Commonwealth Consolidated Regulations

HEALTH INSURANCE REGULATIONS 1975

- made under the Health Insurance Act 1973

TABLE OF PROVISIONS

   1.      Name of Regulations [see Note 1]  
   2.      Interpretation  
   2A.     General practitioners  
   3.      Definition of professional service in Act  
   3A.     Health services not specified in an item (Act s 3C)  
   4.      Relevant organisations and qualifications (Act s 3D)  
   5.      Prescribed fee -- subsection 3D (1) of the Act  
   6.      Prescribed fee -- subsection 3E (2) of the Act  
   6A.     Recognised Fellows of the RACGP  
   6B.     Notice to be given of certain decisions  
   6C.     Appeals  
   6D.     Eligibility pending decision on appeal  
   6DA.    Recognition of practitioners who meet ACRRM fellowship standards  
   6DB.    Eligibility for determination  
   6DC.    Revocation of determinations  
   6E.     Register of Approved Placements -- specified bodies etc  
   6EA.    Register of Approved Placements -- eligible applicants  
   6EB.    Register of Approved Placements -- removal of name  
   6EF.    Services for which medicare benefit is 100% of Schedule fee (Act s 10 (2) (aa))  
   6F.     Circumstances in which subparagraphs 19AA (1) (b) (iv) and (2) (b) (iv) of the Act apply  
   6G.     Interns -- relevant State or Territory laws  
   9.      Reduction of amounts for purposes of subsection 16 (4) of the Act  
   9A.     Requests for pathology services by electronic means  
   10.     Diagnostic imaging services which dental practitioners may request  
   11.     Diagnostic imaging services that chiropractors, osteopaths, physiotherapists and podiatrists may request  
   12.     Exemption -- pre-existing diagnostic imaging services  
   12A.    Prescribed date -- paragraph 16B (11) (d) of the Act  
   12AA.   Prescribed diagnostic imaging services -- subsection 16EA (2) of the Act  
   12B.    Definition of radiation oncology service  
   13.     Particulars to be recorded on accounts, receipts and bulk billing agreement  
   13AA.   Payment to general practitioner by electronic transmission (Act s 20 (5))  
   13AB.   Payment to specialists or consultant physicians by electronic transmission (Act s 20 (5))  
   13AC.   Manner of electronic claim (Act s 20 (6))  
   13B.    Application for approval as billing agent  
   14.     Medicare benefit not payable in respect of certain professional services  
   15.     Service of notice under subsection 23B (6) of the Act  
   16.     Application for acceptance of undertaking -- repayment of fee  
   16A.    Records of pathology services to be kept by approved pathology authorities  
   17.     Application for approval of premises -- prescribed fees  
   18.     Application for approval of premises -- repayment of fees  
   19.     Information that must be included in requests for diagnostic imaging services  
   20.     Records of diagnostic imaging services that must be kept by providing medical practitioners  
   20A.    Diagnostic imaging -- information to be included in application for registration  
   20B.    Diagnostic imaging -- information to be included on register  
   20C.    Primary information -- types of diagnostic imaging equipment  
   20D.    Radiation oncology -- information to be included in application for registration  
   20E.    Radiation oncology -- information to be included on register  
   20F.    Primary information -- types of radiation oncology equipment  
   21.     Application form -- application for approval as an organisation under Part IV of the Act  
   22.     Application form -- application for approval of health service  
   22A.    Prescribed bodies -- Part IVA of the Act  
   23.     Prescribed fee -- subsection 61 (1A) of the Act  
   23A.    Application for a declaration that a quality assurance activity is an activity to which Part VC of the Act applies  
   23B.    Criteria in relation to quality assurance activities  
   23C.    Criteria in relation to quality assurance activities: disclosure of information  
   23D.    Criteria in relation to quality assurance activities: activities engaged in in one State or Territory  
   23E.    Criteria in relation to quality assurance activities: activities that have not been engaged in previously in Australia  
   23F.    Criteria in relation to quality assurance activities: activities that have been engaged in previously in Australia  
   23G.    Criteria in relation to quality assurance activities: review procedures  
   24.     Allowances for witnesses at hearings before a Professional Services Review Committee  
   25.     Professional organisation -- subsection 124B (1) of the Act  
   25A.    Circumstances where fees etc cannot be charged for provision of public hospital services to public patients  
   26.     Prescribed rate of interest -- subsection 129AC (2) of the Act  
   27.     Prescribed authorities and persons for the purposes of subsection 130 (3A) of the Act  
   28.     Delegation  
   29.     Referral to specialists or consultant physicians  
   30.     Referrals: special cases  
   31.     Validity of referrals to specialists or consultant physicians  
           SCHEDULE 1 Forms
           SCHEDULE 1A Bodies to which information in the Australian Childhood Immunisation Register may be given
           SCHEDULE 2 Witnesses' allowances for travelling and other expenses
           SCHEDULE 3 Prescribed authorities and persons -- subsection 130 (3A) of the Act
           SCHEDULE 4 Relevant organisations and qualifications
           SCHEDULE 5 Matters specified for Register of Approved Placements
           SCHEDULE 6 Services for which medicare benefit is 100% of Schedule fee