Medicare Benefits Schedule - Note AN.30.1

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Category 1 - PROFESSIONAL ATTENDANCES

AN.30.1

MBS GP mental health and well-being telehealth support for patients

These notes provide information on the MBS mental health and well-being telehealth support items for general practitioners (GPs) providing services under items 2121, 2150 and 2196 in Group A30, Subgroup 3 for patients whose mental health is adversely affected by bushfire in the 2019-20 financial year 

Requirements for eligible patients:

  • the patient is identified by a GP as being affected by bushfire; or
  • the patient self-identifies as being affected by bushfire; and
  • the attendance is by video conference; and
  • the patient is not an admitted patient.

In addition to people who reside in areas directly affected by the bushfires, eligible patients may include people who reside in areas which have not been directly affected by the bushfires.  

Minimum Distance

There is no minimum distance for telehealth services provided to patients affected by bushfire.

Record Keeping

Participating GPs must keep contemporaneous notes of the consultation including documenting that the service was performed by video conference, the date and the time.

For telehealth mental health and well-being services provided to patients affected by bushfire, the patient’s invoice or Medicare voucher must be annotated to indicate that the patient was identified by the GP as an eligible patient or the patient self-identified themselves.

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. 

Aftercare Rule

Video consultations are subject to the same aftercare rules as face to face consultations. 

Technical requirements

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.


Legend

  • 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