Commonwealth Consolidated Regulations Commonwealth Consolidated Regulations(1) In this instrument:
"Act" means the Human Services (Medicare) Act 1973 .
"Aged Care Act" means the Aged Care Act 1997 .
"Aged Care Department" means the Department administered by the Aged Care Minister.
"Aged Care Minister" means the Minister administering the Aged Care Act.
"Aged Care Secretary" means the Secretary of the Aged Care Department.
"Aged Care Transitional Act" means the Aged Care (Transitional Provisions) Act 1997 .
"approved supplier" has the meaning given by subsection 84(1) of the National Health Act.
"client" means a person who received a hearing service for which a claim has been made.
"contracted service provider" has the meaning given by section 4 of the Hearing Services Administration Act 1997 .
"de-identified" has the meaning given by subsection 6(1) of the Privacy Act 1988 .
"disclosure function" has the meaning given by subsection 24(5).
"education and prevention functions" has the meaning given by subsection 24( 3 ).
"emergency" means an emergency or disaster that occurs in Australia, or that affects one or more Australian citizens or permanent residents, and includes:
(a) an emergency or disaster that has been the subject of a declaration under section 80J or 80K of the Privacy Act 1988 ; and
(b) any circumstance in relation to which the Australian Government has decided that a program of special assistance involving the provision of a service, benefit, program or facility is to be implemented.
Note: Examples of an emergency include the following :
(a) a natural disaster;
(b) a terrorist act.
"evaluation and reporting functions" has the meaning given by subsection 24(7).
"healthcare providers" includes any of the following:
(a) medical practitioners;
(b) prescribers;
(c) pharmacists;
(d) approved suppliers;
(e) dentists;
(f) State and Territory health departments;
(g) State and Territory mental health authorities;
(h) private and public pain management clinics;
(i) private and public alcohol or drug detoxification centres;
(j) private and public hospitals.
"Health Department" means the Department administered by the Minister administering the National Health Act.
"Health Insurance Act" means the Health Insurance Act 1973 .
"hearing services" has the meaning given by section 4 of the Hearing Services Administration Act 1997 .
"identification and detection functions" has the meaning given by subsection 24(4).
"inappropriate practice" has the meaning given by section 81 of the Health Insurance Act.
"lifetime health cover" has the same meaning as in the Private Health Insurance Act.
"National Health Act" means the National Health Act 1953 .
"nominated prescriber" , in relation to a prescription shopper, means a prescriber nominated by the prescription shopper from time to time to be that person's main prescriber.
"PBS information" means information collected for the administration of the Pharmaceutical Benefits Scheme established under Part VII of the National Health Act.
"person affected by an emergency" has a meaning affected by section 6 .
"personal information" has the meaning given by subsection 6(1) of the Privacy Act 1988 .
"Pharmaceutical Benefits Regulations" means the National Health (Pharmaceutical Benefits) Regulations 2 017 .
"prescriber" means a person who is authorised to prescribe a pharmaceutical benefit or who purports to be authorised to prescribe a pharmaceutical benefit .
"prescription shopper" means a person who, within any 3 month period, has had supplied to him or her:
(a) pharmaceutical benefits prescribed by 6 or more different prescribers ( other than a prescriber who is a specialist within the meaning of subsection 3(1) of the Health Insurance Act and who has prescribed pharmaceutical benefits to a person in that capacity ) ; or
(b) a total of 25 or more target pharmaceutical benefits; or
(c) a total of 50 or more pharmaceutical benefits.
"Prescription Shopping Program" means the program administered by the Department and the Health Department to reduce prescription shopping.
"Private Health Insurance Act" means the Private Health Insurance Act 2007 .
"reappraisal period" is the period under section 27 - 2 of the Aged Care Act in which a reappraisal of the classification of the level of care needed by an aged care recipient must be made.
"recoverable amount" has the meaning given by subsections 95 - 1 (1) and 95 - 1( 3 ) of the Aged Care Act.
"State or Territory body" means:
(a) a State or Territory Minister; or
(b) a Department of State of a State or Territory; or
(c) a body (whether incorporated or not) established for a public purpose under a law of a State or Territory.
"target pharmaceutical benefits" means pharmaceutical benefits in any of the following categories of the Anatomical Therapeutic Chemical classification system:
(a) N02 (Analgesics);
(b) N03 (Antiepileptics);
(c) N04 (Anti - Parkinson Drugs);
(d) N05 (Psycholeptics);
(e) N06 (Psychoanaleptics);
(f) N07 (Other central nervous system drugs);
(g) R03 (Drugs for obstructive airway diseases);
(h) C10A (Serum lipid reducing agents);
(i) A02B (Drugs for peptic ulcer and gastro - oesophageal reflux diseases);
(j) J01 (Antibacterials for systemic use);
(k) M01 (Anti - inflammatory and antirheumatic products);
(l) A10A (Insulin and analogues);
(m) C02 (Antihypertensives).
Note: The Anatomical Therapeutic Chemical classification system is published by the World Health Organisation's Collaborating Centre for Drug Statistics Methodology.
"voucher" has the meaning given by section 4 of the Hearing Services Administration Act 1997 .
(2) An expression (other than recoverable amount ) used in Part 2 of this i nstrument and in the Aged Care Act has the same meaning in that Part as it has in that Act.
Note: The following expressions are defined in clause 1 of Schedule 1 to the Aged Care Act:
(a) aged care service;
(b) approved provider;
(c) flexible care subsidy;
(d) home care;
(e) home care service;
(f) protected information;
( g ) residential care service .