Monday, 10 September 2012

Chronic Disease Dental Scheme Closure

I came across this at the BGF site. I'm still confused, I guess will ask my GP about it as I'm sure he'd know. So how the hell do I access services after Dec 1st then?

Chronic Disease Dental Scheme Closure (CDDS)

The closure of the chronic disease dental scheme has just been announced. This covered all people with HIV. The replacement scheme covers children and all people on low income but the public services to meet the increased demand by and large do not yet exist. People Living with HIV have one week to make new care plans that can take advantage of the old scheme until 1st December.

Questions and Answers for Patients - CDDS Closure Medicare Dental Items 85011-87777

Q: When will the Chronic Disease Dental Scheme be closed? The Chronic Disease Dental Scheme will close to all patients from 1 December 2012. No Medicare benefits will be payable for any dental services provided under Medicare dental items 85011-87777 from this date. The cost of any future dental services will need to be met by the patient. A transition period from 8 September 2012 to 30 November 2012 will apply. Not all patients will be able to access benefits for services during the transition period (see below).

Q: Which patients can access Medicare benefits for dental services provided from 8 September 2012 and prior to 1 December 2012? Only the following patients will be able to access Medicare benefits for dental services provided from 8 September 2012 and prior to 1 December 2012:

Patients who have been placed on a GP Management Plan (Item 721) and Team Care Arrangements (Item 723) prior to 8 September 2012; or

Residents of aged care facilities whose GP has contributed to or reviewed a Multidisciplinary Care Plan (Item 731) prepared for the resident by the facility prior to 8 September 2012. These patients will be able to access Medicare benefits up to the remainder (unspent amount) of the patient’s current monetary limit of $4,250 for dental services provided prior to 1 December 2012.

These patients can access Medicare benefits whether or not they have commenced dental treatment before 8 September 2012. All dental services provided to all patients on or after 1 December 2012 will need to be paid for by the patient. No Medicare benefits will be available.

Q: Which patients cannot access Medicare benefits for dental services from 8 September 2012? Patients who do not have a GP Management Plan and Team Care Arrangements or a Multidisciplinary Care Plan in place prior to 8 September 2012 will not be able to access Medicare benefits for dental services provided from this date. All dental services provided to these patients on or after 8 September 2012 will need to be paid for by the patient, as no Medicare benefits will be available. END

1 comment:

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