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Category 1 - PROFESSIONAL ATTENDANCES
2121 - Additional Information
Professional attendance at consulting rooms by a general practitioner, lasting less than 20 minutes, for providing mental health services to a patient with mental health issues, if:
(a) the attendance is by video conference; and
(b) the patient is not an admitted patient; and
(c) the patient and the general practitioner are located within a drought affected eligible area; and
(d) the patient is, at the time of the attendance, at least 15 kilometres by road from the general practitioner; and
(e) the patient has an existing relationship with the general practitioner.
Fee: $44.90 Benefit: 85% = $38.20
(See para AN.30.1 of explanatory notes to this Category)
Item will expire on 30-Jun-2020
Category 1 - PROFESSIONAL ATTENDANCES
MBS mental health and well-being telehealth support items for general practitioners
These notes provide information on the MBS mental health and well-being telehealth support items for general practitioners (GPs) under items 2121, 2150 and 2196 in Group A30, Subgroup 3.
The mental health and well-being telehealth support items can only be claimed where:
- the patient lives in an area belonging to a declared council under the Drought Communities Programme (DCP);
- the GP works in an area belonging to the declared councils under the DCP in a Modified Monash area 3 to 7; and
- the patient and the GP have an existing relationship.
A list of declared councils and more information about the Drought Communities Programme is available at: http://regional.gov.au/regional/programs/drought-communities.aspx
Information about Modified Monash is available at http://www.doctorconnect.gov.au/internet/otd/publishing.nsf/Content/locator
- the attendance must be by video conference; and
- the patient must not be an admitted patient; and
- the patient must be, at the time of the attendance, at least 15 kilometres by road from the GP.
The minimum distance between the GP and the patient is measured by the most direct (ie least distance) route by road. The patient or the GP is not permitted to travel to an area outside the minimum 15 km distance in order to claim a video conference.
Participating GPs must keep contemporaneous notes of the consultation including documenting that the service was performed by video conference, the date and the time.
Only clinical details recorded at the time of the attendance count towards the time of the consultation. It does not include information added at a later time, such as reports of investigations.
In some situations a patient may receive a telehealth consultation and a face to face consultation by the same or different GP on the same day.
Medicare benefits may be paid for more than one video consultation on a patient on the same day by the GP, provided the second (and any following) video consultations are not a continuation of the initial or earlier video consultations. GPs will need to provide the times of each consultation on the patient's account or bulk billing voucher.
Extended Medicare Safety Net (EMSN)
Items which provide for telehealth patient-end support services are subject to EMSN caps equal to 300% of the schedule fee (to a maximum of $500). This is consistent with Government policy relating to capping EMSN for MBS consultation services.
Video consultations are subject to the same aftercare rules as face to face consultations.
In order to fulfil the item descriptor there must be a visual and audio link between the patient and the GP. If the GP is unable to establish both a video and audio link with the patient, a MBS rebate for a video consultation is not payable.
Individual GPs must be confident that the technology used is able to satisfy the item descriptor and that software and hardware used to deliver a video conference meets the applicable laws for security and privacy.
- Assist - Addition/Deletion of (Assist.)
- Amend - Amended Description
- Anaes - Anaesthetic Values Amended
- Emsn - EMSN Change
- Fee - Fee Amended
- Renum - Item Number Change (renumbered)
- New - New Item
- NewMin - New Item (previous Ministerial Determination)
- Qfe - QFE Change