Acts and Regulations

2014, c.112 - Health Services Act

Full text
Regulations
13The Lieutenant-Governor in Council may make regulations
(a) establishing a health services plan;
(b) providing for the administration and operation of the health services plan;
(c) defining who is a beneficiary for the purposes of the health services plan and establishing categories of beneficiaries;
(d) defining entitled services;
(e) determining the kinds of entitled services for which specified categories of beneficiaries shall be eligible;
(f) respecting the time, manner and form in which the accounts shall be rendered and in which any other information required in connection with the account shall be submitted;
(g) providing for participation fees;
(h) prescribing the method of assessing accounts with respect to the cost of entitled services and of determining the amount payable for entitled services;
(i) regulating the payment to providers of services in the Province for providing entitled services to beneficiaries either by a tariff of authorized payments or in accordance with any other system of payment on a basis that provides reasonable compensation for entitled services provided and the manner and form of the payment;
(j) prescribing the amounts to be paid with respect to the cost of entitled services provided
(i) in another province, or
(ii) outside Canada;
(k) respecting reimbursement to beneficiaries for entitled services for which they have paid, to the extent that no claim for payment has been made by the provider of the entitled services;
(l) providing that claims for payment for entitled services must be submitted within a specified time from the date on which the entitled services were supplied, and providing for the pro rata reduction, or refusal, of the payments if the specified time period is exceeded;
(m) providing for the appointment of advisory committees and prescribing the duties of the committees;
(n) fixing the remuneration for members of committees for attending meetings or otherwise carrying out their prescribed duties;
(o) respecting appeals and providing procedures for appeals;
(p) generally, for the better administration of this Act.
R.S.1973, c.H-3, s.11