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Results 1 to 10 of 13 matches

Category 1 - PROFESSIONAL ATTENDANCES

Prescribed Medical Practitioner Mental Health Treatment

Category 8 - MISCELLANEOUS SERVICES

Category 8 - MISCELLANEOUS SERVICES

Pregnancy Support Counselling - Allied Health Professional Eligibility (Items 81000, 81005, 81010, 93026 and 93029)

Category 8 - MISCELLANEOUS SERVICES

Category 8 - MISCELLANEOUS SERVICES

10968

10968 - Additional Information

Item Start Date:
01-Jul-2004
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Jul-2024

Group
M3 - Allied Health Services
Subgroup
1 - Chronic disease management services

Psychology health service provided to a patient by an eligible psychologist if:

(a) the service is provided to a patient who has:

(i) a chronic condition; and

(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements 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

(b) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs; and

(c) the service is of at least 20 minutes duration;

to a maximum of 5 services (including any services to which this item or any other item in this Subgroup or item 93000 or 93013 in the Telehealth and Telephone Determination applies) in a calendar year



Fee: $70.95 Benefit: 85% = $60.35

(See para MN.3.1 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $212.85

Category 8 - MISCELLANEOUS SERVICES

81355

81355 - Additional Information

Item Start Date:
01-Nov-2008
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Jul-2024

Group
M11 - Allied health services for Aboriginal and Torres Strait Islander people

Psychology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible psychologist if the service is of at least 20 minutes duration and:

(a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up allied health services; or

(b) the patient has:

(i) a chronic condition;

(ii) complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements 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

(iii) the service is recommended in the patient’s Team Care Arrangements or multidisciplinary care plan as part of the management of the patient’s chronic condition and complex care needs;

to a maximum of 10 services (including any services to which this item or any other item in this Group or Subgroup 1 of Group M3 or item 93000, 93013, 93048 or 93061 of the Telehealth and Telephone Determination applies) in a calendar year



Fee: $70.95 Benefit: 85% = $60.35

(See para MN.11.1 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $212.85

Category 8 - MISCELLANEOUS SERVICES

82000

82000 - Additional Information

Item Start Date:
01-Jul-2008
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Jul-2024

Group
M10 - Complex neurodevelopmental disorder and disability services
Subgroup
1 - Complex neurodevelopmental disorder and disability

Psychology health service provided to a patient aged under 25 years by an eligible psychologist if:

(a)    the patient was referred by an eligible medical practitioner, or by an eligible allied health practitioner following referral by an eligible medical practitioner, to:

(i)   assist the eligible medical practitioner with diagnostic formulation where the patient has a suspected complex neurodevelopmental disorder or eligible disability; or

(ii)  contribute to the patient’s treatment and management plan developed by the referring eligible medical practitioner where a complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability is confirmed; and

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

(c)    the service is at least 50 minutes duration

Up to 4 services to which this item or any of items 82005, 82010, 82030, 93032, 93033, 93040 or 93041 apply may be provided to the same patient on the same day



Fee: $113.65 Benefit: 85% = $96.65

(See para AN.0.25, MN.10.1, MN.10.3 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $340.95

Category 8 - MISCELLANEOUS SERVICES

82015

82015 - Additional Information

Item Start Date:
01-Jul-2008
Description Updated:
01-Mar-2024
Schedule Fee Updated:
01-Jul-2024

Group
M10 - Complex neurodevelopmental disorder and disability services
Subgroup
1 - Complex neurodevelopmental disorder and disability

Psychology health service provided to a patient aged under 25 years for the treatment of a diagnosed complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability by an eligible psychologist, if:

(a)    the patient has a treatment and management plan in place and has been referred by an eligible medical practitioner for a course of treatment consistent with that treatment and management plan; and

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

(c)    the service is at least 30 minutes duration; and

(d)    on the completion of the course of treatment, the eligible psychologist gives a written report to the referring eligible medical practitioner on assessments (if performed), treatment provided and recommendations on future management of the patient’s condition

Up to 4 services to which this item or any of items 82020, 82025, 82035, 93035, 93036, 93043 or 93044 apply may be provided to the same patient on the same day



Fee: $113.65 Benefit: 85% = $96.65

(See para AN.0.25, MN.10.2, MN.10.3 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $340.95

Category 8 - MISCELLANEOUS SERVICES

93032

93032 - Additional Information

Item Start Date:
30-Mar-2020
Description Updated:
01-Mar-2023
Schedule Fee Updated:
01-Jul-2024

Group
M18 - Allied health telehealth and phone services
Subgroup
15 - Complex neurodevelopmental disorder and disability telehealth services

Psychology health service provided by telehealth attendance to a patient aged under 25 years by an eligible psychologist if:

(a) the patient was referred by an eligible medical practitioner, or by an eligible allied health practitioner following referral by an eligible medical practitioner, to:

(i) assist the eligible medical practitioner with diagnostic formulation where the patient has a suspected complex neurodevelopmental disorder or eligible disability; or

(ii) contribute to the patient’s treatment and management plan developed by the referring eligible medical practitioner where a complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability is confirmed; and

(b) the service is provided to the patient individually; and

(c) the service is at least 50 minutes duration

Up to 4 services to which this item or any of items 82000, 82005, 82010, 82030, 93033, 93040 or 93041 apply may be provided to the same patient on the same day

Further information on the requirements for this item are available in the explanatory notes to this Category



Fee: $113.65 Benefit: 85% = $96.65

(See para AN.0.25, MN.10.1, MN.10.3 of explanatory notes to this Category)


Extended Medicare Safety Net Cap: $340.95

Results 1 to 10 of 13 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