Results 1 to 10 of 14 matches
Category 8 - MISCELLANEOUS SERVICES
Group Allied Health Services (Items 81100, 81105, 81110, 81115, 81120 and 81125) for People with Type 2 Diabetes - Eligible Patients
Category 8 - MISCELLANEOUS SERVICES
Group Allied Health Services (Items 81100, 81110, 81120, 93284 and 93286) for People with Type 2 Diabetes - GP Referral Requirements
Category 8 - MISCELLANEOUS SERVICES
Category 8 - MISCELLANEOUS SERVICES
Assessment for Group Allied Health Services (Items 81100, 81110, 81120, 93284 and 93286) for People with Type 2 Diabetes
Category 8 - MISCELLANEOUS SERVICES
Category 8 - MISCELLANEOUS SERVICES
81100 - Additional Information
Diabetes education health service provided to a patient by an eligible diabetes educator for assessing the patient’s suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient’s needs and preparing the patient for the group services if:
(a) the patient has type 2 diabetes; and
(b) the patient is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a GP Management Plan or, if the patient is a resident of an aged care facility, the patient’s medical practitioner has contributed to a multidisciplinary care plan; and
(c) the patient is referred to an eligible diabetes educator by the medical practitioner using a referral form that has been issued by the Department, or a referral form that contains all the components of the form issued by the Department; and
(d) the service is provided to the patient individually and in person; and
(e) the service is of at least 45 minutes duration; and
(f) after the service, the eligible diabetes educator gives a written report to the referring medical practitioner mentioned in paragraph (c);
payable once in a calendar year for this or any other assessment for group services item (including services in items 81100, 81110 and 81120 or items 93284 or 93286 of the Telehealth and Telephone Determination)
Fee: $87.95 Benefit: 85% = $74.80
(See para MN.9.1, MN.9.2, MN.9.3, MN.9.4, MN.9.6 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
81105 - Additional Information
Diabetes education health service provided to a patient by an eligible diabetes educator, as a group service for the management of type 2 diabetes if:
(a) the patient has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110 or 81120 or items 93284 or 93286 of the Telehealth and Telephone Determination; and
(b) the service is provided to a patient who is part of a group of between 2 and 12 patients; and
(c) the service is provided in person; and
(d) the service is of at least 60 minutes duration; and
(e) after the last service in the group services program provided to the patient under item 81105, 81115 or 81125 or item 93285 of the Telehealth and Telephone Determination, the eligible diabetes educator prepares, or contributes to, a written report to be provided to the referring medical practitioner; and
(f) an attendance record for the group is maintained by the eligible diabetes educator;
to a maximum of 8 group services in a calendar year (including services in items 81105, 81115 and 81125 or item 93285 of the Telehealth and Telephone Determination)
Fee: $21.90 Benefit: 85% = $18.65
(See para MN.9.1, MN.9.3, MN.9.5, MN.9.6 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
81110 - Additional Information
Exercise physiology health service provided to a person by an eligible exercise physiologist for assessing the person’s suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient’s needs and preparing the person for the group services if:
(a) the person has type 2 diabetes; and
(b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a GP Management Plan or, if the person is a resident of an aged care facility, the person’s medical practitioner has contributed to a multidisciplinary care plan; and
(c) the person is referred to an eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department, or a referral form that contains all the components of the form issued by the Department; and
(d) the service is provided to the person individually and in person; and
(e) the service is of at least 45 minutes duration; and
(f) after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner mentioned in paragraph (c);
payable once in a calendar year for this or any other assessment for group services item (including services in items 81100, 81110 and 81120 or items 93284 or 93286 of the Telehealth and Telephone Determination)
Fee: $87.95 Benefit: 85% = $74.80
(See para MN.9.1, MN.9.2, MN.9.3, MN.9.4, MN.9.6 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
81115 - Additional Information
Exercise physiology health service provided to a person by an eligible exercise physiologist, as a group service for the management of type 2 diabetes if:
(a) the person has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110 or 81120 or items 93284 or 93286 of the Telehealth and Telephone Determination; and
(b) the service is provided to a person who is part of a group of between 2 and 12 patients; and
(c) the service is provided in person; and
(d) the service is of at least 60 minutes duration; and
(e) after the last service in the group services program provided to the person under item 81105, 81115 or 81125 or item 93285 of the Telehealth and Telephone Determination, the eligible exercise physiologist prepares, or contributes to, a written report to be provided to the referring medical practitioner; and
(f) an attendance record for the group is maintained by the eligible exercise physiologist;
to a maximum of 8 group services in a calendar year (including services in items 81105, 81115 and 81125 or item 93285 of the Telehealth and Telephone Determination)
Fee: $21.90 Benefit: 85% = $18.65
(See para MN.9.1, MN.9.3, MN.9.5, MN.9.6 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
81120 - Additional Information
Dietetics health service provided to a person by an eligible dietitian for assessing the person’s suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient’s needs and preparing the person for the group services if:
(a) the person has type 2 diabetes; and
(b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a GP Management Plan or, if the person is a resident of an aged care facility, the person’s medical practitioner has contributed to a multidisciplinary care plan; and
(c) the person is referred to an eligible dietitian by the medical practitioner using a referral form that has been issued by the Department, or a referral form that contains all the components of the form issued by the Department; and
(d) the service is provided to the person individually and in person; and
(e) the service is of at least 45 minutes duration; and
(f) after the service, the eligible dietitian gives a written report to the referring medical practitioner mentioned in paragraph (c);
payable once in a calendar year for this or any other assessment for group services item (including services in items 81100, 81110 and 81120 or items 93284 or 93286 of the Telehealth and Telephone Determination)
Fee: $87.95 Benefit: 85% = $74.80
(See para MN.9.1, MN.9.2, MN.9.3, MN.9.4, MN.9.6 of explanatory notes to this Category)
Results 1 to 10 of 14 matches
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