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

Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Amendment Determination 2018
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I, CELIA STREET, delegate of the Minister for Health, make the following determination.

Dated  10 October 2018

Celia Street

Assistant Secretary

Diagnostic Imaging and Pathology Branch

Medical Benefits Division

Department of Health

Contents

1.           Name of Determination

2.           Commencement

3.           Authority

4.           Schedules

Schedule 1 - Amendments

1. Name of Determination

This Determination is the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Amendment Determination 2018.

1. 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.  The whole of this instrument	1 November 2018

Note:          This table relates only to the provisions of this instrument as originally made.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.

1. Authority

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

1. Schedules

Each instrument that is specified in a Schedule to this Determination is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this Instrument has effect according to its terms.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

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

1. Subsection 4(1)

   Insert:

   telehealth area means an area that is a Modified Monash 4 area, Modified Monash 5 area, Modified Monash 6 area or Modified Monash 7 area.

2. Schedule 1, subclause 1.1.1(1) (Table 1.1.1 - Amount under clause 1.1.1)

   Repeal the table, substitute:

Table 1.1.1—Amount under clause 1.1.1
Item	Column 1 Item/s of the table	Column 2 Fee	Column 3 Amount if not more than 6 patients (to be divided by the number of patients) ($)	Column 4 Amount if more than 6 patients ($)
1	181	The fee for item 179	$21.10	$1.65
2	183	The fee for item 179	$37.90	$2.70
3	187	The fee for item 185	$21.10	$1.65
4	188	The fee for item 185	$37.90	$2.70
5	191	The fee for item 189	$21.10	$1.65
6	202	The fee for item 189	$37.90	$2.70
7	206	The fee for item 203	$21.10	$1.65
8	212	The fee for item 203	$37.90	$2.70
9	253	The fee for item 252	$20.75	$1.60
10	255	The fee for item 254	$20.75	$1.60
11	257	The fee for item 256	$20.75	$1.60
12	260	The fee for item 259	$20.75	$1.60
13	262	The fee for item 261	$20.75	$1.60
14	264	The fee for item 263	$20.75	$1.60
15	266	The fee for item 265	$20.75	$1.60
16	269	The fee for item 268	$20.75	$1.60
17	271	The fee for item 270	$20.75	$1.60
18	761	The fee for item 733	$20.75	$1.60
19	763	The fee for item 737	$20.75	$1.60
20	766	The fee for item 741	$20.75	$1.60
21	769	The fee for item 745	$20.75	$1.60
22	772	The fee for item 733	$37.35	$2.65
23	776	The fee for item 737	$37.35	$2.65
24	788	The fee for item 741	$37.35	$2.65
25	789	The fee for item 745	$37.35	$2.65

1. Subsections 1.9.4(1) and 1.9.4(2)

   Omit “283, 285, 286 and 287”, substitute “283, 285, 286, 287, 371 and 372” (wherever occurring).

2. Schedule 1 (after clause 1.9.4)

   Insert:

1.9.5    Limitation of items in Division 1.9

Items 371 and 372 do not apply if the patient or the medical practitioner travels to a place to satisfy the requirement in paragraph (d) of items 371 and 372.

1. Schedule 1 (after item 287)

   Insert:

371 Professional attendance at consulting rooms by a medical practitioner, for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, and lasting at least 30 minutes, but less than 40 minutes if: (a)     the attendance is by video conference; and (b)     the patient is not an admitted patient; and (c)     the patient is located within a telehealth area; and (d)     the patient is, at the time of the attendance, at least 15 kilometres by road from the medical practitioner. 74.20

372 Professional attendance at consulting rooms by a medical practitioner, for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, and lasting at least 40 minutes if: (a)     the attendance is by video conference; and (b)     the patient is not an admitted patient; and (c)     the patient is located within a telehealth area; and (d)     the patient is, at the time of the attendance, at least 15 kilometres by road from the medical practitioner. 106.20