71Maximum amount payable for certain treatment and

71 Maximum amount payable for certain treatment and services (1) This section applies to a payment (a LTCS-related payment) payable by the LTCS commissioner for the following treatment or services given to a participant in the LTCS scheme: (a) medical treatment; (b) dental treatment; (c) rehabilitation services; (d) attendant care services. (2) This section also applies to the payment payable to a private hospital for any treatment at the hospital. (3) However, this section does not apply to a payment for treatment or a service mentioned in subsection (1) if— (a) the treatment or service is given to the participant at a public hospital (whether as an inpatient or outpatient); and (b) the payment is payable to the public hospital, and not the treatment or service provider.

Payments to hospitals, doctors and others Part 9 (4) The Minister may determine the maximum amount the LTCS commissioner is liable for in relation to a claim for a LTCS-related payment. (5) A determination under subsection (4) is a disallowable instrument. (6) A LTCS-related payment may be determined by reference to— (a) fees recommended by the Australian Medical Association or other health professional association; or (b) a schedule of fees. (7) A regulation may prescribe the way in which the LTCS commissioner must pay a LTCS-related payment. (8) The LTCS guidelines may make provision for the maximum amount payable for LTCS-related payments that are not determined by the Minister.