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National Health Service (Charges for Drugs and Appliances) (Wales) Regulations 2001

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Pre-payment certificates

10.—(1) Subject to the following provisions of this regulation, a Health Authority on payment of the relevant sum prescribed by paragraph (5) shall as soon as reasonably practicable grant a certificate (in these regulations referred to as a “pre-payment certificate”) to any person who duly completes and submits an application for it on a form provided for the purpose.

(2) A pre-payment certificate shall be valid for a period of either four months or twelve months and an application for such a certificate shall indicate the period for which it is required to be valid.

(3) A pre-payment certificate which is granted confers on the person to whom it is granted exemption as provided by regulation 8(1)(f) in respect of drugs and appliances supplied during the period for which it is valid.

(4) No pre-payment certificate shall be granted unless the application made for it is received less than one month before the date on which its period of validity is to begin.

(5) For the purposes of this regulation the prescribed sum shall be £31.40 for a pre-payment certificate valid for 4 months and £86.20 for a pre-payment certificate valid for 12 months.

(6) Where payment of a prescribed sum has been made under this regulation and, not more than one month after the date on which his pre-payment certificate became valid, the person in respect of whom payment was made—

(a)becomes a person to whom any of the provisions of regulation 8(1)(b) to (e) applies;

(b)or becomes a person entitled to remission under regulation 3 of the Travelling Expenses and Remission of Charges Regulations; or

(c)dies; or

(d)becomes resident in a hospital and thereafter either—

(i)dies while resident in hospital before the expiry of the pre-payment certificate; or

(ii)remains in hospital until the expiry of the pre-payment certificate;

an application for repayment of that sum may be made, by or on behalf of that person or his or her estate, in accordance with paragraphs (7) and (8).

(7) An application under paragraph (6) shall be made to the Health Authority that granted the certificate and shall be accompanied by the certificate (where granted) and a declaration in support of the claim, and the claim and any repayment shall be made in such manner and subject to such conditions as the National Assembly may determine.

(8) An application under paragraph (6) shall be made—

(a)in a case falling within paragraph (6)(a), (b) or (c), not more than four months after the date on which the pre-payment certificate became valid;

(b)in a case falling within paragraph (6)(d)(i), not more than three months after the date of death; or

(c)in a case falling within paragraph (6)(d)(ii), not more than three months after the date on which the pre-payment certificate expired.

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