18Internal review of decisions

18 Internal review of decisions

Application for review (1) A person who is affected by a decision of the Chief Executive Medicare under this instrument may apply to the Secretary for review of the decision. (2) An application for review must: (a) be in writing; and (b) be made within: (i) 28 days after the day the decision first came to the notice of the applicant; or (ii) if the Secretary allows a longer period (whether before or after the end of the 28‑day period referred to in subparagraph (i))—that longer period. Review of decision (3) On receiving an application, the Secretary must: (a) review the decision; and (b) affirm, vary or set aside the decision; and (c) if the Secretary sets aside the decision—make a new decision in substitution for the decision set aside. (4) The decision (the decision on review) of the Secretary takes effect: (a) on the day specified in the decision on review; or (b) if a day is not specified—on the day the decision on review was made. Notice of decision (5) After the Secretary makes a decision under this section, the Secretary must give the applicant a written notice stating the following: (a) the terms of the decision; (b) the reasons for the decision.