South Australia
South Australian Health Commission (Compensable and Non-Medicare Patients Fees) Variation Regulations 2008
under the South Australian Health Commission Act 1976

Contents
Part 1—Preliminary
1	Short title
2	Commencement
3	Variation provisions
Part 2—Variation of South Australian Health Commission (Compensable and Non-Medicare Patients Fees) Regulations 2004
4	Variation of Schedule 1—Recognised hospitals: fees for admitted patients
5	Variation of Schedule 2—Recognised hospitals: fees for non‑admitted patients
6	Variation of Schedule 3—Recognised hospitals and incorporated health centres: accommodation, rehabilitation, domiciliary care, transportation and related fees
7	Substitution of Schedule 4
Schedule 4—Classification of recognised hospitals
Schedule 1—Transitional provisions
1	Interpretation
2	Transitional provisions

Part 1—Preliminary
1—Short title
These regulations may be cited as the South Australian Health Commission (Compensable and Non-Medicare Patients Fees) Variation Regulations 2008.
2—Commencement
These regulations will come into operation on 1 March 2008.
3—Variation provisions
In these regulations, a provision under a heading referring to the variation of specified regulations varies the regulations so specified.

Part 2—Variation of South Australian Health Commission (Compensable and Non-Medicare Patients Fees) Regulations 2004
4—Variation of Schedule 1—Recognised hospitals: fees for admitted patients
	(1)	Schedule 1, clause 1(1), definitions of FFS, inlier patient, length of stay, long stay outlier patient—delete the definitions
	(2)	Schedule 1, clause 1(1), definitions of Non‑FFS and overnight stay—delete the definitions and substitute:
Manual means the Australian Refined Diagnosis Related Groups, Version 5.0, Definitions Manual, published in 2002 by the Commonwealth Department of Health and Ageing;
non‑teaching, in relation to a hospital, means a recognised hospital or a facility of a recognised hospital listed in the first column of the table in Schedule 4 whose classification in relation to the provision of services to admitted patients is specified in the fourth column of the table as Non‑teaching;
	(3)	Schedule 1, clause 1(1), definitions of same day and the Manual—delete the definitions and substitute:
teaching, in relation to a hospital, means a recognised hospital or a facility of a recognised hospital listed in the first column of the table in Schedule 4 whose classification in relation to the provision of services to admitted patients is specified in the fourth column of the table as Teaching.
	(4)	Schedule 1, clause 2—delete "2004" and substitute:
2006
	(5)	Schedule 1, clauses 3 and 4—delete the clauses and substitute:
3—Standard fee for admitted patients
Subject to this Schedule, the fee to be charged by a recognised hospital for a period of treatment, care and accommodation of an admitted patient to whom an AR‑DRG specified in the first and second columns of Table 3 in this Schedule is applicable must be calculated as follows:
Fee = Price x Cost Weight
where—
	(a)	the Price is the price specified in the second column of Table 1 in this Schedule according to the hospital classification (teaching or non‑teaching) specified in the first column of the Table; and
	(b)	the Cost Weight is the cost weight specified in the third, fourth, fifth or sixth column of Table 3 in this Schedule according to the hospital classification (teaching or non‑teaching) and patient classification (public or private) specified in those columns for the AR‑DRG applicable to the patient.
	(6)	Schedule 1, clause 5—delete "clauses 3 and 4" and substitute:
clause 3
	(7)	Schedule 1, clause 5(a)—delete paragraph (a) and substitute:
	(a)	the Price is the price specified in the third or fourth column of Table 2 in this Schedule according to the hospital classification (teaching or non‑teaching) specified in those columns, the patient classification (public or private) specified in the first column and the type of treatment or care specified in the second column, of the Table; and
	(8)	Schedule 1, clause 7—delete "$1 475" and substitute:
$1 749
	(9)	Schedule 1, clause 9, tables 1, 2 and 3—delete the tables and substitute:

Table 1: Prices
Hospital Classification	Price	
Teaching Hospital	$4 785	
Non‑teaching Hospital	$3 272	

Table 2: Rehabilitation and Maintenance Care Fees
Public or Private Patient	Type of Treatment	Price (per day)		
		Teaching Hospital	Non‑teaching Hospital	
Public	Maintenance care	$233	$233	
Private	Maintenance care	$229	$229	
Public	Rehabilitation—Spinal	$1 280	$1 176	
Private	Rehabilitation—Spinal	$1 184	$1 088	
Public	Rehabilitation—Stroke, Acquired Brain Injury, Amputee	$747	$686	
Private	Rehabilitation—Stroke, Acquired Brain Injury, Amputee	$691	$635	
Public	Rehabilitation—Other	$535	$491	
Private	Rehabilitation—Other	$495	$454	
Table 3: Cost Weight Table for All Recognised Hospitals

5—Variation of Schedule 2—Recognised hospitals: fees for non‑admitted patients
	(1)	Schedule 2, clause 2(1)(a)—delete paragraph (a) and substitute:
	(a)	the ED Price is the price specified in the second or third column of Table 1 in this Schedule (according to the classification of the patient as public or private) for an emergency department service; and
	(2)	Schedule 2, clause 2(2)(a)—delete paragraph (a) and substitute:
	(a)	the ED Price is the price specified in the second or third column of Table 1 in this Schedule (according to the classification of the patient as public or private) for an emergency department service; and
	(3)	Schedule 2, clause 3(a)—delete paragraph (a) and substitute:
	(a)	the OP Price is the price specified in the second or third column of Table 1 in this Schedule (according to the classification of the patient as public or private) for an outpatient service; and
	(4)	Schedule 2, clause 4(a)—delete paragraph (a) and substitute:
	(a)	the OP Price is the price specified in the second or third column of Table 1 in this Schedule (according to the classification of the patient as public or private) for an outpatient service; and
	(5)	Schedule 2, clause 5(a)—delete paragraph (a) and substitute:
	(a)	the Outreach Price is the price specified in the second or third column of Table 1 in this Schedule (according to the classification of the patient as public or private) for an outreach service; and
	(6)	Schedule 2, clause 6(a)—delete "$475" and substitute:
$627.20
	(7)	Schedule 2, clause 6(b)—delete "$19" and substitute:
$24.60
	(8)	Schedule 2, clause 7—delete "$1 475" and substitute:
$1 749
	(9)	Schedule 2, clause 9, Table 1—delete the table and substitute:

Table 1: Non‑admitted Patient Prices
Type of Service	Price		
	Public Patient	Private Patient	
Emergency Department	$198	$147	
Outpatient	$159	$79	
Outreach	$153	$77	
	(10)	Schedule 2, clause 9, Table 3—delete the table and substitute:
Table 3: Outpatient (OP) Weights

6—Variation of Schedule 3—Recognised hospitals and incorporated health centres: accommodation, rehabilitation, domiciliary care, transportation and related fees
Schedule 3, clause 3—delete the clause
7—Substitution of Schedule 4
Schedule 4—delete the Schedule and substitute:
Schedule 4—Classification of recognised hospitals

Hospital classifications for emergency department (ED) services, outpatient (OP) services and services to admitted patients
Recognised hospital or facility	ED type	OP type	Admitted Type	
Central Northern Adelaide Health Service Incorporated (CNA)				
	•	CNA Crammond Clinic facility	Teaching	Teaching	Non-teaching	
	•	CNA Hampstead Rehabilitation facility	Teaching	Teaching	Non-teaching	
	•	CNA Lyell McEwin Health Service facility	Teaching	Teaching	Non-teaching	
	•	CNA Royal Adelaide Hospital facility	Teaching	Teaching	Teaching	
	•	CNA St Margaret's Rehabilitation Hospital facility	Other Metro	Other Metro	Non-teaching	
	•	CNA The Queen Elizabeth Hospital facility	Teaching	Teaching	Teaching	
	•	CNA Modbury Hospital facility	Teaching	Teaching	Non-teaching	
Children, Youth and Women's Health Service Incorporated (CYW)				
	•	CYW Women's and Children's Hospital facility (Paediatric)	Specialist	Specialist	Teaching	
	•	CYW Women's and Children's Hospital facility (Women's)	Other Metro	Teaching	Teaching	
Gawler Health Service Incorporated	Other Country	Large Country	Non-teaching	
Repatriation General Hospital Incorporated	Other Metro	Teaching	Non-teaching	
Southern Adelaide Health Service Incorporated (SAdel)				
	•	SAdel Flinders Medical Centre facility	Teaching	Teaching	Teaching	
	•	SAdel Noarlunga Health Service facility	Other Metro	Other Metro	Non-teaching	
Balaklava and Riverton Districts Health Service Incorporated	Other Country	Other Country	Non-teaching	
Barossa Area Health Services Incorporated	Other Country	Other Country	Non-teaching	
Booleroo Centre District Hospital and Health Services Incorporated	Other Country	Other Country	Non-teaching	
Bordertown Memorial Hospital Incorporated	Other Country	Other Country	Non-teaching	
Burra Clare Snowtown Health Service Incorporated	Other Country	Other Country	Non-teaching	
Ceduna District Health Services Incorporated	Other Country	Other Country	Non-teaching	
Central Yorke Peninsula Hospital Incorporated	Other Country	Other Country	Non-teaching	
Coober Pedy Hospital and Health Services	Other Country	Other Country	Non-teaching	
Crystal Brook District Hospital Incorporated	Other Country	Other Country	Non-teaching	
Eastern Eyre Health and Aged Care Incorporated	Other Country	Other Country	Non-teaching	
Eudunda and Kapunda Health Service Incorporated	Other Country	Other Country	Non-teaching	
Hawker Memorial Hospital Incorporated	Other Country	Other Country	Non-teaching	
Kangaroo Island Health Service	Other Country	Other Country	Non-teaching	
Kingston Soldiers Memorial Hospital Incorporated	Other Country	Other Country	Non-teaching	
Leigh Creek Health Services Incorporated	Other Country	Other Country	Non-teaching	
Lower Eyre Health Services Incorporated	Other Country	Other Country	Non-teaching	
Loxton Hospital Complex Incorporated	Other Country	Other Country	Non-teaching	
Mallee Health Service Incorporated	Other Country	Other Country	Non-teaching	
Meningie & Districts Memorial Hospital and Health Service Incorp.	Other Country	Other Country	Non-teaching	
Mid-west Health	Other Country	Other Country	Non-teaching	
Millicent and District Hospital and Health Services Incorporated	Other Country	Other Country	Non-teaching	
Mt Barker District Soldiers' Memorial Hospital Incorporated	Other Country	Other Country	Non-teaching	
Mt Gambier and Districts Health Service Incorporated	Country A&E SMO	Large Country	Non-teaching	
Murray Bridge Soldiers' Memorial Hospital Incorporated	Other Country	Other Country	Non-teaching	
Naracoorte Health Service Incorporated	Other Country	Other Country	Non-teaching	
Northern Adelaide Hills Health Service Incorporated	Other Country	Other Country	Non-teaching	
Northern Yorke Peninsula Health Service	Other Country	Other Country	Non-teaching	
Orroroo and District Health Service Incorporated	Other Country	Other Country	Non-teaching	
Penola War Memorial Hospital Incorporated	Other Country	Other Country	Non-teaching	
Peterborough Soldiers' Memorial Hospital and Health Service Incorp.	Other Country	Other Country	Non-teaching	
Pt Augusta Hospital and Regional Health Services Incorporated	Large Country	Large Country	Non-teaching	
Pt Broughton District Hospital & Health Services Incorporated	Other Country	Other Country	Non-teaching	
Pt Lincoln Health Services Incorporated	Other Country	Other Country	Non-teaching	
Pt Pirie Regional Health Service Incorporated	Large Country	Large Country	Non-teaching	
Quorn Health Services Incorporated	Other Country	Other Country	Non-teaching	
Renmark Paringa District Hospital Incorporated	Other Country	Other Country	Non-teaching	
Riverland Regional Health Service Incorporated	Other Country	Other Country	Non-teaching	
Rocky River Health Service Incorporated	Other Country	Other Country	Non-teaching	
South Coast District Hospital Incorporated	Other Country	Other Country	Non-teaching	
Southern Yorke Peninsula Health Service Incorporated	Other Country	Other Country	Non-teaching	
Strathalbyn & District Health Service	Other Country	Other Country	Non-teaching	
Tailem Bend District Hospital	Other Country	Other Country	Non-teaching	
The Jamestown Hospital and Health Service Incorporated	Other Country	Other Country	Non-teaching	
The Mannum District Hospital Incorporated	Other Country	Other Country	Non-teaching	
The Whyalla Hospital & Health Service Incorporated	Large Country	Large Country	Non-teaching	
Waikerie Health Services Incorporated	Other Country	Other Country	Non-teaching	

Schedule 1—Transitional provisions
1—Interpretation
In this Schedule, unless the contrary intention appears—
principal regulations means the South Australian Health Commission (Compensable and Non-Medicare Patients Fees) Regulations 2004.
2—Transitional provisions
	(1)	Despite regulation 4 of these regulations, the fees prescribed for a period of treatment, care and accommodation of an admitted patient of a recognised hospital for a specified AR‑DRG, by Schedule 1 of the principal regulations, as in force immediately before the commencement of these regulations, continue to apply to such a period of treatment, care and accommodation after the commencement of these regulations if the period began before, and continues after, that commencement.
	(2)	For the purpose of calculating the fee for a period of rehabilitation or maintenance care for an admitted patient of a recognised hospital under Schedule 1 of the principal regulations where the period began before the commencement of these regulations and continues after that commencement—
	(a)	clause 5 of Schedule 1 as in force immediately before the commencement of these regulations applies to the portion of the length of stay (LOS) of the patient that occurs before that commencement; and
	(b)	clause 5 of Schedule 1 as in force after the commencement of these regulations applies to the portion of the length of stay (LOS) of the patient that occurs after that commencement.
Note—
As required by section 10AA(2) of the Subordinate Legislation Act 1978, the Minister has certified that, in the Minister's opinion, it is necessary or appropriate that these regulations come into operation as set out in these regulations.
Made by the Governor
on the recommendation of the Minister for Health and with the advice and consent of the Executive Council
on 14 February 2008
No 15 of 2008
HEACS/07/196