Register children (including children in care) for Medicare Safety Net 011-43080070
Expand allThis document outlines how to register children, including children in care, for Medicare Safety Net. Note: from 1 July 2016, Norfolk Island is covered under Medicare provisions.
Registering a child in an existing Medicare Safety Net and the threshold has been reached
If the child was not registered in the Medicare Safety Net family at the time of enrolment and the family has reached the Medicare Safety net threshold and claims for Medicare benefits have been processed for the child prior to registering a safety net, an adjustment is required. This table describes how to adjust service lines for a child where the Medicare Safety Net threshold has been reached prior to registering the child.
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Step |
Action |
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1 |
Check confirmation of family composition + Read more ... Check if the family composition has been confirmed to ensure the family is paid Medicare Safety Net benefits. Has the family confirmed their Medicare Safety Net composition?
See Family registration and confirmation for Medicare Safety Net. |
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2 |
Family composition is confirmed + Read more ... Adjust the services line for the child processed prior to registering in safety net. See Latter day adjustments (LDA) and HELD payments patient claims, press [Enter]. Note: do not select services with reason code 519, 517 or 511 on the history screen or adjustment screen. See Indicators, codes, modifiers and control lines for claims processing in Medicare |
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3 |
Total amount displayed + Read more ... The total amount displayed will equal 80% of the child's out of pocket (OOP) expenses unless an Extended Medicare Safety (EMSN) cap applies. The Medicare Safety Net benefit is 80% of the OOP or the EMSN cap, whichever is the less amount. |