Private Health Insurance (Accreditation) Rules 2011
10. Treatments provided by other health 10. Treatments provided by other health care providers
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10. Treatments provided by other health care providers
If the treatment is provided by a health care provider who is not referred to in subrule 7(1) or rule 8 or 9, the standard for that treatment is that the health care provider providing the treatment must be a member of a professional organisation which covers health care providers who provide that type of treatment (the profession) and which:
(a) is a national entity which has membership requirements for the profession; and
(b) provides assessment of the health care provider in terms of the appropriate level of training and education required to practise in that profession; and
(c) administers a continuing professional development scheme in which the health care provider is required, as a condition of membership, to participate; and
(d) maintains a code of conduct which the health care provider must uphold in order to continue to be a member; and
(e) maintains a formal disciplinary procedure, which includes a process to suspend or expel members, and an appropriate complaints resolution procedure.