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HEALTH INSURANCE AMENDMENT REGULATIONS 2010 (NO. 3) (SLI NO 261 OF 2010) - SCHEDULE 1

Amendments

(regulation 3)

 

[1]           After regulation 11

insert

11A          Pathology services determined to be necessary by participating midwives and participating nurse practitioners

         (1)   For subparagraph 16A (1) (aa) (ii) of the Act, the services in relation to a participating midwife are those mentioned in the pathology services table in items 65060, 65070, 65090 to 65099 (inclusive), 65114, 66500 to 66512 (inclusive), 66545, 66548, 66566, 66743, 66750, 66751, 69303 to 69317 (inclusive), 69324, 69384 to 69415 (inclusive), 73053 and 73529.

         (2)   For subparagraph 16A (1) (ab) (ii) of the Act, the services in relation to a participating nurse practitioner are those mentioned in the pathology services table in items 65060 to 73810 (inclusive).

11B          Diagnostic imaging services that participating midwives and participating nurse practitioners may request

         (1)   For subsection 16B (3D) of the Act, the services in relation to a participating midwife are those mentioned in the diagnostic imaging services table in items 55700, 55704, 55706, 55707, and 55718.

         (2)   For subsection 16B (3E) of the Act, the services in relation to a participating nurse practitioner are those mentioned in the diagnostic imaging services table in items 55036, 55070, 55076, 55600, 55768, 55800, 55804, 55808, 55812, 55816, 55820, 55824, 55828, 55832, 55836, 55840, 55844, 55848, 55850, 55852, 57509, 57515, 57521 and 58503 to 58527 (inclusive).

[2]           Subregulation 31 (1)

omit

subregulation (1A),

insert

subregulations (1A), (1B) and (1C),

[3]           After subregulation 31 (1A)

insert

      (1B)   A referral given by a participating midwife is valid:

                (a)    until 12 months after the first service given in accordance with the referral; and

               (b)    for 1 pregnancy only.

      (1C)   A referral given by a participating nurse practitioner is valid until 12 months after the first service given in accordance with the referral.




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