The “Coordinated Veterans' Care Program” (program) is an initiative that aims to improve the health of a class of entitled persons so they have fewer hospital admissions.
The entitled persons are Gold Card holders with complex care needs due to diagnosis of a particular chronic condition (set out in 6A.5).
The element of the program intended to reduce hospital admissions is external oversight of a person’s health regimen for a period of care of 3 months (carried over to consecutive periods of 3 months if the treatment is proving positive).
The oversight will be performed by a Local Medical Officer (LMO) and the LMO’s practice nurse (or a community nurse via a DVA-contracted community nursing provider) or an aboriginal health worker, if more appropriate).
Essentially the LMO will prepare a comprehensive care plan (GPMP) for the entitled person and the LMO’s practice nurse (or a community nurse or aboriginal health worker) will co-ordinate health care services under the plan. The LMO will provide oversight throughout. In cases where an LMO is unable to obtain the services of a nurse or aboriginal health worker as a care co-ordinator, the LMO may provide that care co-ordination.
In addition to having their health care services overseen and co-ordinated, some entitled persons in the program who the LMO considers are socially isolated and would benefit from a service under a particular community care program aimed at providing the person with more social contact, may be referred by the LMO to a VHC assessment agency (an agency under the Veterans’ Home Care Program) for an assessment as to the suitability of the person for a social support service under that Program.
Accordingly, two main treatments are provided under the program:
LMO Care Leadership treatment
practice nurse/community nurse/aboriginal health worker/care co-ordination treatment
An ancillary treatment under the program is:
LMO referral for social support service assessment
The main treatments relate to the oversight and co-ordination of health care services under the entitled person’s comprehensive care plan (GPMP) and are in addition to existing treatments available to the entitled person under the Medicare Benefits Schedule and the Treatment Principles.
The ancillary treatment may be provided by an approved provider of Veterans’ Home Care services following a request for social support services from a VHC assessment agency. The LMO will have decided the person is socially isolated and that a social support service might prevent the person from being admitted or re-admitted to hospital. The VHC assessment agency will assess the person’s suitability for a social support service.
6A.2 Treatments under the Coordinated Veterans' Care Program
6A.2.1 LMO Care Leadership treatment/LMO Home Care service (category C) Referral
6A.2.2 An LMO may, under the Coordinated Veterans' Care Program, provide:
(a) LMO Care Leadership treatment; and/or
(b) an LMO Home Care service (category C) Referral;
for an entitled person.
6A.2.3 Practice Nurse Care Co-ordination treatment
6A.2.4 A practice nurse may, under the Coordinated Veterans' Care Program, provide Practice Nurse Care Co-ordination treatment to an entitled person.
6A.2.5 Community Nurse Care Co-ordination treatment
6A.2.6 A DVA-contracted community nursing provider may, under the Coordinated Veterans' Care Program, provide Community Nurse Care Co-ordination treatment to an entitled person.
6A.2.7 Aboriginal Health Worker Care Co-ordination treatment
6A.2.8 An aboriginal health worker may, under the Coordinated Veterans' Care Program, provide Aboriginal Health Worker Care Co-ordination treatment to an entitled person.
6A.3 LMO Approval of Subsequent Period of Care
6A.3.1 Before any subsequent period of care of an entitled person by an LMO commences, being an LMO who is treating the person under the Coordinated Veterans' Care Program (Program), the LMO is to decide if the person’s continued participation in the Program would meet the aims of the Program (i.e. reduce hospitalisation of the person/avoid duplication of services/provide cost-effective treatment).
Note 1: the first period of care by an LMO commences on the date the LMO decides to admit the entitled person to the Program (admission date). Any following period of care by the same LMO is a subsequent period of care. The first period of care by an LMO may also occur where the LMO is a different LMO for the person. Any following period of care by the same LMO is a subsequent period of care.
Note 2: the period of care by an LMO is set out in the Notes for Coordinated Veterans' Care Program Providers and is a period of 3 months.
6A.3.2 For making the decision in 6A.3.1, the LMO is to:
(a) review the entitled person’s file maintained by the LMO and any other information the LMO considers relevant; and
(b) ascertain if the person is eligible for a subsequent period of care by the LMO.
Note: see 6A.6.2
6A.3.3. If the LMO decides the entitled person should continue to participate in the Program, because the person meets the aims of the Program and is eligible for a subsequent period of care by the LMO, the LMO is to:
(a) approve a subsequent period of care by the LMO of the entitled person before the period commences (approval);
(b) make a record of the approval (which may be in electronic form), containing the date of the approval;
(c) store the approval in a readily retrievable form; and
(d) take any necessary steps to facilitate the provision of the subsequent period of care by the LMO to the entitled person.
6A.3.4. Where an LMO approves a subsequent period of care by the LMO for an entitled person, before the expiry of a current period of care by the LMO for the person, the subsequent period of care commences on the day following the day on which the current period of care expired.
6A.3.5. Where an LMO approves a subsequent period of care by the LMO for an entitled person (approval), after the expiry of a current period of care by the LMO for the person, the subsequent period of care commences on the date of the approval.
6A.3.6. If the LMO decides not to approve a subsequent period of care by the LMO of the entitled person, because the person does not meet the aims of the Program or is ineligible for a subsequent period of care by the LMO, the LMO is to:
(a) notify (including by telephone) any DVA-contracted community nursing provider who may have co-ordinated care for the entitled person under the Program immediately before the potential subsequent period of care by the LMO, of the decision;
(b) if the entitled person was receiving a Home Care service (category C) immediately before the potential subsequent period of care by the LMO, notify (including by telephone) the VHC assessment agency for the person, of the decision;
(c) notify the entitled person, in a manner the LMO considers appropriate, of the decision.
6A.4 Commission Financial Responsibility for Treatment under the Coordinated Veterans' Care Program
6A.4.1 The Commission will accept financial responsibility for:
(a) LMO Care Leadership treatment;
(b) Practice Nurse Care Co-ordination treatment;
(c) Community Nurse Care Co-ordination treatment;
(d) Aboriginal Health Worker Care Co-ordination treatment;
provided to an entitled person, during a period of care of the person by the LMO, the practice nurse, the community nurse or the aboriginal health worker, as the case may be, if the treatment is provided:
(a) in accordance with the Principles and the Notes for Coordinated Veterans' Care Program Providers; and
(b) during a period of care provided to the entitled person by the LMO under the Coordinated Veterans' Care Program (Program).
6A.4.2 The financial amounts the Department will pay for:
(a) LMO Care Leadership treatment, Practice Nurse Care Co-ordination treatment and Aboriginal Health Worker Care Co-ordination treatment — are set out in the DVA document entitled: “Department of Veterans’ Affairs Fee Schedules for Medical Services”, in force on the date in Schedule 1;
(b) Community Nurse Care Co-ordination treatment — are set out in the DVA document entitled: “Australian Government Department of Veterans’ Affairs Classification System and Schedule of Item Numbers and Fees — Community Nursing Services”, in force on the date in Schedule 1.
Note: the Department of Human Services will pay fees on behalf of the Department under a Services Agreement.
6A.4.3 Subject to 6A.4.4, the Commission is only to accept financial responsibility for a period of care provided to an entitled person by an LMO, practice nurse, community nurse or aboriginal health worker under the Coordinated Veterans' Care Program (Program) if any previous period of care provided by, respectively, an LMO, practice nurse, community nurse or aboriginal health worker under the Program in respect of the entitled person has expired.
Note: Under the Coordinated Veterans' Care Program a period of care provided by an LMO, practice nurse, community nurse or aboriginal health worker must be in respect of the Coordinated Veterans' Care Program treatment the health care provider may provide under the Program.
6A.4.4 A practice nurse or community nurse (collectively called “nurse 2”) may provide a period of care comprised of, respectively, Practice Nurse Care Co-ordination treatment or Community Nurse Care Co-ordination treatment, to an entitled person under the Program, where a period of care comprised of, respectively, Practice Nurse Care Co-ordination treatment or Community Nurse Care Co-ordination treatment being provided in respect of the entitled person by another practice nurse or community nurse, as the case requires, (collectively called “nurse 1”) under the Program has not expired — if the LMO or DVA-contracted community nursing provider, as the case requires, for nurse 2, has obtained prior approval.
Note 1: Where a period of care provided by nurse 2 and nurse 1 overlaps, and prior approval has been obtained for nurse 2’s period of care, the Commission may accept financial responsibility for the two simultaneous periods of care.
Note 2: “prior approval” is defined in 1.4.1 and 3.2.2 is also relevant. The grant of prior approval is discretionary and for 6A.4.4 will be considered on a case-by-case basis.
6A.4.5 The payment of a fee for Practice Nurse Care Co-ordination treatment and Aboriginal Health Worker Care Co-ordination treatment will be made by the Department to the LMO who employed or engaged the practice nurse or aboriginal health worker, as the case may be, at the time the treatment was provided.
6A.4.6 The payment of a fee for Community Nurse Care Co-ordination treatment provided by a community nurse will be made by the Department to the DVA-contracted community nursing provider who employed or engaged the nurse at the time the treatment was provided.
6A.5 Entitlement to Participation in the Coordinated Veterans' Care Program and to Coordinated Veterans' Care Program Treatment under the program
6A.5.1 Subject to 6A.3 and 6A.6, an entitled person is entitled to participation in the Coordinated Veterans' Care Program (program) and to Coordinated Veterans' Care Program treatment under the program if:
(1) in the opinion of an LMO treating the person:
(a) the entitled person has one or more of the following conditions:
(i) congestive heart failure; or
(ii) coronary artery disease; or
(iii) pneumonia; or
(iv) chronic obstructive pulmonary disease; or
(v) diabetes; or
(vi) some other chronic condition; and
(b) the condition in (1)(a) has resulted in the person being admitted frequently to hospital or could reasonably result in the person being admitted frequently to hospital; and
(c) the entitled person has complex care needs for the condition in (1)(a), being:
(i) one or more of:
(aa) multiple co-morbidities that complicate the treatment regimen for the person;
(bb) the person’s condition is unstable with a high risk of acute exacerbation;
(cc) the condition is contributed to by frailty, age and/or social isolation factors;
(dd) there are limitations in self management and monitoring;
and:
(ii) needs which require a treatment regimen that involves one or more of the following complexities of ongoing care:
(aa) multiple care providers;
(bb) complex medication regimen;
(cc) frequent monitoring and review;
(dd) support with self management and self monitoring.
(2) the person is eligible for treatment under the Act for any injury suffered, or disease contracted, by the person (i.e. person has been granted a Gold Card); and
(3) the person is an Australian resident and living in Australia; and
(4) the person has consented to participation in the program and the admitting LMO has recorded the consent (which may be an electronic record); and
Note: under the Notes for Coordinated Veterans' Care Program Providers the LMO is to store the consent.
(5) the LMO treating the person has prepared, in consultation with the person, a comprehensive care plan (GPMP); and
(6) the LMO admits the person to the program by making a decision to that effect and keeping a record of it.
6A.6 Ineligibility for participation in the Coordinated Veterans' Care Program (program) and for Coordinated Veterans' Care Program Treatment and LMO Home Care service (category C) Referral under the program
6A.6.1 An entitled person is ineligible to be admitted to the Coordinated Veterans' Care Program (Program) by an LMO for the person if any one of the following applies to the person:
(a) the person is receiving residential care; or
Note: receiving residential care (respite) does not disentitle a person to participation in the program.
(b) the person has been diagnosed by a medical practitioner as having a condition that, in the opinion of the LMO, would be likely to be terminal within 12 months after the person is admitted to the program, if the person were to be admitted; or
(c) the person is participating in a health care program provided by the Department of Health and Ageing (Cth) known as:
(i) “Coordinated Care for Patients with Diabetes” (including as a pilot program); or
(ii) “Extended Aged Care at Home program”; or
(iii) “Community Aged Care Program”; or
(iv) “Transition Care”;
or in a program provided by that Department that is essentially the same as one in (i) –(iv) but with a different name.
6A.6.2 An entitled person is not eligible for a subsequent period of care by an LMO under the Program if immediately before the commencement of the potential period of care the matters in (a) or (c) of 6A.6.1 apply to the person.
Note: the period of a period of care by an LMO is set out in the Notes for Coordinated Veterans' Care Program Providers and is a period of 3 months.
6A.7 Date of Admission for Participation in the Coordinated Veterans' Care Program
6A.7.1 Subject to 6A.3 and 6A.6, treatment of an entitled person under the Coordinated Veterans' Care Program (program) commences on the admission day for the person and continues throughout any period of care provided by an LMO to the entitled person under the program.
Note: treatment under the program provided by a practice nurse, community nurse or aboriginal health worker can only occur during a period of care provided by an LMO under the program.
6A.8 LMO Home Care service (category C) Referral
6A.8.1 An LMO treating an entitled person under the Coordinated Veterans' Care Program may decide the person would benefit from a Home Care service (category C) and may refer the person to a VHC assessment agency for an assessment as to the person’s suitability for the service and, depending on the outcome, the agency may allocate responsibility for providing the Home Care service (category C) to an approved provider. The referral is treatment known as: LMO Home Care service (category C) Referral.
Note: for the purposes of 7.3A.1(1)(a)(iii) the referral to a VHC assessment agency is also taken to be a referral to the Commission.
6A.8.2 The LMO may provide an LMO Home Care service (category C) Referral for an entitled person if:
(1) the person is admitted to the Coordinated Veterans' Care Program; and
(2) in the opinion of the LMO:
(a) the person has a limited or inadequate social support network and could reasonably be at risk of hospitalisation for a condition in 6A.5.1(1)(a) because of that social situation; and
(b) the risk of the person being hospitalised for a condition in 6A.5.1(1)(a) may be significantly reduced if the person received a Home Care service (category C).
Note: a referral must comply with the requirements in the definition of Home Care service (category C) Referral.
6A.9 Procedures under the Coordinated Veterans' Care Program.
6A.9.1 An LMO may medically assess an entitled person the LMO is treating to determine if the person would benefit from participation in the Coordinated Veterans' Care Program (Program).
6A.9.2 If the LMO decides the entitled person would benefit from participation in the program, and the person is entitled to participate in the program, then the LMO is to inform the entitled person that the person’s participation in the program is conditional upon the person consenting to personal information about the person that is relevant to the person’s treatment under the program being provided to bodies such as:
the Department;
Contractors to the Department who provide services related to the administration of the Program or who would provide a Home Care service (category C) (social support service) to the person;
the Department of Human Services (which pays treatment costs for the Department);
health care providers associated with the person’s treatment under the program.
The LMO is to obtain the person’s consent, if the person is to participate in the program, record it and store it in a readily retrievable form.
Note: consent may be recorded and stored in electronic form.
6A.9.3 Once an entitled person’s consent is obtained the LMO is to admit the person to the program. This takes the form of the LMO recording in writing (including in electronic form) that the person has been admitted to the program. Participation in the program commences on and from the admission date.
6A.9.4 The LMO is to prepare, in consultation with the person, a comprehensive care plan for the person (GPMP).
6A.9.5 A practice nurse (nurse working for the LMO) or, if appropriate, a community nurse (nurse working for a DVA-contracted community nursing provider) or an aboriginal health worker (working for the LMO) will co-ordinate care services under the GPMP (care co-ordinator). The LMO may need to refer co-ordination of the GPMP to a DVA-contracted community nursing provider if, for example, the LMO does not employ a practice nurse. In some cases the LMO may not be able to secure the services of a care co-ordinator and may need to provide the service themselves but the main role of the LMO is to provide oversight of the care co-ordination under the GPMP.
6A.9.6 Part of the monitoring mechanism for the program involves the LMO assessing the progress an entitled person is making (progress assessment). This is to occur toward the end of a period of care by the LMO and before the LMO provides a further period of care to the person. More details of the procedure is at 6A.3. A progress assessment is not a prerequisite to the commencement of an initial period of care.
6A.9.7 If the LMO decides that the entitled person is socially isolated and that because of that situation the person could be reasonably at risk of being hospitalised for a condition in 6A.5.1(1)(a) and that the risk of hospitalisation may be significantly reduced by the provision of a Home Care service (category C) to the person — then the LMO may refer the person to a VHC assessment agency for an assessment as to the person’s suitability for the service. The referral is called: LMO Home Care service (category C) Referral
6A.9.8 The VHC assessment agency is to assess a person pursuant to a LMO Home Care service (category C) Referral and is to determine if the person is suitable for a Home Care service (category C), using the standard assessment process that the agency applies to all assessments for services under the Veterans’ Home Care Program, and is to determine the type, duration and frequency of any Home Care service (category C) to be provided to a person.
6A.9.9 When providing treatment under the Coordinated Veterans' Care Program an LMO, a practice nurse, a DVA-contracted community nursing provider (for a community nurse), and an aboriginal health worker are to comply with the requirements in these Principles and any requirements in the Notes for Coordinated Veterans' Care Program Providers that relate to them.
6B – TELEMONITORING TREATMENT INITIATIVE
6B.1 Telemonitoring Treatment
6B.1.1 A treatment (telemonitoring treatment) is established by this Part and may be arranged by the Commission for an entitled person, in the circumstances, and subject to the conditions, set out in this Part.
6B.1.2 Telemonitoring treatment is comprised of:
(a) in respect of a participating LMO (or the LMO’s Practice Nurse):
(i) monitoring the health of a telemonitoring initiative participant (participant) in accordance with the telemonitoring care plan, including monitoring the telemonitoring initiative data for the participant;
(ii) taking any appropriate healthcare action in response to telemonitoring initiative data;
Note: an example of appropriate action could be the LMO arranging a face-to-face consultation or video consultation with the telemonitoring initiative participant.
(iii) disclosing the telemonitoring initiative data to the Department or to any consultant acting for the Department in the In-Home Telemonitoring for Veterans Initiative; and
(iv) taking action reasonably incidental to any of the above actions.
Note: in practice an LMO could delegate some of the LMO’s functions in the In-Home Telemonitoring for Veterans Initiative to the LMO’s Practice Nurse e.g. electronically retrieving telemonitoring initiative data from the data repository, evaluating it and instituting care planning based on that evaluation. In this situation the Practice Nurse, as the employee or agent of the LMO, is acting on the LMO’s behalf and the Practice Nurse’s actions constitute telemonitoring treatment as if those actions had been performed by the participating LMO.
(b) in respect of the data repository controller:
(i) training a participating LMO (including staff of the participating LMO such as a Practice Nurse) in:
(a) the use of telemonitoring equipment; and
(b) the electronic retrieval of telemonitoring initiative data from the data repository; and
(c) electronically accessing and using any video consultation between the participating LMO and the telemonitoring initiative participant; and
(d) the use of any other tools necessary for monitoring the telemonitoring initiative participant’s condition for the In-Home Telemonitoring for Veterans Initiative;
(ii) training a telemonitoring initiative participant (participant) or a person on behalf of the participant, in the use of in-home telemonitoring equipment necessary for the participant’s participation in the In-Home Telemonitoring for Veterans’ Initiative and, if need be, supplying that equipment (including leasing it);
(iii) maintaining in-home telemonitoring equipment (equipment) and providing technical assistance in respect of that equipment when necessary;
(iv) maintaining the data repository;
(v) taking action reasonably incidental to any of the above actions.
(c) in respect of a person (contractor) engaged by the Department to train Practice Nurses for the purposes of the In-Home Telemonitoring for Veterans’ Initiative:
(i) training a participating LMO’s Practice Nurse in telemonitoring initiative data evaluation and care planning and care planning co-ordination based on that evaluation;
(d) in respect of an ISP provider, its action of enabling a telemonitoring initiative participant to use in-home telemonitoring equipment.
Note: the ISP provider would connect the telemonitoring initiative participant’s equipment to the NBN.
6B.2 Participation in the In-Home Telemonitoring for Veterans Initiative
6B.2.1 An entitled person is eligible for participation in the In-Home Telemonitoring for Veterans Initiative as a telemonitoring initiative participant if the person:
(a) holds a Gold Card; and
(b) is admitted to, or in the opinion of the participating LMO for the person is likely to be admitted to, the Coordinated Veterans' Care Program; and
(c) has one or more of the following chronic conditions:
(i) congestive heart failure;
(ii) coronary artery disease;
(iii) chronic obstructive pulmonary disease;
(iv) diabetes; and
(d) does not have a severe unstable co morbidity; and
(e) is not in a residential care facility; and
(f) has been assessed by a participating LMO for the person to be suitable for the In-Home Telemonitoring for Veterans Initiative in terms of, among other relevant factors, the person’s cognitive ability to be trained in the use of in-home telemonitoring equipment, where the equipment will not be operated by a person on behalf of the entitled person; and
Note: where a person (carer) will operate in-home telemonitoring equipment on behalf of the potential telemonitoring initiative participant (participant), the carer must be assessed by the participating LMO as having the cognitive ability to be trained in the use of the equipment in order for the participant to be eligible for participation in the In-Home Telemonitoring for Veterans Initiative.
(g) is the subject of a telemonitoring care plan prepared by the participating LMO for the person which was prepared in conjunction with the person; and
(h) resides in an NBN wave site; and
(i) nominates a residence (nominated residence) for the purposes of the person participating in the In-Home Telemonitoring for Veterans Initiative; and
(j) consents to the disclosure to the Department, the Department of Human Services, and to any person acting for the Department in the In-Home Telemonitoring for Veterans Initiative, of telemonitoring initiative data in relation to the person.
Note: the participating LMO is to obtain the consent and keep evidence of it.
6B.2.2 Where a person is eligible for participation in the In-Home Telemonitoring for Veterans Initiative (eligible person), it is necessary for the eligible person’s participation to be approved by the Commission.
Note: in practice a Commission delegate may grant approval.
6B.2.3 Where the Commission gives (or does not give) its approval it is to notify the participating LMO for the eligible person accordingly.
6B.2.4 Upon being notified of the Commission’s approval, the participating LMO for the person is to enrol the person in the In-Home Telemonitoring for Veterans Initiative.
6B.2.5 Enrolment consists of the participating LMO for the person making a record (which may be in electronic form) that the person is enrolled in the In-Home Telemonitoring for Veterans Initiative.
6B.2.6 The record is to be dated and stored by the participating LMO. The date on the record is the enrolment day for the relevant telemonitoring initiative participant.
6B.3 Approval of LMO as Participating LMO
6B.3.1 The Commission may approve an LMO as a participating LMO if:
(a) the LMO’s name is given as a participating GP in the form: “Application for Practice and Provider registration to In-Home Telemonitoring for Veterans Initiative” lodged with the Department of Human Services; and
(b) in the Commission’s opinion, all necessary steps have been taken to enable the LMO (and a Practice Nurse of the LMO) to effectively participate in the In-Home Telemonitoring for Veterans Initiative such as appropriate training and installation of any necessary telemonitoring equipment.
6B.4 Payment for telemonitoring treatment
6B.4.1 If the Commission arranges with a participating LMO for the LMO (or the LMO’s Practice Nurse) to provide the telemonitoring treatment described in 6B.1.2(a) to an entitled person who is eligible for the treatment under this Part, the terms of payment to the LMO for the treatment are set out in the DVA document entitled “Department of Veterans’ Affairs Fee Schedules for Medical Services”.
Note 1: payments to participating LMOs for providing telemonitoring treatment for a person are in addition to any payments to the LMO for the LMO (or the LMO’s Practice Nurse) providing treatment to the person under the Coordinated Veterans’ Care Program or for the LMO providing consultations to the person (including teleconsultations) other than pursuant to a telemonitoring care plan.
Note 2: payments to participating LMOs for providing telemonitoring treatment will be comprised of a DVA Telemonitoring Practice Incentive (payable to the Authorised Representative for the LMO’s Practice) and other relevant payments (general payments) as set out in the Department of Veterans’ Affairs Fee Schedules for Medical Services.
Note 3: the general payments for telemonitoring treatment (i.e. exclusive of the DVA Telemonitoring Practice Incentive) will be made to LMOs on a similar basis as under the Coordinated Veterans’ Care Program i.e. quarterly payments in arrears.
6B.4.2 An Authorised Representative for the Practice in which a participating LMO is employed (the LMO) is only to be paid a DVA Telemonitoring Practice Incentive if the Commission is of the opinion that all necessary steps have been taken to enable the LMO (including a Practice Nurse of the LMO) to effectively participate in the In-Home Telemonitoring for Veterans Initiative.
6B.4.3 If the Commission arranges with a person (data repository controller) for the person to provide the telemonitoring treatment described in 6B.1.2(b) to an entitled person who is eligible for the treatment under this Part (or to a person on the entitled person’s behalf) or to a participating LMO, the terms of payment to the person are those agreed to by the Department and the person.
6B.4.4 If the Commission arranges with a person (trainer in data evaluation) for the person to provide the telemonitoring treatment described in 6B.1.2(c) to a participating LMO or to a participating LMO and the LMO’s Practice Nurse, the terms of payment to the person are those agreed to by the Department and the person.
6B.4.5 If the Commission arranges with an ISP provider to provide the telemonitoring treatment described in 6B.1.2(d) to an entitled person who is eligible for the treatment under this Part, the Department will pay the reasonable costs of such treatment for the duration of the entitled person’s participation in the In-Home Telemonitoring for Veterans Initiative where the treatment is provided to the person on or after the enrolment day for the person.
Note: the cost of an NBN connection for an entitled person will only be paid by the Department to an ISP provider and only for a connection on or after the enrolment day for the entitled person in the In-Home Telemonitoring for Veterans’ Initiative.
6B.5 Coordinated Veterans’ Care Program Rules to Apply
6B.5.1 The rules in the DVA document entitled “Notes for Coordinated Veterans' Care Program Providers” are to apply to participating LMO’s and telemonitoring initiative participants to the extent practical as if participating LMO’s and telemonitoring initiative participants under the In-Home Telemonitoring for Veterans Initiative, are, respectively, LMOs and entitled persons under the Coordinated Veterans’ Care Program.
Note: the rules would include those governing patient transfers between participating LMOs.
6B.6 Authorised Representative - Agent of LMO
6B.6.1 For the purpose of:
(a) the Commission arranging telemonitoring treatment with a participating LMO or the LMOs Practice Nurse or for taking action incidental thereto;
(b) the Department or the Department of Human Services making payments to the participating LMO (including for the services of the LMOs Practice Nurse) or for taking action incidental thereto;
if the Commission, the Department or the Department of Human Services, as the case may be, deals with the Authorised Representative for the Practice in which the participating LMO and Practice Nurse is employed, then for the purposes of these Principles the Commission, the Department or the Department of Human Services is taken to have dealt with the participating LMO (including the LMO’s Practice Nurse).