Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Amendment Determination 2020 (Cth)
Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Amendment (Medicare Indexation) Determination 2020
__________________________________________________________________
I, Paul McBride, delegate of the Minister for Health, make the following determination.
Dated 10 June 2020
Paul McBride
First Assistant Secretary
Medical Benefits Division
Health Financing Group
Department of Health
Contents
1. Name
2. Commencement
3. Authority
4. Schedule
Schedule 1 – Amendments commencing on 1 July 2020
Name
This instrument is the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Amendment Determination 2020.
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 July 2020 | |
Note: This table relates only to the provisions of this instrument as originally made.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.
Authority
This instrument is made under subsection 3C(1) of the Health Insurance Act 1973.
Schedule
The instrument that is specified in the Schedule to this instrument is amended as set out in the Schedule, according to its terms.
Schedule 1 – Amendments commencing on 1 July 2020
Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018
Division 1.1 of Schedule 1 (Table 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 | $21.70 | $1.70 |
| 2 | 187 | The fee for item 185 | $21.70 | $1.70 |
| 3 | 191 | The fee for item 189 | $21.70 | $1.70 |
| 4 | 206 | The fee for item 203 | $21.70 | $1.70 |
| 5 | 253 | The fee for item 252 | $21.40 | $1.70 |
| 6 | 255 | The fee for item 254 | $21.40 | $1.70 |
| 7 | 257 | The fee for item 256 | $21.40 | $1.70 |
| 8 | 260 | The fee for item 259 | $21.40 | $1.70 |
| 9 | 262 | The fee for item 261 | $21.40 | $1.70 |
| 10 | 264 | The fee for item 263 | $21.40 | $1.70 |
| 11 | 266 | The fee for item 265 | $21.40 | $1.70 |
| 12 | 269 | The fee for item 268 | $21.40 | $1.70 |
| 13 | 271 | The fee for item 270 | $21.40 | $1.70 |
| 14 | 761 | The fee for item 733 | $21.40 | $1.70 |
| 15 | 763 | The fee for item 737 | $21.40 | $1.70 |
| 16 | 766 | The fee for item 741 | $21.40 | $1.70 |
| 17 | 769 | The fee for item 745 | $21.40 | $1.70 |
| 18 | 772 | The fee for item 733 | $38.50 | $2.70 |
| 19 | 776 | The fee for item 737 | $38.50 | $2.70 |
| 20 | 788 | The fee for item 741 | $38.50 | $2.70 |
| 21 | 789 | The fee for item 745 | $38.50 | $2.70 |
Division 1.2 of Schedule 1 (below the heading)
Repeal the table, substitute:
| Group A7—Acupuncture and Non-Specialist Practitioner Items | ||
| Subgroup 2—Non Specialist Practitioner attendance to which no other item applies | ||
| Item | Description | Fee ($) |
| 179 | Professional attendance at consulting rooms of not more than 5 minutes in duration (other than a service to which any other item applies)—each attendance, by a medical practitioner in an eligible area | 14.20 |
| 181 | Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies), not more than 5 minutes in duration—an attendance on one or more patients at one place on one occasion—each patient, by a medical practitioner in an eligible area | Amount under clause 1.1.1 |
| 185 | Professional attendance at consulting rooms of more than 5 minutes in duration but not more than 25 minutes (other than a service to which any other item applies)—each attendance, by a medical practitioner in an eligible area | 31.00 |
| 187 | Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 5 minutes in duration but not more than 25 minutes—an attendance on one or more patients at one place on one occasion—each patient, by a medical practitioner in an eligible area | Amount under clause 1.1.1 |
| 189 | Professional attendance at consulting rooms of more than 25 minutes in duration but not more than 45 minutes (other than a service to which any other item applies)—each attendance, by a medical practitioner in an eligible area | 60.05 |
| 191 | Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 25 minutes in duration but not more than 45 minutes—an attendance on one or more patients at one place on one occasion—each patient, by a medical practitioner in an eligible area | Amount under clause 1.1.1 |
| 203 | Professional attendance at consulting rooms of more than 45 minutes in duration (other than a service to which any other item applies)—each attendance, by a medical practitioner in an eligible area | 88.40 |
| 206 | Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 45 minutes in duration—an attendance on one or more patients at one place on one occasion—each patient, by a medical practitioner in an eligible area | Amount under clause 1.1.1 |
Division 1.3 of Schedule 1 (below subclause 1.3.1(3))
Repeal the table, substitute:
| Group A7—Acupuncture and Non-Specialist Practitioner Items | ||
| Subgroup 3—Non Specialist Practitioner prolonged attendances to which no other item applies | ||
| Item | Description | Fee ($) |
| 214 | Professional attendance by a medical practitioner for a period of not less than 1 hour but less than 2 hours (other than a service to which another item applies) on a patient in imminent danger of death | 182.75 |
| 215 | Professional attendance by a medical practitioner for a period of not less than 2 hours but less than 3 hours (other than a service to which another item applies) on a patient in imminent danger of death | 304.55 |
| 218 | Professional attendance by a medical practitioner for a period of not less than 3 hours but less than 4 hours (other than a service to which another item applies) on a patient in imminent danger of death | 426.20 |
| 219 | Professional attendance by a medical practitioner for a period of not less than 4 hours but less than 5 hours (other than a service to which another item applies) on a patient in imminent danger of death | 548.30 |
| 220 | Professional attendance by a medical practitioner for a period of 5 hours or more (other than a service to which another item applies) on a patient in imminent danger of death | 609.15 |
Division 1.4 of Schedule 1 (below the heading)
Repeal the table, substitute:
| Group A7—Acupuncture and Non-Specialist Practitioner Items | ||
| Subgroup 4—Non Specialist Practitioner group therapy | ||
| Item | Description | Fee ($) |
| 221 | Professional attendance for the purpose of Group therapy of not less than 1 hour in duration given under the direct continuous supervision of a medical practitioner involving members of a family and persons with close personal relationships with that family—each Group of 2 patients | 97.00 |
| 222 | Professional attendance for the purpose of Group therapy of not less than 1 hour in duration given under the direct continuous supervision of a medical practitioner involving members of a family and persons with close personal relationships with that family—each Group of 3 patients | 102.20 |
| 223 | Professional attendance for the purpose of Group therapy of not less than 1 hour in duration given under the direct continuous supervision of a medical practitioner involving members of a family and persons with close personal relationships with that family—each Group of 4 or more patients | 124.30 |
Division 1.5 of Schedule 1 (below subclause 1.5.2(6))
Repeal the table, substitute:
| Group A7—Acupuncture and Non-Specialist Practitioner Items | ||
| Subgroup 5—Non Specialist Practitioner health assessments | ||
| Item | Description | Fee ($) |
| 224 | Professional attendance by a medical practitioner to perform a brief health assessment, lasting not more than 30 minutes and including: (a) collection of relevant information, including taking a patient history; and (b) a basic physical examination; and (c) initiating interventions and referrals as indicated; and (d) providing the patient with preventive health care advice and information | 48.95 |
| 225 | Professional attendance by a medical practitioner to perform a standard health assessment, lasting more than 30 minutes but less than 45 minutes, including: (a) detailed information collection, including taking a patient history; and (b) an extensive physical examination; and (c) initiating interventions and referrals as indicated; and (d) providing a preventive health care strategy for the patient | 113.75 |
| 226 | Professional attendance by a medical practitioner to perform a long health assessment, lasting at least 45 minutes but less than 60 minutes, including: (a) comprehensive information collection, including taking a patient history; and (b) an extensive examination of the patient’s medical condition and physical function; and (c) initiating interventions and referrals as indicated; and (d) providing a basic preventive health care management plan for the patient | 157.00 |
| 227 | Professional attendance by a medical practitioner to perform a prolonged health assessment (lasting at least 60 minutes) including: (a) comprehensive information collection, including taking a patient history; and (b) an extensive examination of the patient’s medical condition, and physical, psychological and social function; and (c) initiating interventions or referrals as indicated; and (d) providing a comprehensive preventive health care management plan for the patient | 221.75 |
| 228 | Professional attendance by a medical practitioner at consulting rooms or in another place other than a hospital or residential aged care facility, for a health assessment of a patient who is of Aboriginal or Torres Strait Islander descent—this item is applicable not more than once in a 9 month period, and only if item 715 of the general medical services table is also not applicable within that same 9 month period. | 175.10 |
Division 1.6 of Schedule 1 (below Table 1.6.3)
Repeal the table, substitute:
| Group A7—Acupuncture and Non-Specialist Practitioner Items | ||
| Subgroup 6—Non Specialist Practitioner management plans, team care arrangements and multidisciplinary care plans and case conferences | ||
| Item | Description | Fee ($) |
| 229 | Attendance by a medical practitioner, for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758 of the general medical services table or items 235 to 240 apply) | 119.00 |
| 230 | Attendance by a medical practitioner, to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758 of the general medical services table or items 235 to 240 apply) | 94.30 |
| 231 | Contribution by a medical practitioner, to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758 of the general medical services table or items 235 to 240 apply) | 58.10 |
| 232 | Contribution by a medical practitioner, to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items 735 to 758 of the general medical services table or items 235 to 240 apply) | 58.10 |
| 233 | Attendance by a medical practitioner to review or coordinate a review of: (a) a GP management plan prepared by a medical practitioner (or an associated medical practitioner) to which item 721 of the general medical services table or item 229 applies; or (b) team care arrangements which have been coordinated by the medical practitioner (or an associated medical practitioner) to which item 723 of the general medical services table or item 230 applies | 59.45 |
| 235 | Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which items 721 to 732 of the general medical services table or item 229 to 233 apply) | 58.30 |
| 236 | Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which items 721 to 732 of the general medical services table or item 229 to 233 apply) | 99.80 |
| 237 | Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 40 minutes (other than a service associated with a service to which items 721 to 732 of the general medical services table or items 229 to 233 apply) | 166.35 |
| 238 | Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which items 721 to 732 of the general medical services table or items 229 to 233 apply) | 42.85 |
| 239 | Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which items 721 to 732 of the general medical services table or items 229 to 233 apply) | 73.40 |
| 240 | Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 40 minutes (other than a service associated with a service to which items 721 to 732 of the general medical services table or items 229 to 233 apply) | 122.25 |
| 243 | Attendance by a medical practitioner, as a member of a case conference team, to lead and coordinate a multidisciplinary case conference on a patient with cancer to develop a multidisciplinary treatment plan, if the case conference is of at least 10 minutes, with a multidisciplinary team of at least 3 other medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health providers | 67.25 |
| 244 | Attendance by a medical practitioner, as a member of a case conference team, to participate in a multidisciplinary case conference on a patient with cancer to develop a multidisciplinary treatment plan, if the case conference is of at least 10 minutes, with a multidisciplinary team of at least 4 medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health providers | 31.30 |
Division 1.7 of Schedule 1 (below subclause 1.7.2(1))
Repeal the table, substitute:
| Group A7—Acupuncture and Non-Specialist Practitioner Items | ||
| Subgroup 7—Non Specialist Practitioner domiciliary and residential medication management review | ||
| Item | Description | Fee ($) |
| 245 | Participation by a medical practitioner in a Domiciliary Medication Management Review (DMMR) for a patient living in a community setting, in which the medical practitioner, with the patient’s consent: (a) assesses the patient as: (i) having a chronic medical condition or a complex medication regimen; and (ii) not having their therapeutic goals met; and (b) following that assessment: (i) refers the patient to a community pharmacy or an accredited pharmacist for the DMMR; and (ii) provides relevant clinical information required for the DMMR; and (c) discusses with the reviewing pharmacist the results of the DMMR including suggested medication management strategies; and (d) develops a written medication management plan following discussion with the patient; and (e) provides the written medication management plan to a community pharmacy chosen by the patient For any particular patient—this item is applicable not more than once in each 12 month period, and only if item 900 of the general medical services table also does not apply in the same 12 month period, except if there has been a significant change in the patient’s condition or medication regimen requiring a new DMMR | 127.70 |
| 249 | Participation by a medical practitioner in a residential medication management review (RMMR) for a patient who is a permanent resident of a residential aged care facility—other than an RMMR for a resident in relation to whom, in the preceding 12 months, this item or item 903 of the general medical services table has applied, unless there has been a significant change in the resident’s medical condition or medication management plan requiring a new RMMR | 87.45 |
Division 1.8 of Schedule 1 (below subclause 1.8.1(2))
Repeal the table, substitute:
| Group A7—Acupuncture and Non-Specialist Practitioner Items | |||
| Subgroup 8—Non Specialist Practitioner attendances associated with Practice Incentives Program payments | |||
| Item | Description | Fee ($) | |
| 251 | Professional attendance at consulting rooms of less than 5 minutes in duration by a medical practitioner in an eligible area at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years | 13.95 | |
| 252 | Professional attendance at consulting rooms of more than 5, but not more than 25 minutes in duration by a medical practitioner in an eligible area, at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years | 30.55 | |
| 253 | Professional attendance at a place other than consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner in an eligible area, at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years | Amount under clause 1.1.1 | |
| 254 | Professional attendance at consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner in an eligible area, at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years | 59.15 | |
| 255 | Professional attendance at a place other than consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner in an eligible area, at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years | Amount under clause 1.1.1 | |
| 256 | Professional attendance at consulting rooms of more than 45 minutes in duration by a medical practitioner in an eligible area, at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years | 87.10 | |
| 257 | Professional attendance at a place other than consulting rooms of more than 45 minutes in duration by a medical practitioner in an eligible area, at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years | Amount under clause 1.1.1 | |
| 259 | Professional attendance at consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus | 30.55 | |
| 260 | Professional attendance at a place other than consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus | Amount under clause 1.1.1 | |
| 261 | Professional attendance at consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the requirements for a cycle of care of a patient with established diabetes mellitus | 59.15 | |
| 262 | Professional attendance at a place other than consulting rooms of more than 25 minutes but not more than 45 minutes, in duration by a medical practitioner in an eligible area, that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus | Amount under clause 1.1.1 | |
| 263 | Professional attendance at consulting rooms of more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus | 87.10 | |
| 264 | Professional attendance at a place other than consulting rooms of more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus | Amount under clause 1.1.1 | |
| 265 | Professional attendance at consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements of the Asthma Cycle of Care | 30.55 | |
| 266 | Professional attendance at a place other than consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements of the Asthma Cycle of Care | Amount under clause 1.1.1 | |
| 268 | Professional attendance at consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements of the Asthma Cycle of Care | 59.15 | |
| 269 | Professional attendance at a place other than consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements of the Asthma Cycle of Care | Amount under clause 1.1.1 | |
| 270 | Professional attendance at consulting rooms of more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements of the Asthma Cycle of Care | 87.10 | |
| 271 | Professional attendance at a place other than consulting rooms of more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements of the Asthma Cycle of Care | Amount under clause 1.1.1 | |
Division 1.9 of Schedule 1 (Table 1.9.2)
Repeal the table, substitute:
| Table 1.9.2—Amount under clause 1.9.2 | ||||
| Item | Column 1 Item of the table | Column 2 Fee | Column 3 Amount if not more than 6 patients (to be divided by the number of patients) ($) | Column 4 Amount per patient if more than 6 patients ($) |
| 1 | 285 | The fee for item 283 | 21.40 | 1.70 |
| 2 | 287 | The fee for item 286 | 21.40 | 1.70 |
Division 1.9 of Schedule 1 (below clause 1.9.5)
Repeal the table, substitute:
| Group A7—Acupuncture and Non-Specialist Practitioner Items | ||
| Subgroup 9—Non Specialist Practitioner mental health care | ||
| Item | Description | Fee ($) |
| 272 | Professional attendance by a medical practitioner (who has not undertaken mental health skills training) of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient | 59.15 |
| 276 | Professional attendance by a medical practitioner (who has not undertaken mental health skills training) of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient | 87.10 |
| 277 | Professional attendance by a medical practitioner to review a GP mental health treatment plan which he or she, or an associated medical practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan | 59.15 |
| 279 | Professional attendance by a medical practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation | 59.15 |
| 281 | Professional attendance by a medical practitioner (who has undertaken mental health skills training) of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient | 75.10 |
| 282 | Professional attendance by a medical practitioner (who has undertaken mental health skills training) of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient | 110.65 |
| 283 | 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 credentialling requirements for provision of this service, and lasting at least 30 minutes, but less than 40 minutes | 76.50 |
| 285 | Professional attendance at a place other than 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 credentialling requirements for provision of this service, and lasting at least 30 minutes, but less than 40 minutes | Amount under clause 1.9.2 |
| 286 | 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 credentialling requirements for provision of this service, and lasting at least 40 minutes | 109.50 |
| 287 | Professional attendance at a place other than 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 credentialling requirements for provision of this service, and lasting at least 40 minutes | Amount under clause 1.9.2 |
| 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. | 76.50 |
| 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. | 109.50 |
Division 1.10 of Schedule 1 (item 733, column 3)
Omit “23.55”, substitute “23.90”.
Division 1.10 of Schedule 1 (item 737, column 3)
Omit “39.85”, substitute “40.45”.
Division 1.10 of Schedule 1 (item 741, column 3)
Omit “68.25”, substitute “69.30”.
Division 1.10 of Schedule 1 (item 745, column 3)
Omit “95.70”, substitute “97.15”.
Division 1.11 of Schedule 1 (item 792, column 3)
Omit “62.30”, substitute “63.20”.
Division 1.12 of Schedule 1 (Table 1.12.2)
Repeal the table, substitute:
| Table 1.12.2—Amount under clause 1.12.2 | ||||
| Item | Column 1 Item 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 per patient if more than 6 patients ($) |
| 1 | 827 | The fee for item 812 | 21.40 | 1.70 |
| 2 | 829 | The fee for item 812 | 38.50 | 2.70 |
| 3 | 868 | The fee for item 867 | 21.40 | 1.70 |
| 4 | 869 | The fee for item 867 | 38.50 | 2.70 |
| 5 | 876 | The fee for item 873 | 21.40 | 1.70 |
| 6 | 881 | The fee for item 873 | 38.50 | 2.70 |
| 7 | 891 | The fee for item 885 | 21.40 | 1.70 |
| 8 | 892 | The fee for item 885 | 38.50 | 2.70 |
Division 1.12 of Schedule 1 (item 812, column 3)
Omit “18.60”, substitute “18.90”.
Division 1.12 of Schedule 1 (item 867, column 3)
Omit “40.60”, substitute “41.20”.
Division 1.12 of Schedule 1 (item 873, column 3)
Omit “78.70”, substitute “79.90”.
Division 1.12 of Schedule 1 (item 885, column 3)
Omit “115.85”, substitute “117.55”.
Division 1.13 of Schedule 1 (below subclause 1.13.1(2))
Repeal the table, substitute:
| Group A30 – Medical practitioner video conferencing consultation | ||
| Subgroup 7 – Non-Specialist Practitioner video conferencing consultation for patients in rural and remote areas | ||
| 2480 | Professional attendance by video conference of not more than 5 minutes in duration by a medical practitioner – each attendance | 14.20 |
| 2481 | Professional attendance by video conference of more than 5 minutes in duration but not more than 25 minutes by a medical practitioner – each attendance | 31.00 |
| 2482 | Professional attendance by video conference of more than 25 minutes in duration but not more than 45 minutes by a medical practitioner – each attendance | 60.05 |
| 2483 | Professional attendance by video conference of more than 45 minutes in duration by a medical practitioner – each attendance | 88.40 |
Subclause 1.14.1(1) of Division 1.14, Schedule 1
Omit “40.65”, substitute “41.25”.
Division 1.14 of Schedule 1 (below subclause 1.4.1(1))
Repeal the table, substitute:
| Group A35—Non-referred attendance at a residential aged care facility | ||
| Column 1 Item | Column 2 Description | Column 3 Fee ($) |
| 90183 | Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self-contained unit) of not more than 5 minutes in duration—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by medical practitioner in an eligible area | 14.20 |
| 90188 | Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self-contained unit) of more than 5 minutes in duration but not more than 25 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner in an eligible area | 31.00 |
| 90202 | Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self-contained unit) of more than 25 minutes in duration but not more than 45 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner in an eligible area | 60.05 |
| 90212 | Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self-contained unit) of more than 45 minutes in duration—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner in an eligible area | 88.40 |
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