National Health (Botulinum Toxin Program) Special Arrangement 2011 (No. PB 89 of 2011)
29Claims lodged but not determined, supplies made but not claimed for, etc under old Arrangement
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29 Claims lodged but not determined, supplies made but not claimed for, etc under old Arrangement
(1) A claim for payment that was lodged, but a decision on whether or not to pay the claim was not made, under the old Arrangement is, after the commencement of this Special Arrangement, taken to be a claim made, and may be processed, under this Special Arrangement. (2) A supply of a pharmaceutical benefit that was made under the old Arrangement, but for which no claim has been lodged, prior to the commencement of this Special Arrangement is, after the commencement of this Special Arrangement, taken to be a supply made under this Special Arrangement. (3) A medical practitioner who was a registered medical practitioner under the old Arrangement for a condition is, after the commencement of this Special Arrangement, taken to be an eligible medical practitioner under this Special Arrangement for the treatment condition in Schedule 3 that corresponds most closely with that condition.
Note: As the medical practitioner is taken to be an eligible medical practitioner under this Special Arrangement, they are not required, under paragraph 17(c) of this Special Arrangement, to submit a new undertaking.
(4) An application for authorisation of a medical practitioner to administer pharmaceutical benefits that was lodged, but not finally determined, under the old Arrangement is, after the commencement of this Special Arrangement, taken to be an application made, and may be processed, under this Special Arrangement. (5) A person who was authorised under the old Arrangement to request the supply of a pharmaceutical benefit on behalf of a registered medical practitioner (the medical practitioner) is, after the commencement of this Special Arrangement, taken to be authorised to request the supply of a pharmaceutical benefit, on behalf of the medical practitioner, as an eligible medical practitioner, under this Special Arrangement. (6) A request for supply of a pharmaceutical benefit made under the old Arrangement is, after the commencement of this Special Arrangement, taken to be a request for supply made, and may be processed, under this Special Arrangement. (7) An order made by the Chief Executive Medicare under the old Arrangement for the supply of a pharmaceutical benefit is, after the commencement of this Special Arrangement, taken to be an order made, and may be processed, under this Special Arrangement. (8) A Patient Usage Form or Patient Acknowledgement Form that has been provided to the Chief Executive Medicare by a registered medical practitioner (the medical practitioner) under the old Arrangement is, after the commencement of this Special Arrangement, taken to have been provided to the Chief Executive Medicare, by the medical practitioner, as an eligible medical practitioner, under this Special Arrangement. (9) A location that is a registered practice location for the old Arrangement is taken to be a registered practice location for this Special Arrangement. (10) For the processing of an application, claim, order or request, or for the supply of a pharmaceutical benefit, under this Part, a reference in the old Arrangement to a special pharmaceutical product is taken to be a reference to a pharmaceutical benefit. (11) In this section: