Commonwealth Numbered Regulations

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HEALTH INSURANCE REGULATIONS 2018 (F2018L01365) - REG 102

Period of validity for referrals

             (1)  Subject to this section:

                     (a)  a referral that states it is valid for a fixed period is valid until the end of that period after the first service rendered in accordance with the referral; and

                     (b)  a referral that states it is valid indefinitely is valid for an indefinite period; and

                     (c)  a referral that does not state a time for which it remains valid is valid until 12 months after the first service rendered in accordance with the referral.

Referrals given by particular persons

             (2)  A referral given by a specialist or consultant physician is valid:

                     (a)  for a maximum of 3 months after the first service given in accordance with the referral; or

                     (b)  if the referred person is a patient in a hospital at the time of referral and continues to be so for more than 3 months--until the person ceases to be a patient in a hospital.

             (3)  A referral given by a participating midwife is valid for a maximum of 12 months after the first service is given in accordance with the referral, and for one pregnancy only.

             (4)  A referral given by a participating nurse practitioner is valid for a maximum of 12 months after the first service is given in accordance with the referral.

Special cases

             (5)  A referral for a professional service to a patient in a hospital who is not a public patient is valid until the patient ceases to be a patient in the hospital who is not a public patient.

             (6)  A referral that does not comply with subsection 98(1), and is given in the circumstances described in subsection 98(2) (emergencies), is valid for only one attendance on the patient.

             (7)  A written referral that is lost, stolen or destroyed is valid for only one attendance on the patient.



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