Health Insurance (Medicare Benefits Payable in Respect of Professional Services – Tasmania - Medical Services performed under the Single Employer Model Trial) Direction (No. 2) 2024 - Legislation

AUSTRALIAN GOVERNMENT

DEPARTMENT OF HEALTH AND AGED CARE

HEALTH INSURANCE ACT 1973

Health Insurance (Medicare Benefits Payable in Respect of Professional Services – Tasmania - Medical Services performed under the Single Employer Model Trial) Direction (No. 2) 2024

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 Aged Care, 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 – Tasmania - Medical Services performed under the Single Employer Model Trial) Direction 2024; 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 and Aged Care (ABN: 83 605 426 759), the Tasmanian Health Service (ABN: 15 359 196 040) and the Tasmanian Department of Health (ABN: 11 255 872 006) in relation to the Rural General Practice and Rural Generalist Single Employer Model 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) or 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);
  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 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 training standards of either:
      1. the Australian College of Rural and Remote Medicine; and/or;
      2. the Royal Australian College of General Practitioners.
    2. who is employed by the Tasmanian Health Service for the provision of primary and acute care services; and
DECLARE that this Direction commences on 20 January 2025 and ceases to have effect at the end of 31 December 2028 unless earlier revoked.

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

Date: 18 December 2024

Nigel Murray
Assistant Secretary
MBS Policy and Specialist Programs Branch
Medicare Benefits and Digital Health Division
Health Resourcing Group
Department of Health and Aged Care

SCHEDULE A

MEDICARE BENEFITS SCHEDULE ITEMS AS AGREED under the TASMANIAN HEALTH SERVICE 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
A11	Urgent attendances after—hours
A14	Health assessments
A15	GP management plans, team care arrangements and multidisciplinary care plans and case conferences	1	GP management plans, team care arrangements 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 and phone attendance services	1	General practice telehealth services
		2	General practice phone services
		3	Focussed Psychological Strategies telehealth services
		10	Focussed Psychological Strategies phone services
		11	Health Assessments for Aboriginal and Torres Strait Islander People ‑ Telehealth Service
		13	GP management plans, team care arrangements and multidisciplinary care plans via telehealth attendance
		15	GP Pregnancy Support Counselling ‑ Telehealth Service
		16	GP Pregnancy Support Counselling ‑ Phone Service
		17	GP, specialist and consultant physician complex neurodevelopmental disorder or disability service ‑ telehealth service
		19	GP Mental Health Treatment Plan ‑ Telehealth Service
		20	GP Mental Health Treatment Plan ‑ Phone Service
		21	GP Eating Disorder Treatment and Management Plan – Telehealth Service
		25	Review of an Eating Disorder Plan ‑ Telehealth Service
		26	Review of an Eating Disorder Plan – Phone Service
		27	Eating Disorder Psychological Treatment Services – Telehealth Service
		28	Eating Disorder Psychological Treatment Strategies – Phone Service
		29	GP and Other Medical Practitioner ‑ Urgent After Hours Service in Unsociable Hours ‑ Telehealth Service
		37	Specialist, anaesthesia telehealth services
		39	GP Blood Borne Viruses, Sexual or Reproductive Health Consultation – Telehealth Service
		40	GP Blood Borne Viruses, Sexual or Reproductive Health Consultation – Phone Service
A44	General Practice Attendance for Assessing Patient Suitability for a COVID‑19 Vaccine
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
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 Tasmanian health service rural general practice and rural Generalist SINGLE EMPLOYER Model TRIAL

Approved primary care Modified Monash Model (MMM) 2 locations:

MM2 Location	Practice Name	Legal Name	Street Address
Bellerive	Bellerive Doctors	Luckman, Paul Lamont	112 Cambridge Road Bellerive TAS 7018
Claremont	Ochre Medical Centre Claremont	Ochre Health Pty Limited	Shop 24-25, 35 Main Road Claremont TAS 7011
Exeter	Exeter Medical Centre	Exeter Medical Services Pty Ltd	102 Main Road Exeter TAS 7275
Hobart	Ochre Medical Centre Hobart	Ochre Health Pty Limited	1/242 Liverpool Street Hobart TAS 7000
Howrah	GHFP Nurture	Ghfp Nurture Pty Ltd	Tenancy 1, Glebe Hill Village, 1 Commerce Dr Howrah TAS 7018
Howrah	Glebe Hill Family Practice	Ghfp Pty Ltd	45 Hance Road Howrah TAS 7018
Invermay	Moreton Group Medical Services	The Trustee For Moreton Group Trust	2/40 Invermay Road Invermay TAS 7248
Kings Meadows	Kings Meadows Medical	A.J Fair & T.G Gardner & D.P Kirk	86C Hobart Road Kings Meadows TAS 7250
Launceston	Launceston Medical Centre	Launceston Central Medical Centre Pty Ltd	247 Wellington Street Launceston TAS 7250
Legana	Legana Medical Centre	Exeter Medical Services Pty Ltd	16 Freshwater Point Road Legana TAS 7277
Lenah Valley	Ochre Medical Centre Augusta Road	Ochre Health Pty Limited	120 Augusta Road Lenah Valley TAS 7008
Lindisfarne	The Lindisfarne Clinic	Lindisfarne Health Hub Pty Ltd	30 Lincoln St Lindisfarne TAS 7015
Longford	Northern Midlands Medical Services	Northern Midlands Medical Services	28 George Street Longford TAS 7301
Moonah	Hopkins Street Medical Centre	Ipn Medical Centres Pty Ltd	67 Hopkins Street Moonah TAS 7009
Mowbray	Mowbray Medical	Mowbray Medical Pty Ltd	Shop 3/282 Invermay Road Mowbray TAS 7248
New Norfolk	Derwent Valley Medical Centre	Derwent Valley Family Practice Pty Ltd	11 Burnett Street New Norfolk TAS 7140
New Town	Moreton Group Medical Services	The Trustee For Moreton Group Trust	98 New Town Road New Town TAS 7008
Newstead	Newstead Medical	A.J Fair & T.G Gardner & D.P Kirk	165 Elphin Road Newstead TAS 7250
Prospect	Prospect Medical Complex	The trustee for PMC Launceston Trust	4 Trotters Lane Prospect TAS 7250
Riverside	West Tamar Health	L Jones & G.T Orr & B.S Sie	1 Windsor Drive Riverside TAS 7250
Sandy Bay	Church Hill Avenue Medical Centre	Ipn Medical Centres Pty Ltd	150 Churchill Avenue Sandy Bay TAS 7005
Sorell	Sorell Family Practice	The Trustee For Sorell Medical Centre Unit Trust	Shop 11, 12 Cole Street Sorell TAS 7172
Summerhill	Summerdale Medical Practice	D.F Rose & J.J Tempone & The Trustee For Dmjh Discretionary Trust & The Trustee For Lucas Family Trust & The Trustee For Mjmm Family Trust	Corner Peel and Stanley Streets Summerhill TAS 7250

Approved primary care Modified Monash Model (MMM) 3 locations:

MMM 3 location	Practice Name	Legal Name	Street Address
Burnie	Bass House Surgery	D.W Dow & Ian Wild & Associates Pty. Ltd.	83 Wilmont Street Burnie TAS 7320
Burnie	Burnie General Practice	Ipn Medial Centres Pty Ltd	35-37 Mount Street Burnie TAS, 7320
Devonport	Don Medical Clinic	The Trustee For Don Medical Service Trust	7/48-54 Oldaker Street Devonport TAS 7310
Ulverstone	Patrick Street Clinic	S Delitzsch & E Djakic & S Rubasinghe & J Chaffey	6 Patrick Street Ulverstone TAS 7315
Ulverstone	Victoria Street Clinic	The Trustee For Victoria Street Medical Trust	39 Victoria Street Ulverstone TAS 7315
Wynyard	Saunders Street Clinic	J And R Berryman Pty. Ltd.	37 Jackson Street Wynyard TAS 7325
Wynyard	Wynyard Medical Centre	The Trustee For Wynyard Medical Unit Trust	136-138 Goldie Street Wynyard TAS 7325

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

MMM 5 location	Practice Name	Legal Name	Street Address
Alonnah	Ochre Medical Centre Bruny Island	Ochre Health Pty Limited	16 School Road Alonnah TAS 7150
Bridport	Ochre Medical Centre Bridport	Ochre Health Pty Limited	123 Main Street Bridport TAS 7262
Campbell Town	Ochre Medical Centre Campbell Town	Ochre Health Pty Limited	70 High Street Campbell Town TAS 7210
Cygnet	Cygnet Family Practice	Cygnet Family Practice Pty Ltd	5 Thorp Street Cygnet TAS 7112
Cygnet	Ochre Medical Centre Cygnet	Ochre Health Pty Limited	14 George Street Cygnet TAS 7112
Deloraine	Deloraine Medical Centre	Deloraine & Westbury Medcial Pty Ltd	22 Tower Hill Street Deloraine TAS 7304
Dover	Dover Medical Centre	Huon Valley Council	15 Chapman Avenue Dover TAS 7117
Geeveston	Geeveston Medical Centre	Huon Valley Council	19 Arve Road, Geeveston TAS 7116
George Town	George Town Medical Centre	Anne Street Medical Services Pty. Ltd.	49 Anne Street George Town TAS 7253
Huonville	Ochre Medical Centre Huonville	Ochre Health Pty Limited	85 Main Street Huonville TAS 7109
Scottsdale	Ochre Medical Centre Scottsdale	Ochre Health Pty Limited	2 Foster Road Scottsdale TAS 7260
Shearwater	Port Sorell Medical Centre	The Trustee For PSMC Unit Trust	81 Club Drive Shearwater TAS 7307
St Helens	Ochre Medical Centre St Helens	Ochre Health Pty Limited	11 Pendrigh Place St Helens TAS 7216
Westbury	Westbury Medical Centre	Deloraine & Westbury Medcial Pty Ltd	80 Meander Valley Road Westbury TAS 7303

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

MM6 Location	Practice Name	Legal Name	Street Address
Bicheno	Cohealth Bicheno General Practice	Cohealth Limited	94 Foster Street Bicheno TAS 7215
Queenstown	Ochre Medical Centre Queenstown	Ochre Health Pty Limited	60-64 Orr Street Queenstown TAS 7467
Rosebery	Ochre Medical Centre Rosebery	Ochre Health Pty Limited	1 Hospital Road Rosebery TAS 7470
Strahan	Ochre Medical Centre Strahan	Ochre Health Pty Limited	3 Bay Street Strahan TAS 7468
Swansea	Swansea General Practice	Blazing Possums P/L	37 Wellington St Swansea TAS 7190
Zeehan	Ochre Medical Centre Zeehan	Ochre Health Pty Limited	110 Main Street Zeehan TAS 7469

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

MM7 Location	Practice Name	Legal Name	Street Address
Currie	Ochre Medical Centre King Island	Ochre Health Pty Limited	35 Edward Street Currie TAS 7256
Whitemark	Ochre Medical Centre Flinders Island	Ochre Health Pty Limited	4 James Street Whitemark TAS 7255

Health Insurance (Medicare Benefits Payable in Respect of Professional Services – Tasmania - Medical Services performed under the Single Employer Model Trial) Direction (No. 2) 2024

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