(1) This section applies to each payment mentioned in subsection (2) if payment for the expenses to which the payment relates—
(a) has not been made; and
(b) is not required to be made under a bulk billing arrangement.
(2) For subsection (1), the payments are the following:
(a) payment for the treatment of participants in the LTCS scheme at hospitals;
(b) payment for conveying participants in the LTCS scheme by ambulance;
(c) payment for any medical or dental treatment of, or rehabilitation services provided to, participants in the LTCS scheme.
(3) The rate at which a payment mentioned in subsection (2) must be made by the LTCS commissioner is as follows:
(a) for treatment at a public hospital—the rate determined by the Minister for Health;
(b) for treatment or a service for which a maximum rate is fixed under section 71—the maximum rate fixed under section 71;
(c) in any other case—at the rate reasonably appropriate to the treatment or service, having regard to the customary charge made in the community for the treatment or service.
(4) A determination under subsection (3) (a) is a notifiable instrument.
Note A notifiable instrument must be notified under the Legislation Act
.
(5) If the LTCS commissioner does not make a payment mentioned in subsection (2), the body or person who provided the treatment or service to which the payment relates may recover the payment from the LTCS commissioner as a debt in a court of competent jurisdiction or the ACAT.