Health Insurance (Medicare Benefits Payable in Respect of Professional Services – Queensland - Medical Services performed under the Single Employer Model Trial) Direction (No. 2) 2025 - Legislation

AUSTRALIAN GOVERNMENT

DEPARTMENT OF HEALTH, DISABILITY AND AGEING

HEALTH INSURANCE ACT 1973

Health Insurance (Medicare Benefits Payable in Respect of Professional Services – Queensland - Medical Services performed under the Single Employer Model Trial) Direction (No. 2) 2025

I, Nigel Murray, Assistant Secretary, MBS Policy and Specialist Programs Branch, Medicare 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 – Queensland - Medical Services performed under the Single Employer Model Trial) Direction 2025; and
DIRECT that Medicare Benefits shall be payable in respect of:
1. A professional service (as defined in Section 3 of the Act) which has been agreed to be provided under the Rural General Practice and Rural Generalist Single Employer Model Trial Memorandum of Understanding between the Department of Health, Disability and Ageing (ABN: 83 605 426 759) and the State of Queensland acting through Queensland Health (ABN: 66 329 169 412) in relation to the Rural General Practice and Rural Generalist Single Employer Model Trial for which:
  1. 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), diagnostic imaging services table (means the table prescribed under subsection 4AA(1) of the Act) and pathology services table (means the table prescribed under subsection 4A(1) of the Act) relates: and
2. Where the professional service is provided to:
  1. an eligible person (as defined in Section 3 of the Act); and
  2. 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); and
  3. a patient who also is not receiving a service which attracts a payment through Schedule K of the 2020-2025 Addendum to the National Health Reform Agreement for a service rendered to a public patient; and
3. The professional services referred to in paragraph (2)(a) must be provided:
  1. at a general practice (as defined in Section 7.1.1 of the general medical services table); and
  2. at a rural or remote practice location specified in Schedule B in an eligible area (as defined in the Dictionary of the of the general medical services table); and
  3. by a participating rural generalist or rural general practice trainee participating in the program mentioned in paragraph (2)(a):
    1. who is formally enrolled in a fellowship training program that meets the standards of either:
      1. the Australian College of Rural and Remote Medicine; and/or
      2. the Royal Australian College of General Practitioners; and
    2. who is employed by Queensland Health for the provision of primary and acute care services; and
DECLARE that this Direction commences on 12 January 2026 and ceases to have effect at the end of 31 December 2028 unless earlier repealed.

Note, this program covers the sixty rural generalist and rural general practice participants who are eligible to use this Direction at any one time.

Date: 17 December 2025

Nigel Murray
Assistant Secretary
MBS Policy and Specialist Programs Branch
Medicare Benefits and Digital Health Division
Health Resourcing Group
Department of Health, Disability and Ageing

SCHEDULE A

MEDICARE BENEFITS SCHEDULE (MBS) ITEMS AS AGREED under the QUEENSLAND RURAL GENERAL PRACTICE AND rural Generalist SINGLE EMPLOYER Model TRIAL

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. Medical practitioners and health services must ensure they fulfil the MBS requirements for all items.

General Medical Services Table

Standard Primary Care Services Table

For services listed in the below table, this list of items includes MBS items that are commonly claimed by doctors in primary care.

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	5	Prescribed medical practitioner health assessments
A7	Acupuncture and non‑specialist practitioner items	6	Prescribed medical practitioner chronic condition management plans, multidisciplinary care plans and case conferences.
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
A15		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‑hours 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 disorder services	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 - VideoServices
		10	Focussed Psychological Strategies phone services
		11	Health Assessments for Aboriginal and Torres Strait Islander People ‑ Video Service
		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
		37	Specialist, anaesthesia video services
		39	GP Blood Borne Viruses, Sexual or Reproductive Health Consultation – Video Services
		40	GP Blood Borne Viruses, Sexual or Reproductive Health Consultation – Phone Service
M1	Management of bulk‑billed services
M12	Services provided by a practice nurse, an Aboriginal and Torres Strait Islander 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 and Torres Strait Islander health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner
M12		3	Services provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner

Non-Standard Primary Care Services Table

For services listed in the below table, this list of items includes MBS items that are not commonly claimed by doctors in primary care.

Group	Group Name	Subgroup	Subgroup Name
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
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
		12	Amputations
		13	Plastic and reconstructive surgery
		14	Hand or wrist surgery
		15	Orthopaedic
T9	Assistance at operations
T10	Anaesthesia performed in connection 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 Modified Monash 2-7 rural and remote Practice Locations AS AGREED under the Queensland rural general practice and rural Generalist SINGLE EMPLOYER Model TRIAL

Approved primary care Modified Monash Model (MMM) 4 locations:

MMM 4 location	Practice Name	Legal Name	Street Address
Ayr	Outback Family Medicine	The Trustee for Outback Medical Care Management Trust and WIN Medical Practice	140 Mackenzie Street Ayr QLD 4807
Ayr	Ayr Medical Group	The trustee for Chippendale Street Discretionary Unit Trust	2A Chippendale Street AYR QLD 4807
Charters Towers	Clements Medical	Clements Medical Charters Towers Pty Ltd	10/17-19 Cavey Court Charters Towers QLD 4820
Charters Towers	Gold City Medical Centre	ZICO Pty Ltd	1 Gill Street Charters Towers QLD 4820
Chinchilla	Chinchilla Medical Practice	The Trustee for Chinchilla Medical Services Trust	58 Middle Street Chinchilla QLD 4413
Dalby	Ochre Health Medical Centre Dalby	Ochre Health Pty Ltd	37 North Street Dalby QLD 4405
Emerald	Emerald Medical Group	Central Highlands Healthcare Ltd	Lot 1 Pilot Farm Road Emerald QLD 4720
Gatton	The Lockyer Doctors	The trustee for Bemphy Medical Practice Trust	18 William Street Gatton QLD 4343
Goondiwindi	Goondiwindi Medical Centre	GMC Medical Services Pty Ltd	49 Bowen Street Goondiwindi QLD 4390
Home Hill	Home Hill Surgery	Sarat's Medical Group Pty Ltd	67-69 Eighth Avenue Home Hill QLD 4806
Kingaroy	Taabinga Family Practice	Taabinga Family Practice Pty Ltd	213 Haly Street Kingaroy QLD 4610
Kingaroy	South Burnett Medical Centre	The Trustee for Amarula Trust	19 Avoca Street Kingaroy QLD 4610
Kingaroy	Bunya Pines Family Practice	Dolzan, Glen Alexander	219a Haly Street Kingaroy QLD 4610
Kingaroy	Kingaroy General Practice	Kingaroy General Practice Pty Ltd	25 Markwell Street Kingaroy QLD 4610
Roma	Maranoa Medical Centre	MMC Unit Trust	27 Quintin Street Roma QLD 4455
Warwick	Condamine Medical Centre	Condamine Medical Centre (QLD) Pty Ltd	53 Wood Street Warwick QLD 4370

Approved primary care Modified Monash Model (MMM) 5 locations:

MMM 5 location	Practice Name	Legal Name	Street Address
Blackbutt	Blackbutt Medical Centre	Medical First Clinics Pty Ltd	91 Coulson St Blackbutt QLD 4314
Boonah	Boonah Medical Centre	H. Eviston (Medical) Pty. Ltd.	86 High Street Boonah QLD 4310
Clifton	Clifton Medical Practice	Clifton Co-op Hospital Ltd	20 Norman Street Clifton QLD 4361
Ingham	Hinchinbrook Health Care	The Trustee for Hinchinbrook Health Care Unit Trust	86-92 Herbert Street Ingham QLD 4850
Inglewood	Inglewood Medical Centre	Owen, Colin Edward	57 Albert St Inglewood QLD 4387
Kalbar	Kalbar Medical Centre	H. Eviston (Medical) Pty. Ltd.	99 George Street Kalbar QLD 4309
Killarney	K-Life Medical Centre	Killarney Memorial Aged Care Ltd	6 Cedar Street Killarney QLD 4373
Laidley	The Lockyer Doctors	The trustee for Bemphy Medical Practice Trust	128 Patrick Street Laidley QLD 4341
Maleny	Maleny Doctors	The Trustee for Hinterland Heath Unit Trust	7/15 Maple Street Maleny QLD 4552
Miles	Miles Medical Centre	The Trustee for Mandikiza Medical Trust	79 Marian Street Miles QLD 4415
Murgon	Murgon Family Medical Practice	G.S. McAllister Medical Pty Ltd	43 Stephens Street West Murgon QLD 4605
Nanango	Drayton Street Family Practice Pty Ltd	The trustee for WG & HJ Sawtell Family Trust	83 Drayton Street Nanango QLD 4615
Nanango	Nanango Medical Centre	South Burnett Health Services Pty Ltd	60 Fitzroy Street Nanango QLD 4615
Tara	Tara Medical Centre	Outback Health and Medical Services Pty LTD	33 Day Street Tara QLD 4421

Approved primary care Modified Monash Model (MMM) 6 locations:

MMM 6 location	Practice Name	Legal Name	Street Address
Cloncurry	Clements Medical Cloncurry	Clements Medical Cloncurry Pty Ltd	Unit 4, 27 Ramsay Street Cloncurry QLD 4824
Injune	Injune Medical Practice	South West Hospital and Health Service	Corner Fifth Avenue and Hutton Street Injune QLD 4454
Mount Isa City	Mount Isa Medical Centre	Mbaogu, Michael	71 Camooweal Street Mount Isa City QLD 4825
St George	St George Medical Centre	St George Medical Centre (QLD) Pty Ltd	116 Alfred Street St George QLD 4487
Surat	Surat Medical Practice	South West Hospital and Health Service	3 Ivan Street Surat QLD 4417

Approved primary care Modified Monash Model (MMM) 7 locations:

MMM 7 location	Practice Name	Legal Name	Street Address
Mitchell	Mitchell Medical Practice	South West Hospital and Health Service	95a Ann Street Mitchell QLD 4465

Health Insurance (Medicare Benefits Payable in Respect of Professional Services – Queensland - Medical Services performed under the Single Employer Model Trial) Direction (No. 2) 2025

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