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

Case

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

made under subsection 3C(1) of the

Health Insurance Act 1973

Compilation No. 11

Compilation date:   1 October 2020

Includes amendments up to:            F2020L01190

Registered:   20 October 2020

About this compilation

This compilation

This is a compilation of the Health Insurance (Section 3C General Medical Services - COVID-19 Telehealth and Telephone Attendances) Determination 2020 that shows the text of the law as amended and in force on 1 October 2020 (the compilation date).

The notes at the end of this compilation (the endnotes) include information about amending laws and the amendment history of provisions of the compiled law.

Uncommenced amendments

The effect of uncommenced amendments is not shown in the text of the compiled law. Any uncommenced amendments affecting the law are accessible on the Legislation Register ( The details of amendments made up to, but not commenced at, the compilation date are underlined in the endnotes. For more information on any uncommenced amendments, see the series page on the Legislation Register for the compiled law.

Application, saving and transitional provisions for provisions and amendments

If the operation of a provision or amendment of the compiled law is affected by an application, saving or transitional provision that is not included in this compilation, details are included in the endnotes.

Editorial changes

For more information about any editorial changes made in this compilation, see the endnotes.

Modifications

If the compiled law is modified by another law, the compiled law operates as modified but the modification does not amend the text of the law. Accordingly, this compilation does not show the text of the compiled law as modified. For more information on any modifications, see the series page on the Legislation Register for the compiled law.

Self-repealing provisions

If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.

Contents

Part 1—Preliminary  1

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

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

4............ Cessation....................................................................................................................... 1

5............ Definitions..................................................................................................................... 1

7............ Treatment of relevant services....................................................................................... 6

8............ Application of items - general........................................................................................ 6

Schedule 1 – GP and medical practitioners services                   9

Schedule 2 –  Specialist, consultant physician and consultant psychiatrist services  47

Schedule 3 –  Allied health services  74

Schedule 4 – Nurse practitioner, midwife Aboriginal and Torres Strait Islander health practitioner and dental practitioner services    102

Endnotes108

Endnote 1—About the endnotes  108

Endnote 2—Abbreviation key  109

Endnote 3—Legislation history  110

Endnote 4—Amendment history  112

Part 1—Preliminary

1  Name

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

3  Authority

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

4  Cessation

Unless earlier revoked this instrument ceases as if revoked on 31 March 2021.

5  Definitions

Note:     The following terms are defined in subsection 3(1) of the Act:

·        clinically relevant service

·        consultant physician

·        general medical services table

·        hospital treatment

·        hospital-substitute treatment

·        item

·        dental practitioner

·        participating midwife

·        participating nurse practitioner

·       professional service

(1)   In this instrument:

Aboriginal and Torres Strait Islander health practitioner has the meaning given by Part 7 of the general medical services table.

Act means the Health Insurance Act 1973.

admitted patient means a patient who is receiving a service that is provided:

(a)  as part of an episode of hospital treatment; or

(b) as part of an episode of hospital-substitute treatment in respect of which the person to whom the treatment is provided chooses to receive a benefit from a private health insurer.

Allied Health Determination means the Health Insurance (Allied Health Services) Determination 2014.

concessional beneficiary has the same meaning as in section 84(1) of the National Health Act 1953.

consultant psychiatrist means a consultant physician in the practice of the consultant physician’s specialty of psychiatry.

contribute to a multidisciplinary care plan has the meaning given by clause 2.16.3 of the general medical services table.

coordinating a review of team care arrangements has the meaning given by clause 2.16.5 of the general medical services table.

coordinating the development of team care arrangements has the meaning given by clause 2.16.4 of the general medical services table.

eating disorder examination questionnaire has the meaning given by section 4 of the Eating Disorder Services Determination.

eating disorder psychological treatment service has the same meaning as in the Eating Disorders Services Determination.

Eating Disorders Services Determination means the Health Insurance (Section 3C General Medical Services – Eating Disorders Treatment Plan and Psychological Treatment Services) Determination 2019.

eating disorder treatment and management plan has the same meaning as in the Eating Disorders Services Determination.

eligible Aboriginal health worker has the meaning given by section 4 of the Allied Health Determination.

eligible Aboriginal and Torres Strait Islander health practitioner has the meaning given by section 4 of the Allied Health Determination.

eligible allied health practitioner means:

(a)  an eligible Aboriginal health worker;

(b) an eligible Aboriginal and Torres Strait Islander health practitioner;

(c)  an eligible diabetes educator;

(d) an eligible audiologist;

(e)  an eligible dietitian;

(f)  an eligible mental health worker;

(g)  an eligible occupational therapist;

(h) an eligible exercise physiologist;

(i)  an eligible physiotherapist;

(j)  an eligible podiatrist;

(k) an eligible chiropractor;

(l)  an eligible osteopath;

(m)       an eligible psychologist; or

(n) an eligible speech pathologist.

eligible audiologist has the meaning given by section 4 of the Allied Health Determination.

eligible chiropractor has the meaning given by section 4 of the Allied Health Determination.

eligible clinical psychologist has the meaning given by section 4 of the Allied Health Determination.

eligibility criteria has the meaning given by section 4 of the Eating Disorders Services Determination.

eligible diabetes educator has the meaning given by section 4 of the Allied Health Determination.

eligible dietitian has the meaning given by section 4 of the Allied Health Determination.

eligible exercise physiologist has the meaning given by section 4 of the Allied Health Determination.

eligible mental health worker has the meaning given by section 4 of the Allied Health Determination.

eligible occupational therapist has the meaning given by section 4 of the Allied Health Determination.

eligible orthoptist has the meaning given by section 4 of the Allied Health Determination.

eligible osteopath has the meaning given by section 4 of the Allied Health Determination.

eligible patient has the same meaning as in the Eating Disorders Services Determination.

eligible physiotherapist has the meaning given by section 4 of the Allied Health Determination.

eligible psychologist has the meaning given by section 4 of the Allied Health Determination.

eligible podiatrist has the meaning given by section 4 of the Allied Health Determination.

eligible social worker has the meaning given by section 4 of the Allied Health Determination.

eligible speech pathologist has the meaning given by section 4 of the Allied Health Determination.

focussed psychological strategies has the meaning given by clause 2.20.1 of the general medical services table.

GP mental health treatment plan has the meaning given by section 4 of the Allied Health Determination.

multidisciplinary care plan:

(a)  for items 92026, 92027, 92070, 92071, 92057, 92058, 92101 and 92102—has the meaning given by clause 2.16.6 of the general medical services table; and

(b) for items 93201 and 93203—has the meaning given by clause 4.1.1.

non-directive pregnancy support counselling means counselling provided to a person, who is currently pregnant or who has been pregnant in the preceding 12 months, by a health professional in which:

(a)  information and issues relating to pregnancy are discussed; but

(b)  the health professional does not impose his or her views or values about what the person should or should not do in relation to the pregnancy.

Other Medical Practitioner Determination means the Health Insurance (Section 3C General Medical Services - Other Medical Practitioner) Determination 2018.

patient at risk of COVID-19 virus means a person who:

(a)  is required to self-isolate or self-quarantine in accordance with guidance issued by the Australian Health Protection Principal Committee in relation to COVID-19; or

(b)  is at least 70 years old; or

(c)  if the person identifies as being of Aboriginal or Torres Strait Islander descent—is at least 50 years old; or

(d)  is pregnant; or

(e)  is the parent of a child aged under 12 months; or

(f)  is being treated for a chronic health condition; or

(g)  is immune compromised; or

(h)  meets the current national triage protocol criteria for suspected
COVID-19 infection.

patient review has the same meaning as in the Eating Disorders Services Determination.

person who is experiencing homelessness means when a person does not have suitable accommodation alternatives they are considered homeless if their current living arrangement:

(a)  is in a dwelling that is inadequate; or

(b)  has no tenure, or if their initial tenure is short and not extendable; or

(c)  does not allow them to have control of, and access to space for social relations.

person who is in a COVID-19 impacted area means a patient who, at the time of accessing the telehealth service, has their movement restricted within the State or Territory, by a State or Territory public health requirement applying to the patient’s location.

phone attendance means a professional attendance by telephone where the health practitioner:

(a)  has the capacity to provide the full service through this means safely and in accordance with professional standards; and

(b) is satisfied that it is clinically appropriate to provide the service to the patient; and

(c)  maintains an audio link with the patient.

preparing a GP management plan, for items 92024 and 92068, has the meaning given by clause 2.16.7 of the general medical services table.

psychiatrist assessment and management plan means a psychiatrist assessment and management plan made under item 92435 or 92475 in this instrument or item 291 of the general medical services table.

referring practitioner, in relation to a referral, means the person making the referral.

relevant provisions means all provisions of the Act and regulations made under the Act, and the National Health Act 1953 and regulations made under the National Health Act 1953, relating to medical services, professional services or items.

relevant service means a health service, as defined in subsection 3C(8) of the Act, that is specified in a Schedule.

residential aged care facility has the meaning given in Part 7 of the general medical services table.

reviewing a GP management plan, for items 92028 and 92072, has the meaning given by clause 2.16.8 of the general medical services table.

Schedule means a Schedule to this instrument.

shared care plan has the meaning given by section 9B of the Allied Health Determination.

single course of treatment has the meaning given by clause 1.1.6 of the general medical services table.

telehealth attendance means a professional attendance by video conference where the rendering health practitioner:

(a)     has the capacity to provide the full service through this means safely and in accordance with relevant professional standards; and

(b)     is satisfied that it is clinically appropriate to provide the service to the patient; and

(c)     maintains a visual and audio link with the patient; and

(d)     is satisfied that the software and hardware used to deliver the service meets the applicable laws for security and privacy.

(2)   Unless the contrary intention appears, a reference in this instrument to a provision of the Act or the National Health Act 1953 or a legislative instrument made under the Act or under the National Health Act 1953 as applied, adopted or incorporated in relation to specifying a matter is a reference to those provisions as in force from time to time and any other reference to provisions of an Act or instrument is a reference to those provisions as in force from time to time.

(3)   In this instrument, a general practitioner includes a kind of medical practitioner specified in clause 1.1.3 of the general medical services table.

7  Treatment of relevant services

A health service provided in accordance with this Determination is to be treated, for the relevant provisions, as if:

(a)   it were both a professional service and a medical service; and

(b)                there were an item in the general medical services table that:

(i)    related to the service; and

(ii)        specified for the service a fee in relation to each State, being the fee                          specified in the item in Schedule 2 relating to the service.

Note: For this Determination, an internal Territory is deemed to form part of the State of New South Wales—see subsection 3C(7) of the Act.

8  Application of items - general

(1)   An item in a Schedule does not apply to a service mentioned in the item if the patient is an admitted patient.

(2)   Clause 1.2.2 of the general medical services table shall have effect as if all items in Schedule 2 of this determination, other than items 91850, 91853, 91855 and 91857, were specified in the clause.

(3)   An item in Subgroup 3 or 10 of Group A40, Subgroups 1 to 4 of Group M18  or Subgroups 6 to 9 of Group M18 of the Schedules does not apply to a service provided to a patient who has already been provided, in the calendar year, with 10 services to which any of those items or the following items apply:

(a)  an item in Subgroup 2 of Group A20 of the general medical services table;

(b) items 283, 285, 286, 287, 371 and 372 of the Other Medical Practitioner Determination; or

(c)  items 80000 to 80015, 80100 to 80115, 80125 to 80140 or 80150 to 80165 of the Allied Health Determination apply.

(5)   Subject to subsection (6), an item in a Schedule only applies to a service that is an attendance by a single health professional on a single patient.

Note: Health professionals who can provide services under this instrument include general         practitioners, medical practitioners, specialists and consultant physicians, allied health               professionals and participating nurses and midwives.

(6)   Subsection (5) does not apply to items 92455 to 92457 and 92495 to 92497.

(7)   The following items do not apply if the person providing the service specified in the item and the patient have the capacity to undertake an attendance by telehealth:

(a) an item in any of Subgroups 2, 7 to 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30, 32, 34, 36 and 38 of Group A40;

(b) an item in Subgroup 2 of Group T4;

(c) an item in any of Subgroups 6 to 10, 12, 14, 16, 18, 21, 22, 24 and 26 of Group M18;

(d) an item in Subgroup 2 of Group M19; or

(e) an item in Subgroup 2 of Group O1.

(8)   An item in Schedule 1 applies to a service performed by the patient’s usual medical practitioner.

(9)   Subsection 8(8) does not apply to a service provided to:

(a)  a person who is under the age of 12 months; or

(b) a person who is experiencing homelessness; or

(c) a person who is in a COVID-19 impacted area; or

(d) a person who receives the service from a medical practitioner located at an Aboriginal Medical Service or an Aboriginal Community Controlled Health Service.

(10) Subsection 8(8) does not apply to an item listed in subgroup 29 or 30.

(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; or

(c)    is a participant in the Approved Medical Deputising Service program if:

(i)    the Approved Medical Deputising Service provider has a formal agreement in place with a medical practice to provide after-hours services to its patients; and

(ii)  the medical practice has provided, or arranged, at least one service to the patient in the past 12 months; or

(d)   is a general practitioner employed by an Approved Medical Deputising Service provider, if:

(i)    the Approved Medical Deputising Service provider has a formal agreement in place with a medical practice to provide after-hours services to its patients; and

(ii)  the medical practice has provided, or arranged, at least one service to the patient in the past 12 months; or

(e)    is a medical practitioner employed by an accredited Medical Deputising Service, if:

(i)    the accredited Medical Deputising Service has a formal agreement in place with a medical practice to provide after-hours services to its patients; and

(ii)  the medical practice has provided, or arranged, at least one service to the patient 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.

Schedule 1 – GP and medical practitioners services

Division 1.1 – Services and fees – COVID-19 medical practitioner attendances via telehealth and phone

1.1.1  Application of COVID-19 medical practitioner telehealth and phone services - general

(1)  For items 91794, 91799, 91806, 91807, 91808, 91815, 91816 and 91817, eligible area has the meaning given by section 4 of the Other Medical Practitioner Determination.

(2)  Clause2.20.7(2)(a) of the general medical services table shall have effect as if items 91818, 91819, 91842 and 91843 were also specified in subparagraph 2.20.7(2)(a)(i).

1.1.2  Application of items in Subgroups 3 and 10 of Group A40 - COVID-19 Focussed Psychological Strategies services

(1)  An item in Subgroup 3 or 10 of Group A40 only applies to a service which:

(a)   is clinically indicated under a GP mental health treatment plan or a psychiatrist assessment and management plan; and

(b)             is provided by a medical practitioner who meets any training and skills requirements, as determined by the General Practice Mental Health Standards Collaboration, for providing services to which Subgroup 2 of Group A20 of the general medical services table or items 283, 285, 286, 287, 371 and 372 of the Other Medical Practitioner Determination applies .

1.1.3  Application of items in Subgroup 11 and 12 of Group A40

(1)  A health assessment (the current assessment) may be performed under an item in Subgroup 11 or 12 of Group A40 for a patient who:

(a)  has not been provided a health assessment under item 715 of the general medical services table or item 228 of the Other Medical Practitioner Determination within 9 months of the current assessment; and

(b)  has not been provided a health assessment under an item in Subgroup 11 or 12 of Group A40 within 9 months of the current assessment; and

(c)  identifies as being of Aboriginal or Torres Strait Islander descent.

(2)  A health assessment mentioned in an item in Subgroup 11 or 12 of Group A40 must not include a health screening service.

(3)  A separate consultation must not be performed in conjunction with a health assessment, unless clinically necessary.

(4)  A health assessment must be performed by the patient’s usual practitioner, if reasonably practicable.

(5)  Practice nurses, Aboriginal health workers and Aboriginal and Torres Strait Islander health practitioners may assist practitioners in performing a health assessment, in accordance with accepted medical practice, and under the supervision of the practitioner.

(6)  For the purposes of subclause (5), assistance may include activities associated with:

(a)  information collection; and

(b)  at the direction of the practitioner—provision to patients of information on recommended interventions.

(7)  In this clause:

health screening service has the same meaning as in subsection 19(5) of the Act.

practitioner means a general practitioner or a medical practitioner.

1.1.3A  Application of items 92026, 92027, 92057, 92058, 92070, 92071, 92101 and 92102

(1)  Items 92026, 92027, 92057, 92058, 92070, 92071, 92101 and 92102 only apply if:

(a)  the practitioner has the capacity to provide the full service by telephone or video conference, as appropriate, safely and in accordance with professional standards;

(b)  is satisfied that it is clinically appropriate to provide the service;

(c)  for items 92070, 92071, 92101 and 92102 - maintains an audio link with the person to whom advice is being given; and

(d)  for items 92026, 92027, 92057 and 92058 - maintains a video and audio link with the person to whom advice is being given and is satisfied that the software and hardware used to deliver the service meets the applicable laws for security and privacy. 

1.1.4  Application of items 92024 to 92028 and 92068 to 92072

(1)  Items 92024 and 92068 apply only to a service for a patient who suffers from at least one medical condition that has been (or is likely to be) present for at least 6 months or is terminal.

(2)  Items 92025 to 92028 and 92069 to 92072 apply only to a service for a patient who suffers from at least one medical condition that:

(a)  has been (or is likely to be) present for at least 6 months or is terminal; and

(b)  requires ongoing care from at least 3 persons who provide treatment or a service to the patient but who are not family carers of the patient, each of whom provides a different kind of treatment or service to the patient, and at least one of whom is a medical practitioner.

1.1.5  Application of items in relation to items 92024, 92025, 92028, 92068, 92069 and 92072

(1)  The following items do not apply to a service mentioned in the item that is provided by a general practitioner or medical practitioner, if the service is provided on the same day for the same patient for whom the practitioner provides a service mentioned in item 92024, 92025, 92028, 92068, 92069 and 92072:

(a)  any items specified in paragraphs 2.16.11(a), (b), (c), and (d) of the general medical services table;

(b)  any items in Division 1.2 or Division 1.10 of the Other Medical Practitioner Determination; and

(c)  items 91790, 91800, 91801, 91802, 91795, 91809, 91810, 91811, 91792, 91803, 91804, 91805, 91797, 91812, 91813, 91814, 91794, 91806, 91807, 91808, 91799, 91815, 91816, 91817, 92210, 92216, 92211 and 92217.

  1. .1.6  Limitation on items 92024 to 92028 and 92068 to 92072

(1)  This clause applies to the performances of services for a patient for whom exceptional circumstances do not exist.

(2)  Items 92024 to 92028 and 92068 to 92072 apply in the circumstances mentioned in table below.

Limitation on items 92024 to 92028 and 92068 to 92072
Item

Column 1

Item of

the table

Column 2

Circumstances
1 92024 and 92068

(a) In the 3 months before performance of the service, being a service to which item 729, 731 or 732 of the general medical services table, item 231, 232 or 233 of the Other Medical Practitioner Determination or item 92026, 92027, 92028, 92070, 92071 or 92072 (for reviewing a GP management plan) applies but had not been performed for the patient; and

(b) the service is not performed more than once in a 12 month period; and

(c) the service is not performed by a general practitioner:

(i) who is a recognised specialist in palliative medicine; and

(ii) who is treating a palliative patient that has been referred to the general practitioner; and

(iii) to which an item in Subgroup 3 or 4 of Group A24 applies because of the treatment of the palliative patient by the general practitioner
2 92025 and 92069

(a) In the 3 months before performance of the service, being a service to which item 732 of the general medical services table, item 233 of the Other Medical Practitioner Determination or item 92028 or 92072 (for coordinating a review of team care arrangements, a multi‑disciplinary community care plan or a multi‑disciplinary discharge care plan) applies but had not been performed for the patient; and

(b) the service is performed not more than once in a 12 month period; and

(c) the service is not performed by a general practitioner:

(i) who is a recognised specialist in palliative medicine; and

(ii) who is treating a palliative patient that has been referred to the general practitioner; and

(iii) to which an item in Subgroup 3 or 4 of Group A24 applies because of the treatment of the palliative patient by the general practitioner
3 92026 and 92070

(a) either:

(i) in the 3 months before performance of the service, being a service to which item 731 or 732 of the general medical services table, item 232 or 233 of the Other Medical Practitioner Determination or item 92027, 92028, 92071 or 92072 applies but had not been performed for the patient; or

(ii) in the 12 months before performance of the service, being a service that has not been performed for the patient:

(A) by the general practitioner who performs the service to which item 729 of the general medical services table, or item 92026 or 92070 would, but for this item, apply; and

(B) for which a payment has been made under item 721 or 723 of the general medical services table or 92024, 92025, 92068, 92069; and

(b) the service is performed not more than once in a 3 month period
4 92027 and 92071

(a) In the 3 months before performance of the service, being a service to which item 721, 723, 729 or 732 of the general medical services table, or item 229, 230, 231 or 233 of the Other Medical Practitioner Determination or item 92024, 92025, 92026, 92028, 92056, 92057, 92068, 92069, 92070, 92072, 92100 or 92101 applies but had not been performed for the patient; and

(b) the service is performed not more than once in a 3 month period
5 92028 and 92072

Each service may be performed:

(a) once in a 3 month period; and

(b) on the same day; but

(c) may not be performed by a general practitioner:

(i) who is a recognised specialist in palliative medicine; and

(ii) who is treating a palliative patient that has been referred to the general practitioner; and

(iii) to which an item in Subgroup 3 or 4 of Group A24 applies because of the treatment of the palliative patient by the general practitioner

(3) In this clause exceptional circumstances, for a patient, means there has been a significant change in the patient’s clinical condition or care circumstances that necessitates the performance of the service for the patient.

1.1.7    Meaning of item descriptors for items 92055 to 92059 and 92099 to 92103

(1)  For items 92055 to 92059 and 92099 to 92103, the following terms have the same meaning as in Division 2.16 of the general medical services table as if the reference to a general practitioner were a reference to a medical practitioner:

(a)  preparation of a GP management plan;

(b)  coordinate the development of team care arrangements;

(c)  multidisciplinary care plan;

(d)  contribute to a multidisciplinary care plan;

(e)  coordinating a review of team care arrangements; and

(f)  reviewing a GP management plan.

(2)  For items 92059 and 92103 associated medical practitioner means a medical practitioner who, if not engaged in the same general practice as the medical practitioner mentioned in the item, performs the service mentioned in the item at the request of the patient (or the patient’s guardian).

1.1.8    Application of items 92055 to 92059 and 92099 to 92103

(1)  Items 92055, 92056, 92059, 92099, 92100 and 92103 do not apply to a service mentioned in those items that is provided by a medical practitioner, if the service is provided on the same day for the same patient for whom the practitioner provides a service mentioned in the following items:

(a)     any items specified in paragraphs 2.16.11(a), (b), (c), and (d) of the general medical services table;

(b)     any items in Division 1.2 or Division 1.10 of the Other Medical Practitioner Determination; and

(c)     items 91790, 91800, 91801, 91802, 91795, 91809, 91810, 91811, 91792, 91803, 91804, 91805, 91797, 91812, 91813, 91814, 91794, 91806, 91807, 91808, 91799, 91815, 91816, 91817, 92210, 92216, 92211 and 92217.

(2)  Items 92055 and 92099 apply only to a service for a patient who suffers from at least one medical condition that has been (or is likely to be) present for at least 6 months or is terminal.

(3)  Items 92056 to 92059 and 92100 to 92103 apply only to a service for a patient who suffers from at least one medical condition that:

(a)     has been (or is likely to be) present for at least 6 months or is terminal; and

(b)     requires ongoing care from at least 3 persons who provide treatment or a service to the patient but who are not family carers of the patient, each of whom provides a different kind of treatment or service to the patient, and at least one of whom is a medical practitioner.       

1.1.9    Limitation on 92055 to 92059 and 92099 to 92103

(1)  This clause applies to the performances of services for a patient for whom exceptional circumstances do not exist.

(2)  Items 92055 to 92059 and 92099 to 92103 apply in the circumstances mentioned in table below.

(3)  In this clause, exceptional circumstances, for a patient, means there has been a significant change in the patient’s clinical condition or care circumstances that necessitates the performance of the service for the patient.

Limitation on items 92055 to 92059 and 92099 to 92103
Item Column 1
Item of
the table 		Column 2
Circumstances
1 92055 and 92099

(a)     In the 3 months before performance of the service, being a service to which item 729, 731 or 732 of the general medical services table, item  231, 232 or 233 of the Other Medical Practitioner Determination or item 92026, 92027, 92028, 92057, 92058, 92059, 92070, 92071, 92072, 92101, 92102 or 92103 applies (for reviewing a GP management plan) but had not been performed for the patient; and

(b) a service to which item 721 of the general medical services table or 229 of the Other Medical Practitioner Determination or items 92024, 92055, 92068 or 92099 applies has not been performed in the past 12 months; and

(c) the service is not performed more than once in a 12 month period; and

(d) the service is not performed by a person:

(i) who is a recognised specialist in palliative medicine; and

(ii) who is treating a palliative patient that has been referred to the medical practitioner; and

(iii) to which an item in Subgroup 3 or 4 of Group A24 of the Other Medical Practitioner Determination applies because of the treatment of the palliative patient by the medical practitioner
2 92056 and 92100

(a) In the 3 months before performance of the service, being a service to which item 732 of the general medical services table or item 233 of the Other Medical Practitioner Determination or item 92028, 92059, 92072 or 92103 applies (for coordinating a review of team care arrangements, a multi‑disciplinary community care plan or a multi‑disciplinary discharge care plan)  but had not been performed for the patient; and

(b) a service to which item 723 of the general medical services table or 230 of the Other Medical Practitioner Determination or items 92025, 92026, 92069 or 92100 applies is performed not more than once in a 12 months; and

(c) the service is performed not more than once in a 12 month period; and

(d) the service is not performed by a person:

(i) who is a recognised specialist in palliative medicine; and

(ii) who is treating a palliative patient that has been referred to the medical practitioner; and

(iii) to which an item in Subgroup 3 or 4 of Group A24 of the Other Medical Practitioner Determination applies because of the treatment of the palliative patient by the general practitioner
3 92057 and 92101

(a) either:

(i) in the 3 months before performance of the service, being a service to which item 731 or 732 of the general medical services table or item 232 or 233 of the Other Medical Practitioner Determination or item 92027, 92028, 92058, 92059, 92071, 92072, 92102 or 92103 applies but had not been performed for the patient; or

(ii) in the 12 months before performance of the service, being a service that has not been performed for the patient:

(A) by the medical practitioner who performs the service to which item 729 of the general medical services table or item 231 of the Other Medical Practitioner Determination or item 92026, 92057, 92070 or 92101 would, but for this item, apply; and

(B) for which a payment has been made under item 721 or 723 of the general medical services table or item 229 or 230 of the Other Medical Practitioner Determination or item 92024, 92025, 92055, 92066, 92068, 92069, 92099 or 92100; and

(b) a service to which item 729 of the general medical services table or 231 of the Other Medical Practitioner Determination or item 92026, 92057, 92070 or 92101 applies is performed not more than once in a 3 month period; and

(c) the service is performed not more than once in a 3 month period.
4 92058 and 92102

(a) In the 3 months before performance of the service, being a service to which item 721, 723, 729 or 732 of the general medical services table or item 229, 230, 231 or 233 of the Other Medical Practitioner Determination or item 92024, 92025, 92026, 92028, 92055, 92056, 92057, 92059, 92068, 92069, 92070, 92072, 92099, 92100, 92101, 92103 applies but had not been performed for the patient; and

(b) a service to which item 731 of the general medical services table or item 92027 or 92071 applies is performed not more than once in a 3 month period; and

(c) the service is performed not more than once in a 3 month period.
5 92059 and 92103

Each service may be performed if a service to which item 732 of the general medical services table or item 92028 or 92072 has not been claimed in the past three months;

(a) once in a 3 month period; and

(b) on the same day; but

(c) may not be performed by a person:

(i) who is a recognised specialist in palliative medicine; and

(ii) who is treating a palliative patient that has been referred to the general practitioner; and

(iii) to which an item in Subgroup 3 or 4 of Group A24 of the Other Medical Practitioner Determination applies because of the treatment of the palliative patient by the general practitioner

1.1.9A Application of items in subgroups 15 and 16 of Group A40

(1)  A service to which an item in subgroups 15 or 16 of Group A40 applies:

(a)  must not be provided by a general practitioner or medical practitioner who has a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and

(b)  may be used to address any pregnancy related issue.

(2)  An item in Subgroup 15 or 16 does not apply if a patient has already been provided, for the same pregnancy, with 3 services to which any of the following items apply:

(a)  an item in Subgroup 15 or 16; or

(b)  item 792 of the Other Medical Practitioner Determination, item 4001 of the general medical services table, item 81000, 81005 or 81010 of the Allied Health Determination or item 93026 or 93029.

1.1.10  Application of items in subgroups 17 and 18 of Group A40

(1)  In an item in Subgroup 17 or 18 of Group A40:

eligible allied health provider has the meaning given in Part 7 of the general medical service table.

risk assessment has the meaning given in clause 2.6.2 of the general medical service table.

eligible disability has the meaning given in clause 2.6.1 of the general medical services table.

(2)        A service for an item in Subgroup 17 or 18 of Group A40 must not be provided to a patient if a service under any of the following items has previously been provided to the patient:

(a)  an item in Subgroup 17 or 18 of Group A40; or

(b)  item 92434 or 92474; or

(c)  item 135, 137, 139 or 289 of the general medical services table.

1.1.11 Application of items in Subgroup 19 and 20 of Group A40

(1)  Subject to subclause (2), for an item in Subgroup 19 or 20 of Group A40:    

associated focussed psychological strategies has the meaning given in clause 2.20.1 of the general medical services table.

associated general practitioner has the meaning given in clause 2.20.5 of the general medical services table.

mental disorder has the meaning given in clause 2.20.1 of the general medical services table.

preparation of a GP mental health treatment plan has the meaning given in clause 2.20.3 of the general medical services table.

(2)  In items 92118 to 92135:

associated medical practitioner means a medical practitioner (not including a specialist or consultant physician) who, if not engaged in the same general practice as the medical practitioner mentioned in items 92118 to 92135, performs the service mentioned in the item at the request of the patient (or the patient’s guardian).

preparation of a GP mental health treatment plan has the meaning given in clause 2.20.3 of the general medical services table, as if the reference to the term “general practitioner” were a reference to the term “medical practitioner”.

review of a GP mental health treatment plan has the meaning given in clause 2.20.4 of the general medical services table, as if the reference to the term “general practitioner” were a reference to the term “medical practitioner”.

(3)  For the purpose of Subgroups 19 and 20 in Group A40, the preparation of a GP mental health treatment plan includes the preparation of a written plan by a general practitioner for the patient that includes referral and treatment options, including, subject to the applicable limitations:

(a)  psychological therapies provided to the patient by a clinical psychologist (items 91166, 91167, 91181 and 91182 and items in Group M6 of the Allied Health Determination); and

(b)  focussed psychological strategies services provided to the patient by a general practitioner mentioned in paragraph 2.20.7(1)(b) of the general medical services table to provide those services (items 2721 to 2727); and

(c)  focussed psychological strategies services provided to the patient by an allied mental health professional (items 91169 to 91176 and 91183 to 91188 and items 80100 to 80171 of the Allied Health Determination; and

(d) items 91818, 91819, 91842 and 91843.   

(4)  Items in Subgroup 19 and 20 of Group A40 apply only to a patient with a mental disorder.  

(5)  Items 92112, 92113, 92114, 92116, 92117, 92118, 92119, 92120, 92122, 92123, 92124, 92125, 92126, 92128, 92129, 92130, 92131, 92132, 92134, 92135 apply only to a patient in the community.        

(6)  Unless exceptional circumstances exist, items 92112, 92113, 92116, 92117, 92118, 92119, 92122, 92123, 92124, 92125, 92128, 92129, 92130, 92131, 92134 and 92135 cannot be claimed:

(a)  with a service to which the following items apply:

(i)  items 735 to 758 or 2713 of the general medical services table; or

(ii)  items 92115, 92121, 92127 or 92133; or

(iii)  items 235 to 240 or 279 of the Other Medical Practitioner Determination; or

(b)  more than once in a 12 month period from the provision of any of the items for a particular patient.

(7)  Items 92114, 92126, 92120 and 92132 apply only if one of the following services has been provided to the patient:

(a)  the preparation of a GP mental health treatment plan under:

(i)  items 2700, 2701, 2715 or 2717 of the general medical services table; or

(ii)  items 272, 276, 281, 282 of the Other Medical Practitioner Determination; or

(iii)  items 92112, 92113, 92116, 92117, 92124, 92125, 92128, 92129, 92118, 92119, 92122, 92123, 92130, 92131, 92134 or 92135; or

(b)  a psychiatrist assessment and management plan.

(8)  Items 92114, 92126, 92120 and 92132 do not apply:

(a)  to a service to which the following items apply:

(i)  items 735 to 758 of the general medical services table; or

(ii)  items 92133 or 92121; or

(iii)  items 92115, 92127, 92121 and 92133; or

(iv) items 235 to 240 or 279 of the Other Medical Practitioners Determination.

(b)  unless exceptional circumstances exist for the provision of the service:

(i)  more than once in a 3 month period; or

(ii)  within 4 weeks following the preparation of a GP mental health treatment plan under:

   (A)       items 2700, 2701, 2715 or 2717 of the general medical          services table; or

   (B)       items 272, 276, 281 or 282 of the Other Medical Practitioner             Determination; or

   (C)       items 92112, 92113, 92116, 92117, 92124, 92125, 92128,    92129, 92118, 92119, 92122, 92123, 92130, 92131, 92134 or 92135; or

(iii)  within 3 months following the provision of a service under item 2712 of the general medical services table, item 277 of the Other Medical Practitioner Determination or items 92114, 92126, 92120 or 92132.

(9)  Items 92115, 92127, 92121 and 92133 do not apply in association with a service to which the following items apply:

(a)  items 2700, 2701, 2712, 2715, 2717 of the general medical service table; or

(b)  items 272, 276, 277, 281, 282 of the Other Medical Practitioner Determination; or

(c)  items 92112, 92113, 92114, 92116, 92117, 92124, 92125, 92126, 92128, 92129, 92130, 92131, 92132, 92134, 92135, 92118, 92119, 92120, 92122 or 92123.

(10) Items 92116, 92117, 92128, 92129, 92122, 92123, 92134, 92135, 92148, 92149, 92152, 92153, 92156, 92157, 92160 and 92161 apply only if the general practitioner or medical practitioner providing the service has successfully completed mental health skills training accredited by the General Practice Mental Health Standards Collaboration.

Note:          The General Practice Mental Health Standards Collaboration operates under the auspices of the Royal Australian College of General Practitioners.

(11) In this clause:

exceptional circumstances means a significant change in:

(a)  the patient’s clinical condition; or

(b)  the patient’s care circumstances.

1.1.12 Application of items in Subgroups 29 and 30 of Group A40

(1)  In an item in Subgroups 29 and 30 of Group A40:

patient’s medical condition requires urgent assessment has the meaning given in subclause 2.14.1(1) of the general medical services table.

responsible person, for a patient:

(a) includes a spouse, parent, carer or guardian of the patient; but

(b) does not include:

(i) the attending medical practitioner; or

(ii) an employee of the attending medical practitioner; or

(iii) a person contracted by, or an employee or member of, the general practice of which the attending medical practitioner is a contractor, employee or member; or

(iv) a call centre; or

(v) a reception service.

(2)  Items in Subgroups 29 and 30 apply to a service only if the practitioner keeps a record of the assessment of the patient.

1.1.13 Limitations on eating disorder services

(1)  Items in Subgroups 21, 22, 25 and 26 of Group A40 do not apply if performed in association with a service to which items 279 of the Other Medical Practitioner Determination, 2713 of the general medical services table or items 92115, 92121, 92127 or 92133 applies.

(2)  For any particular patient, items in Subgroup 1 and 2 of Schedule 1 to the Eating Disorder Services Determination and items in Subgroup 21 to 24 of Group A40 are applicable not more than once (in total for all items) in a 12 month period from the provision of any of the items.

1.1.14 Application of items in Subgroups 21 and 22 of Group A40

(1)  For any particular patient:

(a)  items in Subgroups 21 and 22 of Group A40 do not apply in association with a service to which items 735 to 758 of the general medical services table apply; and

(b)  items in Subgroups 21 and 22 of Group A40 do not apply in association with a service to which items 235 to 244 of the Other Medical Practitioner Determination apply.

1.1.15 Application of items in Subgroups 23 and 24 of Group A40

(1)  Items 92163 and 92167 do not apply if performed in association with a service to which items 110, 116, 119, 132 or 133 of the general medical services table or items 91824, 91825, 91826, 91834, 91835, 91836, 92422, 92423, 92431 or 92432 applies.

1.1.16 Application of items in Subgroups 25 and 26 of Group A40

(1)  In items 92170, 92171, 92176 and 92177:

associated medical practitioner working in general practice means a medical practitioner (not including a specialist or consultant physician) who, if not engaged in the same general practice as the medical practitioner mentioned in that item, performs the service mentioned in the item at the request of the patient (or the patient’s guardian).

1.1.17 Application of items in Subgroups 27 and 28 of Group A40

(1)  For an item in Subgroup 27 or 28 of Group A40, an eating disorder psychological treatment service must involve the provision of any of the following mental health care management strategies:

(a)  family based treatment (including whole family, parent based therapy, parent only or separated therapy)

(b)  adolescent focused therapy;

(c)  cognitive behavioural therapy;

(d)  cognitive behavioural therapy‑anorexia nervosa;

(e)  cognitive behavioural therapy for bulimia nervosa and binge‑eating disorder;

(f)  specialist supportive clinical management;

(g)  maudsley model of anorexia treatment in adults;

(h)  interpersonal therapy for bulimia nervosa and binge‑eating disorder;

(i)  dialectical behavioural therapy for bulimia nervosa and binge‑eating disorder;

(j)  focal psychodynamic therapy.

(2)  An item in Subgroup 27 or 28 of Group A40 applies to a service which is provided by a medical practitioner:

(a)  whose name is entered in the register maintained by the Chief Executive Medicare under section 33 of the Human Services (Medicare) Regulations 2017; and

(b)  who is identified in the register as a medical practitioner who can provide services to which Subgroup 2 of Group A20 of the general medical services table applies, items 283, 285, 286, 287, 371 and 372 of the Other Medical Practitioner Determination or items 91820, 91821, 91844 and 91845 applies; and

(c)  who meets any training and skills requirements, as determined by the General Practice Mental Health Standards Collaboration for providing services to which Subgroup 2 of Group A20 of the general medical services table applies or items 283, 285, 286, 287, 371 and 372 of the Other Medical Practitioner Determination or items 91820, 91821, 91844 and 91845 applies.

(3)  An item in Subgroup 27 or 28 of Group A40 does not apply to:

(a)  a service which:

(i)  is provided to a patient who, in a 12 month period from the provision of an eating disorder treatment and management plan, has already been provided with 10 eating disorder psychological treatment services; and

(ii)  is provided before a medical practitioner has conducted a patient review (the first review) of the eating disorder treatment and management plan and recorded in the patient’s records the medical practitioner’s recommendation that the patient have additional eating disorder psychological treatment services in the same 12 month period; and

(b)  a service which:

(i)  is provided to a patient who, in a 12 month period from the provision of an eating disorder treatment and management plan, has already been provided with 20 eating disorder psychological treatment services; and

(ii)  is provided before a medical practitioner in general practice (not including a specialist or consultant physician) has conducted a patient review (the second review) of the eating disorder treatment and management plan and recorded in the patient’s records the medical practitioner in general practice’s recommendation that the patient have additional eating disorder psychological treatment services in the same 12 month period; and

(iii)  is provided before a consultant physician practising in the specialty of psychiatry or paediatrics has conducted a patient review (the third review) of the eating disorder treatment and management plan and recorded in the patient’s records the consultant physician’s recommendation that the patient have additional eating disorder psychological treatment services in the same 12 month period; and

(c)  a service which:

(i)  is provided to a patient who, in a 12 month period from the provision of an eating disorder treatment and management plan, has already been provided with 30 eating disorder psychological treatment services; and

(ii)  is provided before a medical practitioner has conducted a patient review (the fourth review) of the eating disorder treatment and management plan and recorded in the patient’s records the medical practitioner’s recommendation that the patient have additional eating disorder psychological treatment services in the same 12 month period.

(4)  For any particular patient, items in Subgroups 27 and 28 of Group A40 do not apply if the patient has had 40 eating disorder psychological treatment services in a 12 month period commencing from the provision of an eating disorder treatment and management plan.

(5)  Items in Subgroups 27 and 28 of Group A40 do not apply to a service if the patient’s eating disorder treatment and management plan has expired under subsection 7(3) of the Eating Disorders Services Determination.

Group A40 – COVID-19 services
Item Description Fee ($)
Subgroup 1 – COVID-19 general practice telehealth services

91790

 Telehealth attendance by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management. 20.85

91800

Telehealth attendance by a general practitioner lasting less than 20 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.

 45.55
91801

Telehealth attendance by a general practitioner lasting at least 20 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 preventative health care.

88.25
91802

Telehealth attendance by a general practitioner lasting at least 40 minutes 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 preventative health care.

130.00
91792 Telehealth attendance by a medical practitioner (not including a general practitioner) of not more than 5  minutes. 12.90
91803

Telehealth attendance by a medical practitioner (not including a general practitioner) of more than 5 minutes in duration but not more than 25 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
91804

Telehealth attendance by a medical practitioner (not including a general practitioner) of more than 25 minutes in duration but not more than 45 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 preventative health care.

44.70
91805

Telehealth attendance by a medical practitioner (not including a general practitioner) of at least 45 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 preventative health care.

 71.75
91794 Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of not more than 5 minutes. 16.70
91806

Telehealth attendance 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 25 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.

 36.45
91807

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 25 minutes in duration but not more than 45 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 preventative health care.

 70.60
91808

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of at least 45 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 preventative health care.

104.00

Subgroup 2 – COVID-19 general practice phone services

91795 Phone attendance by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management. 20.85
91809

Phone attendance by a general practitioner lasting less than 20 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.

 45.55
91810

Phone attendance by a general practitioner lasting at least 20 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 preventative health care.

 88.25
91811

Phone attendance by a general practitioner lasting at least 40 minutes 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 preventative health care.

 130.00
91797 Phone attendance by a medical practitioner (not including a general practitioner) of not more than 5 minutes. 12.90
91812

Phone attendance by a medical practitioner (not including a general practitioner) of more than 5 minutes in duration but not more than 25 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
91813

Phone attendance by a medical practitioner (not including a general practitioner) of at least 25 minutes in duration but not more than 45 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 preventative health care.

 44.70
91814

Phone attendance by a medical practitioner (not including a general practitioner) of at least 45 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 preventative health care.

 71.75
91799 Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of not more than 5 minutes. 16.70
91815

Phone attendance 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 25 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.

36.45
91816

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 25 minutes in duration but not more than 45 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 preventative health care.

 70.60
91817

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 45 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 preventative health care.

104.00

Subgroup 3 – COVID-19 Focussed Psychological Strategies telehealth services
91818

Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

(a)   the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and

(b)   the service lasts at least 30 minutes, but less than 40 minutes.

112.50
91819

Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

(a)   the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and

(b)   the service lasts at least 40 minutes.

 161.00
91820

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if:

(a)   the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and

(b)   the service lasts at least 30 minutes, but less than 40 minutes.

 90.00
91821

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if:

(a)   the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and

(b)   the service lasts at least 40 minutes.

128.80

Subgroup  10 – COVID-19 Focussed Psychological Strategies phone services

91842

Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

(a)   the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and

(b)   the service lasts at least 30 minutes, but less than 40 minutes.

 112.50
91843

Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

(a)   the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and

(b)   the service lasts at least 40 minutes.

161.00
91844

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if:

(a)     the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and

(b)     the service lasts at least 30 minutes, but less than 40 minutes.

90.00
91845

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if:

(a)   the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and

(b)   the service lasts at least 40 minutes.

128.80
Subgroup 11— Health Assessments for Aboriginal and Torres Strait Islander People - Telehealth Service
92004 Telehealth attendance by a general practitioner for a health assessment of a patient. 257.50
92011 Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) for a health assessment. 206.00
Subgroup 12 —Health Assessments for Aboriginal and Torres Strait Islander People - Phone Service
92016 Phone attendance by a general practitioner for a health assessment of a patient. 257.50
92023 Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) for a health assessment of a patient. 206.00
Subgroup 13 —GP management plans, team care arrangements and multidisciplinary care plans via telehealth attendance 
92024 Telehealth attendance by a general 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 of the Other Medical Practitioner Determination apply). 175.00
92025 Telehealth attendance by a general 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 of the Other Medical Practitioner Determination apply). 138.70
92026 Contribution by a general practitioner by telehealth, 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 of the Other Medical Practitioner Determination apply). 85.40
92027

Contribution by a general practitioner by telehealth 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 of the Other Medical Practitioner Determination apply).

 85.40
92028

Telehealth attendance by a general practitioner to review or coordinate a review of:

(a) a GP management plan prepared by a general practitioner (or an associated general practitioner) to which items 721 of the general medical services table, item 229 of the Other Medical Practitioner Determination, or item 92024, 92055, 92068 or 92099 applies;

(b) team care arrangements which have been coordinated by the general practitioner (or an associated general practitioner) to which item 723 of the general medical services table, item 230 of the Other Medical Practitioner Determination, or item 92025 or 92069 applies

 87.40
92055 Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), 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 in the Other Medical Practitioner Determination apply). 140.00
92056 Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), 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 of the Other Medical Practitioner Determination apply). 110.90
92057 Contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician) by telehealth 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 of the Other Medical Practitioner Determination apply). 68.35
92058

Contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician) by telehealth 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 of the Other Medical Practitioner Determination apply).

 68.35
92059

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) 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 or item 229 of the general medical services table or item 92024, 92055, 92068 or 92099 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 of the Other Medical Practitioner Determination or item 92025, 92056, 92069 or 92100 applies

 69.90
Subgroup 14 —GP management plans, team care arrangements and multidisciplinary care plans via phone attendance
92068 Phone attendance by a general 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 of the general medical services table or items 235 to 240 of the Other Medical Practitioner Determination apply). 175.00
92069 Phone attendance by a general 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 of the general medical services table or items 235 to 240 of the Other Medical Practitioner Determination apply). 138.70
92070 Contribution by a general practitioner by phone 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 of the general medical services table or items 235 to 240 of the Other Medical Practitioner Determination apply). 85.40
92071

Contribution by a general practitioner by phone, 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 of the general medical services table or items 235 to 240 of the Other Medical Practitioner Determination apply).

 85.40
92072

Phone attendance by a general practitioner to review or coordinate a review of:

(a) a GP management plan prepared by a general practitioner (or an associated general practitioner) to which items 721 of the general medical services table, item 229 of the Other Medical Practitioner Determination, or item 92024, 92055, 92068 or 92099 applies;

(b) team care arrangements which have been coordinated by the general practitioner (or an associated general practitioner) to which item 723 of the general medical services table, item 230 of the Other Medical Practitioner Determination, or item 92025, 92056, 92069 or 92100 applies

 87.40
92099 Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), 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 in the Other Medical Practitioner Determination apply). 140.00
92100 Attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) by phone 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 in the Other Medical Practitioner Determination apply). 110.90
92101 Contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician) by phone, 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 in the Other Medical Practitioner Determination apply). 68.35
92102

Contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician) by phone 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 in the Other Medical Practitioner Determination apply).

 68.35
92103

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) 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 or item 229 of the general medical services table or item 92024, 92055, 92068 or 92099 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 of the Other Medical Practitioner Determination or item 92025, 92056, 92069 or 92100 applies

 69.90
Subgroup 15 - GP Pregnancy Support Counselling - Telehealth Service
92136

Telehealth attendance of at least 20 minutes in duration by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non‑directive pregnancy support counselling to a person who:

(a) is currently pregnant; or

(b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001 of the general medical services table, or item 792 of the Other Medical Practitioner Determination, or item 81000, 81005 or 81010 of the Allied Health Determination, or item 92137, 92138, 92139, 93026 or 93029 applies in relation to that pregnancy

 92.90
92137

Telehealth attendance of at least 20 minutes in duration by a medical practitioner (not including a general practitioner, specialist or consultant physician) who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non‑directive pregnancy support counselling to a person who:

(a) is currently pregnant; or

(b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001 of the general medical services table, or item 792 of the Other Medical Practitioner Determination, or item 81000, 81005 or 81010 of the Allied Health Determination, or item 92136, 92138, 92139, 93026 or 93029 applies in relation to that pregnancy

 74.35
Subgroup 16 - GP Pregnancy Support Counselling - Phone Service
92138

Phone attendance of at least 20 minutes in duration by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non‑directive pregnancy support counselling to a person who:

(a) is currently pregnant; or

(b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001 of the general medical services table, or item 792 of the Other Medical Practitioner Determination, or item 81000, 81005 or 81010 of the Allied Health Determination, or item 92136, 92137, 92139, 93026 or 93029 applies in relation to that pregnancy

 92.90
92139

Phone attendance of at least 20 minutes in duration by a medical practitioner (not including a general practitioner, specialist or consultant physician) who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non‑directive pregnancy support counselling to a person who:

(a) is currently pregnant; or

(b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001 of the general medical services table, or item 792 of the Other Medical Practitioner Determination, or item 81000, 81005 or 81010 of the Allied Health Determination or item 92136, 92137, 92138, 93026 or 93029 applies in relation to that pregnancy

 74.35
Subgroup 17 - GP, Specialist and Consultant Physician Autism Service - Telehealth Service
92142

Telehealth attendance of at least 45 minutes in duration by a general practitioner for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the general practitioner does all of the following:

(a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider);

(b) develops a treatment and management plan, which must include the following:

(i) an assessment and diagnosis of the patient’s condition;

(ii) a risk assessment;

(iii) treatment options and decisions;

(iv) if necessary—medication recommendations;

(c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient.

 163.15
Subgroup 18 - GP, Specialist and Consultant Physician Autism Service - Phone Service
92145

Phone attendance of at least 45 minutes in duration by a general practitioner for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the general practitioner does all of the following:

(a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider);

(b) develops a treatment and management plan, which must include the following:

(i) an assessment and diagnosis of the patient’s condition;

(ii) a risk assessment;

(iii) treatment options and decisions;

(iv) if necessary—medication recommendations;

(c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient.

 163.15
Subgroup 19— GP Mental Health Treatment Plan - Telehealth Service
92112 Telehealth attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), 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. 87.00
92113 Telehealth attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. 128.05
92114 Telehealth attendance by a general practitioner to review a GP mental health treatment plan which the general practitioner, or an associated general practitioner has prepared, or to review a psychiatrist assessment and management plan. 87.00
92115 Telehealth attendance by a general 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. 87.00
92116 Telehealth attendance, by a general 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. 110.45
92117 Telehealth attendance, by a general 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. 162.70
92118 Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), 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. 69.55
92119 Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician),  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. 102.45
92120 Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) 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. 69.55
92121 Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) 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. 69.55
92122 Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), 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. 88.35
92123 Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), 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. 130.15
Subgroup 20 — GP Mental Health Treatment Plan - Phone Service
92124 Phone attendance, by a general 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. 87.00
92125 Phone attendance, by a general 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. 128.05
92126 Phone attendance by a general practitioner to review a GP mental health treatment plan which the general practitioner, or an associated general practitioner has prepared, or to review a psychiatrist assessment and management plan. 87.00
92127 Phone attendance by a general 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. 87.00
92128 Phone attendance, by a general 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. 110.45
92129 Phone attendance, by a general 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. 162.70
92130 Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), 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. 69.55
92131 Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), 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. 102.45
92132 Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) 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. 69.55
92133 Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) 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. 69.55
92134 Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), 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. 88.35
92135 Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), 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. 130.15
Subgroup 21— GP Eating Disorder Treatment and Management Plan – Telehealth Service
92146

Telehealth attendance by a general 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 written eating disorder treatment and management plan for an eligible patient, if:

(a)   the plan includes an opinion on diagnosis of the patient’s eating disorder; and

(b)   the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and

(c)   the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and

(d)   the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

 87.00

92147

Telehealth attendance by a general practitioner who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

(a)   the plan includes an opinion on diagnosis of the patient’s eating disorder; and

(b)   the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and

(c)   the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and

(d)   the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

 128.05
92148

Telehealth attendance by a general 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 written eating disorder treatment and management plan for an eligible patient, if:

(a)   the plan includes an opinion on diagnosis of the patient’s eating disorder; and

(b)   the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and

(c)   the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and

(d)   the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

 110.45
92149

Telehealth attendance by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

(a)   the plan includes an opinion on diagnosis of the patient’s eating disorder; and

(b)   the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and

(c)   the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and

(d)   the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

 162.70
92150

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) 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 written eating disorder treatment and management plan for an eligible patient, if:

(a)   the plan includes an opinion on diagnosis of the patient’s eating disorder; and

(b)   the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and

(c)   the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and

(d)   the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

 69.55
92151   

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

(a)   the plan includes an opinion on diagnosis of the patient’s eating disorder; and

(b)   the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and

(c)   the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and

(d)   the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

 102.45
92152

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

(a)   the plan includes an opinion on diagnosis of the patient’s eating disorder; and

(b)   the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and

(c)   the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and

(d)   the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

 88.35
92153

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

(a)   the plan includes an opinion on diagnosis of the patient’s eating disorder; and

(b)   the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and

(c)   the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and

(d)   the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

 130.15
Subgroup 22—GP Eating Disorder Treatment and Management Plans - Phone Service
92154

Phone attendance by a general 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 written eating disorder treatment and management plan for an eligible patient, if:

(a)   the plan includes an opinion on diagnosis of the patient’s eating disorder; and

(b)   the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and

(c)   the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and

(d)   the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

 87.00

92155

Phone attendance by a general practitioner who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

(a)   the plan includes an opinion on diagnosis of the patient’s eating disorder; and

(b)   the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and

(c)   the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and

(d)   the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder

 128.05
92156

Phone attendance by a general 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 written eating disorder treatment and management plan for an eligible patient, if:

(a)   the plan includes an opinion on diagnosis of the patient’s eating disorder; and

(b)   the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and

(c)   the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and

(d)   the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

 110.45
92157

Phone attendance by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

(a)   the plan includes an opinion on diagnosis of the patient’s eating disorder; and

(b)   the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and

(c)   the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and

(d)   the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

 162.70
92158

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) 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 written eating disorder treatment and management plan for an eligible patient, if:

(a)   the plan includes an opinion on diagnosis of the patient’s eating disorder; and

(b)   the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and

(c)   the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and

(d)   the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

 69.55
92159   

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

(a)   the plan includes an opinion on diagnosis of the patient’s eating disorder; and

(b)   the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and

(c)   the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and

(d)   the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

 102.45
92160

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

(a)   the plan includes an opinion on diagnosis of the patient’s eating disorder; and

(b)   the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and

(c)   the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and

(d)   the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

 88.35
92161

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if:

(a)   the plan includes an opinion on diagnosis of the patient’s eating disorder; and

(b)   the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and

(c)   the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and

(d)   the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

 130.15
Subgroup 25— Review of an Eating Disorder Plan - Telehealth Service
92170

Telehealth attendance by a general practitioner to review an eligible patient’s eating disorder treatment and management plan prepared by the general practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if:

(a)   the general practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and

(b)   modifications are made to the eating disorder treatment and management plan, recorded in writing, including:

(i)    recommendations to continue with treatment options detailed in the plan; or

(ii)   recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and

(c)  initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and

(d)   the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

 87.00
92171

Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) to review an eligible patient’s eating disorder treatment and management plan prepared by the medical practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if:

(a)   the medical practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and

(b)   modifications are made to the eating disorder treatment and management plan, recorded in writing, including:

(i)    recommendations to continue with treatment options detailed in the plan; or

(ii)   recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and

(c)  initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and

(d)   the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

 69.55
Subgroup 26—Review of an Eating Disorder Plan – Phone Service
92176

Phone attendance by a general practitioner to review an eligible patient’s eating disorder treatment and management plan prepared by the general practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if:

(a)   the general practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and

(b)   modifications are made to the eating disorder treatment and management plan, recorded in writing, including:

(i)    recommendations to continue with treatment options detailed in the plan; or

(ii)   recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and

(c)  initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and

(e)   the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

 87.00
92177

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) to review an eligible patient’s eating disorder treatment and management plan prepared by the medical practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if:

(a)   the medical practitioner reviews the treatment efficacy of services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and

(b)   modifications are made to the eating disorder treatment and management plan, recorded in writing, including:

(i)    recommendations to continue with treatment options detailed in the plan; or

(ii)   recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and

(c)  initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and

(e)   the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees):

(i) a copy of the plan; and

(ii) suitable education about the eating disorder.

 69.55
Subgroup 27— GP - Eating Disorder Focussed Psychological Strategies – Telehealth Service
92182 Telehealth attendance by a general practitioner, for providing eating disorder psychological treatment services by a general 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 in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. 112.50
92184 Telehealth attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. 161.00
92186 Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services 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 in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. 90.00
92188 Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services 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 in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. 128.80
Subgroup 28— GP - Eating Disorder Focussed Psychological Strategies – Phone Service
92194 Phone attendance by a general practitioner, for providing eating disorder psychological treatment services by a general 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 in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. 112.50
92196 Phone attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. 161.00
92198 Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services 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 in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. 90.00
92200 Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services 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 in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. 128.80
Subgroup 29 - GP and Other Medical Practitioner - Urgent After Hours Service in Unsociable Hours - Telehealth Service
92210

Telehealth attendance by a general practitioner on not more than one patient on one occasion—each attendance in unsociable hours if:

(a) the attendance is requested by the patient or a responsible person in the same unbroken after‑hours period; and

(b) the patient’s medical condition requires urgent assessment.

 185.60
92211

Telehealth attendance by a medical practitioner (other than a general practitioner) on not more than one patient on one occasion—each attendance in unsociable hours if:

(a) the attendance is requested by the patient or a responsible person in the same unbroken after‑hours period; and

(b) the patient’s medical condition requires urgent assessment.

 148.35
Subgroup 30 - GP and Other Medical Practitioner - Urgent After Hours Service in Unsociable Hours - Phone Service
92216

Phone attendance by a general practitioner on not more than one patient on one occasion—each attendance in unsociable hours if:

(a) the attendance is requested by the patient or a responsible person in the same unbroken after‑hours period; and

(b) the patient’s medical condition requires urgent assessment.

 185.60
92217

Phone attendance by a medical practitioner (other than a general practitioner) on not more than one patient on one occasion—each attendance in unsociable hours if:

(a) the attendance is requested by the patient or a responsible person in the same unbroken after‑hours period; and

(b) the patient’s medical condition requires urgent assessment.

 148.35

Schedule 4 – Nurse practitioner, midwife Aboriginal and Torres Strait Islander health practitioner and dental practitioner services

Division 4.1 - Services and fees – COVID-19 nurse practitioner telehealth and phone services

4.1.1  Application of items in Subgroups 11, 12, 25 and 26 of Group M18

(1)  In items 93201, 93203, 93284, and 93286:

GP management plan means a plan under:

(a)  item 721 or 732 of the general medical services table (for coordination of a review of a GP management plan under item 721); or

(b)  item 229 or 233 of the Other Medical Practitioner Determination (for coordination of a review of a GP management plan under item 229); or

(c)  item 92024, 92028, 92055, 92059, 92068, 92072, 92099 or 92103 (for coordination of a review of a GP management plan under item 92024,  92055, 92068 or 92099);

multidisciplinary care plan means a plan under:

(a)  item 729 or 731 of the general medical services table; or

(b)  item 231 or 232 of the Other Medical Practitioner Determination; or

(c)  item 92026, 92027, 92057, 92058, 92070, 92071, 92101 or 92102;

person with a chronic disease means a person who has a care plan under:

(a)  item 721, 723, 729, 731 or 732 of the general medical services table; or

(b)  item 229, 230, 231, 232 or 233 of the Other Medical Practitioner Determination; or

(c)  item 92024 to 92028, 92055 to 92059, 92068 to 92072 or 92099 to 92103.

(2)  A person cannot receive a service under item 93200 or 93202 if, in the same calendar year, the person has received 10 services to which any of the following items apply:

(a)  item 10987 of the general medical services table; or

(b)  item 93200 or 93202.

(3)  A person cannot receive a service under item 93201 or 93203 if, in the same calendar year, the person has received 5 services to which any of the following items apply:

(a)  item 10997 of the general medical services table; or

(b)  item 93201 or 93203.

Group M18— COVID-19 allied health telehealth services  
Item Description Fee ($)
Subgroup 5 – COVID-19 nurse practitioner telehealth services
91192 Telehealth attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management. 9.90
91178

Telehealth attendance by a participating nurse practitioner lasting less than 20 minutes if  the attendance includes any of the following that are clinically relevant:

(a)   taking a short history;

(b)   arranging any necessary investigation;

(c)   implementing a management plan;

(d)   providing appropriate preventive health care.

 21.60
91179

Telehealth attendance by a participating nurse practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant:

(a)   taking a detailed history;

(b)   arranging any necessary investigation;

(c)   implementing a management plan;

(d)   providing appropriate preventive health care.

 41.00
91180

Telehealth attendance by a participating nurse practitioner lasting at least 40 minutes if  the attendance includes any of the following that are clinically relevant:

(a)   taking an extensive history;

(b)   arranging any necessary investigation;

(c)   implementing a management plan;

(d)   providing appropriate preventive health care.

 60.40
Subgroup 10 – COVID-19 nurse practitioner phone services
91193 Phone attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management. 9.90
91189

Phone attendance by a participating nurse practitioner lasting less than 20 minutes if the attendance includes any of the following that are clinically relevant:

(a)   taking a short history;

(b)   arranging any necessary investigation;

(c)   implementing a management plan;

(d)   providing appropriate preventive health care.

 21.60
91190

Phone attendance by a participating nurse practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant:

(a)   taking a detailed history;

(b)   arranging any necessary investigation;

(c)   implementing a management plan;

(d)   providing appropriate preventive health care.

 41.00
91191

Phone attendance by a participating nurse practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant:

(a)   taking an extensive history;

(b)   arranging any necessary investigation;

(c)   implementing a management plan;

(d)   providing appropriate preventive health care.

 60.40
Subgroup 23—Follow up service provided by a practice nurse or Aboriginal and Torres Strait Islander health practitioner – Telehealth Services

93200

Follow‑up telehealth attendance provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner, on behalf of a medical practitioner, for an Indigenous person who has received a health check if:

(a) the service is provided on behalf of and under the supervision of a medical practitioner; and

(b) the service is consistent with the needs identified through the health assessment.

 29.10

93201

Telehealth attendance provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner to a person with a chronic disease if:

(a) the service is provided on behalf of and under the supervision of a medical practitioner; and

(b) the person has a GP management plan, team care arrangements or multidisciplinary care plan in place and the service is consistent with the plan or arrangements.

 14.55
Subgroup 24—Follow up service provided by a practice nurse or Aboriginal and Torres Strait Islander health practitioner – Phone Services

93202

Follow‑up phone attendance provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner, on behalf of a medical practitioner, for an Indigenous person who has received a health check if:

(a) the service is provided on behalf of and under the supervision of a medical practitioner; and

(b) the service is consistent with the needs identified through the health assessment.

 29.10

93203

Phone attendance provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner to a person with a chronic disease if:

(a) the service is provided on behalf of and under the supervision of a medical practitioner; and

(b) the person has a GP management plan, team care arrangements or multidisciplinary care plan in place and the service is consistent with the plan or arrangements.

 14.55

Division 4.2 - Services and fees – midwifery telehealth and phone services

Group M19 – COVID-19 midwifery telehealth and phone services
Item Description Fee ($)
Subgroup 1 – COVID-19 midwifery telehealth services
91211 Short antenatal telehealth attendance by a participating midwife, lasting up to 40 minutes. 33.30
91212 Long antenatal telehealth attendance by a participating midwife, lasting at least 40 minutes. 55.05
91214 Short postnatal telehealth attendance by a participating midwife, lasting up to 40 minutes. 55.05
91215 Long postnatal telehealth attendance by a participating midwife, lasting at least 40 minutes. 80.95
Subgroup 2 – COVID-19 midwifery phone services
91218 Short antenatal phone attendance by a participating midwife, lasting up to 40 minutes. 33.30
91219 Long antenatal phone attendance by a participating midwife, lasting at least 40 minutes. 55.05
91221 Short postnatal phone attendance by a participating midwife, lasting up to 40 minutes. 55.05
91222 Long postnatal phone attendance by a participating midwife, lasting at least 40 minutes . 80.95

Division 4.3 - Services and fees – dental practitioner services

4.3.1 – Application of dental practitioner services

Items 54001 to 54004 apply only to a service provided in the course of dental practice by a dental practitioner approved by the Minister before 1 November 2004 for the definition of professional service in subsection 3(1) of the Act.

Group O1—Consultations
Subgroup 1—dental practitioner telehealth services

Column 1

Item

Column 2

Description

Column 3

Fee ($)
54001 Telehealth attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner in the practice of oral and maxillofacial surgery, if the patient is referred to the approved dental practitioner 88.20
54002 Telehealth attendance by an approved dental practitioner in the practice of oral and maxillofacial surgery, each attendance after the first in a single course of treatment, if the patient is referred to the approved dental practitioner 44.35
Subgroup 2—dental practitioner phone services

Column 1

Item

Column 2

Description

Column 3

Fee ($)
54003 Phone attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner in the practice of oral and maxillofacial surgery, if the patient is referred to the approved dental practitioner 88.20
54004 Phone attendance by an approved dental practitioner in the practice of oral and maxillofacial surgery, each attendance after the first in a single course of treatment, if the patient is referred to the approved dental practitioner 44.35

Endnotes

Endnote 1—About the endnotes

The endnotes provide information about this compilation and the compiled law.

The following endnotes are included in every compilation:

Endnote 1—About the endnotes

Endnote 2—Abbreviation key

Endnote 3—Legislation history

Endnote 4—Amendment history

Abbreviation key—Endnote 2

The abbreviation key sets out abbreviations that may be used in the endnotes.

Legislation history and amendment history—Endnotes 3 and 4

Amending laws are annotated in the legislation history and amendment history.

The legislation history in endnote 3 provides information about each law that has amended (or will amend) the compiled law. The information includes commencement details for amending laws and details of any application, saving or transitional provisions that are not included in this compilation.

The amendment history in endnote 4 provides information about amendments at the provision (generally section or equivalent) level. It also includes information about any provision of the compiled law that has been repealed in accordance with a provision of the law.

Editorial changes

The Legislation Act 2003 authorises First Parliamentary Counsel to make editorial and presentational changes to a compiled law in preparing a compilation of the law for registration. The changes must not change the effect of the law. Editorial changes take effect from the compilation registration date.

If the compilation includes editorial changes, the endnotes include a brief outline of the changes in general terms. Full details of any changes can be obtained from the Office of Parliamentary Counsel.

Misdescribed amendments

A misdescribed amendment is an amendment that does not accurately describe the amendment to be made. If, despite the misdescription, the amendment can be given effect as intended, the amendment is incorporated into the compiled law and the abbreviation “(md)” added to the details of the amendment included in the amendment history.

If a misdescribed amendment cannot be given effect as intended, the abbreviation “(md not incorp)” is added to the details of the amendment included in the amendment history.

Endnote 2—Abbreviation key

ad = added or inserted o = order(s)
am = amended Ord = Ordinance
amdt = amendment orig = original
c = clause(s) par = paragraph(s)/subparagraph(s)
C[x] = Compilation No. x /sub‑subparagraph(s)
Ch = Chapter(s) pres = present
def = definition(s) prev = previous
Dict = Dictionary (prev…) = previously
disallowed = disallowed by Parliament Pt = Part(s)
Div = Division(s) r = regulation(s)/rule(s)
ed = editorial change reloc = relocated
exp = expires/expired or ceases/ceased to have renum = renumbered
effect rep = repealed
F = Federal Register of Legislation rs = repealed and substituted
gaz = gazette s = section(s)/subsection(s)
LA = Legislation Act 2003 Sch = Schedule(s)
LIA = Legislative Instruments Act 2003 Sdiv = Subdivision(s)
(md) = misdescribed amendment can be given SLI = Select Legislative Instrument
effect SR = Statutory Rules
(md not incorp) = misdescribed amendment Sub‑Ch = Sub‑Chapter(s)
cannot be given effect SubPt = Subpart(s)
mod = modified/modification underlining = whole or part not
No. = Number(s) commenced or to be commenced

Endnote 3—Legislation history

Name Registration Commencement Application, saving and transitional provisions
Health Insurance (Section 3C General Medical Services - COVID-19 Telehealth and Telephone Attendances) Determination 2020 29 Mar 2020 (F2020L00342) 30 Mar 2020 (s 2(1) item 1)
Health Insurance (Section 3C General Medical Services – COVID-19 Telehealth and Telephone Attendances) Amendment Determination 2020 3 Apr 2020 (F2020L00403) Sch 1: 30 Mar 2020 (s 2(1) item 2)
Sch 2: 4 Apr 2020 (s 2(1) item 3) 		—
Health Insurance (Section 3C General Medical Services – COVID-19 Telehealth and Telephone Attendances) Amendment (Bulk-billing) Determination 2020 4 Apr 2020 (F2020L00404) 6 Apr 2020 (s 2(1) item 1) —
Health Insurance (Section 3C General Medical Services – COVID-19 Telehealth and Telephone Attendances) Amendment (Expansion of Specialist Services) Determination 2020 4 Apr 2020 (F2020L00405) 6 Apr 2020 (s 2(1) item 1) —
Health Insurance (Section 3C General Medical Services – COVID-19 Telehealth and Telephone Attendances) Amendment (Bulk-billing Requirement and New Remote Attendance Services) Determination 2020 17 Apr 2020 (F2020L00442) 20 Apr 2020 (s 2(1) item 1) —
Health Insurance (Section 3C General Medical Services – GP and Allied Health COVID-19 Services) Amendment (Consequential) Determination 2020 30 Apr 2020 (F2020L00530) Sch 4: 30 Apr 2020 (s 2(1) item 1) —
Health Insurance Legislation Amendment (Consequential Change to Incorporated GMST Clauses and Eye Movement Desensitisation and Reprocessing) Determination 2020 30 Apr 2020 (F2020L00535) Sch 3: 1 May 2020 (s 2(1) item 1) —
Health Insurance (Section 3C General Medical Services - COVID-19 Telehealth and Telephone Attendances) Amendment (Further Expansion of Remote Attendance Items) Determination 2020 20 May 2020 (F2020L00593) Sch 1 (items 1–11): 22 May 2020 (s 2(1) item 1) —
Health Insurance Legislation Amendment (Indexation) Determination 2020. 17 June 2020 (F2020L00742) Sch 1 (items 1–7) : 1 July 2020 (s 2(1) item 1) —
Health Insurance (Section 3C General Medical Services – COVID-19 Telehealth and Telephone GP Attendances) Amendment (Patient’s Usual Medical Practitioner) Determination 2020 17 July 2020 (F202L00922) 20 July 2020 (s 2(1) item 1) —
Health Insurance Legislation Amendment (Extend Cessation Date of Temporary COVID-19 Items) Determination 2020 21 Sept 2020 (F2020L01190) Sch 1 (items 1, 2): 22 Sept 2020 (s 2(1) item 2)
Sch 2: 1 Oct 2020 (s 2(1) item 3) 		—

Endnote 4—Amendment history

Provision affected How affected
Part 1
s 2............................................. rep LA s 48D
s 4............................................. am F2020L01190
s 5............................................. am F2020L00403; F2020L00404; F2020L00405; F2020L00442; F2020L00530; F2020L00535
ed C5; C6
am F2020L00593; F2020L00922; F2020L01190
s 6............................................. rep LA s 48C
s 8............................................. am F2020L00403; F2020L00404; F2020L00442; F2020L00530; F2020L00593; F2020L00922; F2020L01190
Schedule 1
Division 1.1
Division 1.1 heading................. am F2020L00530
c 1.1.1....................................... am F2020L00403; F2020L00530; F2020L00535
c 1.1.3....................................... am F2020L00403
c 1.1.3A.................................... am F2020L00403
ed C1
c 1.1.4....................................... am F2020L00403
c 1.1.5....................................... am F2020L00403; F2020L00535
c 1.1.6....................................... am F2020L00403; F2020L00530
c 1.1.7....................................... am F2020L00535
c 1.1.8....................................... am F2020L00403; F2020L00535
c 1.1.9....................................... am F2020L00403; F2020L00530
ed C5
c 1.1.9A.................................... am F2020L00530
c 1.1.10..................................... am F2020L00405; F2020L00535
c 1.1.11..................................... am F2020L00403; F2020L00405; F2020L00530; F2020L00535
c 1.1.12..................................... am F2020L00403; F2020L00405; F2020L00535
c 1.1.13..................................... ad F2020L00530
c 1.1.14..................................... ad F2020L00530
c 1.1.15..................................... ad F2020L00530
c 1.1.16..................................... ad F2020L00530
c 1.1.17..................................... ad F2020L00530
Group A40 Table...................... am F2020L00403
ed C1
am F2020L00530; F2020L00593; F2020L00742
Schedule 2
Division 2.1
Division 2.1 heading................. am F2020L00530
Division 2.1.............................. am F2020L00405
c 2.1.1....................................... am F2020L00403; F2020L00405
ed C3
am F2020L00442; F2020L00530; F2020L00535
c 2.1.2....................................... ad F2020L00442
Group A40 Table...................... am F2020L00403; F2020L00405; F2020L00442; F2020L00530; F2020L00742
ed C8
Division 2.2
c 2.2.1....................................... rs F2020L00530
ed C5
am F2020L00535
ed C6
Group T4 Table........................ am F2020L00403; F2020L00442; F2020L00530; F2020L00535; F2020L00593
ed C7
am F2020L00742
ed C8
Schedule 3
Division 3.1
Division 3.1 heading................. am F2020L00530
c 3.1.1....................................... am F2020L00530
c 3.1.2....................................... am F2020L00405; F2020L00530
c 3.1.3....................................... am F2020L00405; F2020L00530
c 3.1.5....................................... am F2020L00405; F2020L00530
c 3.1.6....................................... am F2020L00530
Group M18 Table..................... am F2020L00403; F2020L00530; F2020L00593; F2020L00742
Schedule 4
Division 4.1
Schedule 4 heading................... am F2020L00442; F2020L00593
c 4.1.1....................................... am F2020L00442
rep F2020L00530
c 4.1.2....................................... ad F2020L00442
ed C4
renum F2020L00530
c 4.1.1 (prev c 4.1.2)................ am F2020L00593
Group M18 Table..................... am F2020L00442; F2020L00742
Division 4.2
c 4.2.1....................................... rep F2020L00530
Group M19 Table..................... am F2020L00742
Division 4.3
Division 4.3.............................. ad F2020L00593
c 4.3.1....................................... ad F2020L00593
Group O1 Table........................ am F2020L00742
Schedule 5................................ rep LA s 48C
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