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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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