Health Insurance Legislation Amendment (Section 3C General Medical Services – Medicare Indexation and Extension of Remote Service Options) Determination 2021 (Cth)

Health Insurance Legislation Amendment (Section 3C General Medical Services – Medicare Indexation and Extension of Remote Service Options) Determination 2021

I, Travis Haslam, delegate of the Minister for Health and Aged Care, make the following Determination.

Dated      18 June 2021

Travis Haslam

Acting First Assistant Secretary

Medical Benefits Division

Health Resourcing Group

Department of Health

Contents

1  Name........................................................................................................................................ 1

2  Commencement........................................................................................................................ 1

3  Authority.................................................................................................................................. 1

4  Schedules................................................................................................................................. 1

Schedule 1— Extend sunset provisions....................................................................................... 3

Schedule 2— Indexation.............................................................................................................. 4

Health Insurance (Section 3C General Medical Services - COVID-19 Telehealth and Telephone Attendances) Determination 2020................................................................................................................................. 4

Health Insurance (Section 3C General Medical Services – General Practice Attendance for Assessing Patient Suitability for a COVID-19 Vaccine) Determination 2021...................................................................... 12

Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Mental Health Services) Determination 2020....................................................................................................... 13

Schedule 3— GP telehealth and telephone services amendments............................................... 18

Schedule 4— Fee amendment.................................................................................................... 21

1  Name

This instrument is the Health Insurance Legislation Amendment (Section 3C General Medical Services – Medicare Indexation and Extension of Remote Service Options) Determination 2021.

2  Commencement

(1)       Each provision of this instrument specified in column 1 of the table commences, or is taken to have commenced, in accordance with column 2 of the table. Any other statement in column 2 has effect according to its terms.

Commencement information
Column 1	Column 2	Column 3
Provisions	Commencement	Date/Details
1.  Sections 1 to 4	Immediately after registration of this instrument
2.  Schedule 1	The day after registration of this instrument
3. Schedule 2	1 July 2021
4. Schedule 3	1 July 2021
5. Schedule 4	Immediately after commencement of the Health Insurance Legislation Amendment (Section 3C General Medical and Diagnostic Imaging Services – Medicare Indexation) Determination 2021

Note: This table relates only to the provisions of this instrument as originally made. It will not be amended to deal with any later amendments of this instrument.

(2)       Any information in column 3 of the table is not part of this instrument. Information may be inserted in this column, or information in it may be edited, in any published version of this instrument.

3  Authority

This instrument is made under subsection 3C(1) of the Health Insurance Act 1973.

4  Schedules

Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.

Schedule 1— Extend sunset provisions

Health Insurance (Section 3C General Medical Services – COVID-19 Telehealth and Telephone Attendances) Determination 2020

1. Section 4

Omit “30 June 2021”, substitute “31 December 2021”.

Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Mental Health Services) Determination 2020

1. Paragraph 4(a)

Omit “30 June 2021”, substitute “31 December 2021”.

Schedule 2— Indexation

Health Insurance (Section 3C General Medical Services - COVID-19 Telehealth and Telephone Attendances) Determination 2020

1. Amendments of listed provisions—Schedule 1

The items of the table in Schedule 1 listed in the following table are amended as set out in the table.

Amendments relating to fees
Item	Table item	Omit	Substitute
1	Item 91790	20.85	21.05
2	Item 91800	45.55	46.00
3	Item 91801	88.25	89.10
4	Item 91802	130.00	131.15
5	Item 91794	16.70	16.80
6	Item 91806	36.45	36.80
7	Item 91807	70.60	71.25
8	Item 91808	104.00	104.90
9	Item 91818	112.50	113.50
10	Item 91819	161.00	162.45
11	Item 91820	90.00	90.80
12	Item 91821	128.80	130.00
13	Item 91842	112.50	113.50
14	Item 91843	161.00	162.45
15	Item 91844	90.00	90.80
16	Item 91845	128.80	130.00
17	Item 92004	257.50	259.80
18	Item 92011	206.00	207.85
19	Item 92024	175.00	176.55
20	Item 92025	138.70	139.90
21	Item 92026	85.40	86.15
22	Item 92027	85.40	86.15
23	Item 92028	87.40	88.15
24	Item 92055	140.00	141.25
25	Item 92056	110.90	111.90
26	Item 92057	68.35	68.90
27	Item 92058	68.35	68.90
28	Item 92059	69.90	70.50
29	Item 92136	92.90	93.75
30	Item 92137	74.35	75.00
31	Item 92138	92.90	93.75
32	Item 92139	74.35	75.00
33	Item 92142	163.15	164.60
34	Item 92112	87.00	87.75
35	Item 92113	128.05	129.20
36	Item 92114	87.00	87.75
37	Item 92115	87.00	87.75
38	Item 92116	110.45	111.45
39	Item 92117	162.70	164.15
40	Item 92118	69.55	70.20
41	Item 92119	102.45	103.40
42	Item 92120	69.55	70.20
43	Item 92121	69.55	70.20
44	Item 92122	88.35	89.15
45	Item 92123	130.15	131.35
46	Item 92127	87.00	87.75
47	Item 92132	69.55	70.20
48	Item 92133	69.55	70.20
49	Item 92146	87.00	87.75
50	Item 92147	128.05	129.20
51	Item 92148	110.45	111.45
52	Item 92149	162.70	164.15
53	Item 92150	69.55	70.20
54	Item 92151	102.45	103.40
55	Item 92152	88.35	89.15
56	Item 92153	130.15	131.35
57	Item 92170	87.00	87.75
58	Item 92171	69.55	70.20
59	Item 92176	87.00	87.75
60	Item 92177	69.55	70.20
61	Item 92182	112.50	113.50
62	Item 92184	161.00	162.45
63	Item 92186	90.00	90.80
64	Item 92188	128.80	130.00
65	Item 92194	112.50	113.50
66	Item 92196	161.00	162.45
67	Item 92198	90.00	90.80
68	Item 92200	128.80	130.00
69	Item 92210	185.60	187.25
70	Item 92211	148.35	149.70

1. Amendments of listed provisions— Division 2.1 of Schedule 2

The items of the table in Division 2.1 of Schedule 2 listed in the following table are amended as set out in the table.

Amendments relating to fees
Item	Table item	Omit	Substitute
1	Item 91822	89.55	90.35
2	Item 91823	45.00	45.40
3	Item 91824	157.95	159.35
4	Item 91825	79.05	79.75
5	Item 91826	45.00	45.40
6	Item 92422	276.25	278.75
7	Item 92423	138.30	139.55
8	Item 91827	45.35	45.75
9	Item 91828	90.50	91.30
10	Item 91829	139.30	140.55
11	Item 91830	192.25	194.00
12	Item 91831	223.10	225.10
13	Item 92434	276.25	278.75
14	Item 92435	473.80	478.05
15	Item 92436	296.20	298.85
16	Item 92437	272.50	274.95
17	Item 92455	51.60	52.05
18	Item 92456	68.50	69.10
19	Item 92457	101.30	102.20
20	Item 92458	132.65	133.85
21	Item 92459	183.15	184.80
22	Item 92460	132.65	133.85
23	Item 91832	89.55	90.35
24	Item 91833	45.00	45.40
25	Item 91834	157.95	159.35
26	Item 91835	79.05	79.75
27	Item 91836	45.00	45.40
28	Item 92431	276.25	278.75
29	Item 92432	138.30	139.55
30	Item 91837	45.35	45.75
31	Item 91838	90.50	91.30
32	Item 91839	139.30	140.55
33	Item 91840	192.25	194.00
34	Item 91841	223.10	225.10
35	Item 92474	276.25	278.75
36	Item 92475	473.80	478.05
37	Item 92476	296.20	298.85
38	Item 92477	272.50	274.95
39	Item 92495	51.60	52.05
40	Item 92496	68.50	69.10
41	Item 92497	101.30	102.20
42	Item 92498	132.65	133.85
43	Item 92499	183.15	184.80
44	Item 92500	132.65	133.85
45	Item 92140	276.25	278.75
46	Item 92141	276.25	278.75
47	Item 92143	276.25	278.75
48	Item 92144	276.25	278.75
49	Item 92162	473.80	478.05
50	Item 92163	276.25	278.75
51	Item 92166	473.80	478.05
52	Item 92167	276.25	278.75
53	Item 92172	296.20	298.85
54	Item 92173	138.30	139.55
55	Item 92178	296.20	298.85
56	Item 92179	138.30	139.55

3.Amendments of listed provisions— Division 2.2 of Schedule 2

The items of the table in Division 2.2 of Schedule 2 listed in the following table are amended as set out in the table.

Amendments relating to fees
Item	Table item	Omit	Substitute
1	Item 91850	28.10	28.35
2	Item 91851	73.95	74.60
3	Item 91852	55.05	55.55
4	Item 91853	48.60	49.05
5	Item 91855	28.10	28.35
6	Item 91856	73.95	74.60
7	Item 91857	55.05	55.55
8	Item 91858	48.60	49.05
9	Item 92623	473.80	478.05
10	Item 92624	296.20	298.85
11	Item 92628	473.80	478.05
12	Item 92629	296.20	298.85
13	Item 92513	20.45	20.65
14	Item 92514	44.75	45.15
15	Item 92515	86.55	87.35
16	Item 92516	127.45	128.60
17	Item 92521	20.45	20.65
18	Item 92522	44.75	45.15
19	Item 92523	86.55	87.35
20	Item 92524	127.45	128.60
21	Item 92610	135.65	136.85
22	Item 92611	45.00	45.40
23	Item 92612	89.55	90.35
24	Item 92613	124.05	125.15
25	Item 92614	157.95	159.35
26	Item 92617	135.65	136.85
27	Item 92618	45.00	45.40
28	Item 92619	89.55	90.35
29	Item 92620	124.05	125.15
30	Item 92621	157.95	159.35
31	Item 92701	89.55	90.35
32	Item 92712	89.55	90.35

4.Amendments of listed provisions—Schedule 3

The items of the table in Schedule 3 listed in the following table are amended as set out in the table.

Amendments relating to fees
Item	Table item	Omit	Substitute
1	Item 91166	102.85	103.80
2	Item 91167	151.05	152.40
3	Item 91169	72.90	73.55
4	Item 91170	102.85	103.80
5	Item 91172	64.20	64.80
6	Item 91173	90.70	91.50
7	Item 91175	64.20	64.80
8	Item 91176	90.70	91.50
9	Item 91181	102.85	103.80
10	Item 91182	151.05	152.40
11	Item 91183	72.90	73.55
12	Item 91184	102.85	103.80
13	Item 91185	64.20	64.80
14	Item 91186	90.70	91.50
15	Item 91187	64.20	64.80
16	Item 91188	90.70	91.50
17	Item 93000	64.20	64.80
18	Item 93013	64.20	64.80
19	Item 93026	75.40	76.10
20	Item 93029	75.40	76.10
21	Item 93032	102.85	103.80
22	Item 93033	90.70	91.50
23	Item 93035	102.85	103.80
24	Item 93036	90.70	91.50
25	Item 93040	102.85	103.80
26	Item 93041	90.70	91.50
27	Item 93043	102.85	103.80
28	Item 93044	90.70	91.50
29	Item 93048	64.20	64.80
30	Item 93061	64.20	64.80
31	Item 93074	64.20	64.80
32	Item 93076	102.85	103.80
33	Item 93079	151.05	152.40
34	Item 93084	72.90	73.55
35	Item 93087	102.85	103.80
36	Item 93092	64.20	64.80
37	Item 93095	90.70	91.50
38	Item 93100	64.20	64.80
39	Item 93103	90.70	91.50
40	Item 93108	64.20	64.80
41	Item 93110	102.85	103.80
42	Item 93113	151.05	152.40
43	Item 93118	72.90	73.55
44	Item 93121	102.85	103.80
45	Item 93126	64.20	64.80
46	Item 93129	90.70	91.50
47	Item 93134	64.20	64.80
48	Item 93137	90.70	91.50
49	Item 93284	82.35	83.10
50	Item 93285	20.50	20.70
51	Item 93286	82.35	83.10

5.Amendments of listed provisions— Division 4.1 of Schedule 4

The items of the table in Division 4.1 of Schedule 4 listed in the following table are amended as set out in the table.

Amendments relating to fees
Item	Table item	Omit	Substitute
1	Item 91192	9.90	10.00
2	Item 91178	21.60	21.80
3	Item 91179	41.00	41.35
4	Item 91180	60.40	60.95
5	Item 91193	9.90	10.00
6	Item 91189	21.60	21.80
7	Item 91190	41.00	41.35
8	Item 91191	60.40	60.95
9	Item 93200	29.10	29.35
10	Item 93201	14.55	14.70
11	Item 93202	29.10	29.35
12	Item 93203	14.55	14.70

6.Amendments of listed provisions— Division 4.2 of Schedule 4

The items of the table in Division 4.2 of Schedule 4 listed in the following table are amended as set out in the table.

Amendments relating to fees
Item	Table item	Omit	Substitute
1	Item 91211	33.30	33.60
2	Item 91212	55.05	55.55
3	Item 91214	55.05	55.55
4	Item 91215	80.95	81.70
5	Item 91218	33.30	33.60
6	Item 91219	55.05	55.55
7	Item 91221	55.05	55.55
8	Item 91222	80.95	81.70

7.Amendments of listed provisions— Division 4.3 of Schedule 4

The items of the table in Schedule 4 listed in the following table are amended as set out in the table.

Amendments relating to fees
Item	Table item	Omit	Substitute
1	Item 54001	88.20	89.00
2	Item 54002	44.35	44.75
3	Item 54003	88.20	89.00
4	Item 54004	44.35	44.75

Health Insurance (Section 3C General Medical Services – General Practice Attendance for Assessing Patient Suitability for a COVID-19 Vaccine) Determination 2021

8.Subsection 9(1)

Omit “66.75”, substitute “67.35”.

9.Schedule (item 93624, column 3)

Omit “36.15”, substitute “36.50”.

10.Schedule (item 93625, column 3)

Omit “43.90”, substitute “44.30”.

11.Schedule (item 93626, column 3)

Omit “28.20”, substitute “28.45”.

12.Schedule (item 93627, column 3)

Omit “39.75”, substitute “40.10”.

13.Schedule (item 93634, column 3)

Omit “50.45”, substitute “50.90”.

14.Schedule (item 93635, column 3)

Omit “58.20”, substitute “58.70”.

15.Schedule (item 93636, column 3)

Omit “39.95”, substitute “40.30”.

16.Schedule (item 93637, column 3)

Omit “51.15”, substitute “51.60”.

17.Schedule (item 93644, column 3)

Omit “28.50”, substitute “28.75”.

18.Schedule (item 93645, column 3)

Omit “32.40”, substitute “32.70”.

19.Schedule (item 93646, column 3)

Omit “20.55”, substitute “20.75”.

20.Schedule (item 93647, column 3)

Omit “28.20”, substitute “28.45”.

21.Schedule (item 93653, column 3)

Omit “42.80”, substitute “43.20”.

22.Schedule (item 93654, column 3)

Omit “46.70”, substitute “47.10”.

23.Schedule (item 93655, column 3)

Omit “32.30”, substitute “32.60”.

24.Schedule (item 93656, column 3)

Omit “39.60”, substitute “39.95”.

Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Mental Health Services) Determination 2020

25.Schedule 2 (item 93301, column 3)

Omit “112.50”, substitute “113.50”.

26.Schedule 2 (item 93302, column 3)

Omit “112.50”, substitute “113.50”.

27.Schedule 2 (item 93304, column 3)

Omit “161.00”, substitute “162.45”.

28.Schedule 2 (item 93305, column 3)

Omit “161.00”, substitute “162.45”.

29.Schedule 2 (item 93307, column 3)

Omit “90.00”, substitute “90.80”.

30.Schedule 2 (item 93308, column 3)

Omit “90.00”, substitute “90.80”.

31.Schedule 2 (item 93310, column 3)

Omit “128.80”, substitute “130.00”.

32.Schedule 2 (item 93311, column 3)

Omit “128.80”, substitute “130.00”.

33.Schedule 2 (item 93404, column 3)

Omit “87.00”, substitute “87.75”.

34.Schedule 2 (item 93405, column 3)

Omit “128.05”, substitute “129.20”.

35.Schedule 2 (item 93406, column 3)

Omit “110.45”, substitute “111.45”.

36.Schedule 2 (item 93407, column 3)

Omit “162.70”, substitute “164.15”.

37.Schedule 2 (item 93408, column 3)

Omit “87.00”, substitute “87.75”.

38.Schedule 2 (item 93409, column 3)

Omit “128.05”, substitute “129.20”.

39.Schedule 2 (item 93410, column 3)

Omit “110.45”, substitute “111.45”.

40.Schedule 2 (item 93411, column 3)

Omit “162.70”, substitute “164.15”.

41.Schedule 2 (item 93422, column 3)

Omit “87.00”, substitute “87.75”.

42.Schedule 2 (item 93423, column 3)

Omit “87.00”, substitute “87.75”.

43.Schedule 2 (item 93435, column 3)

Omit “69.55”, substitute “70.20”.

44.Schedule 2 (item 93436, column 3)

Omit “102.45”, substitute “103.40”.

45.Schedule 2 (item 93437, column 3)

Omit “88.35”, substitute “89.15”.

46.Schedule 2 (item 93438, column 3)

Omit “130.15”, substitute “131.30”.

47.Schedule 2 (item 93439, column 3)

Omit “69.55”, substitute “70.20”.

48.Schedule 2 (item 93440, column 3)

Omit “102.45”, substitute “103.40”.

49.Schedule 2 (item 93441, column 3)

Omit “88.35”, substitute “89.15”.

50.Schedule 2 (item 93442, column 3)

Omit “130.15”, substitute “131.30”.

51.Schedule 2 (item 93452, column 3)

Omit “69.55”, substitute “70.20”.

52.Schedule 2 (item 93453, column 3)

Omit “69.55”, substitute “70.20”.

53.Schedule 2 (item 93331, column 3)

Omit “102.85”, substitute “103.80”.

54.Schedule 2 (item 93332, column 3)

Omit “102.85”, substitute “103.80”.

55.Schedule 2 (item 93334, column 3)

Omit “151.05”, substitute “152.40”.

56.Schedule 2 (item 93335, column 3)

Omit “151.05”, substitute “152.40”.

57.Schedule 2 (item 93351, column 3)

Omit “72.90”, substitute “73.55”.

58.Schedule 2 (item 93352, column 3)

Omit “72.90”, substitute “73.55”.

59.Schedule 2 (item 93354, column 3)

Omit “102.85”, substitute “103.80”.

60.Schedule 2 (item 93355, column 3)

Omit “102.85”, substitute “103.80”.

61.Schedule 2 (item 93357, column 3)

Omit “64.20”, substitute “64.80”.

62.Schedule 2 (item 93358, column 3)

Omit “64.20”, substitute “64.80”.

63.Schedule 2 (item 93360, column 3)

Omit “90.70”, substitute “91.50”.

64.Schedule 2 (item 93361, column 3)

Omit “90.70”, substitute “91.50”.

65.Schedule 2 (item 93363, column 3)

Omit “64.20”, substitute “64.80”.

66.Schedule 2 (item 93364, column 3)

Omit “64.20”, substitute “64.80”.

67.Schedule 2 (item 93366, column 3)

Omit “90.70”, substitute “91.50”.

68.Schedule 2 (item 93367, column 3)

Omit “90.70”, substitute “91.50”.

Schedule 3— GP telehealth and telephone services amendments

Health Insurance (Section 3C General Medical Services - COVID-19 Telehealth and Telephone Attendances) Determination 2020

1.Subsections 8(10) and 8(11)

Repeal the subsections, substitute:

(10)   Subsection 8(8) does not apply to an item listed in Subgroup 15, 16, 29, 39 and 40 of Group A40.

(11)     For the purpose of subsection 8(8):

patient’s usual medical practitioner means a medical practitioner (other than a specialist or consultant physician) who:

(a)    has provided at least one service to the patient in the past 12 months; or

(b)   is located at a medical practice at which at least one service to the patient was provided, or arranged by, in the past 12 months.

For the purpose of this subsection, service means a personal attendance on the patient and excludes telehealth and phone attendances.

2.Subclause 1.1.1(1) of Schedule 1

Repeal the subclause, substitute:

(1)For items 91794, 91806, 91807, 91808, 92717, 92720, 92723, 92726, 92733, 92736, 92739 and 92742 eligible area has the meaning given by section 4 of the Other Medical Practitioner Determination.

3.Paragraph 1.1.5(1)(c) of Schedule 1

Repeal the paragraph, substitute:

(c)   items 91790, 91800, 91801, 91802, 91890, 91891, 91792, 91803, 91804, 91805, 91892, 91893, 91794, 91806, 91807, 91808, 92210 and 92211.

4.Paragraph 1.1.8(1)(c) of Schedule 1

Repeal the paragraph, substitute:

(c)   items 91790, 91800, 91801, 91802, 91890, 91891, 91792, 91803,

91804, 91805, 91892, 91893, 91794, 91806, 91807, 91808, 92210

and 92211.

5.Clause 1.1.17 of Schedule 1 (after clause)

Insert:

1.1.18 Application of items in Subgroups 39 and 40 of Group A40

(1)    An item in Subgroup 39 or 40 of Group A40 does not apply to a

service described in the item if the service is provided to a patient for the purpose of, or in relation to, assisted reproductive technology or antenatal care.

(2)   An item in Subgroup 39 or 40 of Group A40 only applies to a service performed by a medical practitioner (other than a specialist or consultant physician) who:

(a)  is located at a medical practice; or 

(b)  has a formal agreement with a medical practice to provide personal attendance services.

6.Schedule 1 (table, Subgroup 2)

Repeal the Subgroup, substitute:

Subgroup 2 – COVID-19 general practice phone services
91890	Phone attendance by a general practitioner lasting less than 6 minutes for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management	21.05
91891	Phone attendance by a general practitioner lasting at least 6 minutes if the attendance includes any of the following that are clinically relevant: (a)     taking a short patient history; (b) arranging any necessary investigation; (c)     implementing a management plan; (d) providing appropriate preventative health care	46.00
91892	Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting less than 6 minutes for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management	12.90
91893	Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 6 minutes if the attendance includes any of the following that are clinically relevant: (a)     taking a short patient history; (b) arranging any necessary investigation; (c)     implementing a management plan; (d) providing appropriate preventative health care	24.70

7.Schedule 1 (table, Subgroups 12, 14 and 18)

Repeal the Subgroups.

8.Schedule 1 (table items 92124, 92125, 92126, 92128, 92129, 92130, 92131, 92134 and 92135)

Repeal the items.

9. Schedule 1 (table, Subgroups 22 and 30)

Repeal the Subgroups.

10.Schedule 1 (table, after Subgroup 30)

Insert:

Subgroup 39 – GP Blood Borne Viruses, Sexual or Reproductive Health Consultation – Telehealth Service
92715	Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a)   taking a short patient history; (b)   arranging any necessary investigation; (c)   implementing a management plan; (d)   providing appropriate preventive health care	21.05
92716	Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a)   taking a short patient history; (b)   arranging any necessary investigation; (c)   implementing a management plan; (d)   providing appropriate preventive health care	12.90
92717	Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a)   taking a short patient history; (b)   arranging any necessary investigation; (c)   implementing a management plan; (d)   providing appropriate preventive health care	16.80
92718	Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a)   taking a patient history; (b)   arranging any necessary investigation; (c)   implementing a management plan; (d)   providing appropriate preventive health care	46.00
92719	Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a)   taking a patient history; (b)   arranging any necessary investigation; (c)   implementing a management plan; (d)   providing appropriate preventive health care	24.70
92720	Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a)   taking a patient history; (b)   arranging any necessary investigation; (c)   implementing a management plan; (d)   providing appropriate preventive health care	36.80
92721	Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a)   taking a detailed patient history; (b)   arranging any necessary investigation; (c)   implementing a management plan; (d)   providing appropriate preventive health care	89.10
92722	Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a)   taking a detailed patient history; (b)   arranging any necessary investigation; (c)   implementing a management plan; (d)   providing appropriate preventive health care	44.70
92723	Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a)   taking a detailed patient history; (b)   arranging any necessary investigation; (c)   implementing a management plan; (d)   providing appropriate preventive health care	71.25
92724	Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a)   taking a detailed patient history; (b)   arranging any necessary investigation; (c)   implementing a management plan; (d)   providing appropriate preventive health care	131.15
92725	Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a)   taking an extensive patient history; (b)   arranging any necessary investigation; (c)   implementing a management plan; (d)   providing appropriate preventive health care	71.75
92726	Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a)   taking an extensive patient history; (b)   arranging any necessary investigation; (c)   implementing a management plan; (d)   providing appropriate preventive health care	104.90
Subgroup 40 – GP Blood Borne Viruses, Sexual or Reproductive Health Consultation – Phone Service
92731	Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a)   taking a short patient history; (b)   arranging any necessary investigation; (c)   implementing a management plan; (d)   providing appropriate preventive health care	21.05
92732	Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a)   taking a short patient history; (b)   arranging any necessary investigation; (c)   implementing a management plan; (d)   providing appropriate preventive health care	12.90
92733	Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a)   taking a short patient history; (b)   arranging any necessary investigation; (c)   implementing a management plan; (d)   providing appropriate preventive health care	16.70
92734	Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a)   taking a patient history; (b)   arranging any necessary investigation; (c)   implementing a management plan; (d)   providing appropriate preventive health care	46.00
92735	Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a)   taking a patient history; (b)   arranging any necessary investigation; (c)   implementing a management plan; (d)   providing appropriate preventive health care	24.70
92736	Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a)   taking a patient history; (b)   arranging any necessary investigation; (c)   implementing a management plan; (d)   providing appropriate preventive health care	36.45
92737	Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a)   taking a detailed patient history; (b)   arranging any necessary investigation; (c)   implementing a management plan; (d)   providing appropriate preventive health care	89.10
92738	Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a)   taking a detailed patient history; (b)   arranging any necessary investigation; (c)   implementing a management plan; (d)   providing appropriate preventive health care	44.70
92739	Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a)   taking a detailed patient history; (b)   arranging any necessary investigation; (c)   implementing a management plan; (d)   providing appropriate preventive health care	70.60
92740	Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a)   taking an extensive patient history; (b)   arranging any necessary investigation; (c)   implementing a management plan; (d)   providing appropriate preventive health care	131.15
92741	Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a)   taking an extensive patient history; (b)   arranging any necessary investigation; (c)   implementing a management plan; (d)   providing appropriate preventive health care	71.75
92742	Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a)   taking an extensive patient history; (b)   arranging any necessary investigation; (c)   implementing a management plan; (d)   providing appropriate preventive health care	104.90

11. Subclause 3.1.3(3) of Schedule 3

Repeal the subclause, substitute:

(3)   For items 93032, 93033, 93040 and 93041, the referral by a general

practitioner must be a referral for a service to which any of items 3 to 51 of the general medical services table or to which any of items 91790, 91800, 91801, 91802, 91890, 91891, 91892 or 91893 applies.

Schedule 4— Fee amendment

Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018

1. Schedule 1 (item 282, column 3)

Omit “116.65”, substitute “111.65”.