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Category 8 - MISCELLANEOUS SERVICES

93524

93524 - Additional Information

Item Start Date:
10-Dec-2020
Description Updated:
10-Dec-2020
Schedule Fee Updated:
10-Dec-2020

Group
M29 - Initial services 1 per provider per patient in a 12 month period (is included in the additional tally of 5)
Subgroup
3 - Subsequent services - maximum of 5 (including any initial services and physical therapy services)

Aboriginal and Torres Strait Islander health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner if all of the following apply:

(a) the service is provided to a person whose chronic or complex care needs is being managed under:

  (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or

  (ii) a shared care plan; or

  (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;

(b) the person is referred to the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner 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;

(c) the service is provided to the person individually and in person; and

(d) the service is at least 20 minutes in duration; and

(e) after the service, the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner gives a written report to the referring medical practitioner

  (i) if the service is the only service under the referral—in relation to that service; or

  (ii) if the service is the first or last service under the referral—in relation to that service; or

  (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters



Fee: $64.20 Benefit: 85% = $54.60

Category 8 - MISCELLANEOUS SERVICES

93525

93525 - Additional Information

Item Start Date:
10-Dec-2020
Description Updated:
10-Dec-2020
Schedule Fee Updated:
10-Dec-2020

Group
M29 - Initial services 1 per provider per patient in a 12 month period (is included in the additional tally of 5)
Subgroup
3 - Subsequent services - maximum of 5 (including any initial services and physical therapy services)

Diabetes education health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible diabetes educator if all of the following apply:

(a) the service is provided to a person whose chronic or complex care needs is being managed under:

  (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or

  (ii) a shared care plan; or

  (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;

(b) the person is referred to the 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;

(c) the service is provided to the person individually and in person; and

(d) the service is at least 20 minutes in duration; and

(e) after the service, the eligible diabetes educator gives a written report to the referring medical practitioner

  (i) if the service is the only service under the referral—in relation to that service; or

  (ii) if the service is the first or last service under the referral—in relation to that service; or

  (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters



Fee: $64.20 Benefit: 85% = $54.60

Category 8 - MISCELLANEOUS SERVICES

93526

93526 - Additional Information

Item Start Date:
10-Dec-2020
Description Updated:
10-Dec-2020
Schedule Fee Updated:
10-Dec-2020

Group
M29 - Initial services 1 per provider per patient in a 12 month period (is included in the additional tally of 5)
Subgroup
3 - Subsequent services - maximum of 5 (including any initial services and physical therapy services)

Audiology health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible audiologist if all of the following apply:

(a) the service is provided to a person whose chronic or complex care needs is being managed under:

  (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or

  (ii) a shared care plan; or

  (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;

(b) the person is referred to the eligible audiologist 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;

(c) the service is provided to the person individually and in person; and

(d) the service is at least 20 minutes in duration; and

(e) after the service, the eligible audiologist gives a written report to the referring medical practitioner

(i) if the service is the only service under the referral—in relation to that service; or

(ii) if the service is the first or last service under the referral—in relation to that service; or

(iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters



Fee: $64.20 Benefit: 85% = $54.60

Category 8 - MISCELLANEOUS SERVICES

93527

93527 - Additional Information

Item Start Date:
10-Dec-2020
Description Updated:
10-Dec-2020
Schedule Fee Updated:
10-Dec-2020

Group
M29 - Initial services 1 per provider per patient in a 12 month period (is included in the additional tally of 5)
Subgroup
3 - Subsequent services - maximum of 5 (including any initial services and physical therapy services)

Exercise physiology health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible exercise physiologist if all of the following apply:

(a) the service is provided to a person whose chronic or complex care needs is being managed under:

  (i)  a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or

  (ii) a shared care plan; or

  (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;

(b) the person is referred to the 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;

(c) the service is provided to the person individually and in person; and

(d) the service is at least 20 minutes in duration; and

(e) after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner

  (i) if the service is the only service under the referral—in relation to that service; or

  (ii) if the service is the first or last service under the referral—in relation to that service; or

  (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters



Fee: $64.20 Benefit: 85% = $54.60

Category 8 - MISCELLANEOUS SERVICES

93528

93528 - Additional Information

Item Start Date:
10-Dec-2020
Description Updated:
10-Dec-2020
Schedule Fee Updated:
10-Dec-2020

Group
M29 - Initial services 1 per provider per patient in a 12 month period (is included in the additional tally of 5)
Subgroup
3 - Subsequent services - maximum of 5 (including any initial services and physical therapy services)

Dietetics health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible dietitian if all of the following apply:

(a)  the service is provided to a person whose chronic or complex care needs is being managed under:

  (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or

  (ii) a shared care plan; or

  (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;

(b) the person is referred to the 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;

(c) the service is provided to the person individually and in person; and

(d) the service is at least 20 minutes in duration; and

(e) after the service, the eligible dietitian gives a written report to the referring medical practitioner

  (i) if the service is the only service under the referral—in relation to that service; or

  (ii) if the service is the first or last service under the referral—in relation to that service; or

  (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters



Fee: $64.20 Benefit: 85% = $54.60

Category 8 - MISCELLANEOUS SERVICES

93529

93529 - Additional Information

Item Start Date:
10-Dec-2020
Description Updated:
10-Dec-2020
Schedule Fee Updated:
10-Dec-2020

Group
M29 - Initial services 1 per provider per patient in a 12 month period (is included in the additional tally of 5)
Subgroup
3 - Subsequent services - maximum of 5 (including any initial services and physical therapy services)

Mental health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible mental health worker if all of the following apply:

(a) the service is provided to a person whose chronic or complex care needs is being managed under:

  (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or

  (ii) a shared care plan; or

  (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;

(b) the person is referred to the eligible mental health worker 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;

(c) the service is provided to the person individually and in person; and

(d) the service is at least 20 minutes in duration; and

(e) after the service, the eligible mental health worker gives a written report to the referring medical practitioner:

(i) if the service is the only service under the referral—in relation to that service; or

(ii) if the service is the first or last service under the referral—in relation to that service; or

(iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters



Fee: $64.20 Benefit: 85% = $54.60

Category 8 - MISCELLANEOUS SERVICES

93530

93530 - Additional Information

Item Start Date:
10-Dec-2020
Description Updated:
10-Dec-2020
Schedule Fee Updated:
10-Dec-2020

Group
M29 - Initial services 1 per provider per patient in a 12 month period (is included in the additional tally of 5)
Subgroup
3 - Subsequent services - maximum of 5 (including any initial services and physical therapy services)

Occupational therapy health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible occupational therapist if all of the following apply:

(a) the service is provided to a person whose chronic or complex care needs is being managed under:

  (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or

  (ii) a shared care plan; or

  (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;

(b) the person is referred to the eligible occupational therapist 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;

(c) the service is provided to the person individually and in person; and

(d) the service is at least 20 minutes in duration; and

(e) after the service, the eligible occupational therapist gives a written report to the referring medical practitioner:

  (i) if the service is the only service under the referral—in relation to that service; or

  (ii) if the service is the first or last service under the referral—in relation to that service; or

  (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters



Fee: $64.20 Benefit: 85% = $54.60

Category 8 - MISCELLANEOUS SERVICES

93531

93531 - Additional Information

Item Start Date:
10-Dec-2020
Description Updated:
10-Dec-2020
Schedule Fee Updated:
10-Dec-2020

Group
M29 - Initial services 1 per provider per patient in a 12 month period (is included in the additional tally of 5)
Subgroup
3 - Subsequent services - maximum of 5 (including any initial services and physical therapy services)

Physiotherapy health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible physiotherapist if all of the following apply:

(a) the service is provided to a person whose chronic or complex care needs is being managed under:

  (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or

  (ii) a shared care plan; or

  (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;

(b) the person is referred to the eligible physiotherapist 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;

(c) the service is provided to the person individually and in person; and

(d) the service is at least 20 minutes in duration; and

(e) after the service, the eligible physiotherapist gives a written report to the referring medical practitioner:

  (i) if the service is the only service under the referral—in relation to that service; or

  (ii) if the service is the first or last service under the referral—in relation to that service; or

  (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters



Fee: $64.20 Benefit: 85% = $54.60

Category 8 - MISCELLANEOUS SERVICES

93532

93532 - Additional Information

Item Start Date:
10-Dec-2020
Description Updated:
10-Dec-2020
Schedule Fee Updated:
10-Dec-2020

Group
M29 - Initial services 1 per provider per patient in a 12 month period (is included in the additional tally of 5)
Subgroup
3 - Subsequent services - maximum of 5 (including any initial services and physical therapy services)

Podiatry health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible podiatrist if all of the following apply:

(a) the service is provided to a person whose chronic or complex care needs is being managed under:

  (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or

  (ii) a shared care plan; or

  (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;

(b) the person is referred to the eligible podiatrist 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;

(c) the service is provided to the person individually and in person; and

(d) the service is at least 20 minutes in duration; and

(e) after the service, the eligible podiatrist gives a written report to the referring medical practitioner:

  (i) if the service is the only service under the referral—in relation to that service; or

  (ii) if the service is the first or last service under the referral—in relation to that service; or

  (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters



Fee: $64.20 Benefit: 85% = $54.60

Category 8 - MISCELLANEOUS SERVICES

93533

93533 - Additional Information

Item Start Date:
10-Dec-2020
Description Updated:
10-Dec-2020
Schedule Fee Updated:
10-Dec-2020

Group
M29 - Initial services 1 per provider per patient in a 12 month period (is included in the additional tally of 5)
Subgroup
3 - Subsequent services - maximum of 5 (including any initial services and physical therapy services)

Chiropractic health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible chiropractor if all of the following apply:

(a) the service is provided to a person whose chronic or complex care needs is being managed under:

  (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or

  (ii) a shared care plan; or

  (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;

(b) the person is referred to the eligible chiropractor 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;

(c) the service is provided to the person individually and in person; and

(d) the service is at least 20 minutes in duration; and

(e) after the service, the eligible chiropractor gives a written report to the referring medical practitioner:

  (i) if the service is the only service under the referral—in relation to that service; or

  (ii) if the service is the first or last service under the referral—in relation to that service; or

  (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters



Fee: $64.20 Benefit: 85% = $54.60

Results 1 to 10 of 15 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