12Application and transitional provisions for the National Health (Claims and under co‑payment data) Amendment (Medication Chart Prescriptions) Rule 2015

12 Application and transitional provisions for the National Health (Claims and under co‑payment data) Amendment (Medication Chart Prescriptions) Rule 2015

Removal of requirement to send prescriptions and introduction of electronic certification (1) If: (a) an approved supplier gives information for the purposes of subsection 98AC(1) or section 99AAA of the Act on or after 1 April 2015 in relation to the supply of a pharmaceutical benefit; and (b) at least one of the supplies to which the information relates was made before that date; the approved supplier must give the information in accordance with the old Claims Rules (subject to subrule (4)), except to the extent to which the information relates to a medication chart prescription of a kind mentioned in subrule (5). (2) If: (a) an approved supplier gives information for the purposes of subsection 98AC(1) or section 99AAA of the Act in relation to the supply of a pharmaceutical benefit; and (b) none of the supplies to which the information relates was made before 1 April 2015; and (c) at least one of the supplies to which the information relates was made before 1 July 2015 or a later date determined for the approved supplier under subrule (3); then, except to the extent to which the information relates to a medication chart prescription of a kind mentioned in subrule (5), the approved supplier may give the information: (d) in accordance with the old Claims Rules (subject to subrule (4)); or (e) in accordance with the new Claims Rules. (3) For paragraph (2)(c), the Chief Executive Medicare may, by writing, determine a later date for an approved supplier if the Chief Executive Medicare is satisfied that exceptional circumstances exist in relation to the approved supplier. The date must be before 1 February 2018. Removal of CTS non‑online claiming (4) The old Claims Rules continue to apply for the purposes of subrule (1) and paragraph (2)(d) in relation to information given in relation to a pharmaceutical benefit that is supplied on or after 1 April 2015 as if paragraphs 6(3)(b) and (4)(b), subparagraph 7(1)(d)(ii), and paragraph 7(2)(b), were omitted.

Note: This means that information relating to a pharmaceutical benefit supplied on or after 1 April 2015 that is given to the Chief Executive Medicare using the Claims Transmission System must be given using a computer system and cannot be given by forwarding a diskette.

Medication chart prescriptions—approved hospitals (5) Information that relates to a medication chart prescription written for a person who is receiving treatment in or at an approved hospital must be given in accordance with the new Claims Rules. Definitions (6) In this rule:

new Claims Rules means these Rules as in force on 1 April 2015.

old Claims Rules means these Rules as in force immediately before 1 April 2015.