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HEALTH INSURANCE ACT 1973 - SECT 16EA

Medicare benefits not payable for certain diagnostic imaging services: accreditation

  (1)   Unless the Minister otherwise directs, a medicare benefit is not payable in respect of a diagnostic imaging service rendered by or on behalf of a medical practitioner unless the diagnostic imaging procedure used in rendering that service is carried out:

  (a)   at diagnostic imaging premises that are, or at a base for mobile diagnostic imaging equipment that is, accredited for that procedure under a diagnostic imaging accreditation scheme; or

  (b)   using diagnostic imaging equipment that:

  (i)   when not in use, is ordinarily located at a base for mobile diagnostic imaging equipment that is accredited for that procedure under a diagnostic imaging accreditation scheme; and

  (ii)   is not ordinarily located at diagnostic imaging premises; or

  (c)   using diagnostic imaging equipment that is ordinarily located at diagnostic imaging premises that are accredited for that procedure under a diagnostic imaging accreditation scheme.

  (2)   Subsection   (1) does not apply in relation to a diagnostic imaging service prescribed by the regulations for the purposes of this subsection.

  (3)   A direction in writing under subsection   (1) is not a legislative instrument.


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