AUSTRALIAN GOVERNMENT
DEPARTMENT OF HEALTH, DISABILITY AND AGEING
HEALTH INSURANCE ACT 1973
Health Insurance (Medicare Benefits Payable in Respect of Professional Services – Noarlunga and Smaller Medical Services in South Australia) Direction 2026
I, Nigel Murray, Assistant Secretary, MBS Policy and Specialist Programs Branch, Medical Benefits and Digital Health Division, Health Resourcing Group, delegate for the Minister for Health and Ageing, acting under subsection 19(2) of the Health Insurance Act 1973 (the Act), hereby:
- REPEAL the Health Insurance (Medicare Benefits Payable in Respect of Professional Services – Noarlunga and Smaller Medical Services in South Australia) Direction 2025; and
- DIRECT that Medicare Benefits shall be payable in respect of:
- A professional service (as defined in Section 3 of the Act) which has been agreed to be provided:
(i) between the Commonwealth (represented by the Department of Health, Disability and Ageing, ABN: 83 605 426 759) and by, or on behalf of, or under an arrangement with South Australia Health (ABN: 97 643 356 590) for which:
- items specified in Schedule A of this Direction; and of the general medical services table (means the table prescribed under subsection 4(1) of the Act), the diagnostic imaging services table (means the table prescribed under subsection 4AAof the Act) or the pathology services table (means the table prescribed under subsection 4Aof the Act) relates: and
- Where the professional service is provided to:
- an eligible person (as defined in Section 3 of the Act); and
- a patient who is not receiving the service as part of an episode of hospital treatment (as defined in section 121-5 of the Private Health Insurance Act 2007);
- a patient who also is not receiving a service which attracts a payment through Schedule L of the 2026-31 Addendum to the National Health Reform Agreement for a service rendered to a public patient; and
- The professional services referred to in paragraph (2)(a) must be provided at a practice location specified in Schedule B of this Direction.
- DECLARE that this Direction shall have effect from the date of signature until
30 June 2028 inclusive unless earlier revoked.
Dated: 1 July 2026
Nigel Murray
Assistant Secretary
Medicare Benefits and Digital Health Division
Health Resourcing Group
Department of Health, Disability and Ageing
SCHEDULE A
MEDICARE BENEFITS SCHEDULE ITEMS AS AGREED BETWEEN THE DEPARTMENT OF HEALTH, DISABILITY AND AGEING AND south australia health
For services listed in the below tables, all provisions of the Health Insurance Act 1973 (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 apply.
Group | Group Name | Subgroup | Subgroup Name |
A1 | General practitioner attendances to which no other item applies | ||
A2 | Other non-referred attendances to which no other item applies | ||
A5 | Prolonged attendances to which no other item applies | ||
A6 | Group therapy | ||
A7 | Acupuncture and non-specialist practitioner items
| ||
A11 | Urgent attendances after hours | ||
A14 | Health assessments | ||
A15 | GP chronic condition management plans, multidisciplinary care plans and case conferences | 1 | GP chronic condition management plans and multidisciplinary care plans |
2 | Case conferences | ||
A17 | Domiciliary and residential medication management reviews | ||
A20 | Mental health Care
| ||
A22 | General practitioner after-hours attendances to which no other item applies | ||
A23 | Other non-referred after-hour attendances to which no other item applies | ||
A27 | Pregnancy support counselling | ||
A29 | Attendance services for complex neurodevelopmental disorder or disability | ||
A35 | Non-referred attendance at a residential aged care facility | ||
A36 | Eating Disorders | 1 | Preparation of eating disorder treatment and management plans: general practitioners and non‑specialist medical practitioners |
3 | Review of eating disorder treatment and management plans | ||
4 | Providing treatments under eating disorder treatment and management plans | ||
A40 | Telehealth attendance services | 1 | General Practice video services |
2 | General practice phone services | ||
3 | Focussed Psychological Strategies - Video Services | ||
10 | Focussed Psychological Strategies phone services | ||
11 | Health Assessments for Aboriginal and Torres Strait Islander People - Video Services | ||
13 | GP management plans, team care arrangements and multidisciplinary care plans services – Video Services | ||
15 | GP Pregnancy Support Counselling - Video Services | ||
16 | GP Pregnancy Support Counselling - Phone Service | ||
17 | GP, specialist and consultant physician complex neurodevelopmental disorder or disability service ‑ Video Services | ||
19 | GP Mental Health Treatment Plan - Video Services | ||
|
| ||
21 | GP Eating Disorder Treatment and Management Plan – Video Services | ||
25 | Review of an Eating Disorder Plan - Video services | ||
26 | Review of an Eating Disorder Plan – Phone Service | ||
27 | Eating Disorder Psychological Treatment Services – Video Services | ||
28 | Eating Disorder Psychological Treatment Strategies – Phone Service | ||
29 | GP and Other Medical Practitioner - Urgent After Hours Service in Unsociable Hours - Video Services | ||
M1 | Management of bulk billed services | ||
M12 | Services provided by a practice nurse, an Aboriginal health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner | 1 | Video conferencing consultation support service provided by a practice nurse, an Aboriginal health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner |
3 | Services provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner | ||
D1 | Miscellaneous diagnostic procedures and investigations | 2 | Ophthalmology |
3 | Otolaryngology | ||
4 | Respiratory | ||
5 | Vascular | ||
6 | Cardiovascular | ||
8 | Genito-urinary physiological investigations | ||
9 | Allergy testing | ||
10 | Other diagnostic procedures and investigations | ||
D2 | Nuclear Medicine (non-imaging) | ||
T1 | Miscellaneous therapeutic procedures | 2 | Dialysis |
4 | Paediatric and neonatal | ||
5 | Cardiovascular | ||
8 | Haematology | ||
9 | Procedures associated with intensive care and cardiopulmonary support | ||
11 | Chemotherapeutic procedures | ||
13 | Miscellaneous therapeutic procedures | ||
T2 | Radiation oncology | 12 | Kilovoltage
|
T3 | Therapeutic nuclear medicine | ||
T4 | Obstetrics | ||
T6 | Examination by anaesthetist | ||
T7 | Regional or field nerve blocks | ||
T8 | Surgical Operations | 1 | General |
2 | Colorectal | ||
3 | Vascular | ||
4 | Gynaecological | ||
5 | Urological | ||
6 | Cardio-thoracic | ||
7 | Neurosurgical | ||
8 | Ear, nose and throat | ||
9 | Ophthalmology | ||
11 | Paediatric | ||
15 | Orthopaedic | ||
T9 | Assistance at operations | ||
T10 | Anaesthesia performed in connect with certain services (Relative Value Guide) | ||
Diagnostic Imaging Services Table
Group | Group Name | Subgroup | Subgroup Name |
I1 | Ultrasound | 6 | Musculoskeletal ultrasound |
I3
| Diagnostic Radiology
| 1 | Radiographic examination of extremities |
2 | Radiographic examination of shoulder or pelvis | ||
3 | Radiographic examination of head | ||
4 | Radiographic examination of spine | ||
5 | Bone age study and skeletal survey | ||
6 | Radiographic examination of thoracic region | ||
7 | Radiographic examination of urinary tract | ||
8 | Radiographic examination of alimentary tract and biliary system | ||
12 | Radiographic examination with opaque or contrast media | ||
I6 | Management of bulk-billed Services | ||
Pathology Services Table
Group | Group Name |
P1 | Haematology |
P2 | Chemical |
P9 | Simple Basic Pathology Tests |
P12 | Management of bulk-billed services |
SCHEDULE B
Approved Practice Locations
Approved locations:
LOCATION | PRACTICE NAME | STREET ADDRESS | MAILING ADDRESS |
Sefton Park | Sefton Park Primary Health Care Services | Shop 5, 221 Main North Road, Sefton Park, South Australia 5083 | Shop 5, 221 Main North Road, Sefton Park, South Australia 5083 |
Port Adelaide | Watto Purrunna Aboriginal Health Service | Wonggangga Turtpandi, | Wonggangga Turtpandi, |
Elizabeth | Metropolitan Youth Health (North) | 6 Gillingham Street, Elizabeth, South Australia 5112 | 6 Gillingham Street, Elizabeth, South Australia 5112 |
Angle Park | Metropolitan Youth Health (West) | 40-44 Trafford Street, Angle Park, South Australia 5010 | 40-44 Trafford Street, Angle Park, South Australia 5010 |
Christies Beach | Metropolitan Youth Health (South) | 50A Beach Road, Christies Beach, South Australia 5165 | 50A Beach Road, Christies Beach, South Australia 5165 |
Noarlunga Centre | Noarlunga Hospital | 20 Alexander Kelly Drive, Noarlunga Centre, South Australia 5168 | 20 Alexander Kelly Drive, Noarlunga Centre, South Australia 5168 |