1. Name of Determination

This Determination is the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018.

3. Authority

This Determination is made under subsection 3C(1) of the Health Insurance Act 1973.

4. Definitions

(1) In this Determination:

Act means the Health Insurance Act 1973.

general medical services table means the table prescribed under section 4 of the Act as in force from time to time.

general practitioner has a meaning affected by clause 1.1.3 of the general medical services table.

has effect: when this Determination refers to a provision of the general medical services table as having effect, the provision of the general medical services table has effect as a provision of this Determination.

prescribed medical practitioner means a medical practitioner who is not a general practitioner, specialist or consultant physician, and who:

(a) is registered under section 3GA of the Act, to the extent that the person is practicing during the period in respect of which, and in the location in respect of which, he or she is registered, and insofar as the circumstances specified for paragraph 19AA(3)(b) of the Act apply; or (b) is covered by an exemption under subsection 19AB(3) of the Act; or (c) first became a medical practitioner before 1 November 1996.

relevant provisions means all provisions, of the Act and regulations made under the Act, and the National Health Act 1953 and regulations made under the National Health Act 1953, relating to medical services, professional services or items.

relevant service means a health service, as defined in subsection 3C(8) of the Act, that is specified in a Schedule.

Schedule means a Schedule to this Determination.

Note: The following terms are defined in subsection 3(1) of the Act:

 clinically relevant service

 consultant physician

 item

 professional service

 specialist

(2) Unless the contrary intention appears, a reference in this Determination to a provision of the Act or the National Health Act 1953 or regulations made under the Act or under the National Health Act 1953 as applied, adopted or incorporated in relation to specifying a matter is a reference to those provisions as in force from time to time and any other reference to provisions of an Act or regulations is a reference to those provisions as in force from time to time.

5. Treatment of relevant services

For subsection 3C(1) of the Act a relevant service, provided in accordance with this Determination and as a clinically relevant service, is to be treated, for the relevant provisions, as if: