Dental Benefits Amendment Rule 2017 (No. 2)
Dental Benefits Act 2008
I, GREG HUNT, Minister for Health, make this Rule under subsection 60(1) of the Dental Benefits Act 2008.
Dated 2010
Dated 15:11:17
GREG HUNT
This Rule is the Dental Benefits Amendment Rule 2017 (No. 2).
This Rule commences on 1 January 2018.
This Rule is made under subsection 60(1) of the Dental Benefits Act 2008.
Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.
Dental Benefits Rules 2014
1 Rule 17
Repeal the rule, substitute:
17 Limitation on number of certain services
For any particular eligible dental patient:
(a) an item of the Dental Benefits Schedule mentioned in column 2 of the following table is applicable to a service not more than the number of times mentioned in column 3 of the table in the period mentioned in column 4 of the table;
Item | Item of service | Number of times | Period |
1 | 88311, 88314, 88322, 88323, 88324 | 1 | 1 day |
2 | 88111, 88114, 88121 | 1 | 5 months |
3 | 88942 | 1 | 12 months |
4 | 88221, 88721, 88722 | 1 | 24 months |
5 | 88115, 88213 | 2 | 12 months |
6 | 88013, 88572 | 3 | 3 months |
7 | 88458 | 3 | 12 months |
8 | 88022, 88161, 88575 | 4 | 1 day |
9 | 88768 | 8 | 24 months |
(b) items 88111, 88114 and 88121 must not be provided more than two times per calendar year.
2 Rule 18
Repeal the rule, substitute:
18 Limitation on provision of certain services
For any particular eligible dental patient:
(a) an item of the Dental Benefits Schedule mentioned in column 2 of the following table is applicable to a service provided by a particular eligible dental provider, not more than once in the period mentioned in column 3 of the table:
Item | Item of service | Period |
1 | 88012 | 5 months |
2 | 88011 | 24 months |
(b) item 88012 must not be provided more than two times by a particular eligible dental provider per calendar year.
3 Paragraph 19(b)
Omit “6”, substitute “5”.
4 After rule 24
Insert:
24A Limitation on Denture Bases
For any particular eligible dental patient:
(a) item 88721 does not apply to a service provided within a 6 month period of a service described in item 88723;
(b) item 88722 does not apply to a service provided within a 6 month period of a service described in item 88724;
(c) item 88723 must not be provided more than once;
(d) item 88724 must not be provided more than once.
5 Paragraphs 25(a), (b) and (c)
Omit “88721 or 88722”, substitute “88721, 88722, 88723 or 88724”.
6 Paragraph 25(d)
Omit “either item 88721 or 88722”, substitute “item 88721, 88722, 88723 or 88724”.
7 After rule 27
Insert:
27A Limitation on items 88586 and 88587
For any particular eligible dental patient, only one of either item 88586 or 88587 is applicable for a service provided in respect of a particular tooth on a day.
8 Schedule 1 (item 88111, column headed “Service”)
After “teeth”, insert “and/or implants”.
9 Schedule 1 (item 88576)
Repeal the item.
10 Schedule 1 (after item 88579)
Insert:
88586 | Crown - metallic - with tooth preparation – preformed Placing a preformed metallic crown as a coronal restoration for a tooth. (Item is subject to Rule 27A) | 257.05 |
88587 | Crown - metallic - minimal tooth preparation – preformed Placing a preformed metallic crown as a coronal restoration for a tooth and where minimal or no restoration of the tooth is required. Commonly referred to as a ‘Hall’ crown. (Item is subject to Rule 27A) | 152.50 |
11 Schedule 1 (item 88721, column headed “Service”)
Omit “Rule 17”, substitute “Rules 17 and 24A”.
12 Schedule 1 (item 88721, column headed “Benefit ($)”)
Omit “322.95”, substitute “436.60”.
13 Schedule 1 (item 88722, column headed “Service”)
Omit “Rule 17”, substitute “Rules 17 and 24A”.
14 Schedule 1 (item 88722, column headed “Benefit ($)”)
Omit “322.95”, substitute “436.60”.
15 Schedule 1 (after item 88722)
Insert:
88723 | Provisional partial maxillary denture Provision of a patient removable partial dental prosthesis replacing the natural teeth and adjacent tissues in the maxilla which is designed to last until the definitive prosthesis can be constructed. This item should only be used where a provisional denture is not an intrinsic part of item 88721. (Item is subject to Rules 24A and 25) | 327.45 |
88724 | Provisional partial mandibular denture Provision of a patient removable partial dental prosthesis replacing the natural teeth and adjacent tissues in the mandible which is designed to last until the definitive prosthesis can be constructed. This item should only be used where a provisional denture is not an intrinsic part of item 88722. (Item is subject to Rules 24A and 25) | 327.45 |
16 Schedule 1 (item 88733, column headed “Benefit ($)”)
Omit “67.00”, substitute “36.15”.