4Interpretation

4 Interpretation

(1) In this Determination:

Act means the Health Insurance Act 1973.

allied health professional, for the provision of an allied health service, means a person:

(a) who meets the qualification requirements set out in Schedule 1 for the provision of the service; and
(b) whose name is entered in the register, kept by the Chief Executive Medicare, of allied health professionals who are qualified to provide a service of that kind.

Note: Allied health professionals in relation to the provision of a focussed psychological strategies health service are subject to the requirements of section 10.

allied health service means:

(a) a health service of a kind prescribed by regulation 3A of the Health Insurance Regulations 1975; or
(b) a health service that is an optometry treatment service;

that is specified in an item in Schedule 2.

course of assessment means:

(a) for pervasive developmental disorder services—up to 4 services to which any of items 82000, 82005, 82010 or 82030 applies provided, on referral by a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics, by any of the following persons:
(i) an eligible audiologist;
(ii) an eligible occupational therapist;
(iii) an eligible optometrist;
(iv) an eligible orthoptist;
(v) an eligible physiotherapist;
(vi) an eligible psychologist; or
(vii) an eligible speech pathologist; or
(b) for disability services—up to 4 services to which any of items 82000, 82005, 82010 or 82030 applies provided, on referral by a specialist or consultant physician practising in the practice of his or her field of specialty or a general practitioner, by any of the following persons:
(i) an eligible audiologist;
(ii) an eligible occupational therapist;
(iii) an eligible optometrist;
(iv) an eligible orthoptist;
(v) an eligible physiotherapist;
(vi) an eligible psychologist; or
(vii) an eligible speech pathologist.

course of treatment means:

(a) for psychological therapy and focussed psychological strategies—up to 6 services provided, on referral by a medical practitioner, by any of the following persons:
(i) an eligible clinical psychologist;
(ii) an eligible psychologist;
(iii) an eligible occupational therapist;
(iv) an eligible social worker; or
(b) for pervasive developmental disorder services—up to 10 treatment services to which any of items 82015, 82020, 82025 and 82035 applies provided, on referral by a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics, by any of the following persons:
(i) an eligible audiologist;
(ii) an eligible occupational therapist;
(iii) an eligible optometrist;
(iv) an eligible orthoptist;
(v) an eligible physiotherapist;
(vi) an eligible psychologist;
(vii) an eligible speech pathologist; or
(c) for disability services—up to 10 treatment services to which any of items 82015, 82020, 82025 and 82035 applies provided, on referral by a specialist or consultant physician specialising in the practice of his or her field of specialty, or a general practitioner, by any of the following persons:
(i) an eligible audiologist;
(ii) an eligible occupational therapist;
(iii) an eligible optometrist;
(iv) an eligible orthoptist;
(v) an eligible physiotherapist;
(vi) an eligible psychologist;
(vii) an eligible speech pathologist.