred to in paragraph 7.3.6 can provide the relevant community nursing care within a reasonable time, the Commission may approve a referral to another community nursing provider.

 

7.3.7 The Commission will not accept, as part of a community nursing service, financial responsibility for any domestic help services such as cooking, shopping, cleaning, laundry, transport and companionship.

 

 

7.3A.1 (1) The Commission may examine the circumstances of an entitled person and assess whether the person is in need of a Home Care service (category A) or a Home Care service (category B).

 

(2) The Commission may determine that an assessment made under paragraph (1) is to be effective from a date before or after the date on which the assessment is made.

 

 (3) The Commission shall ensure a record is made of any assessment under paragraph (1) and any determination under paragraph (2).

 

 (4) A record under paragraph (3) may be made and maintained in electronic form.

 

7.3A.3 (1) An entitled person is not entitled to a service of Home and Garden Maintenance if the provision of the service would mean the person had received Home and Garden Maintenance for a period or periods that would exceed, or cumulatively exceed, 15 hours over the relevant period.

 

7.3A.3 (2) For the purposes of paragraph 7.3A.3 (1), the relevant period is a period of 12 months commencing on the date when the Commission accepted financial liability for the provision of Home and Garden Maintenance to the entitled person, or on the anniversary of that date.

 

Note: the intention is that unused hours of Home and Garden Maintenance in a 12 month period are not carried over into the next 12 month period.

 

7.3A.4 (1) Where under paragraph 7.3A.1 (1) the Commission decides that an entitled person is not in need of a relevant service, it shall inform the entitled person accordingly and give reasons for its decision.

 

 (2) Where under paragraph 7.3A.1 (1) the Commission decides that an entitled person is in need of a relevant service, then, in the case of a Home Care service (category A), it shall arrange for an appropriate approved provider to supply that service, and, in the case of a Home Care service (category B), the Commission shall supply that service.

 

Note:in practice the Commission may delegate its powers to assess "Home Care need" and to arrange for the supply of a Home Care service (category A), to contractors and may delegate its power to supply a Home Care service (category B) to a contractor.  Those contractors may, in turn, sub-contract the obligation to supply the relevant services.

 

7.3A.5 The Commission may accept financial responsibility for the provision of a Home Care service (category A) to an entitled person by an approved provider if the service is supplied:

 

 (i) in accordance with the arrangement between the approved provider and the Commission; and

 (ii) in accordance with the terms of a decision under paragraph 7.3A.1(1) that the entitled person needed the service; and

 (iii) in accordance with the Principles.

 

7.3A.6   The Commission may accept financial responsibility for the provision of a Home Care service (category B) to an entitled person by the Commission.

 

Note: in practice the Commission may delegate its power to assess "Home Care need" to a contractor and may delegate its power to supply a Home Care service (category B) to a contractor.  Those contractors may, in turn, sub-contract the obligation to supply the relevant services.

 

7.3A.7  For the purposes of the Principles, an approved provider is deemed to be a health provider.

 

7.3A.8  Subject to paragraph 7.3A.9, a condition of any arrangement between the Commission and an approved provider for the provision of a Home Care service (category A) to an entitled person by the approved provider or any sub-contractor engaged by it, is that:

 

(a)       the approved provider, and any such sub-contractor, shall not demand, receive or assign, an amount from the entitled person in relation to the provision of the Home Care service (category A) that exceeds $5 per hour of service; and

(b)       the approved provider, and any such sub-contractor, shall not demand, receive or assign a proscribed amount from the entitled person in relation to the provision of the Home Care service (category A).

 

7.3A.9   For the purposes of paragraph 7.3A.8, in relation to a proscribed amount that is an exempt amount, it is only a condition of an arrangement not to demand, receive or assign such a proscribed amount if the Commission has made a determination under paragraph 7.3A.10 and notified the approved provider, whether by electronic means or otherwise, of the effect of that determination.

 

7.3A.10   Pursuant to a request in writing from an entitled person or an approved provider, the Commission shall determine whether, in the opinion of the Commission, an entitled person is or is not an exempt entitled person and such a determination shall be recorded in writing and shall be prima facie evidence of the matters contained therein.

 

Note: an exempt entitled person is not required to pay an amount the person would otherwise be required to pay to an approved provider in respect of a Home Care service (category A).

 

7.3A.11 Where:

 

(a) under paragraph 7.3A.8, an entitled person cannot be required to pay an amount of money in respect of a Home Care service (category A) provided or to be provided to that person by an approved provider or a sub-contractor, because:

 

 (i) the person is an exempt entitled person; or

(ii) the Home Care service (category A) provided or to  be provided to the entitled person is a similar service to a Home and Community Care Program service the entitled person

 received immediately before 1 January 2001 and in respect of which the entitled person had not been required to pay a charge ("similar service no charge"); or


 

(iii) the Home Care service (category A) provided or to  be provided to the entitled person is a similar service to a Home and Community Care Program service the entitled person received immediately before 1 January 2001 and in respect of which the entitled person had been required to pay a charge ("similar service some charge") but the amount of money that could have been required of the person under the Veterans' Home Care Program, but for it being a proscribed amount, exceeds that charge;and

 

 (b) a Home Care service (category A) is provided to the entitled person by an approved provider or a sub-contractor;

 

 the Commission will accept responsibility to pay to the approved provider in respect of the Home Care service (category A):

 

 (c) in the case where the entitled person could not be required to pay an amount because the person was an exempt entitled person — an amount equal to the amount the person could have been required to pay if the person had been an entitled person who was not an exempt entitled person;

 

 (d) in the case where the entitled person could not be required to pay an amount because the person was provided with a "similar service no charge" — an amount equal to the amount the person could have been required to pay if the Home Care service (category A provided to the entitled person had not been a "similar service no charge";

 

(e) in the case where the entitled person could not be required to pay a certain amount because the person was provided with a "similar service some charge" and the amount the person could not be required to pay was a proscribed amount because it exceeded the amount the person was charged when the person received the Home and Community Care Program service on which the "similar service some charge" was based — an amount equal to that proscribed amount;

 

  Note: it is the intention that the Commission accept responsibility for a proscribed amount referred to in paragraph (f) of the definition of "proscribed amount" (part of charge per hour) and not for the proscribed amount referred to in paragraph (b) of the definition of "proscribed amount" (amount exceeding maximum amount payable weekly or over a longer period).

 

 7.3A.12  A condition of any arrangement between the Commission and an approved provider for the provision of a Home Care service (category A) to an entitled person by the approved provider or any sub-contractor engaged by it, is that a Home Care service (category A) will not be provided to an entitled person receiving residential care under the Aged Care Act 1997 including where the Commission accepts financial responsibility for the provision of that residential care pursuant to the Principles.

 

7.3A.13 The prior approval of the Commission for the provision of a Home Care service (category A) to an entitled person by an approved provider or for the provision of a Home Care service (category B) to an entitled person by an approved provider is not required except that in the case of the provision of a Home Care service (category A) to an entitled person by an approved provider that is emergency short term home relief (ESTHR), the prior approval of the Commission is required for the provision of ESTHR within 24 hours after a previous service of ESTHR.

 

Note: the fact that the Commission's prior approval for treatment is not required does not mean an assessment is not required.

 

 

 

 

Transitional

 

7.3A.14 For the purposes of paragraph 7.3A.15:

 

"former service", in relation to an entitled person, means any Home and Community Care Program service the person was receiving immediately before 1 January 2001 or after 1 January 2001 and immediately before the person seeks services under the Veterans' Home Care Program.

 

7.3A.15  (1) An entitled person who was receiving a former service is entitled to receive whichever of Home Care service (category A) services or of Home Care service (category B) services is the most similar to that former service if the Commission assesses the person as needing one of those services.

 

(2) Upon the Commission deciding a person in paragraph (1) is entitled to a Home Care service (category A) or a Home Care service (category B), then the entitlement of that person to the service is subject to the Principles.

 

7.3A.16 Where a decision is made under paragraph 7.3A.15 (1), including a decision not to provide a service, the Commission shall make a record of the decision and give notice of the decision to the entitled person.

 

Note: a decision may be recorded in electronic form and notice of the decision may be given in electronic form.

   

7.3A.17 Upon the Commission making a decision under paragraph 7.3A.15 (1), the entitled person's entitlement, if any, to a Home Care service (category A), or to a Home Care service (category B), has effect subject to that decision.

 

Limited VHC-type services for dependants and former dependants

   

7.3A.19A Definitions

 

For the purposes of paragraphs 7.3A.19A to 7.3A.22 (inclusive):

 

eligible person means a person who is eligible for a service.

service means a limited VHC-type service.

widow(er) means a widow or a widower.

 

7.3A.19 Subject to paragraph 7.3A.21, the Commission may accept financial responsibility for  the provision of a limited VHC-type service to a person eligible to receive the service.

 

7.3A.20  A person eligible for a limited VHC-type service is a person who the Commission decides is:

 

(a) an entitled widow(er) of a deceased entitled veteran in circumstances where the deceased entitled veteran was, at or about the time of death, being provided with Domestic Assistance or Home and Garden Maintenance or both; or

 

Note: Eligibility for a limited VHC-type service (treatment) is conferred on dependants by express provisions in Part V of the Act or by Determination 7/2001 made under paragraph 88A(1)(b) of the Act.

 

(b) an entitled person who is a child of a deceased entitled veteran in circumstances where the deceased entitled veteran or the deceased entitled widow(er) of the deceased entitled veteran, was, at or about the time of death, being provided with Domestic Assistance or Home and Garden Maintenance or both; or

 

 Note: "child" under the Act has a different meaning to its normal meaning  

 and means a person who has not turned 16 unless the  person is undertaking  

 full time education in which case the person is a child until turning 25.

 

 (c) an entitled person who is a former child of a deceased entitled veteran in circumstances where the deceased entitled veteran or the deceased entitled widow(er) of the deceased entitled veteran, was, at or about the time of death, being provided with Domestic Assistance or Home and Garden Maintenance or both and the former child is a person with a serious disability; or

 

Note: "child" under the Act has a different meaning to its normal meaning and means a person who has not turned 16 unless the person is undertaking full time education in which case the person is a child until turning 25.  Accordingly a child of a veteran ceases to be a child of the veteran upon turning 16 or 25, as the case may be.  The child is then a former child of the veteran.

 

(d) an entitled person who is a former child of a deceased entitled veteran in circumstances where the deceased entitled veteran or the deceased entitled widow(er) of the deceased entitled veteran, was, at or about the time of death, being provided with Domestic Assistance or Home and Garden Maintenance or both and the former child was a full-time carer of the deceased entitled veteran or entitled widow(er) immediately prior to the death of the entitled veteran or the entitled widow(er), as the case may be; or

 

Note: "child" under the Act has a different meaning to its normal meaning and means a person who has not turned 16 unless the person is undertaking full time education in which case the person is a child until turning 25.  Accordingly, a child of a veteran ceases to be a child of the veteran upon turning 16 or 25, as the case may be.  The child is then a former child of the veteran.

 

(e) an entitled person who is the partner of an entitled veteran ("veteran") and who resided with that veteran immediately before the veteran needed to leave the home in order to receive treatment and at or about the time of the veteran's departure, the veteran was being provided with Domestic Assistance or Home and Garden Maintenance or both.

 

 (f) either: (i) a child of an entitled veteran; or

  (ii) a former child of an entitled veteran;

 

who resided with the entitled veteran or with the entitled widow(er) of a deceased entitled veteran immediately before the entitled veteran or entitled widow(er) needed to leave the home in order to receive treatment and at or about the time of the departure of the entitled veteran or entitled widow(er):

 

(iii) the entitled veteran or entitled widow(er) was being provided with Domestic Assistance or Home and Garden Maintenance or both; and

 

(iv) in the case of a former child of an entitled veteran residing with the veteran or the entitled widow(er) of the veteran, the former child was a person with a serious disability or was the full-time carer of the entitled veteran or of the entitled widow(er) of the veteran;

 

7.3A.21  The conditions on which the Commission will accept financial responsibility for the provision of a limited VHC-type service to a person eligible to receive the service are:

 

(1) in respect of an eligible person in paragraph 7.3A.20 (a) — the service is provided for a period of no longer than 12 weeks commencing on the day after the day on which the entitled veteran died ("commencement day"), unless, within the period of 12 weeks commencing on the commencement day, the person claims a pension under Part II of the Act in which case the service is provided for no longer than the period commencing on the commencement day and ending at the end of the day on which the Department notifies the Commission of the outcome of the claim.

 

Note (1): in practice a Commission delegate will determine a claim and the Department will communicate details of the determination to the delegate of the Commission who arranged provision of the limited VHC-type service.

 

Note (2): in practice the Commission will be a delegate exercising the Commission's assessment powers.

 

Note (3): notification can be orally or in writing including in electronic form.

 

(2) in respect of an eligible person in paragraphs 7.3A.20 (e) or (f), the service is provided over a period no longer than 12 consecutive weeks commencing on the day the entitled veteran or entitled widow(er), as the case may be, left the home for treatment.

 

(3) the service is identical to either Domestic Assistance or Home and Garden Maintenance (or both) that the relevant entitled veteran or entitled widow(er) was receiving at or about the time of his or her death or at or about the time of his or her departure from the home for treatment, as the case may be.

 

(4) the service is provided on the same terms, including any liability to make a co payment, that the Domestic Assistance or Home and Garden Maintenance (or both) was provided to the relevant entitled veteran or entitled widow(er) at or about the time of his or her death or at or about the time of his or her departure from the home for treatment, as the case may be.

 

(5) the eligible person resided in the home of the relevant entitled veteran or relevant entitled widow(er) at the time of the death of the relevant entitled veteran or relevant entitled widow(er) or at the time the relevant entitled veteran or relevant entitled widow(er) departed from the home for treatment, as the case may be.

 

(6) in order for an eligible person referred to in paragraph 7.3A.20 (d) to be provided with a service, the eligible person must have been:

 

 (a) the full-time carer of the entitled veteran immediately prior to the death of the veteran; or

 (b) must have been the full-time carer of the entitled widow(er) of the deceased entitled veteran immediately prior to the death of the widow(er);

 

at or about the time the service is required.

 

Note: the intention is to ensure that a former child satisfies eligibility criteria for a sevice by reference to his or her current situation and not to a previous one.  For example, a former child may, in the past, have been a full-time carer of a deceased entitled veteran who received a service.  The former child then resided with the widow(er) of the deceased veteran and the widow(er) received a service.  The widow(er) then dies or leaves the home for treatment but the former child is only eligible for a service if the child was the full-time carer of the widow(er).  If not, and the former child cannot satisfy any other grounds of eligibility, then the former child is not eligible for a service.

 

7.3A.22  For the purposes of paragraph 7.3A.21, a particular veteran or widow(er) is a "relevant entitled veteran" or "relevant entitled widow(er)" in relation to a particular eligible person, where the eligible person was residing with that veteran or that widow(er) at the time of the death of the veteran or widow(er) or at the time of the departure of the veteran or widow(er) from the home for treatment, and the eligible person is relying on that fact as constituting an element necessary to establish the basis for the person's entitlement to a service.

 

Note (1): the intention is to ensure that the conditions for providing a service to an eligible person are related to that person's particular circumstances.  For example, a former child who resided with an entitled widow before her death is only entitled to the domestic-type assistance that widow was receiving and is not entitled to the domestic-type assistance some other widow was receiving.  Similarly, the former child is not entitled to Home and Garden-type maintenance if the widow had not been receiving Home and Garden Maintenance.  The entitlement of the eligible person is to reflect the entitlement of the primary beneficiary (entitled veteran, including deceased entitled veteran, or entitled widow(er)).

 

Note (2): in the case of a child or former child, it is that person's relationship with a veteran, as distinct from a relationship with a veteran's widow or widower, that establishes the eligibility of the child or former child to treatment.

 


 

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7.4.1 The Commission will accept financial responsibility for optometrical services provided to an entitled person who consults an optometrist participating in the arrangements between optometrists and the Commission.

 

7.4.2 The Commission may, from time to time, prepare a Schedule of Prescribable Items that lists the products that may be supplied under these Principles by participating optometrists and other optical dispensers.

Note: The Schedule of Prescribable Items is available at any office of the Department.

 

7.4.3 A participating optometrist may render the account for services provided to an entitled person either to the Department or to Medicare under the direct billing arrangements.

 

7.4.4 When a participating optometrist direct bills Medicare and visual aids are prescribed, these may be provided under paragraph 7.4.2.

 

7.5.1 The Commission will accept, subject to paragraph 7.5.3, financial responsibility for physiotherapy treatment for a period, where an LMO or medical practitioner refers an entitled person to a registered physiotherapist to whom the Health Insurance Commission has given a provider number.

Note: Physiotherapy includes hydrotherapy (see paragraph 1.4.1).

 

7.5.2 The period referred to in paragraph 7.5.1 commences on the date of the LMO or other GP’s, or medical specialist’s, referral.

 

7.5.3 Prior approval is required for physiotherapy treatment:

 

(a) where those services are to be provided to an entitled person classified as a high care patient in a residential aged care facility;

 

 (b) where those services are to be provided in a public hospital; or

 

 (c) involving lymphoedema treatment.

 

7.5.4 The Commission may accept financial responsibility for hydrotherapy treatment that does not include recreational water exercises or recreational swimming.

 

7.6.1 Subject to paragraph 7.6.6, the Commission will accept financial responsibility for podiatry treatment where a LMO or other GP or medical specialist refers an entitled person to a registered podiatrist (to whom the Health Insurance Commission has given a provider number), for an episode of care.

 

 

 

 

7.6.2 Prior approval is required for podiatry treatment:

 

(a)                 where those services are to be provided to entitled persons classified as high care patients in a residential aged care facility;

 

(b)                 where those services are to be provided in a public hospital;

 

(c)                 when prescribing temporary footwear, prescribing more than two pairs of medical grade footwear;

 

(d)                 prescribing more than three pairs for entitled persons living in remote areas;

 

(e)                 repairing depth and custom footwear if the cost is over $100;

 

(f)                  modifying depth and custom footwear if the cost is over $100;

 

(g)                 providing an Electrodynographic Analysis and Report;

 

(h)                 providing a Video Gait Analysis and/or Treadmill Analysis and Report;

 

(i)                  delivering services valued at over $60 under the Miscellaneous Items listed in the Deed of Agreement between the Commission and the podiatrist.

 

7.6.3 The Commission will accept financial responsibility for surgical removal of the toenail plate (either partial or total) by a registered podiatrist (to whom the Health Insurance Commission has given a provider number), with or without sterilisation of the matrix, only if prior approval has been obtained.

 

7.6.4               The Commission may use an approved contracted supplier for the provision of

footwear.

 

7.6.5 The Commission will accept financial responsibility for footwear, and footwear repairs, only if the footwear is:

 

 (a) medical grade footwear;

 

(b) prescribed by a registered podiatrist, or a medical specialist who is a

 rehabilitation specialist, orthopaedic surgeon or rheumatologist; and

 

(c) supplied by an approved contractor or other supplier approved by the

 Commission.

 

7.6.6 Except where the Commission decides otherwise, financial responsibility will not be accepted for routine toenail cutting.

 

 

 

 


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7.7.1           The Commission will accept financial responsibility for chiropractic or osteopathic services where a LMO or other GP or medical specialist refers an entitled person to a registered chiropractor or osteopath to whom the Health Insurance Commission has given a provider number.

 

7.7.2 The Commission will only accept financial responsibility for chiropractic and osteopathic services involving treatment of the musculo-skeletal system. No other treatment will be accepted.

 

7.7.3 The Commission will only accept financial responsibility for x-rays taken by a registered chiropractor who is licensed to take x-rays under relevant State or Territory legislation.

 

7.7.5                The Commission will not accept financial responsibility for the provision of

concurrent courses of physiotherapy and chiropractic services or physiotherapy and osteopathic services for the same condition to any entitled person.

 

 

7.8.1 The Commission will not accept financial responsibility for certain services, including:

 

(a) herbalist services;

 

(b) homeopathy;

 

(c) iridology;

 

(d) massage that is not performed as part of authorised physiotherapy, chiropractic or osteopathy services;  and

 

(e) naturopathy.

 

 

 

PART 9 — TREATMENT OF ENTITLED PERSONS AT HOSPITALS AND INSTITUTIONS

9.1.1 Subject to these Principles, the Commission will accept financial responsibility for the provision of treatment to entitled persons as well as urgent treatment for Vietnam veterans, not otherwise entitled, and their dependants as indicated in principle 2.5, at a hospital or an institution.

Note: The Commission may raise a charge for treatment provided under paragraph 9.1.1 in accordance with section 93A of the Act.

 

9.1.2 The Commission will not approve, or accept financial responsibility for, admission to a hospital or an institution if:

 

(b) the person could have been provided with suitable outpatient treatment; or

 

(c) the person could have been suitably cared for at home, with or without supporting community health care services, unless the admission would provide respite for a carer of an entitled person.

 

9.1.3 Notwithstanding other provisions of these Principles, the Commission will accept financial responsibility for the emergency admission to the nearest hospital of an eligible person for treatment if an office of the Department is notified on the first working day after the admission, or as soon thereafter as is reasonably practicable, if that admission is to a private hospital requiring prior approval as set out in Part 3 of these Principles.

 

9.1.4 Where hospital treatment of an entitled person has been arranged under these Principles, and the person’s partner is an inpatient at another hospital within reasonable proximity, the Commission may arrange the admission or transfer of the person to the hospital at which the person’s partner is an inpatient.

 

9.1.5 If such arrangements are made under paragraph 9.1.4, the Commission will accept financial responsibility for the hospital treatment of the entitled person.

 

9.1.6 The Commission will accept financial responsibility for the admission of an entitled person to a Tier 2 or Tier 3 hospital, as set out in Principle 2 of the RPPPs, only if prior approval for the admission is obtained.

 

9.1.7 When giving consideration of prior approval under paragraph 9.1.6, the Commission will have regard to the matters set out in paragraph 3.2.2 and in Principle 2 of the RPPPs.

 

9.1.8 Subject to this Part, the Commission will accept financial responsibility for inpatient treatment of an entitled person in a country or a Territory public hospital or in a private hospital with which arrangements have been previously agreed with the Commission and according to the preferences and requirements set out in Part 3 of these Principles and in Principle 2 of the RPPPs.

 

9.1.9 The Commission’s approval is required before it will accept financial responsibility for the admission to hospital, or for hospital treatment, of entitled persons in all other circumstances.

 

9.1.10 Where prior approval is required, the Commission will not accept financial responsibility for any additional charges where an admission for treatment is arranged according to these Principles and then non-Medicare Benefits Schedule surgery or cosmetic surgery is performed subsequently without the Commission's approval.

 

9.2.1 Subject to paragraph 9.2.5, the Commission will accept financial responsibility for any usual and reasonable hospital treatment that takes place at the hospital for persons admitted in accordance with these Principles.

 

9.2.2 The Commission may accept financial responsibility for any usual and reasonable treatment that takes place outside the hospital if it is prescribed as a necessary part of inpatient treatment.

 

 

 


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9.2.4 Subject to paragraph 9.2.5, the Commission will accept financial responsibility for hospital charges on the basis of:

 

(a) for a public hospital — an amount in accordance with arrangements made with the appropriate State/Territory authority; or

 

(b) for a contracted private hospital — the rate agreed between the Commission and the hospital;

 

(c) for a non-contracted private hospital, when neither a public nor a contracted private hospital can provide the treatment required — the rate agreed from time to time between the Commission and the hospital; or

 

(d) for a non-contracted hospital, when chosen by an entitled person in preference to a contracted private hospital — a rate to be determined by the Commission.

 

9.2.5 The Commission will not accept financial responsibility for the whole, or that portion, of:

(a) hospital charges; or

 

(b) charges for any surgically implanted prostheses; or

 

(c) charges paid by health fund benefits;or

 

in circumstances where the entitled person:

 

(d) is insured by private health insurance for hospital charges, or surgically implanted prostheses, and

 

(e) agrees to assign to the hospital or other institution the benefits available from private health insurance in respect of all or part of the hospital charges or surgically implanted prostheses.

 

9.3.1 Where:

 

(a) an entitled person remains an inpatient in excess of 35 consecutive days and there is no acute care certificate under section 3B of the Health Insurance Act 1973 in force stating reasons approved by the Commission for the continuing need for acute care; or

 

(b) the medical practitioner responsible for treating the entitled person agrees at any time after admission that the entitled person no longer requires acute care;

 

the person will be regarded as receiving nursing-home-type care.

 

9.3.2 If an entitled person:

 

(a) is eligible for a residential care subsidy under the Aged Care Act 1997; and

 (b) is receiving nursing-home-type care as defined in paragraph 9.3.1;

 

the Commission will accept financial responsibility for the standard hospital fee for nursing-home-type patients under the National Health Act 1973, or other agreed fee, less the residential care amount, unless:

 

(c) the Commission has granted an exemption under paragraph 10.4.1; or

             

(d) the entitled person is a former prisoner of war or an entitled veteran awarded the Victoria Cross;

 

in which case the Commission will accept financial responsibility for the full amount of the hospital charge.

 

9.3.3  Nothing in this Part is to be taken to permit payments to be made by the Commonwealth under both the Veterans’ Entitlements Act 1986 and either the Aged Care Act 1997 or the National Health Act 1953 in respect of the same amount for which the Commonwealth has become liable in respect of nursing-home-type care under these Principles or the Aged Care Act 1997 or the National Health Act 1953.

 

9.5.1 Subject to prior approval and subject to paragraph 9.2.5, the Commission will accept financial responsibility for the costs of convalescent care for an entitled person at an institution for a maximum of 21 days during any financial year.

 

9.6.1 The Commission may withdraw its approval, at any time, for an entitled person’s continued inpatient treatment in a hospital or other institution.

PART 10 — RESIDENTIAL CARE

Part A — residential care not involving residential care (respite)

Note: this heading is intended to be an aid in interpretation.

 

 

10.1.1  Residential care may be provided in accordance with this Part to:

 

(a) a person who has a current valid Gold Card; or

(b)  a person who has a current valid White Card.

 

Note (1): this provision, in conjunction with a determination under section 88A of the Act, also enables the Commission to make a payment for residential care where that care is applied to a condition other than a war caused condition, malignant neoplasm, pulmonary tuberculosis, post traumatic stress disorder or an unidentifiable condition.

 

Note (2): an "unidentifiable condition" is governed by Determination 19/2000.

 

Note (3)‘residential care is defined in paragraph 1.4.1.

 

10.1.2  Subject to paragraph 10.1.3 and paragraph 10.1.5, a person referred to in paragraph 10.1.1 may be provided with residential care under the Aged Care Act 1997and the Principles.

 

10.1.3  Upon the Commonwealth becoming liable to pay an amount under the Aged Care Act 1997 in respect of residential care for a person referred to in paragraph 10.1.1, the Commission is taken to have:

 

(a) arranged for the provision of that residential care in accordance with this Part; and

 

(b) accepted financial responsibility for that amount.

Note: The effect of paragraph 10.1.3 is to provide for payment to be made under the Veterans’ Entitlements Act 1986 instead of the Aged Care Act 1997. Section 96-10 of the Aged Care Act 1997 provides that subsidies payable under Chapter 3 of the Aged Care Act 1997 in respect of treatment under Part V of the Veterans’ Entitlements Act 1986 are not payable as an automatic appropriation out of the Consolidated Revenue Fund under the Aged Care Act 1997 but are payable out of that Fund in accordance with the relevant appropriation provisions relating to the arrangement of treatment by the Repatriation Commission under the Veterans’ Entitlements Act 1986.

 

10.1.4  Paragraph 10.1.3 does not permit payments to be made by the Commonwealth under both the Veterans’ Entitlements Act 1986 and the Aged Care Act 1997 in respect of the same amount for which the Commonwealth has become liable.

 

10.1.5 Despite paragraph 10.1.3, where residential care is provided to an entitled person under the Aged Care Act 1997 and the Commonwealth is not liable to pay an amount under that Act in respect of an amount incurred by the entitled person in relation to that care, the Commission may accept financial liability for any such amount incurred by the entitled person where the Principles so provide.

 

Note:under the Aged Care Act 1997 the Commonwealth is not necessarily liable to pay resident fees such as the residential care amount.  Liability to pay that amount may be accepted by the Commission under the Principles.

 

 

10.2.1  The Commission will accept financial responsibility for the residential care subsidy and the residential care amount for a former prisoner of war who is receiving:

 

(a) residential care; or

(b) care in a hospital, classified as nursing-home-type care under paragraph 9.3.1 or as care received as a nursing-home type patient under the Health Insurance Act 1973.

 

Note: If a former prisoner of war receives a standard of accommodation superior to that medically necessary, the Commission cannot accept financial responsibility for any amount additional to the residential care subsidy and residential care amount for that person.

 

10.2.2  Paragraph 10.2.1(a) applies to residential care provided on or after 1 January 2005 to a former prisoner of war – whether the person was receiving residential care immediately before 1 January 2005 or not.

 

Note: the intention is that the beneficial effects of Instrument 10/2004 (abolition of high/low residential care requirements), which commenced on 1 January 2005, also apply to residential care on/after 1 January 2005 for POWs who were in low level residential care under the less beneficial Principles in force prior to 1 January 2005.

 

10.4.1  The Commission may, in exceptional circumstances, accept financial responsibility for the residential care amount for a veteran who:

 

(a) has a dependant; and

 

(b) is receiving a high level of residential care because of war-caused injury or war-caused disease, or both.

 

Payment of Residential Care Fees for Victoria Cross Veterans

 

10.5.1 The Commission may accept financial responsibility for the residential care amount and the residential care subsidy for an entitled veteran awarded the Victoria Cross and who is receiving, or has received, residential care.

 

Part B — residential care involving residential care (respite)

 

Note (1): this heading is intended to be an aid in interpretation.

Note (2): in Part B respite admission and residential care (respite) are interchangeable terms.

 

10.6 Residential care (respite) arrangements

 

10.6.1 residential care (respite) may be provided to an entitled person in accordance with this Part.

 

Note: residential care (respite) includes residential care (28 day respite) under the Veterans' Home Care Program.

 

10.6.2 The Commission may, in accordance with the following Table and subject to this Part, accept financial liability for the provision of residential care (respite) to an entitled person for a period not exceeding 63 days in a Financial year or not exceeding such further period in a Financial year for which residential care provided as respite to the person is permitted under the Residential Care Subsidy Principles.

 

Note (1): in calculating the maximum period of residential care (respite) available to an entitled person for which the Commission may meet certain costs, periods of residential care (28 day respite) (where the Commission paid the residential care amount) and in-home respite will be counted.

 

Note (2) in Part B respite admission and residential care (respite) are interchangeable terms and residential care (respite) includes residential care (28 day) respite.

 

Note (3): by virtue of Determination 4/2001 residential care applied to a respite admission may be applied to the non-war caused (non-accepted)               conditions of a white-card holder.

 

Note (4):the Residential Care Subsidy Principles (Principles) are made under subsection 96-1 (1) of the Aged Care Act 1997.  Under Part 7 of the Principles the Secretary may increase the number of days a person may be provided with residential care as respite care by 21.

 


LIMITS OF FINANCIAL RESPONSIBILITY ACCEPTED BY THE REPATRIATION COMMISSION FOR RESPITE ADMISSION

category of patient

 

type of care; max.period of care permitted; type of care costs accepted

type of care; max.period of care permitted; type of care costs accepted

 

 

 

 

 

 

 

 

residential care (28 day respite)

 

 

up to 28 days (inclusive) in a Financial year

 

residential care (respite) other than residential care (28 day respite)

 

upon an entitled person exhausting 28 days of residential care (28 day respite) in a Financial yearbetween and including 29 to 63 days* in that Financial year

POW

RCS + RCA

RCS + RCA

VC

RCS + RCA

RCS  + RCA

Other person

RCS + RCA

RCS

 

For the purposes of this table:

 

 

other person’ means an entitled person other than a ‘POW’ or a ‘VC’.

 

POW’ means an entitled veteran who is a former prisoner of war.

 

VC’ means an entitled veteran awarded the Victoria Cross.

 

‘RCA’ means the Commission will accept financial responsibility for the residential care amount.

 

‘RCS’ means the Commission will accept financial responsibility for the residential care subsidy.

 

‘RCS + RCA’ means the Commission will accept financial responsibility for the residential care subsidy  and the residential care amount.

 

* or for such further period permitted under the Residential Care Subsidy Principles.

 

10.6.3 Where the Commission could accept financial liability for a residential care amount otherwise payable by an entitled person in respect of a day in residential care, but does not accept liability because the entitled person chooses to accept that liability , then that day:

 

(a) is not to be taken into account in calculating if the person has been a respite admission for 63 days or such further period permitted under the Residential Care Subsidy Principles; and

 

(b) is not to be taken into account in calculating if the person has been provided with in-home respite for a period exceeding 28 days in a Financial year.

 

10.6.4 Where the Commission accepts financial liability for a residential care amount otherwise payable by an entitled person in respect of a day in residential care in a Financial year, then that day is to be taken into account in calculating if the person would receive in-home respite for more than 28 days in that Financial year.

 

10.6.5 Where the Commission accepts financial liability for the provision of in-home respite to an entitled person on a day, then that day is to be taken into account in calculating if the person has been a respite admission for 63 days (or such further period permitted under the Residential Care Subsidy Principles).

 

10.6.6 Where the Commission accepts financial liability for the provision of emergency short term home relief on a day, then that day is not to be taken into account in calculating if the person has been a respite admission for 63 days (or such further period permitted under the Residential Care Subsidy Principles ) or if the person has received in-home respite for more than 28 days.

 

10.6.7 (1) For the purposes of paragraphs 10.6.1 to 10.6.6 (inclusive) and subject to paragraph (2), a               day means:

 

  (a) in relation to residential care (respite) a period of 24 hours;or

 (b) in relation to in-home respite — a period of 7 hours.

 

(2) For the purpose of determining if the limit of days for residential care (respite) has been reached by reference to the number of days an entitled person spent in in-home respite, a day of 7 hours in in-home respite is taken to have been a day of 24 hours, and for the purpose of determining if the limit of days for in-home respite has been reached by reference to the number of days an entitled person spent in residential care (respite), a day of 24 hours in residential care (respite), is taken to have been a day of 7 hours.

 

Note: the "limit of days" for residential care (respite) or for in-home respite means the maximum number of days for which the Commission may accept financial liability for - in the case of residential care (respite), the residential care subsidy or the residential care subsidy and the residential care amount, or for -  in the case of in-home respite, the cost of respite

 

 10.6.8  Upon the Commonwealth or an entitled person becoming liable to pay an amount under the Aged Care Act 1997 in respect of residential care (respite) provided to that person and the Commission assuming financial responsibility for that amount, the Commission is taken to have arranged for the provision of that residential care (respite) to that entitled person in accordance with this Part.

 Note (1): the effect of paragraph 10.6.8 is to provide for payment to be made under the Veterans’ Entitlements Act 1986 instead of the Aged Care Act 1997.  Section 96-10 of the Aged Care Act 1997 provides that subsidies payable under Chapter 3 of the Aged Care Act 1997 in respect of treatment under Part V of the Veterans’ Entitlements Act 1986 are not payable as an automatic appropriation out of the Consolidated Revenue Fund under the Aged Care Act 1997 but are payable out of that Fund in accordance with the relevant appropriation provisions relating to the arrangement of treatment by the Repatriation Commission under the Veterans’ Entitlements Act 1986.

 

Note (2): the amount an entitled person could be liable to pay for residential care (respite) is the residential care amount, being a resident's contribution to his or her care.

 

 10.6.9  Nothing in this Part is to be taken to permit payments to be made by the Commonwealth under both the Veterans’ Entitlements Act 1986 and the Aged Care Act 1997 in respect of the same amount for which the Commonwealth has become liable in respect of residential care (respite)  under these Principles or the Aged Care Act 1997.

 

 

 

 

 

 

 


 Part C — respite admissions not involving residential care (respite)

 

 Note (1): this heading is intended to be an aid in interpretation.

 Note (2): an example of a respite admission not involving residential care (respite) would be an admission to a hospital.  The definition of residential care does not include hospital care.

 

 10.8  The Commission may accept, in whole or in part, financial responsibility for respite for a maximum period of 28 days in a Financial year in an institution in respect of which a residential care subsidy is not payable if, in the opinion of the Commission, it is a cost-effective and appropriate alternative to residential care (respite) under paragraph 10.6.1 and to Respite Care under the Veterans' Home Care Program.

 

 

 

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PART 11 — THE PROVISION OF REHABILITATION APPLIANCES

11.1.1 The Commission may provide:

 

(a) surgical appliances; and

 

(b) appliances for self-help and rehabilitation purposes.

 

11.1.2 The aim of the Rehabilitation Appliances Program is to restore, facilitate or maintain functional independence and/or minimise disability or dysfunction as part of the provision of quality care to entitled persons.

 

11.1.3 Appliances shall be provided:

 

(a) according to an assessed clinically indicated need; and

 

(b) in an efficient manner of delivery; and

 

(c) towards meeting health care objectives; and

 

(d) in a cost effective manner; and

 

(e) on a timely basis.

 

11.1.4 An appliance that is provided should be:

 

(a) appropriate for its purpose;and

 

(b) safe for the particular entitled beneficiary; and

 

(c) part of the overall management of health care for the entitled person;

 

but should not be an item that is customarily used for domestic purposes and would be used merely for such a purpose by the entitled person.

 

11.2.1 Unless otherwise indicated in these Principles, the Commission will arrange the supply of rehabilitation appliances on the condition that these are returned when no longer needed or if the Commission so requests.

 

11.2.2 Subject to principle 3.4 and paragraph 11.4.1, the Commission will not be financially responsible for the supply of an appliance without prior approval.

 

11.3.1 Subject to this Part, the Commission will provide or accept financial responsibility for the following appliances only to veterans who have a medically assessed need for these items due to a war-caused injury or disease or a determined condition other than a determined residential care condition:

 

(a) the supply of electric wheelchairs or electric scooters;

 

(b) the supply of a guide dog, provided that the Commission will not be responsible for costs associated with keeping the dog;

 

(c) the supply of special vehicle driving controls and devices, if the veteran owns the vehicle and is licensed under relevant State or Territory law to drive a modified vehicle.

 

11.3.2 Subject to this Part, the Commission will provide or accept financial responsibility for the provision of electronic communication equipment only to veterans who are:

 

(a) legally blind; or

 

(b) severely handicapped.

 

11.3.3 For the purposes of paragraph 11.3.2, a legally blind veteran means a veteran:

 

(a) whose legal blindness is war-caused or caused by a determined condition other than a determined residential care condition; and

 

(b) who has a medically assessed need for the electronic communication equipment; and

 

(c) who has been assessed by the Commission as being able to benefit from use of the electronic communication equipment.

 

11.3.4 For the purposes of paragraph 11.3.2, a severely handicapped veteran means a veteran:

 

(a) whose severe handicap was war-caused or was caused by a determined condition other than a determined residential care condition; and

 

(b) who has a medically assessed need for the electronic communication equipment; and

 

(c) who has been assessed by the Commission as being able to benefit from the use of the equipment because it would substantially improve the veteran’s:

 

(i) communication skills; and

 

(ii) quality of life.

 

11.3.5 Subject to this Part, where financial responsibility has been accepted under principle 2.4 for treatment for a malignant neoplasm, the Commission may provide or accept financial responsibility for the supply of an electric wheelchair or an electric scooter to the veteran if he or she has a medically assessed need for this item because of the malignant neoplasm.

 

11.3.6 The Commission will not approve the supply of a rehabilitation appliance to an entitled person in an institution where:

 

(a) the Commission is satisfied that the appliance should be supplied by the institution because of Commonwealth, State or Territory legislation under which the institution is registered;or

 

(b) the Commission is satisfied that the appliance should be supplied by the institution as the result of charges made or subsidies received by the institution under Commonwealth, State or Territory legislation; or

 

(c) installation of the appliance necessitates structural alteration to any part of the institution.

 

11.3.7 Subject to other conditions specified in this Part, the Commission may approve the installation or the attachment of a rehabilitation appliance to property when:

 

(a) the installation or the attachment conforms to Commonwealth, State or Territory laws relating to alterations to property; and

 

(b) the property owner has given approval and an undertaking not to seek compensation for restoration of the property when the appliance is no longer required by the entitled person to whom the aid was supplied.

 

11.3.8 Subject to this Part, the Commission may provide or accept financial responsibility for the installation of a telephone deaf aid and/or touch phone and the rental of the aid for the first year, in the workplace of a veteran who has a medically assessed need for these items because of a war-caused injury or disease.

 

11.4.1 The Commission will accept financial responsibility for visual aids dispensed on a prescription of an ophthalmologist or an optometrist in accordance with arrangements entered into between the Commission and suppliers.

 

11.4.2 Visual aids may be prescribed from the Schedule of Prescribable Items.

Note: The Schedule of Prescribable Items is made by the Commission under paragraph 7.4.2

 

11.4.3 Prior approval is required for the prescription of non-Schedule items except in the circumstances referred to in paragraph 11.4.6.

 

11.4.4 Subject to paragraph 11.4.5, in any two year period, the Commission shall not provide an entitled person with:

 

(a) more than one pair of distance spectacles and one pair of readers; or

 

(b) more than one pair of bifocals, trifocals or progressive power lenses.

 

11.4.5 The Commission will provide an entitled person with renewed lenses before the expiration of two years if:

 

(a) in the opinion of the treating practitioner, there has been a change in;

 

(i) the person’s refraction; or

 

(ii) the condition of the person’s eyes,

 

that necessitates new lenses; or

 

(b) there has been accidental loss or breakage.

 

11.4.6 If an entitled person chooses spectacle frames or lenses that differ from those listed in the Schedule of Prescribable Items, or that have not been medically prescribed, the Commission will accept financial responsibility only to the financial limits set out in the schedule.

 

11.5.1 The Commission will approve the supply of a spectacle hearing aid when it is the only type of hearing aid appropriate and the person is entitled to the treatment of:

 

(a) all injuries or diseases; or

 

(b) war-caused deafness or deafness that is a determined condition other than a determined residential care condition; or

 

(c) war-caused visual defect or a visual defect that is a determined condition other than a determined residential care condition and the need for a spectacle hearing aid arises from the person’s inability to accommodate spectacles and a separate hearing aid.

 

11.5.2 Where a person who has a war-caused hearing defect or a hearing defect that is a determined condition other than a determined residential care condition is provided with a spectacle hearing aid under paragraph 11.5.1:

 

(a) new lenses will be provided; or

 

(b) the existing spectacle lenses will be fitted as part of the aid.

 

11.5.3 The Commission will not be responsible, under paragraph 11.5.2, for the further supply or the fitting of lenses if the person is not entitled to the supply of spectacles.

 

11.5.4   Subject to prior approval, the Commission may accept financial responsibility for the supply of a hearing aid from an audiology provider if the hearing aid is unable to be supplied to the eligible person under the Hearing Services Administration Act 1997 or the Hearing Services Act 1991.

 

11.5.5  The Commission may accept financial responsibility for service charges in respect of a hearing aid that has been supplied under paragraph 11.5.4.

 

11.5.6 The Commission may accept financial responsibility for service charges in respect of a hearing aid following the supply of that hearing aid under paragraph 11.5.4 or 11.5.5.

 

 

 

 


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11.6.1 Subject to this Part, the Commission may arrange for a wig to be supplied to an entitled person who:

 

(a) became bald as a result of a war-caused injury or disease or as a result of a malignant neoplasm or as a result of treatment of one of these conditions or as a result of a determined condition other than a determined residential care condition or as a result of the treatment of a determined condition other than the treatment of a determined residential care condition; or

 

(b) requires a wig as part of medical treatment for disfigurement.

 

11.6.2 The Commission will not accept financial responsibility for the cleaning and setting of a wig.

 

11.6.3 Subject to this Part, the Commission may:

 

(a) provide medically suitable footwear as an aid; or

 

(b) approve the repair of an entitled person’s own footwear as part of medically prescribed alterations to the footwear.

 

11.6.4 Where the Commission approves the provision of stoma appliances and consumables, the provision will be through:

 

(a) a stoma association; or

 

(b) the Pharmaceutical Benefits Scheme; or

 

(c) the Repatriation Pharmaceutical Benefits Scheme.

 

11.6.5 The Commission will accept financial responsibility for the cost of membership of a stoma association and for the cost of postage of stoma supplies.

 

11.7.1 The Commission may approve the provision of more than one of the same rehabilitation appliance if the entitled person depends completely on the appliance, and:

 

(a) it is necessary to maintain the appliance in a hygienic condition because of domestic or occupational circumstances; or

 

(b) the entitled person lives in an isolated country area and would be handicapped by loss or breakage; or

 

(c) there are other circumstances where the Commission considers it reasonable to do so.

 

11.7.2 Subject to paragraphs 11.7.6 and 11.7.7, the Commission will not be financially responsible for the alteration to, or the repair of, a treatment aid without prior approval.

 

11.7.3 The Commission will not be financially responsible for, or reimburse, the cost of an alteration to, or a repair of, a rehabilitation appliance for which it has not accepted financial responsibility, unless there are circumstances where the Commission considers it reasonable to accept financial responsibility.

 

11.7.4 The Commission will not be financially responsible for repair or replacement of a rehabilitation appliance for a non war-caused injury or disease while an entitled person is travelling overseas.

 

11.7.5 Prior approval will be given for the repair or replacement of an appliance where repair or renewal is necessary because:

 

(a) the appliance was damaged by normal wear and tear;

 

(b) the appliance inadvertently was damaged or lost; or

 

(c) the health-care practitioner treating the entitled person considers that a replacement is required because the person’s condition has changed.

 

11.7.6 The Commission will not give approval for the repair or replacement of an appliance if repair or renewal is necessary as the result of:

 

(a) a wilful act of the entitled person using or wearing the appliance; or

 

(b) a negligent act of the entitled person using or wearing the appliance and the person has damaged or lost a similar appliance in the past as a result of negligence or wilfulness.

 

11.7.7 Prior approval is not required for repairs to spectacles.

 

11.8.1 The Commission may provide, or accept financial responsibility for, treatment aids as part of inpatient treatment where the aids expedite discharge from hospital.

 

11.8.2 The conditions for the supply of treatment aids are the same as those normally applied by the hospitals for patients not covered by these Principles.

 

11.8.3 The Commission will not provide, or accept financial responsibility for, a treatment aid as part of inpatient or outpatient treatment where the treatment solely comprises the provision of the treatment aid.

 

 

11.9.1  Subject to this Principle, the Commission may assist in providing aids and appliances for accident prevention and personal safety for an entitled person by approving financial assistance towards the cost of such appliances to an upper limit of $163 in a calendar year.

 

 Note:section 88A of the Act enables the Commission to determine a class of veterans to be eligible for specified treatment.  The Commission determined holders of white cards to be eligible for 'accident prevention and personal safety treatment' for all injuries/diseases whereas before the determination they could only have been eligible for this treatment for war/defence caused injuries or diseases.

 

11.9.2  The Commission may give approval under paragraph 11.9.1 only if it has received a report from a home and safety assessor and the Commission is satisfied that the aid or appliance for which assistance is sought:

  

(a) is needed by the person for accident prevention or personal safety as part of the person’s preventive health care management; and

 

(b) is appropriate for its purpose; and

 

(c) is safe and appropriate for the person’s particular circumstances; and

 

(d) is customarily used for domestic purposes and would be used for such purposes by the person; and

 

(e) would be provided or installed efficiently, cost effectively, and on a timely basis.

 

11.9.3  The Commission may enter into arrangements with a person or persons:

 

(a) to provide the Commission with reports from home and safety assessors; and

 

(b) for the provision of aids and appliances for accident prevention and personal safety.

 

11.9.4  Subject to Principle 3.4, the Commonwealth will not be financially responsible, either partly or wholly, for the purchase, supply, or installation of an aid or appliance for accident prevention and personal safety unless:

 

(a) financial assistance has been approved under paragraph 11.9.1; and

 

(b) the appliance is provided under an arrangement entered into under paragraph 11.9.3.

 

11.9.5  The Commission cannot accept financial responsibility, either partly or wholly, for the purchase, supply, or installation of an aid or appliance for accident prevention and personal safety if it is satisfied that:

 

(a) the appliance can reasonably be obtained under another Commonwealth, State, or Territory program; or

 

(b) the appliance should be provided by the owner of a self-care unit, or retirement village, or institution in which the entitled person resides; or

 

(c) the installation of the appliance would result in structural alteration to any part of the institution in which the person resides.

 

11.9.6  If the relevant aid or appliance requires attachment to real property in such manner that it becomes a fixture or involves alteration to the structure of the property, the Commission may give approval under paragraph 11.9.1 only if it is satisfied that:

 

(a) such attachment or alteration will not breach, and  will be in accordance with, relevant Commonwealth, State, or Territory laws; and

 

(b) the owner of the property has:

 

(i) given approval for the attachment; and

 

(ii) undertaken not to seek compensation for restoration of the property.

 

11.9.7  The Commonwealth will not be financially responsible for the maintenance or repair of any aid or appliance for which the Commission has approved financial assistance under this Principle.

 

11.9.8  The Commonwealth will not be responsible for any damage caused by:

 

(a) the installation, operation, non-operation, use, or misuse of an aid or appliance for which the Commission has approved financial assistance under this Principle; or

 

(b) any delay in installing such an aid or appliance or approving financial assistance under this Principle.

 

12.1.1 With the exception of arrangements for medical emergency under paragraph 12.1.4 and special arrangements under paragraph 12.1.5, prior approval must be obtained in all cases before ambulance transport is used by an entitled person.

 

12.1.2 Approval for ambulance transport normally will be given where the entitled person:

 

(a) is a stretcher case;or

 

(b) requires treatment during transport;or

 

(c) is grossly disfigured; or

 

(d) is incontinent to a degree that precludes the use of other forms of transport.

 

12.1.3 Other than in exceptional circumstances, air ambulance will be approved only to transport an entitled person with acute medical and surgical complaints for admission to, or discharge from, a hospital.

 

12.1.4 The 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.

 

12.2.1 Entitled persons may choose to have their treatment arranged through the Department or under Medicare.

 

12.2.2 Subject to these Principles, entitled persons who are treated under Medicare arrangements may also receive services that are not covered by Medicare 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.

 

12.3.1 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.


12.4.1 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.

 

12.5.1 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 an entitled person to be maintained at home, rather than entering a hospital or institution.

 

12.5.5 The Commission will not accept financial responsibility for the cost of home-help services not provided in accordance with principle 12.5.1 or at a level of service in excess of that which existed at 15 September 1987.

 

12.6.1 Where a payment has been made to any person or body, purportedly as payment for treatment, the Commission may recover (up to the extent that the payment exceeds the amount, if any, that should have been paid to that person or body) any moneys, the payment of which was induced or affected at all by:

 

(a) any misrepresentation; or

 

(b) any mistake of fact; or

 

(c) any mistake of law; or

 

(d) any other cause.

 

12.6.2 Further to paragraph 12.6.1, the Commission may recover moneys for any excess amounts that should not have been paid to that person or body:

 

(a) in a single demand; or

 

(b) by instalments; or

 

(c) subject to subsection 93H(4) of the Act, by offsetting moneys for any excess amounts against any later claims for payment by that person or body; or

Note: Subsection 93H(4) provides, in effect, that where amounts have been paid because of a false statement, the Commission may, if the person agrees, offset moneys owed against later claims.

 

(d) by a combination of any of these methods of recovery.

 

12.6.3 Nothing in this principle is to be taken to restrict any other right or action for recovery of moneys.

 

Schedule 1 Transitional Provisions

 

 

 

 

  1. Treatment Principles No. R8 of 2004

 

(a) any arrangement entered into, or taken to have been entered into, by the Commission or the Department with a health provider, under the revoked Treatment Principles, being an arrangement that is in force immediately before the commencement of these Principles is taken to have been entered into under these Principles.

 

(b) any decision made, or action commenced, by the Commission, the Department, a health provider or an entitled person, under the revoked Treatment Principles being a decision or action that, immediately before the commencement of these Principles, was still in force or uncompleted, as the case may be, is taken, respectively, to have been made or instigated under these Principles.

 

(c) a Scheme (eg Local Medical Officer Scheme, Local Dental Officer Scheme) prepared by the Commission under the revoked Treatment Principles, that is in force immediately before the commencement of these Principles and is referred to in these Principles, is taken to have been made by the Commission under these Principles.

 

(d) where, before the commencement of these Principles but on or after

1 July 2003, the Commonwealth paid an amount of $3 ($3 payment) to a medical practitioner for a medical consultation or medical procedure in respect of an entitled person and the $3 payment was in addition to any other amount the Commonwealth paid the medical practitioner and the $3 payment was not authorised under the revoked Treatment Principles or under the Act and was made in anticipation of the introduction of the veterans' access payment, then on the commencement of these Principles, a $3 payment is taken to have been made under these Principles as if it was a veterans' access payment for the consultation or procedure.

 


Schedule 2 Repatriation Medical Fee Schedule

 


 

 

  Repatriation Medical Fee Schedule

 


 

Repatriation Medical Fees can be claimed by medical specialists who provide services to veterans and dependants.  Where a specialist agrees to claim the Repatriation Medical Fee for a service provided, no further claim can be levied against that veteran or dependant.

 

Repatriation Medical Fee assessments and calculations are based on Medicare assessment rules.

 

 


Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

number

fee

%

number

fee

%

number

fee

%

number

fee

%

 

 

 

 

 

 

 

 

 

 

 

 

00104

83.50

 

00338

243.45

 

00534

635.65

 

11204

110.20

 

00105

41.85

 

00342

48.15

 

00536

706.35

 

11205

110.20

 

00106

69.30

 

00344

63.95

 

00820

135.70

 

11210

110.20

 

00107

122.40

 

00346

94.45

 

00822

203.60

 

11211

110.20

 

00108

77.45

 

00348

51.05

 

00823

271.40

 

11212

71.40

 

00110

147.25

 

00350

114.85

 

00825

97.50

 

11215

125.20

 

00116

73.70

 

00352

51.05

 

00826

155.50

 

11218

154.70

 

00119

41.85

 

00353

48.60

 

00828

213.45

 

11221

69.00

 

00122

178.70

 

00355

97.05

 

00830

135.70

 

11222

69.00

 

00128

108.05

 

00356

142.30

 

00832

203.60

 

11224

41.60

 

00131

77.80

 

00357

196.40

 

00834

271.40

 

11225

41.60

 

00160

211.90

 

00358

239.25

 

00835

97.50

 

11235

124.90

 

00161

353.10

 

00364

42.25

 

00837

155.50

 

11237

82.85

 

00162

494.25

 

00366

84.40

 

00838

213.45

 

11240

82.85

 

00163

635.65

 

00367

123.70

 

00855

135.70

 

11241

105.55

 

00164

706.35

 

00369

170.80

 

00857

203.60

 

11242

81.60

 

00170

112.45

 

00370

208.00

 

00858

271.40

 

11243

81.60

 

00171

118.50

 

00385

83.50

 

00861

135.70

 

11300

195.95

 

00172

144.20

 

00386

41.85

 

00864

203.60

 

11303

195.95

 

00173

24.90

 

00387

122.40

 

00866

271.40

 

11304

322.70

 

00193

35.50

 

00388

77.45

 

10801

118.75

 

11306

22.40

 

00195

 

15.00

00410

16.20

 

10802

118.75

 

11309

26.75

 

00197

67.35

 

00411

35.50

 

10803

118.75

 

11312

37.80

 

00199

99.15

 

00412

67.35

 

10804

118.75

 

11315

50.10

 

00300

42.25

 

00413

99.15

 

10805

118.75

 

11318

61.80

 

00302

84.40

 

00414

 

15.00

10806

118.75

 

11321

117.50

 

00304

123.70

 

00415

 

15.00

10807

118.75

 

11324

33.40

 

00306

170.80

 

00416

 

15.00

10808

118.75

 

11327

20.10

 

00308

208.00

 

00417

 

15.00

10809

118.75

 

11330

8.05

 

00310

21.15

 

00444

16.20

 

10816

118.75

 

11332

59.60

 

00312

42.25

 

00445

35.50

 

11000

125.35

 

11333

45.40

 

00314

61.85

 

00446

67.35

 

11003

331.70

 

11336

45.40

 

00316

85.50

 

00447

99.15

 

11004

331.70

 

11339

45.40

 

00318

104.10

 

00448

112.75

 

11005

331.70

 

11500

170.05

 

00319

170.80

 

00449

134.85

 

11006

170.05

 

11503

141.20

 

00320

42.25

 

00501

16.20

 

11009

231.85

 

11506

20.90

 

00322

84.40

 

00503

35.50

 

11012

113.95

 

11509

36.30

 

00324

123.70

 

00507

67.35

 

11015

152.65

 

11512

62.90

 

00326

170.80

 

00511

99.15

 

11018

228.05

 

11600

70.50

 

00328

208.00

 

00515

158.65

 

11021

152.65

 

11602

58.75

 

00330

77.55

 

00519

105.90

 

11024

116.00

 

11604

77.10

 

00332

121.75

 

00520

211.90

 

11027

171.95

 

11605

77.10

 

00334

168.75

 

00530

353.10

 

11200

41.50

 

11610

64.85

 

00336

204.25

 

00532

494.25

 

11203

70.20

 

11611

64.85

 

 

 


Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

number

fee

%

number

fee

%

number

fee

%

number

fee

%

 

 

 

 

 

 

 

 

 

 

 

 

11612

114.40

 

12215

714.60

 

13312

28.90

 

14050

53.70

 

11614

77.10

 

12217

643.75

 

13318

231.60

 

14053

53.70

 

11615

77.20

 

12306

104.20

 

13319

231.60

 

14100

155.30

 

11627

232.80

 

12309

104.20

 

13400

98.60

 

14106

155.30

 

11700

31.80

 

12312

104.20

 

13500

183.60

 

14109

190.70

 

11701

15.85

 

12315

104.20

 

13503

367.25

 

14112

225.85

 

11702

15.85

 

12318

104.20

 

13506

187.80

 

14115

261.10

 

11708

130.25

 

12321

104.20

 

13700

339.35

 

14118

331.75

 

11709

170.50

 

12500

220.55

 

13703

121.60

 

14124

155.30

 

11710

52.80

 

12503

432.55

 

13706

84.95

 

14200

60.95

 

11711

28.75

 

12506

308.80

 

13709

49.30

 

14203

52.10

 

11712

154.85

 

12509

220.55

 

13750

139.15

 

14206

36.25

 

11713

71.00

 

12512

106.90

 

13755

139.15

 

14209

90.35

 

11715

123.00

 

12515

234.05

 

13757

74.30

 

14212

188.70

 

11718

35.35

 

12518

106.90

 

13760

776.50

 

14215

99.65

 

11721

71.00

 

12521

128.95

 

13815

86.80

 

14218

99.65

 

11722

35.35

 

12524

161.15

 

13818

115.80

 

14221

53.45

 

11724

171.95

 

12527

86.45

 

13830

76.75

 

14224

71.65

 

11800

177.70

 

12530

128.95

 

13839

23.40

 

15000

43.40

 

11810

177.70

 

12533

86.10

 

13842

70.50

 

15003

 

20.00

11820

2076.30

 

13015

259.40

 

13845

550.80

 

15006

96.10

 

11830

190.15

 

13020

263.45

 

13848

133.45

 

15009

 

20.00

11833

254.30

 

13025

117.85

 

13851

502.60

 

15012

54.40

 

11900

28.10

 

13030

166.45

 

13854

116.90

 

15100

48.60

 

11903

113.15

 

13100

139.15

 

13857

149.05

 

15103

 

20.00

11906

113.15

 

13103

72.50

 

13870

310.60

 

15106

57.35

 

11909

168.05

 

13106

123.60

 

13873

231.30

 

15109

 

20.00

11912

168.05

 

13109

231.85

 

13876

70.50

 

15112

122.40

 

11915

168.05

 

13110

232.60

 

13879

225.40

 

15115

 

20.00

11917

436.10

 

13112

139.15

 

13882

76.75

 

15211

55.70

 

11919

436.10

 

13200

2035.60

 

13885

138.80

 

15214

 

20.00

11921

76.40

 

13203

508.90

 

13888

72.30

 

15215

60.80

 

12000

39.65

 

13206

872.35

 

13915

66.25

 

15218

60.80

 

12003

59.95

 

13209

87.10

 

13918

99.65

 

15221

60.80

 

12012

21.10

 

13212

370.80

 

13921

112.80

 

15224

60.80

 

12015

63.60

 

13215

116.35

 

13924

66.50

 

15227

60.80

 

12018

81.90

 

13218

872.35

 

13927

85.90

 

15230

 

20.00

12021

120.00

 

13221

53.10

 

13930

119.95

 

15233

 

20.00

12200

37.85

 

13290

208.00

 

13933

133.10

 

15236

 

20.00

12201

2436.50

 

13292

416.10

 

13936

86.70

 

15239

 

20.00

12203

598.70

 

13300

58.00

 

13939

99.65

 

15242

 

20.00

12207

598.70

 

13303

85.90

 

13942

66.50

 

15245

60.80

 

12210

714.60

 

13306

340.15

 

13945

53.45

 

15248

60.80

 

12213

643.75

 

13309

290.00

 

13948

66.50

 

15251

60.80

 

 

 


Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

 

number

fee

%

number

fee

%

number

fee

%

number

fee

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15254

60.80

 

15524

648.90

 

16624

304.50

 

18292

127.15

 

 

15257

60.80

 

15527

80.35

 

16627

620.05

 

18294

179.15

 

 

15260

 

20.00

15530

358.50

 

16633

 

20.00

18296

153.25

 

 

15263

 

20.00

15533

679.80

 

16636

 

20.00

18298

179.15

 

 

15266

 

20.00

15536

271.70

 

18213

90.30

 

18350

127.15

 

 

15269

 

20.00

15539

638.70

 

18216

193.30

 

18352

254.30

 

 

15272

 

20.00

15541

271.70

 

18219

 

20.00

18354

127.15

 

 

15303

363.55

 

15600

1733.30

 

18222

38.30

 

18356

127.15

 

 

15304

363.55

 

15999

132.00

 

18225

51.00

 

18358

127.15

 

 

15307

689.15

 

16003

662.40

 

18226

289.90

 

18360

127.15

 

 

15308

689.15

 

16006

509.00

 

18227

 

20.00

18362

251.15

 

 

15311

339.30

 

16009

347.35

 

18228

63.65

 

18364

127.15

 

 

15312

336.85

 

16012

300.55

 

18230

242.75

 

18366

159.30

 

 

15315

666.10

 

16015

4160.05

 

18232

193.30

 

18368

271.85

 

 

15316

666.10

 

16018

2486.80

 

18233

193.30

 

18370

45.90

 

 

15319

413.40

 

16500

37.00

 

18234

127.15

 

30001

 

20.00

 

15320

413.40

 

16501

143.10

 

18236

63.65

 

30003

37.00

 

 

15323

735.10

 

16502

37.00

 

18238

38.30

 

30006

47.35

 

 

15324

735.10

 

16504

37.00

 

18240

95.30

 

30010

75.25

 

 

15327

799.75

 

16505

37.00

 

18242

38.30

 

30014

158.20

 

 

15328

799.75

 

16508

37.00

 

18244

102.60

 

30017

331.90

 

 

15331

759.35

 

16509

37.00

 

18246

102.60

 

30020

646.50

 

 

15332

759.35

 

16511

223.90

 

18248

90.30

 

30023

331.90

 

 

15335

689.15

 

16512

64.60

 

18250

63.65

 

30026

53.15

 

 

15336

689.15

 

16514

37.40

 

18252

102.60

 

30029

91.55

 

 

15338

952.55

 

16515

352.90

 

18254

102.60

 

30032

84.00

 

 

15339

77.60

 

16518

352.90

 

18256

63.65

 

30035

119.65

 

 

15342

193.75

 

16519

543.50

 

18258

63.65

 

30038

91.55

 

 

15345

517.10

 

16520

635.15

 

18260

90.30

 

30042

189.05

 

 

15348

59.45

 

16522

1276.15

 

18262

63.65

 

30045

119.65

 

 

15351

118.75

 

16525

301.10

 

18264

102.60

 

30049

189.05

 

 

15354

144.10

 

16564

221.95

 

18266

63.65

 

30052

258.60

 

 

15357

40.70

 

16567

324.65

 

18268

90.30

 

30055

75.25

 

 

15360

367.55

 

16570

423.60

 

18270

90.30

 

30058

146.65

 

 

15363

367.55

 

16571

324.65

 

18272

63.65

 

30061

23.90

 

 

15500

247.15

 

16573

264.60

 

18274

90.30

 

30064

111.90

 

 

15503

317.30

 

16600

64.60

 

18276

127.15

 

30068

281.75

 

 

15506

473.75

 

16603

124.15

 

18278

90.30

 

30071

53.15

 

 

15509

214.20

 

16606

247.60

 

18280

127.15

 

30075

152.45

 

 

15512

276.05

 

16609

505.00

 

18282

102.60

 

30078

49.30

 

 

15513

312.25

 

16612

397.30

 

18284

150.35

 

30081

111.90

 

 

15515

399.60

 

16615

211.55

 

18286

150.35

 

30084

59.90

 

 

15518

78.35

 

16618

211.55

 

18288

150.35

 

30087

30.00

 

 

15521

346.10

 

16621

211.55

 

18290

254.30

 

30090

130.85

 

3

 

 


Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

 

number

fee

%

number

fee

%

number

fee

%

number

fee

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

30093

174.70

 

30244

362.80

 

30378

533.15

 

30441

138.70

 

 

30094

192.85

 

30246

702.35

 

30379

945.05

 

30442

189.05

 

 

30096

187.25

 

30247

752.75

 

30382

1330.70

 

30443

752.75

 

 

30099

91.55

 

30250

1273.80

 

30384

1119.40

 

30445

752.75

 

 

30103

187.25

 

30251

1956.65

 

30385

573.55

 

30446

752.75

 

 

30104

129.25

 

30253

849.30

 

30387

646.50

 

30448

990.65

 

 

30107

223.90

 

30255

1130.90

 

30388

1626.55

 

30449

1101.60

 

 

30111

378.30

 

30256

453.55

 

30390

223.90

 

30450

533.90

 

 

30114

378.30

 

30259

200.70

 

30391

289.50

 

30451

272.50

 

 

30165

463.15

 

30262

59.90

 

30392

686.75

 

30452

384.40

 

 

30168

463.15

 

30266

152.45

 

30393

533.15

 

30454

878.15

 

 

30171

704.40

 

30269

152.45

 

30394

501.80

 

30455

1032.55

 

 

30174

704.40

 

30272

301.10

 

30396

1035.05

 

30457

1404.70

 

 

30177

1003.70

 

30275

1794.90

 

30397

236.60

 

30458

1032.55

 

 

30178

704.40

 

30278

47.35

 

30399

325.45

 

30460

878.15

 

 

30180

138.95

 

30281

121.60

 

30400

644.00

 

30461

1505.35

 

 

30183

250.90

 

30283

208.45

 

30402

473.05

 

30463

1848.20

 

 

30185

185.80

 

30286

405.10

 

30403

530.70

 

30464

2217.90

 

 

30186

48.35

 

30289

511.45

 

30405

931.55

 

30466

1278.95

 

 

30187

261.65

 

30293

453.55

 

30406

53.15

 

30467

1582.00

 

 

30189

149.95

 

30294

1794.90

 

30408

399.25

 

30469

1752.20

 

 

30190

405.00

 

30296

1042.40

 

30409

177.70

 

30472

946.25

 

 

30192

40.40

 

30297

1042.40

 

30411

90.40

 

30473

180.35

 

 

30195

64.60

 

30306

813.20

 

30412

53.30

 

30475

326.10

 

 

30196

128.60

 

30308

813.20

 

30414

702.35

 

30476

250.10

 

 

30197

448.10

 

30309

1042.40

 

30415

1404.70

 

30478

250.10

 

 

30202

49.20

 

30310

465.70

 

30416

762.65

 

30479

484.75

 

 

30203

173.35

 

30313

277.90

 

30417

1143.90

 

30481

363.55

 

 

30205

128.60

 

30314

465.70

 

30418

1626.55

 

30482

258.50

 

 

30207

45.40

 

30315

1160.65

 

30419

832.00

 

30483

180.30

 

 

30210

165.95

 

30317

1389.80

 

30421

2032.90

 

30484

371.50

 

 

30213

111.80

 

30318

924.10

 

30422

687.60

 

30485

573.55

 

 

30214

111.80

 

30320

1389.80

 

30425

1330.70

 

30487

184.20

 

 

30216

27.85

 

30321

924.10

 

30427

1589.40

 

30488

91.55

 

 

30219

27.85

 

30323

1389.80

 

30428

1700.35

 

30490

535.90

 

 

30223

165.95

 

30324

1389.80

 

30430

2365.60

 

30491

565.45

 

 

30224

241.90

 

30329

251.40

 

30431

530.70

 

30493

339.30

 

 

30225

272.50

 

30330

731.80

 

30433

739.25

 

30494

428.10

 

 

30226

152.45

 

30332

353.10

 

30434

598.85

 

30496

598.85

 

 

30229

277.90

 

30335

882.65

 

30436

665.35

 

30497

714.00

 

 

30232

227.70

 

30336

1059.25

 

30437

828.05

 

30499

849.30

 

 

30235

301.10

 

30373

492.05

 

30438

1171.80

 

30500

909.30

 

 

30238

152.45

 

30375

530.70

 

30439

189.05

 

30502

1003.70

 

 

30241

362.80

 

30376

530.70

 

30440

535.90

 

30503

1123.80

 

4

 

 


Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

 

number

fee

%

number

fee

%

number

fee

%

number

fee

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

30505

561.85

 

30569

376.90

 

31000

591.40

 

31429

1274.90

 

 

30506

983.35

 

30571

453.55

 

31001

739.25

 

31432

1363.50

 

 

30508

1035.05

 

30572

453.55

 

31002

887.15

 

31435

1002.20

 

 

30509

1035.05

 

30574

125.50

 

31200

34.60

 

31438

1588.50

 

 

30511

865.00

 

30575

522.10

 

31205

97.15

 

31441

256.25

 

 

30512

1064.45

 

30577

1109.00

 

31210

125.35

 

31450

414.05

 

 

30514

1567.20

 

30578

1168.10

 

31215

146.10

 

31452

724.45

 

 

30515

717.10

 

30580

1064.45

 

31220

218.45

 

31454

573.55

 

 

30517

938.95

 

30581

776.30

 

31225

388.25

 

31456

250.10

 

 

30518

1005.50

 

30583

1216.00

 

31230

171.10

 

31458

300.05

 

 

30520

687.60

 

30584

1794.90

 

31235

146.10

 

31460

363.55

 

 

30521

1471.20

 

30586

714.00

 

31240

171.10

 

31462

530.70

 

 

30523

1537.55

 

30587

739.25

 

31245

375.70

 

31464

887.15

 

 

30524

1692.90

 

30589

1273.80

 

31250

375.70

 

31466

1330.75

 

 

30526

2195.60

 

30590

1404.70

 

31255

225.40

 

31468

1462.00

 

 

30527

887.15

 

30593

1922.15

 

31260

321.40

 

31470

733.30

 

 

30529

1330.70

 

30594

2217.90

 

31265

187.80

 

31472

1191.10

 

 

30530

798.50

 

30596

913.60

 

31270

263.00

 

31500

264.80

 

 

30532

916.80

 

30597

733.30

 

31275

304.70

 

31503

353.10

 

 

30533

1090.55

 

30599

1330.70

 

31280

158.65

 

31506

397.20

 

 

30535

1727.45

 

30600

791.30

 

31285

216.90

 

31509

353.10

 

 

30536

1752.20

 

30601

974.70

 

31290

250.40

 

31512

662.05

 

 

30538

1212.50

 

30602

1582.00

 

31295

298.20

 

31515

444.05

 

 

30539

887.15

 

30603

1670.80

 

31300

325.75

 

31518

749.65

 

 

30541

1545.10

 

30605

1899.95

 

31305

400.70

 

31521

441.35

 

 

30542

1049.75

 

30606

1131.05

 

31310

283.75

 

31524

1059.25

 

 

30544

768.90

 

30609

472.90

 

31315

358.90

 

31527

529.70

 

 

30545

1870.50

 

30614

472.90

 

31320

400.70

 

31530

606.50

 

 

30547

1286.35

 

30615

530.70

 

31325

275.50

 

31533

140.40

 

 

30548

961.00

 

30617

362.80

 

31330

325.75

 

31536

192.85

 

 

30550

2099.65

 

30621

414.95

 

31335

375.70

 

31539

406.10

 

 

30551

1449.05

 

30628

36.25

 

31340

 

20.00

31542

200.45

 

 

30553

1071.85

 

30631

240.95

 

31345

214.70

 

31545

606.50

 

 

30554

2336.15

 

30635

297.20

 

31346

214.70

 

31548

140.40

 

 

30556

1611.60

 

30641

414.95

 

31350

441.25

 

31551

220.70

 

 

30557

1190.20

 

30644

530.70

 

31355

727.45

 

31554

441.35

 

 

30559

865.00

 

30653

47.35

 

31400

265.80

 

31557

353.10

 

 

30560

961.00

 

30656

110.10

 

31403

306.80

 

31560

353.10

 

 

30562

605.90

 

30660

189.05

 

31406

511.30

 

31563

264.55

 

 

30563

605.90

 

30663

147.00

 

31409

1588.50

 

31566

132.35

 

 

30564

786.35

 

30666

48.35

 

31412

1956.65

 

32000

1050.10

 

 

30565

887.15

 

30672

453.55

 

31420

187.25

 

32003

1098.55

 

 

30566

985.50

 

30676

386.00

 

31423

409.00

 

32004

1171.30

 

 

30568

739.25

 

30679

98.05

 

31426

818.10

 

32005

1323.25

 

5

 

 


Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

 

number

fee

%

number

fee

%

number

fee

%

number

fee

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

32006

1171.30

 

32111

646.20

 

32514

943.60

 

33136

2664.40

 

 

32009

1389.40

 

32112

786.35

 

32517

1215.10

 

33139

1615.55

 

 

32012

1534.80

 

32114

177.70

 

32700

1462.45

 

33142

1508.45

 

 

32015

1886.20

 

32115

129.20

 

32703

1209.85

 

33145

2595.60

 

 

32018

1599.35

 

32117

1017.85

 

32708

1447.20

 

33148

3223.45

 

 

32021

573.55

 

32120

261.65

 

32710

1608.05

 

33151

3062.65

 

 

32024

1389.40

 

32123

339.30

 

32711

1768.85

 

33154

2266.45

 

 

32025

1858.50

 

32126

492.80

 

32712

1278.70

 

33157

2526.65

 

 

32026

2001.40

 

32129

646.20

 

32715

1278.70

 

33160

2526.65

 

 

32028

2144.45

 

32131

543.30

 

32718

1209.85

 

33163

2144.05

 

 

32029

428.90

 

32132

45.95

 

32721

1921.70

 

33166

2144.05

 

 

32030

1050.10

 

32135

68.70

 

32724

2182.15

 

33169

1669.20

 

 

32033

1534.80

 

32138

374.40

 

32730

1653.85

 

33172

1301.60

 

 

32036

1946.65

 

32139

374.40

 

32733

1921.70

 

33175

1199.60

 

 

32039

1563.00

 

32142

68.70

 

32736

421.10

 

33178

1525.45

 

 

32042

1316.65

 

32145

137.50

 

32739

1316.95

 

33181

1865.05

 

 

32045

492.80

 

32147

45.95

 

32742

1508.45

 

33500

1156.10

 

 

32046

761.45

 

32150

261.65

 

32745

1722.70

 

33506

1294.10

 

 

32047

887.15

 

32153

71.40

 

32748

1868.20

 

33509

1447.20

 

 

32051

2358.80

 

32156

134.10

 

32751

1209.85

 

33512

1608.05

 

 

32054

2164.85

 

32159

339.30

 

32754

1508.45

 

33515

1768.85

 

 

32057

573.55

 

32162

492.80

 

32757

421.10

 

33518

1294.10

 

 

32060

2358.80

 

32165

646.20

 

32760

413.40

 

33521

1401.10

 

 

32063

2164.85

 

32166

209.95

 

32763

1209.85

 

33524

1653.85

 

 

32066

573.55

 

32168

134.10

 

32766

804.00

 

33527

1921.70

 

 

32069

1744.85

 

32171

90.40

 

32769

278.70

 

33530

1653.85

 

 

32072

48.80

 

32174

90.40

 

33050

1481.75

 

33533

1921.70

 

 

32075

76.45

 

32175

165.60

 

33055

1188.30

 

33536

1370.65

 

 

32078

171.60

 

32177

177.50

 

33070

857.35

 

33539

987.70

 

 

32081

235.70

 

32180

261.65

 

33075

1090.60

 

33542

1408.80

 

 

32084

113.40

 

32183

571.90

 

33080

1331.20

 

33545

278.70

 

 

32087

208.45

 

32186

571.90

 

33100

1462.45

 

33548

566.75

 

 

32090

340.40

 

32200

301.10

 

33103

2051.90

 

33551

278.70

 

 

32093

477.70

 

32203

646.50

 

33109

2480.80

 

33554

277.30

 

 

32094

561.85

 

32206

584.10

 

33112

2151.55

 

33800

1202.10

 

 

32095

130.20

 

32209

938.70

 

33115

1447.20

 

33803

1148.50

 

 

32096

261.65

 

32210

260.10

 

33116

1424.40

 

33806

826.90

 

 

32099

339.30

 

32212

138.70

 

33118

1608.05

 

33810

603.25

 

 

32102

646.20

 

32500

111.80

 

33119

1582.80

 

33811

1795.80

 

 

32103

786.35

 

32501

111.80

 

33121

1768.85

 

33812

949.45

 

 

32104

1017.85

 

32504

272.50

 

33124

1232.75

 

33815

872.90

 

 

32105

492.80

 

32507

543.30

 

33127

1615.55

 

33818

1018.40

 

 

32106

1389.40

 

32508

543.30

 

33130

1408.80

 

33821

1163.80

 

 

32108

1017.85

 

32511

807.80

 

33133

1056.60

 

33824

1110.20

 

6

 

 


 

Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

 

number

fee

%

number

fee

%

number

fee

%

number

fee

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

33827

1301.60

 

34528

277.30

 

35341

1237.90

 

35596

696.30

 

 

33830

1493.00

 

34530

208.00

 

35344

1615.20

 

35599

686.75

 

 

33833

1355.35

 

34533

1263.30

 

35347

787.20

 

35600

533.15

 

 

33836

1615.55

 

34538

277.30

 

35350

1049.65

 

35602

686.75

 

 

33839

1891.20

 

34539

208.00

 

35353

1163.95

 

35605

372.60

 

 

33842

934.15

 

34800

826.90

 

35356

1426.40

 

35608

65.10

 

 

33845

650.80

 

34803

1822.40

 

35500

82.70

 

35611

65.10

 

 

33848

650.80

 

34806

987.70

 

35502

81.65

 

35612

515.15

 

 

34100

719.80

 

34809

987.70

 

35503

54.55

 

35613

412.20

 

 

34103

421.10

 

34812

1194.50

 

35506

54.65

 

35614

65.00

 

 

34106

297.05

 

34815

987.70

 

35507

177.70

 

35615

54.65

 

 

34109

344.45

 

34818

1087.25

 

35508

261.65

 

35616

457.75

 

 

34112

872.90

 

34821

1477.80

 

35509

91.15

 

35618

221.95

 

 

34115

987.70

 

34824

505.40

 

35513

225.80

 

35620

54.30

 

 

34118

1408.80

 

34827

612.55

 

35517

148.60

 

35622

613.45

 

 

34121

1125.50

 

34830

719.80

 

35518

211.55

 

35623

834.10

 

 

34124

1232.75

 

34833

934.15

 

35520

59.35

 

35626

84.35

 

 

34127

1615.55

 

35000

719.80

 

35523

59.35

 

35627

109.10

 

 

34130

505.40

 

35003

934.15

 

35527

148.60

 

35630

186.35

 

 

34133

566.75

 

35006

1171.50

 

35530

274.70

 

35633

221.95

 

 

34136

911.05

 

35009

911.05

 

35533

356.20

 

35634

698.15

 

 

34139

911.05

 

35012

719.80

 

35536

354.80

 

35635

304.90

 

 

34142

1125.50

 

35100

375.30

 

35539

277.90

 

35636

440.95

 

 

34145

819.30

 

35103

238.85

 

35542

325.45

 

35637

414.05

 

 

34148

1462.45

 

35200

174.65

 

35545

187.00

 

35638

724.45

 

 

34151

1998.40

 

35202

832.00

 

35548

849.30

 

35640

186.35

 

 

34154

2381.30

 

35300

524.80

 

35551

696.30

 

35641

1265.30

 

 

34157

1209.85

 

35303

672.85

 

35554

44.30

 

35643

221.95

 

 

34160

2266.45

 

35304

524.80

 

35557

218.40

 

35644

207.35

 

 

34163

2909.50

 

35305

672.85

 

35560

696.30

 

35645

324.55

 

 

34166

2909.50

 

35306

621.00

 

35561

1404.70

 

35646

207.35

 

 

34169

1615.55

 

35309

776.30

 

35562

1153.25

 

35647

207.35

 

 

34172

1316.95

 

35310

776.30

 

35564

532.45

 

35648

324.55

 

 

34175

1209.85

 

35312

879.80

 

35565

696.30

 

35649

545.75

 

 

34500

314.00

 

35315

879.80

 

35566

404.50

 

35653

686.95

 

 

34503

421.10

 

35317

362.30

 

35567

714.85

 

35657

686.95

 

 

34506

214.30

 

35319

649.45

 

35569

163.75

 

35658

423.60

 

 

34509

995.35

 

35320

872.35

 

35572

126.05

 

35661

887.15

 

 

34512

1094.95

 

35321

828.05

 

35576

432.70

 

35664

1478.60

 

 

34515

780.95

 

35324

310.45

 

35580

545.75

 

35667

1256.65

 

 

34518

1309.25

 

35327

416.10

 

35584

686.75

 

35670

1034.80

 

 

34521

804.30

 

35330

524.80

 

35587

178.75

 

35673

771.55

 

 

34524

421.10

 

35335

901.55

 

35590

545.75

 

35674

211.55

 

 

34527

561.65

 

35338

1153.00

 

35593

545.75

 

35677

545.75

 

7

 

 


Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

 

number

fee

%

number

fee

%

number

fee

%

number

fee

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

35678

658.00

 

36552

755.00

 

36812

169.70

 

37209

1314.65

 

 

35680

592.60

 

36558

661.60

 

36815

242.20

 

37210

1622.40

 

 

35684

479.75

 

36561

175.60

 

36818

281.60

 

37211

1970.45

 

 

35688

404.50

 

36564

941.45

 

36821

329.10

 

37212

281.60

 

 

35691

161.60

 

36567

1034.80

 

36824

217.00

 

37215

424.10

 

 

35694

649.30

 

36570

1314.65

 

36825

591.90

 

37218

140.80

 

 

35697

963.40

 

36573

941.45

 

36827

234.05

 

37219

285.95

 

 

35700

743.40

 

36576

1178.90

 

36830

207.00

 

37220

1063.20

 

 

35703

68.70

 

36579

755.00

 

36833

281.60

 

37221

474.85

 

 

35706

68.70

 

36585

755.00

 

36836

234.05

 

37223

210.00

 

 

35709

44.30

 

36588

941.45

 

36840

329.10

 

37224

329.10

 

 

35710

471.80

 

36591

1128.10

 

36842

331.20

 

37300

47.45

 

 

35713

461.10

 

36594

941.45

 

36845

704.00

 

37303

75.40

 

 

35717

555.20

 

36597

941.45

 

36848

234.05

 

37306

661.60

 

 

35720

686.75

 

36600

1128.10

 

36851

234.05

 

37309

941.45

 

 

35723

491.90

 

36603

1314.65

 

36854

474.85

 

37315

140.80

 

 

35726

491.90

 

36604

272.50

 

36857

373.15

 

37318

281.60

 

 

35729

221.75

 

36606

2357.95

 

36860

169.70

 

37321

95.00

 

 

35750

798.90

 

36609

755.00

 

36863

474.85

 

37324

234.05

 

 

35753

883.45

 

36612

661.60

 

37000

755.00

 

37327

329.10

 

 

35754

1111.70

 

36615

755.00

 

37004

661.60

 

37330

661.60

 

 

35756

798.90

 

36618

661.60

 

37008

424.10

 

37333

568.25

 

 

35759

573.55

 

36621

472.90

 

37011

95.00

 

37336

755.00

 

 

36500

941.45

 

36624

568.25

 

37014

1085.65

 

37339

244.25

 

 

36502

696.30

 

36627

704.00

 

37020

755.00

 

37340

432.70

 

 

36503

1416.50

 

36630

347.75

 

37023

424.10

 

37341

927.90

 

 

36506

941.45

 

36633

755.00

 

37026

424.10

 

37342

848.20

 

 

36509

797.20

 

36636

407.20

 

37029

941.45

 

37343

1416.50

 

 

36516

941.45

 

36639

848.20

 

37038

704.40

 

37345

704.00

 

 

36519

1314.65

 

36642

424.10

 

37041

47.45

 

37348

704.00

 

 

36522

1128.10

 

36645

1085.65

 

37042

927.90

 

37351

281.60

 

 

36525

1603.15

 

36648

966.95

 

37043

686.75

 

37354

329.10

 

 

36526

1314.65

 

36649

272.50

 

37044

704.40

 

37369

189.95

 

 

36527

1622.40

 

36652

661.60

 

37045

1454.75

 

37372

474.85

 

 

36528

1314.65

 

36654

848.20

 

37047

1696.40

 

37375

1178.90

 

 

36529

1622.40

 

36656

1085.65

 

37050

755.00

 

37381

755.00

 

 

36531

1178.90

 

36658

535.90

 

37053

872.35

 

37384

1178.90

 

 

36532

1692.10

 

36660

260.10

 

37200

1034.80

 

37387

329.10

 

 

36533

1999.85

 

36662

621.35

 

37201

844.00

 

37390

941.45

 

 

36537

704.00

 

36800

28.15

 

37202

423.60

 

37393

234.05

 

 

36540

1128.10

 

36803

474.85

 

37203

1061.05

 

37396

755.00

 

 

36543

1314.65

 

36806

661.60

 

37206

568.25

 

37402

474.85

 

 

36546

704.00

 

36809

848.20

 

37207

882.25

 

37405

941.45

 

 

36549

848.20

 

36811

329.30

 

37208

423.60

 

37408

474.85

 

8

 

 


Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

 

number

fee

%

number

fee

%

number

fee

%

number

fee

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

37411

941.45

 

38213

416.10

 

38450

872.30

 

38550

2185.25

 

 

37415

47.45

 

38215

451.70

 

38452

584.10

 

38553

2769.25

 

 

37417

568.25

 

38218

677.45

 

38453

1752.20

 

38556

3161.15

 

 

37418

755.00

 

38220

225.85

 

38455

2370.05

 

38559

2577.05

 

 

37420

373.15

 

38222

451.70

 

38456

1559.90

 

38562

3161.15

 

 

37423

941.45

 

38225

677.50

 

38457

1456.30

 

38565

3545.50

 

 

37426

992.30

 

38228

903.40

 

38458

776.30

 

38568

1896.85

 

 

37429

329.10

 

38231

1129.25

 

38460

280.45

 

38571

2089.10

 

 

37432

941.45

 

38234

903.35

 

38462

332.30

 

38572

2023.25

 

 

37435

95.00

 

38237

1129.20

 

38464

361.25

 

38577

564.60

 

 

37438

281.60

 

38240

1354.90

 

38466

975.50

 

38588

423.60

 

 

37444

1017.85

 

38243

451.70

 

38468

1503.05

 

38600

1559.90

 

 

37601

281.60

 

38246

1129.20

 

38469

1752.20

 

38603

975.90

 

 

37604

281.60

 

38256

272.05

 

38470

975.90

 

38606

391.85

 

 

37607

941.45

 

38270

928.85

 

38473

584.10

 

38609

487.85

 

 

37610

1416.50

 

38275

303.65

 

38475

846.95

 

38612

546.90

 

 

37613

281.60

 

38278

650.35

 

38477

2039.80

 

38613

686.40

 

 

37616

704.00

 

38281

260.10

 

38478

988.15

 

38615

1559.90

 

 

37619

281.60

 

38284

852.60

 

38480

2039.80

 

38618

1944.35

 

 

37623

234.05

 

38285

196.45

 

38481

2322.20

 

38621

776.30

 

 

37800

530.70

 

38286

176.90

 

38483

1752.20

 

38624

872.30

 

 

37803

530.70

 

38287

2136.55

 

38485

832.00

 

38627

681.80

 

 

37806

613.20

 

38290

2720.60

 

38487

1752.20

 

38637

564.60

 

 

37809

613.20

 

38293

2920.20

 

38488

1944.35

 

38640

975.90

 

 

37812

566.15

 

38400

39.25

 

38489

2312.35

 

38643

1086.80

 

 

37815

94.40

 

38403

78.25

 

38490

564.60

 

38647

2173.40

 

 

37818

500.40

 

38406

136.00

 

38493

1993.25

 

38650

1944.35

 

 

37821

848.20

 

38409

136.00

 

38496

635.30

 

38653

1944.35

 

 

37824

1179.40

 

38410

167.60

 

38497

2084.80

 

38656

975.90

 

 

37827

543.30

 

38412

213.00

 

38498

2084.80

 

38670

1943.95

 

 

37830

704.00

 

38415

406.55

 

38500

2240.00

 

38673

2188.00

 

 

37833

336.00

 

38418

975.90

 

38501

2240.00

 

38677

2046.90

 

 

37836

707.70

 

38421

1559.90

 

38503

2432.15

 

38680

2427.95

 

 

37839

801.95

 

38424

975.90

 

38504

2432.15

 

38700

1086.80

 

 

37842

1556.95

 

38427

1204.90

 

38505

282.30

 

38703

1959.10

 

 

37845

707.70

 

38430

621.00

 

38506

1655.90

 

38706

1855.55

 

 

37848

1273.75

 

38436

254.30

 

38507

1943.95

 

38709

2173.40

 

 

37851

943.60

 

38438

1559.90

 

38508

2432.15

 

38712

2609.75

 

 

37854

373.15

 

38440

1168.10

 

38509

2432.15

 

38715

1737.35

 

 

38200

453.55

 

38441

1848.20

 

38512

2136.55

 

38718

2173.40

 

 

38203

541.20

 

38446

1204.90

 

38515

2720.60

 

38721

1522.90

 

 

38206

654.30

 

38447

1559.90

 

38518

2920.20

 

38724

2173.40

 

 

38209

840.05

 

38448

369.65

 

38521

1071.85

 

38727

1522.90

 

 

38212

1397.40

 

38449

2182.25

 

38524

293.05

 

38730

2173.40

 

9

 

 


Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

 

number

fee

%

number

fee

%

number

fee

%

number

fee

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

38733

1522.90

 

39303

474.60

 

39818

1860.55

 

40700

1776.40

 

 

38736

2173.40

 

39306

689.15

 

39821

2209.25

 

40703

1493.00

 

 

38739

1959.10

 

39309

727.30

 

39900

528.30

 

40706

2182.15

 

 

38742

1959.10

 

39312

405.80

 

39903

1615.55

 

40709

528.30

 

 

38743

928.85

 

39315

1048.90

 

39906

811.55

 

40712

1064.20

 

 

38745

2173.40

 

39318

650.80

 

40000

934.15

 

40800

650.35

 

 

38748

2173.40

 

39321

482.30

 

40003

934.15

 

40801

1777.50

 

 

38751

2173.40

 

39323

281.75

 

40006

735.05

 

40803

1217.40

 

 

38754

2720.60

 

39324

281.75

 

40009

535.90

 

40850

2305.75

 

 

38757

2173.40

 

39327

482.30

 

40012

1048.90

 

40851

4035.10

 

 

38760

2173.40

 

39330

281.75

 

40015

650.35

 

40852

346.80

 

 

38763

2173.40

 

39331

281.75

 

40018

162.35

 

40854

535.90

 

 

38766

2173.40

 

39333

405.80

 

40100

704.40

 

40856

260.10

 

 

39000

76.70

 

39500

1294.10

 

40103

1033.70

 

40858

535.90

 

 

39003

87.25

 

39503

972.35

 

40106

1048.90

 

40860

2059.55

 

 

39006

162.35

 

39600

482.30

 

40109

1133.05

 

40862

193.10

 

 

39009

60.40

 

39603

1217.40

 

40112

1454.75

 

40903

564.60

 

 

39012

241.90

 

39606

811.55

 

40115

735.05

 

40905

612.60

 

 

39013

111.20

 

39609

972.35

 

40118

972.35

 

41500

84.00

 

 

39015

382.80

 

39612

1140.90

 

40300

972.35

 

41503

243.20

 

 

39018

382.80

 

39615

1217.40

 

40301

975.50

 

41506

146.65

 

 

39100

241.90

 

39640

3086.80

 

40303

1110.20

 

41509

165.95

 

 

39106

1209.85

 

39642

3245.20

 

40306

1462.45

 

41512

596.65

 

 

39109

451.75

 

39646

3720.05

 

40309

1110.20

 

41515

391.50

 

 

39112

1569.65

 

39650

2691.00

 

40312

1493.00

 

41518

945.65

 

 

39115

76.70

 

39653

4788.65

 

40315

1615.55

 

41521

1006.85

 

 

39118

303.25

 

39654

3482.70

 

40316

2117.50

 

41524

290.90

 

 

39121

643.25

 

39656

2612.00

 

40318

2021.40

 

41527

598.30

 

 

39124

1646.15

 

39658

3086.80

 

40321

1110.20

 

41530

974.70

 

 

39125

303.50

 

39660

3086.80

 

40324

650.80

 

41533

1165.20

 

 

39126

368.45

 

39662

3086.80

 

40327

650.80

 

41536

1305.05

 

 

39127

482.30

 

39700

566.75

 

40330

972.35

 

41539

1109.75

 

 

39128

671.95

 

39703

528.30

 

40331

972.35

 

41542

1216.00

 

 

39130

686.45

 

39706

1133.05

 

40332

1586.70

 

41545

530.70

 

 

39131

130.20

 

39709

1615.55

 

40333

811.55

 

41548

704.40

 

 

39133

162.35

 

39712

2917.15

 

40334

1073.00

 

41551

1622.05

 

 

39134

346.80

 

39715

2021.40

 

40335

1970.70

 

41554

1911.05

 

 

39135

162.35

 

39718

888.20

 

40336

321.65

 

41557

1109.75

 

 

39136

162.35

 

39721

811.55

 

40339

1615.55

 

41560

1216.00

 

 

39137

616.45

 

39800

2909.50

 

40342

1493.00

 

41563

1505.35

 

 

39138

686.45

 

39803

2909.50

 

40345

1389.90

 

41564

1946.65

 

 

39139

921.55

 

39806

1309.25

 

40348

1764.60

 

41566

1109.75

 

 

39140

298.20

 

39812

643.25

 

40351

1764.60

 

41569

1216.00

 

 

39300

359.80

 

39815

1860.55

 

40600

972.35

 

41572

1051.90

 

10

 

 


Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

 

number

fee

%

number

fee

%

number

fee

%

number

fee

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

41575

2480.05

 

41704

37.00

 

41828

53.15

 

42530

643.25

 

 

41576

3720.05

 

41707

456.70

 

41831

363.55

 

42533

413.40

 

 

41578

2480.05

 

41710

530.70

 

41832

232.60

 

42536

849.85

 

 

41579

1860.00

 

41713

617.60

 

41834

1312.50

 

42539

1209.85

 

 

41581

2852.50

 

41716

301.10

 

41837

1258.50

 

42542

513.05

 

 

41584

1957.55

 

41719

119.65

 

41840

1547.45

 

42543

899.90

 

 

41587

2666.15

 

41722

598.30

 

41843

1360.75

 

42545

1301.60

 

 

41590

1216.00

 

41725

456.70

 

41846

189.05

 

42548

773.30

 

 

41593

1584.85

 

41728

913.60

 

41849

277.85

 

42551

643.25

 

 

41596

1771.20

 

41729

579.00

 

41852

301.10

 

42554

750.35

 

 

41599

1771.20

 

41731

791.30

 

41855

293.45

 

42557

1048.90

 

 

41608

1109.75

 

41734

1032.55

 

41858

503.15

 

42560

413.40

 

 

41611

714.00

 

41737

492.05

 

41861

615.25

 

42563

528.30

 

 

41614

1109.75

 

41740

59.90

 

41864

414.95

 

42566

750.35

 

 

41615

1109.75

 

41743

343.55

 

41867

624.55

 

42569

1048.90

 

 

41617

1929.70

 

41746

791.30

 

41868

395.80

 

42572

119.40

 

 

41620

839.50

 

41749

617.60

 

41870

463.15

 

42573

231.60

 

 

41623

1216.00

 

41752

301.10

 

41873

598.30

 

42574

492.05

 

 

41626

146.65

 

41755

47.35

 

41876

598.30

 

42575

84.30

 

 

41629

530.70

 

41758

119.65

 

41879

969.40

 

42578

474.60

 

 

41632

243.20

 

41761

125.05

 

41880

258.80

 

42581

119.40

 

 

41635

1165.20

 

41764

125.05

 

41881

409.00

 

42584

281.75

 

 

41638

1454.35

 

41767

750.35

 

41884

92.70

 

42587

52.85

 

 

41641

48.35

 

41770

714.00

 

41885

293.10

 

42590

344.45

 

 

41644

145.40

 

41773

598.30

 

41886

181.25

 

42593

208.30

 

 

41647

111.90

 

41776

596.65

 

41889

181.25

 

42596

513.05

 

 

41650

111.90

 

41779

714.00

 

41892

239.35

 

42599

643.25

 

 

41653

73.25

 

41782

969.40

 

41895

374.40

 

42602

643.25

 

 

41656

125.05

 

41785

1202.65

 

41898

261.65

 

42605

474.60

 

 

41659

79.00

 

41786

750.35

 

41901

615.25

 

42608

306.25

 

 

41662

84.00

 

41787

579.00

 

41904

250.90

 

42610

98.00

 

 

41668

223.90

 

41789

301.10

 

41905

461.65

 

42611

147.00

 

 

41671

492.05

 

41793

378.30

 

41907

125.05

 

42614

49.15

 

 

41672

613.85

 

41797

146.65

 

41910

397.30

 

42615

73.50

 

 

41674

102.30

 

41801

165.95

 

42503

104.35

 

42617

139.45

 

 

41677

91.55

 

41804

91.55

 

42506

490.00

 

42620

53.65

 

 

41680

165.95

 

41807

71.40

 

42509

620.15

 

42621

53.65

 

 

41683

119.20

 

41810

36.25

 

42510

714.85

 

42622

84.30

 

 

41686

73.25

 

41813

362.80

 

42512

490.00

 

42623

712.20

 

 

41689

138.95

 

41816

189.05

 

42515

620.15

 

42626

1148.50

 

 

41692

181.25

 

41819

355.30

 

42518

359.80

 

42629

865.20

 

 

41695

101.80

 

41820

426.40

 

42521

1225.15

 

42632

119.40

 

 

41698

33.05

 

41822

243.20

 

42524

208.30

 

42635

306.25

 

 

41701

93.65

 

41825

362.80

 

42527

413.40

 

42638

382.80

 

11

 

 


Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

 

number

fee

%

number

fee

%

number

fee

%

number

fee

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

42641

497.65

 

42758

712.20

 

42878

556.10

 

43864

1273.75

 

 

42644

73.45

 

42761

528.30

 

42881

463.40

 

43867

707.70

 

 

42647

208.30

 

42764

528.30

 

42884

463.40

 

43870

990.70

 

 

42650

73.45

 

42767

1110.20

 

42887

463.40

 

43873

1321.00

 

 

42651

163.70

 

42770

300.25

 

42990

463.40

 

43876

1132.25

 

 

42653

1362.85

 

42771

295.50

 

42993

556.10

 

43879

1321.00

 

 

42656

1699.80

 

42773

918.80

 

42996

556.10

 

43882

1698.35

 

 

42659

918.80

 

42776

1362.85

 

42999

556.10

 

43900

1132.25

 

 

42662

918.80

 

42779

1699.80

 

43002

90.10

 

43903

1887.00

 

 

42665

612.55

 

42782

459.35

 

43005

463.40

 

43906

1651.10

 

 

42667

144.55

 

42783

459.35

 

43008

463.40

 

43909

1651.10

 

 

42668

76.70

 

42785

359.80

 

43011

556.10

 

43912

1559.90

 

 

42672

918.80

 

42786

359.80

 

43014

556.10

 

43915

1179.40

 

 

42673

459.35

 

42788

359.80

 

43017

90.10

 

43930

453.55

 

 

42676

117.85

 

42789

359.80

 

43500

125.65

 

43933

530.80

 

 

42677

62.05

 

42791

359.80

 

43503

208.45

 

43936

990.70

 

 

42680

306.25

 

42792

359.80

 

43506

362.80

 

43939

754.85

 

 

42683

122.50

 

42794

68.90

 

43509

362.80

 

43942

236.00

 

 

42686

278.70

 

42797

68.90

 

43512

362.80

 

43945

990.70

 

 

42689

119.40

 

42806

359.80

 

43515

362.80

 

43948

141.60

 

 

42692

281.75

 

42807

362.30

 

43518

598.30

 

43951

887.15

 

 

42695

459.35

 

42808

362.30

 

43521

472.90

 

43954

1085.15

 

 

42698

716.65

 

42809

459.35

 

43524

598.30

 

43957

1179.40

 

 

42701

399.60

 

42810

578.05

 

43801

974.70

 

43960

414.95

 

 

42702

916.50

 

42812

168.50

 

43804

1037.80

 

43963

1651.10

 

 

42703

582.50

 

42815

643.25

 

43807

1132.25

 

43966

1887.00

 

 

42704

474.60

 

42818

597.10

 

43810

1321.00

 

43969

2594.70

 

 

42707

811.55

 

42821

91.90

 

43813

1321.00

 

43972

1887.00

 

 

42710

918.80

 

42824

71.15

 

43816

1226.50

 

43975

2217.30

 

 

42713

382.80

 

42833

597.10

 

43819

990.70

 

43978

1887.00

 

 

42716

1217.40

 

42836

742.70

 

43822

990.70

 

43981

518.95

 

 

42719

528.30

 

42839

712.20

 

43825

1132.25

 

43984

1321.00

 

 

42722

578.00

 

42842

888.20

 

43828

1250.90

 

43987

1462.50

 

 

42725

1362.85

 

42845

192.85

 

43831

974.70

 

43990

1792.75

 

 

42728

229.75

 

42848

712.20

 

43834

1132.25

 

43993

1934.20

 

 

42731

1546.55

 

42851

888.20

 

43837

1415.20

 

43996

2170.15

 

 

42734

306.25

 

42854

413.40

 

43840

1226.50

 

43999

271.40

 

 

42737

306.25

 

42857

413.40

 

43843

1887.00

 

44102

261.65

 

 

42740

306.25

 

42860

918.80

 

43846

2028.50

 

44105

45.95

 

 

42743

643.25

 

42863

788.60

 

43849

518.95

 

44108

500.40

 

 

42746

972.35

 

42866

765.60

 

43852

1651.10

 

44111

586.10

 

 

42749

1217.40

 

42869

559.00

 

43855

1745.50

 

44114

586.10

 

 

42752

1362.85

 

42872

245.05

 

43858

613.20

 

44130

471.80

 

 

42755

168.50

 

42875

463.40

 

43861

1698.35

 

44133

374.40

 

12

 

 


Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

 

number

fee

%

number

fee

%

number

fee

%

number

fee

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

44136

172.55

 

45206

390.60

 

45487

413.40

 

45562

1119.40

 

 

44325

301.10

 

45209

482.40

 

45488

459.35

 

45563

1119.40

 

 

44328

362.80

 

45212

239.35

 

45489

689.15

 

45564

2592.60

 

 

44331

598.30

 

45215

1032.55

 

45490

918.90

 

45565

1944.55

 

 

44334

1216.00

 

45218

463.15

 

45491

1148.50

 

45566

1090.75

 

 

44338

146.65

 

45221

266.20

 

45492

1378.25

 

45568

451.75

 

 

44342

223.90

 

45224

119.65

 

45493

413.40

 

45572

297.05

 

 

44346

258.60

 

45227

453.55

 

45494

1668.50

 

45575

733.30

 

 

44350

293.45

 

45230

226.70

 

45496

423.60

 

45578

849.30

 

 

44354

335.80

 

45233

482.40

 

45497

330.90

 

45581

281.75

 

 

44358

187.25

 

45236

378.30

 

45498

266.20

 

45584

643.25

 

 

44359

268.70

 

45239

266.20

 

45499

198.55

 

45585

643.25

 

 

44361

362.80

 

45400

208.45

 

45500

1110.20

 

45586

643.25

 

 

44364

301.10

 

45403

414.95

 

45501

1807.00

 

45587

907.10

 

 

44367

531.35

 

45406

459.35

 

45502

1807.00

 

45588

1360.70

 

 

44370

733.30

 

45409

612.55

 

45503

2067.35

 

45590

492.05

 

 

44373

1505.35

 

45412

842.30

 

45504

1807.00

 

45593

578.00

 

 

44376

 

20.00

45415

918.80

 

45505

1807.00

 

45596

916.80

 

 

45000

551.20

 

45418

995.35

 

45506

223.90

 

45597

1227.30

 

 

45003

612.55

 

45439

289.50

 

45512

301.10

 

45599

953.65

 

 

45006

1056.60

 

45442

597.10

 

45515

189.90

 

45602

712.20

 

 

45009

386.00

 

45445

566.75

 

45518

229.75

 

45605

598.30

 

 

45012

646.50

 

45448

382.80

 

45519

436.85

 

45608

842.30

 

 

45015

306.25

 

45451

482.40

 

45520

916.80

 

45611

482.40

 

 

45018

482.30

 

45460

1276.15

 

45522

643.25

 

45614

598.30

 

 

45019

403.85

 

45461

909.50

 

45524

755.15

 

45617

239.35

 

 

45020

403.85

 

45462

686.40

 

45527

755.15

 

45620

331.90

 

 

45021

180.65

 

45464

1947.95

 

45528

1132.60

 

45623

736.25

 

 

45024

405.80

 

45465

1387.80

 

45530

1119.40

 

45624

954.50

 

 

45025

180.65

 

45466

1046.60

 

45533

1267.75

 

45625

190.90

 

 

45026

405.80

 

45468

1866.00

 

45536

466.20

 

45626

331.90

 

 

45027

122.50

 

45469

1407.85

 

45539

1090.75

 

45629

482.40

 

 

45030

131.60

 

45471

2345.50

 

45542

624.55

 

45632

521.20

 

 

45033

245.05

 

45472

1769.15

 

45545

633.85

 

45635

598.30

 

 

45035

714.85

 

45474

2823.80

 

45546

201.50

 

45638

1032.55

 

 

45036

1148.50

 

45475

2130.55

 

45548

281.75

 

45639

1032.55

 

 

45039

245.05

 

45477

3302.05

 

45551

451.75

 

45641

1102.55

 

 

45042

314.00

 

45478

2490.60

 

45552

650.35

 

45644

1302.80

 

 

45045

314.00

 

45480

3780.20

 

45554

712.20

 

45645

227.70

 

 

45048

788.60

 

45481

2852.05

 

45555

650.35

 

45646

916.80

 

 

45051

482.40

 

45483

4306.85

 

45556

779.95

 

45647

1302.80

 

 

45054

250.50

 

45484

3249.60

 

45557

779.95

 

45650

150.55

 

 

45200

289.50

 

45485

537.30

 

45558

1169.90

 

45652

362.80

 

 

45203

413.40

 

45486

459.35

 

45560

482.30

 

45653

362.80

 

13

 

 


Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

 

number

fee

%

number

fee

%

number

fee

%

number

fee

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

45656

511.45

 

45767

2557.30

 

45865

295.75

 

46402

527.30

 

 

45659

530.70

 

45770

1958.95

 

45867

318.00

 

46405

643.40

 

 

45660

2931.20

 

45773

1785.30

 

45869

1209.85

 

46408

704.65

 

 

45661

1302.80

 

45776

1785.30

 

45871

1362.85

 

46411

413.50

 

 

45662

714.00

 

45779

1312.50

 

45873

1531.40

 

46414

535.90

 

 

45665

331.90

 

45782

1003.70

 

45875

479.20

 

46417

497.75

 

 

45668

331.90

 

45785

1698.40

 

45877

479.20

 

46420

208.30

 

 

45669

331.90

 

45788

1679.10

 

45879

318.00

 

46423

333.10

 

 

45671

849.30

 

45791

907.10

 

46300

344.50

 

46426

344.50

 

 

45674

247.00

 

45794

513.05

 

46303

382.90

 

46429

421.20

 

 

45675

492.05

 

45797

189.90

 

46306

536.05

 

46432

459.60

 

 

45676

585.80

 

45799

30.00

 

46307

536.05

 

46435

536.05

 

 

45677

551.20

 

45801

129.25

 

46309

536.05

 

46438

137.90

 

 

45680

689.15

 

45803

331.90

 

46312

689.30

 

46441

333.10

 

 

45683

765.60

 

45805

175.60

 

46315

918.95

 

46442

285.95

 

 

45686

903.60

 

45807

250.90

 

46318

1148.75

 

46444

497.75

 

 

45689

266.45

 

45809

378.30

 

46321

1378.55

 

46447

620.35

 

 

45692

306.25

 

45811

511.45

 

46324

822.05

 

46450

229.75

 

 

45695

497.65

 

45813

598.30

 

46325

857.80

 

46453

382.90

 

 

45698

467.05

 

45815

362.80

 

46327

206.90

 

46456

99.55

 

 

45701

842.30

 

45817

472.90

 

46330

352.40

 

46459

191.50

 

 

45704

306.25

 

45819

598.25

 

46333

574.40

 

46462

306.30

 

 

45707

796.20

 

45821

387.70

 

46336

268.15

 

46464

229.75

 

 

45710

497.65

 

45823

110.90

 

46339

474.70

 

46465

229.75

 

 

45713

566.75

 

45825

344.45

 

46342

474.70

 

46468

402.05

 

 

45714

796.20

 

45827

329.30

 

46345

574.40

 

46471

574.40

 

 

45716

796.20

 

45829

251.15

 

46348

248.90

 

46474

746.65

 

 

45720

984.35

 

45831

329.30

 

46351

371.40

 

46477

918.95

 

 

45723

1110.20

 

45833

413.40

 

46354

497.75

 

46480

382.90

 

 

45726

1254.50

 

45835

513.05

 

46357

620.35

 

46483

306.30

 

 

45729

1408.80

 

45837

597.10

 

46360

746.65

 

46486

229.75

 

 

45731

1428.25

 

45839

597.10

 

46363

214.45

 

46489

268.15

 

 

45732

1607.95

 

45841

482.30

 

46366

130.25

 

46492

367.60

 

 

45735

1640.35

 

45843

295.75

 

46369

214.45

 

46494

223.90

 

 

45738

1845.35

 

45845

513.05

 

46372

435.65

 

46495

206.90

 

 

45741

1804.55

 

45847

189.90

 

46375

516.95

 

46498

223.90

 

 

45744

2028.95

 

45849

591.40

 

46378

689.30

 

46500

268.15

 

 

45747

1968.70

 

45851

145.50

 

46381

306.30

 

46501

335.10

 

 

45752

2205.20

 

45853

907.10

 

46384

306.30

 

46502

308.40

 

 

45753

2218.30

 

45855

416.10

 

46387

631.85

 

46503

385.25

 

 

45754

2659.15

 

45857

665.65

 

46390

842.45

 

46504

1125.70

 

 

45755

374.40

 

45859

335.60

 

46393

976.45

 

46507

1309.50

 

 

45758

670.10

 

45861

888.20

 

46396

335.60

 

46510

357.40

 

 

45761

762.30

 

45863

984.60

 

46399

527.30

 

46513

57.55

 

14

 

 


Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

 

number

fee

%

number

fee

%

number

fee

%

number

fee

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

46516

114.95

 

47336

172.55

 

47459

536.80

 

47579

163.00

 

 

46519

143.80

 

47339

201.20

 

47462

114.95

 

47582

335.60

 

 

46522

428.90

 

47342

230.10

 

47465

230.10

 

47585

431.45

 

 

46525

57.55

 

47345

287.45

 

47466

114.95

 

47588

1341.90

 

 

46528

172.55

 

47348

95.70

 

47467

230.10

 

47591

1629.80

 

 

46531

86.70

 

47351

239.70

 

47468

440.90

 

47594

220.45

 

 

46534

239.70

 

47354

172.55

 

47471

43.70

 

47597

330.70

 

 

47000

72.00

 

47357

383.45

 

47474

191.70

 

47600

440.90

 

 

47003

86.30

 

47360

134.20

 

47477

239.70

 

47603

575.10

 

 

47006

173.35

 

47363

201.20

 

47480

479.20

 

47606

239.70

 

 

47009

172.55

 

47366

268.45

 

47483

575.10

 

47609

359.45

 

 

47012

345.05

 

47369

172.55

 

47486

958.60

 

47612

417.00

 

 

47015

86.30

 

47372

287.45

 

47489

1437.95

 

47615

479.20

 

 

47018

201.20

 

47375

383.45

 

47492

239.70

 

47618

599.20

 

 

47021

268.45

 

47378

172.55

 

47495

479.20

 

47621

417.00

 

 

47024

201.20

 

47381

258.85

 

47498

718.85

 

47624

575.10

 

 

47027

268.45

 

47384

345.05

 

47501

958.60

 

47627

163.00

 

 

47030

201.20

 

47385

297.10

 

47504

1437.95

 

47630

345.05

 

 

47033

268.45

 

47386

479.20

 

47507

1437.95

 

47633

114.95

 

 

47036

86.30

 

47387

277.90

 

47510

1437.95

 

47636

172.55

 

 

47039

114.95

 

47390

417.00

 

47513

383.45

 

47639

230.10

 

 

47042

114.95

 

47393

555.95

 

47516

440.90

 

47642

153.50

 

 

47045

153.50

 

47396

191.70

 

47519

881.95

 

47645

230.10

 

 

47048

330.70

 

47399

383.45

 

47522

766.90

 

47648

306.60

 

 

47051

440.90

 

47402

287.45

 

47525

881.95

 

47651

239.70

 

 

47054

330.70

 

47405

191.70

 

47528

766.90

 

47654

359.45

 

 

47057

129.35

 

47408

383.45

 

47531

977.70

 

47657

479.20

 

 

47060

172.55

 

47411

114.95

 

47534

1102.40

 

47663

143.80

 

 

47063

258.85

 

47414

230.10

 

47537

440.90

 

47666

239.70

 

 

47066

345.05

 

47417

268.45

 

47540

220.45

 

47672

114.95

 

 

47069

72.00

 

47420

527.30

 

47543

230.10

 

47678

172.55

 

 

47072

95.70

 

47423

220.45

 

47546

345.05

 

47681

43.70

 

 

47300

86.30

 

47426

330.70

 

47549

460.15

 

47684

766.90

 

 

47303

100.70

 

47429

440.90

 

47552

383.45

 

47687

1341.90

 

 

47306

114.95

 

47432

551.15

 

47555

575.10

 

47690

1054.45

 

 

47309

143.80

 

47435

421.80

 

47558

766.90

 

47693

1341.90

 

 

47312

129.35

 

47438

671.10

 

47561

277.90

 

47696

383.45

 

 

47315

148.55

 

47441

838.80

 

47564

417.00

 

47699

1533.80

 

 

47318

172.55

 

47444

230.10

 

47565

725.35

 

47702

1917.25

 

 

47321

215.65

 

47447

345.05

 

47566

924.60

 

47703

43.70

 

 

47324

172.55

 

47450

460.15

 

47567

484.00

 

47705

287.45

 

 

47327

201.20

 

47451

554.70

 

47570

555.95

 

47708

220.45

 

 

47330

230.10

 

47453

268.45

 

47573

694.90

 

47711

326.05

 

 

47333

287.45

 

47456

402.70

 

47576

114.95

 

47714

244.45

 

15

 

 


Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

 

number

fee

%

number

fee

%

number

fee

%

number

fee

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

47717

431.45

 

47972

214.45

 

48624

2013.20

 

48960

958.60

 

 

47720

431.45

 

47975

375.85

 

48627

2588.10

 

49100

335.60

 

 

47723

431.45

 

47978

228.30

 

48630

2875.75

 

49103

718.85

 

 

47726

143.80

 

47981

153.25

 

48632

1589.65

 

49106

958.60

 

 

47729

239.70

 

47982

371.50

 

48636

824.30

 

49109

718.85

 

 

47732

383.45

 

48200

766.90

 

48639

1389.90

 

49112

718.85

 

 

47735

43.70

 

48203

929.90

 

48640

3545.10

 

49115

1150.25

 

 

47738

239.70

 

48206

575.70

 

48642

814.80

 

49118

277.90

 

 

47741

489.05

 

48209

738.10

 

48645

1102.40

 

49121

623.10

 

 

47753

414.05

 

48212

575.70

 

48648

1102.40

 

49200

833.90

 

 

47756

414.05

 

48215

738.10

 

48651

1533.80

 

49203

623.10

 

 

47762

243.20

 

48218

575.70

 

48654

1102.40

 

49206

575.10

 

 

47765

399.25

 

48221

766.90

 

48657

1533.80

 

49209

766.90

 

 

47768

489.05

 

48224

383.45

 

48660

1102.40

 

49212

239.70

 

 

47771

561.85

 

48227

498.50

 

48663

824.30

 

49215

661.50

 

 

47774

443.65

 

48230

431.45

 

48666

498.50

 

49218

277.90

 

 

47777

443.65

 

48233

623.10

 

48669

1485.85

 

49221

623.10

 

 

47780

576.65

 

48236

814.80

 

48672

1112.10

 

49224

718.85

 

 

47783

576.65

 

48239

450.50

 

48675

671.10

 

49227

718.85

 

 

47786

731.80

 

48242

623.10

 

48678

575.70

 

49300

530.70

 

 

47789

731.80

 

48400

335.60

 

48681

958.60

 

49303

555.95

 

 

47900

172.55

 

48403

527.30

 

48684

958.60

 

49306

1102.40

 

 

47903

239.70

 

48406

335.60

 

48687

1341.90

 

49309

766.90

 

 

47904

57.55

 

48409

527.30

 

48690

1533.80

 

49312

958.60

 

 

47906

114.95

 

48412

642.10

 

48900

287.45

 

49315

862.80

 

 

47912

57.55

 

48415

814.80

 

48903

575.10

 

49318

1341.90

 

 

47915

172.55

 

48418

642.10

 

48906

575.10

 

49319

2357.40

 

 

47916

86.70

 

48421

814.80

 

48909

766.90

 

49321

1629.80

 

 

47918

239.70

 

48424

766.90

 

48912

335.60

 

49324

1917.25

 

 

47920

387.70

 

48427

929.90

 

48915

766.90

 

49327

2204.75

 

 

47921

114.95

 

48500

335.60

 

48918

1533.80

 

49330

2204.75

 

 

47924

38.30

 

48503

335.60

 

48921

1581.65

 

49333

2492.35

 

 

47927

143.80

 

48506

498.50

 

48924

1821.40

 

49336

364.20

 

 

47930

268.45

 

48509

239.70

 

48927

373.75

 

49339

2827.75

 

 

47933

210.85

 

48512

910.60

 

48930

766.90

 

49342

2827.75

 

 

47936

258.85

 

48600

95.70

 

48933

1006.55

 

49345

3355.10

 

 

47948

163.00

 

48603

143.80

 

48936

766.90

 

49346

862.80

 

 

47951

191.70

 

48606

1341.90

 

48939

1102.40

 

49360

350.20

 

 

47954

383.45

 

48609

1677.55

 

48942

1437.95

 

49363

421.75

 

 

47957

287.45

 

48612

2492.35

 

48945

277.90

 

49366

623.10

 

 

47960

134.20

 

48613

3545.10

 

48948

623.10

 

49500

383.45

 

 

47963

220.45

 

48615

450.50

 

48951

910.60

 

49503

498.50

 

 

47966

440.90

 

48618

2492.35

 

48954

958.60

 

49506

747.70

 

 

47969

268.45

 

48621

1629.80

 

48957

1102.40

 

49509

766.90

 

16

 

 


Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

Item

Scheduled

Increase

 

number

fee

%

number

fee

%

number

fee

%

number

fee

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

49512

1102.40

 

49818

277.90

 

50227

3355.10

 

50402

430.55

 

 

49515

862.80

 

49821

440.90

 

50230

1725.40

 

50405

585.85

 

 

49517

1228.30

 

49824

771.70

 

50233

2204.75

 

50408

1016.40

 

 

49518

1341.90

 

49827

479.20

 

50236

1725.40

 

50411

1334.00

 

 

49519

2357.40

 

49830

838.80

 

50239

1150.25

 

50414

1799.80

 

 

49521

1629.80

 

49833

527.30

 

50300

1178.70

 

50417

1334.00

 

 

49524

1917.25

 

49836

910.60

 

50303

1609.30

 

50420

1101.05

 

 

49527

1629.80

 

49837

659.05

 

50306

2512.75

 

50423

1016.40

 

 

49530

2013.20

 

49838

1138.15

 

50309

310.50

 

50426

473.00

 

 

49533

2300.70

 

49839

527.30

 

50312

712.85

 

50950

832.00

 

 

49534

457.60

 

49842

910.60

 

50315

705.85

 

50952

832.00

 

 

49536

958.60

 

49845

479.20

 

50318

705.85

 

51300

87.90

 

 

49539

958.60

 

49848

163.00

 

50321

945.80

 

51303

 

20.00

 

49542

1341.90

 

49851

210.85

 

50324

1348.20

 

51306

127.00

 

 

49545

766.90

 

49854

383.45

 

50327

1644.55

 

51309

 

20.00

 

49548

958.60

 

49857

354.65

 

50330

232.85

 

51312

 

20.00

 

49551

1341.90

 

49860

287.45

 

50333

628.15

 

51315

277.30

 

 

49554

1917.25

 

49863

431.45

 

50336

938.80

 

51318

183.05

 

 

49557

277.90

 

49866

306.60

 

50339

571.80

 

 

 

 

 

49558

277.90

 

49878

57.55

 

50342

663.40

 

 

 

 

 

49559

416.10

 

50100

277.90

 

50345

353.00

 

 

 

 

 

49560

561.65

 

50102

623.10

 

50348

232.85

 

 

 

 

 

49561

686.35

 

50103

335.60

 

50349

163.00

 

 

 

 

 

49562

748.85

 

50104

318.00

 

50350

862.80

 

 

 

 

 

49563

811.15

 

50106

479.20

 

50351

1016.40

 

 

 

 

 

49564

935.70

 

50109

479.20

 

50352

57.55

 

 

 

 

 

49566

766.90

 

50112

367.60

 

50353

361.25

 

 

 

 

 

49569

766.90

 

50115

143.80

 

50354

1334.00

 

 

 

 

 

49700

277.90

 

50118

440.90

 

50357

571.80

 

 

 

 

 

49703

623.10

 

50121

862.80

 

50360

663.40

 

 

 

 

 

49706

335.60

 

50124

30.10

 

50363

508.20

 

 

 

 

 

49709

718.85

 

50125

30.10

 

50366

889.40

 

 

 

 

 

49712

766.90

 

50127

715.30

 

50369

663.40

 

 

 

 

 

49715

1150.25

 

50130

318.00

 

50372

1164.60

 

 

 

 

 

49718

383.45

 

50200

191.70

 

50375

508.20

 

 

 

 

 

49721

239.70

 

50201

335.45

 

50378

889.40

 

 

 

 

 

49724

671.10

 

50203

421.80

 

50381

663.40

 

 

 

 

 

49727

287.45

 

50206

623.10

 

50384

1164.60

 

 

 

 

 

49800

134.20

 

50209

766.90

 

50387

663.40

 

 

 

 

 

49803

172.55

 

50212

1677.55

 

50390

232.85

 

 

 

 

 

49806

134.20

 

50215

2108.95

 

50393

861.05

 

 

 

 

 

49809

220.45

 

50218

2780.00

 

50394

2827.75

 

 

 

 

 

49812

440.90

 

50221

2588.10

 

50396

473.00

 

 

 

 

 

49815

766.90

 

50224

2875.75

 

50399

938.80

 

 

 

 

17

 


Dated:  6th  December     2004

 

___________________

MARK SULLIVAN

PRESIDENT

________________

IAN CAMPBELL

DEPUTY PRESIDENT

__________________

SIMON HARRINGTON

COMMISSIONER