4 Included in
amount of benefits
5 Benefit limit
6 Repeal
7 Expiry
List of Podiatric Services
Definitions
1 In this Regulation,
(a) “Act”
means the Alberta Health Care Insurance Act;
(b) “benefit
period” means a period of 12 consecutive months beginning on July 1 of each
year;
(c) “podiatric
services” means the services in the List of Podiatric Services in this
Regulation;
(d) “Schedule
of Podiatric Benefits” means the Schedule of Podiatric Benefits prepared and
published by the Department of Health and Wellness and approved by the
Minister.
Eligibility
2(1) Benefits
are payable in accordance with the regulations under the Act for podiatric
services provided to a resident of Alberta by a podiatrist in Alberta or in the
City of Lloydminster within the meaning of section 2 of the City of
Lloydminster Act.
(2) Notwithstanding subsection (1), benefits are
not payable for podiatric services if a declaration under section 25 of the Health
Insurance Premiums Act is in effect in respect of the person who receives
the services.
AR 87/2006 s2;308/2006
Benefits payable
3(1) The
benefits payable for podiatric services and the descriptions of those services
are set out in the Schedule of Podiatric Benefits.
(2) Notwithstanding
subsection (1), the benefits payable for podiatric services provided to a
resident of Alberta by a podiatrist are limited to the lesser of
(a) the
amount claimed, and
(b) the
rates established in the Schedule of Podiatric Benefits.
Included in amount of
benefits
4 The benefits payable for podiatric
services provided to a resident of Alberta by a podiatrist include an amount
for the following:
(a) performing
the podiatric services;
(b) administration;
(c) recording
of information regarding the services provided unless the recording of the
information is for the purposes of a third party;
(d) completing
and submitting claims;
(e) discussion
or correspondence with a referring health care professional regarding treatment
or a service to be provided to a patient directly related to managing the
patient’s care, unless otherwise provided in this Regulation or the Alberta
Health Care Insurance Regulation.
Benefit limit
5 The benefits payable for each resident
for podiatric services provided within each benefit period are limited to a
maximum of $250.
Repeal
6 The Podiatric Benefits
Regulation (AR 152/95) is repealed.
Expiry
7 For the purpose of ensuring that this
Regulation is reviewed for ongoing relevancy and necessity, with the option
that it may be repassed in its present or an amended form following a review,
this Regulation expires on February 15, 2016.
List of Podiatric
Services
(a) diagnostic
interview and evaluation or consultation;
(b) other
physical medicine - musculoskeletal manipulation;
(c) other
immobilization, pressure and attention to wound;
(d) other
injection or infusion of other therapeutic or prophylactic substances;
(e) incision,
division and excision of cranial and peripheral nerves;
(f) injection
into peripheral nerve;
(g) other
incision of bone without division;
(h) other
division of bone tarsals and metatarsals;
(i) excision
of bunion (bunionectomy);
(j) local
excision of lesion or tissue of bone;
(k) removal
of internal fixation device;
(l) closed
reduction of fracture (without internal fixation);
(m) other
arthrotomy;
(n) incision
of muscle, tendon, fascia and bursa;
(o) invasive
diagnostic procedures on muscle, tendon, fascia and bursa;
(p) incision
of skin and subcutaneous tissue;
(q) excision
of skin and subcutaneous tissue;
(r) suture
of skin and subcutaneous tissue;
(s) other
operations on skin and subcutaneous tissue;
(t) ill-defined
operations;
(u) diagnostic radiology.
AR 87/2006 List;136/2006
