Medicare Benefits Schedule - Note AN.15.6

Publication date: 1 November 2025

SUMMARY

This note sets out the requirements for referring patients to MBS-supported allied health and other primary health care services. 

For Subgroup 1 of Group M3, Group M8, Group M9, Subgroup 1 of Group M10 or Group M11 (and telehealth equivalents) these requirements apply to referrals written on or after 1 July 2025.

For Group M6, Subgroup 1 of Group M7 and Subgroup 1, 2, 3, 4, 6, 7, 8 and 9 of Group M18, these requirements apply to referrals written on or after 1 November 2025.

APPLICATION OF REFERRAL REQUIREMENTS

The requirements outlined in this note apply to referrals written on or after 1 July 2025 for the following groups of allied health and Aboriginal and Torres Strait Islander health and wellbeing services and, where applicable, their telehealth (video and phone) equivalents:

• M3 (subgroup 1) – individual allied health and Aboriginal and Torres Strait Islander health and wellbeing services for patients with a chronic condition (referred under the chronic conditions management arrangements (see MN.3.1)

• M8 – pregnancy support counselling allied health services (see MN.8.1)

• M9 – allied health group services for patients with type 2 diabetes (referred under the chronic conditions management arrangements (see MN.9.1 and MN.9.2)

• M10 (subgroup 1) – complex neurodevelopmental disorders and eligible disabilities allied health services (see MN.10.1)

• M11 – allied health and Aboriginal and Torres Strait Islander health and wellbeing services for Aboriginal and Torres Strait Islander people (referred under the chronic conditions management arrangements or following an Aboriginal and Torres Strait Islander health assessment (see MN.11.1))

The requirements outlined in this note apply to referrals written on or after 1 November 2025 for the following groups of allied health services and, where applicable, their telehealth (video and phone) equivalents:

• M6 and M18 (subgroup 1 and 6) – Provision of psychological therapy services (see MN.6.2 and MN.7.5)

• M7 (subgroup 1) and M18 (subgroup 2, 3, 4, 7, 8, 9 – Provision of focussed psychological strategies (see MN.7.4 and MN.7.5)

As of 1 November 2025, these requirements do not apply to other MBS-supported allied health services, including eating disorder allied health services, or diagnostic audiology services.

REFERRAL REQUIREMENTS

The requirements for referrals are set out in the Health Insurance (Section 3C – Allied Health and Other Primary Health Care Services) Determination 2024 (the Determination) and mirror those for referrals to medical specialists and other MBS-supported services. The Determination requires the following “prescribed particulars” to be included in the referral:

• The name of the referring practitioner
  
  
• The address of the practice, or the practitioner’s provider number at that practice, of the referring practitioner
  
  
• The date on which the referring practitioner made the referral

The Determination also requires that referrals:

• Be in writing

• Signed by the referring practitioner (noting this can be an electronic signature)

• Dated, and

• Explain the reasons for referring the patient, including any information about the patient’s condition that the referring practitioner considers necessary to give the health professional.

For psychological therapy services and focussed psychological strategies services under the Better Access initiative (Group M6, Subgroup 1 of Group M7 and Subgroup 1, 2, 3, 4, 6, 7, 8 and 9 of Group M18), additional referral requirements are required for a patient to access mental health treatment services. Further information on referral requirements for Better Access treatment services can be found at MN.6.3.

How long is a referral valid?

Referrals for patients with chronic conditions (M3, M10 and M11 and telehealth equivalents) are valid for:

• The period of time stated in the referral, or
  
  
• If no timeframe is stated, 18 months.

These timeframes are measured from the date the first service is provided under the referral, not the date of the referral.

Referrals for a focussed psychological strategy service or psychological therapy service (Group M6, Subgroup 1 of Group M7 and Subgroup 1, 2, 3, 4, 6, 7, 8 and 9 of Group M18) are valid until the end of the number of sessions in the course of treatment the referring practitioner recommends up to the maximum session limit for each course of treatment.

Does the referral need to specify the number of services to be provided?

No for referrals for patients with the management of chronic conditions. From 1 July 2025 referrals do not need to specify the number of services to be provided. However, nothing prevents the referring medical practitioner from specifying the number of services to be provided under the referral if they choose to do so.

This recognises that some patients accessing allied health and Aboriginal and Torres Strait Islander health and wellbeing services may wish to access a higher number of services than are supported by the MBS. As the MBS benefits are the patient’s benefit, ultimately it is up to them to determine which services they would like to use their MBS benefit for.

For information on which allied health and Aboriginal and Torres Strait Islander primary health care professionals are eligible to provide MBS services see AN.15.4.

Yes, for psychological therapy services and focussed psychological strategies services under the Better Access initiative (Group M6, Subgroup 1 of Group M7 and Subgroup 1, 2, 3, 4, 6, 7, 8 and 9 of Group M18 services), the referral should include the number of services the patient is being referred to in the course of treatment. Further information on referral requirements for Better Access treatment services can be found at MN.6.3.

Does the referral need to include the name of the health professional who is to provide the referred service?

No. The patient can take the referral to any eligible health professional of the same profession/type specified in the referral of their choosing. For example, a referral to physiotherapy services can be taken to any physiotherapist, but it cannot be used to access chiropractic services.

I am an allied health professional. Can I accept a referral with another allied health professional’s name on it?

Yes. The patient can choose to take their referral to any eligible allied health professional of the same profession/type specified in the referral.

I am an allied health professional. Am I required to accept a referral?

No. Acceptance of a referral is at the discretion of the individual practitioner, subject to anti-discrimination legislation. However, if the referral is not accepted after being presented to the practice it is important to inform the referring practitioner that the request cannot be accommodated.

I am an occupational therapist and I will be away when my patient is due for their next appointment. Can another practitioner in my practice provide the service or does the patient have to delay their appointment until I return?

Yes, your patient can see another practitioner in the practice under the same referral, provided the other practitioner is an eligible allied health professional of the same profession/type specified in the referral. In this circumstance the allied health professional that provides the service would need to report to the referring medical practitioner, if required.

The referral has to be signed and in writing. Does this mean it needs to be in hard copy?

No. The Electronic Transactions Act 1999 allows for documents required under Commonwealth Law, such as referrals under the Determination, to be signed and transmitted electronically.

Are there any differences in the requirements for referrals to allied health and Aboriginal and Torres Strait Islander primary health care professionals and medical specialists?

Yes, there are some differences in the requirements:

• For allied health and Aboriginal and Torres Strait Islander health and wellbeing services for patients with a chronic condition (M3, M10 and M11 and telehealth equivalents), the default length of a referral is 18 months from the date of the first service provided under the referral. This aligns with the requirement for patients with a GP chronic condition management plan to have had their plan put in place or reviewed within the last 18 months to continue to access services (see AN.0.47). For specialist services the default referral length is 12 months from the date of the first service provided under the referral
  
  
• For psychological therapy services and focussed psychological strategies services under the Better Access initiative (Group M6, Subgroup 1 of Group M7 and Subgroup 1, 2, 3, 4, 6, 7, 8 and 9 of Group M18 services), additional referral requirements are required for a patient to access mental health treatment services. Further information on referral requirements for Better Access treatment services can be found at MN.6.3.

• Referrals to allied health and Aboriginal and Torres Strait Islander primary health care professionals cannot be indefinite referrals. This is in recognition of the requirement of many allied health and Aboriginal and Torres Strait Islander health and wellbeing items to provide a report back to the referring medical practitioner after the last service on the referral
  
  
• There is no emergency exception to the requirement for a written referral to exist before allied health and Aboriginal and Torres Strait Islander health and wellbeing services are rendered unlike for specialist or consultant physician referred attendances.

What happens if the referral gets lost or destroyed?

A service can be provided on the basis of a lost, stolen or destroyed referral. However, this is not expected to be a common occurrence. In these circumstances the phrase ‘lost referral’ replaces the prescribed particulars.

Where the intended allied health or Aboriginal and Torres Strait Islander primary health care provider is known, referring practitioners are encouraged to send referrals electronically whenever possible to minimise the risk of lost referrals.

RECORD KEEPING AND REPORTING REQUIREMENTS

Providers are responsible for ensuring services claimed from Medicare using their provider number meet all legislative requirements and they may be required to submit evidence for compliance checks related to Medicare claims. Practitioners should ensure they keep adequate and contemporaneous records. For information on what constitutes adequate and contemporaneous records see GN.15.39.

Clause 4.3 of the Health Insurance Act 1973 specifies that, where an item specifies the creation of a document (however described) and a document is created, the document must be retained for the period of 2 years. 

RELEVANT LEGISLATION

Details about the legislative requirements of the MBS item(s) can be found on the Federal Register of Legislation at www.legislation.gov.au. Referral requirements for allied health and Aboriginal and Torres Strait Islander health and wellbeing services are set out in the Health Insurance (Section 3C – Allied Health and other Primary Health Care Services) Determination 2024.

Related Items: 232 392 393 731 965 967 10950 10951 10952 10953 10954 10955 10956 10957 10958 10959 10960 10962 10964 10966 10968 10970 81000 81005 81010 81100 81105 81110 81115 81120 81125 81300 81305 81310 81315 81320 81325 81330 81335 81340 81345 81350 81355 81360 82000 82005 82010 82015 82020 82025 82030 82035 92027 92029 92030 92058 92060 92061

• Previous - Note AN.15.5
• Next - Note AN.15.7

Contribution by a general practitioner by video to:
(a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or
(b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider.
(other than a service associated with a service to which items 235 to 240 or 735 to 758 of the general medical services table apply)

NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)

Fee: $82.10 Benefit: 100% = $82.10

(See para AN.15.3, AN.15.4, AN.15.6, AN.15.8, AN.36.2 of explanatory notes to this Category)

Video attendance by a general practitioner to prepare a GP chronic condition management plan for a patient

Fee: $156.55 Benefit: 100% = $156.55

(See para AN.0.47, AN.15.3, AN.15.4, AN.15.5, AN.15.6, AN.36.2 of explanatory notes to this Category)

Video attendance by a general practitioner to review a GP chronic condition management plan prepared by the general practitioner or an associated medical practitioner

Fee: $156.55 Benefit: 100% = $156.55

(See para AN.0.47, AN.15.3, AN.15.4, AN.15.5, AN.15.6, AN.36.2 of explanatory notes to this Category)

Contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician) by video to:
(a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or
(b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider
(other than a service associated with a service to which items 235 to 240 or 735 to 758 of the general medical services table apply)

NOTE: It is a legislative requirement that this service must be performed by the patient’s eligible telehealth practitioner (please see Note AN.1.1 for the definitions as some exemptions do apply)

Fee: $65.70 Benefit: 100% = $65.70

(See para AN.15.3, AN.15.4, AN.15.6, AN.15.8, AN.36.2 of explanatory notes to this Category)

Video attendance by a prescribed medical practitioner to prepare a GP chronic condition management plan for a patient

Fee: $125.30 Benefit: 100% = $125.30

(See para AN.0.47, AN.15.3, AN.15.4, AN.15.5, AN.15.6, AN.36.2 of explanatory notes to this Category)

Video attendance by a prescribed medical practitioner to review a GP chronic condition management plan prepared by the prescribed medical practitioner or an associated medical practitioner

Fee: $125.30 Benefit: 100% = $125.30

(See para AN.0.47, AN.15.3, AN.15.4, AN.15.5, AN.15.6, AN.36.2 of explanatory notes to this Category)

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 (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

(c) the patient is referred to an eligible diabetes educator by the medical practitioner; 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 Attendance Determination)

Fee: $93.25 Benefit: 85% = $79.30

(See para AN.15.3, AN.15.5, AN.15.6, MN.9.1, MN.9.2 of explanatory notes to this Category)

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 Attendance 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 Attendance 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 Attendance Determination)

Fee: $23.20 Benefit: 85% = $19.75

(See para AN.15.3, AN.15.5, AN.15.6 of explanatory notes to this Category)

Aboriginal and Torres Strait Islander health and wellbeing service provided to a patient by an eligible Aboriginal and Torres Strait Islander health worker or eligible Aboriginal and Torres Strait Islander health practitioner if:

(a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

(b) the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.3.1 of explanatory notes to this Category)

Diabetes education health service provided to a patient by an eligible diabetes educator if:

(a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

(b) the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.3.1 of explanatory notes to this Category)

Audiology health service provided to a patient by an eligible audiologist if:

(a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

(b) the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.3.1 of explanatory notes to this Category)

Exercise physiology health service provided to a patient by an eligible exercise physiologist if:

(a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

(b) the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.3.1 of explanatory notes to this Category)

Dietetics health service provided to a patient by an eligible dietitian if:

(a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

(b) the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.3.1 of explanatory notes to this Category)

Mental health service provided to a patient by an eligible mental health worker if:

(a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

(b) the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.3.1 of explanatory notes to this Category)

Occupational therapy health service provided to a patient by an eligible occupational therapist if:

(a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

(b) the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.3.1 of explanatory notes to this Category)

Physiotherapy health service provided to a patient by an eligible physiotherapist if:

(a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

(b) the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.3.1 of explanatory notes to this Category)

Podiatry health service provided to a patient by an eligible podiatrist if:

(a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

(b) the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.3.1 of explanatory notes to this Category)

Chiropractic health service provided to a patient by an eligible chiropractor if:

(a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

(b) the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.3.1 of explanatory notes to this Category)

Osteopathy health service provided to a patient by an eligible osteopath if:

(a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

(b) the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.3.1 of explanatory notes to this Category)

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

(a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

(b) the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.3.1 of explanatory notes to this Category)

Speech pathology health service provided to a patient by an eligible speech pathologist if:

(a) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

(b) the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.3.1 of explanatory notes to this Category)

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: $116.40 Benefit: 85% = $98.95

(See para AN.0.24, AN.0.25, AN.0.72, AN.0.73, AN.15.6, MN.10.1, MN.10.3 of explanatory notes to this Category)

Speech pathology health service provided to a patient aged under 25 years by an eligible speech pathologist 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 82000, 82010, 82030, 93032, 93033, 93040 or 93041 apply may be provided to the same patient on the same day

Fee: $102.60 Benefit: 85% = $87.25

(See para AN.0.24, AN.0.25, AN.0.72, AN.0.73, AN.15.6, MN.10.1, MN.10.3 of explanatory notes to this Category)

Occupational therapy health service provided to a patient aged under 25 years by an eligible occupational therapist 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 82000, 82005, 82030, 93032, 93033, 93040 or 93041 apply may be provided to the same patient on the same day

Fee: $102.60 Benefit: 85% = $87.25

(See para AN.0.24, AN.0.25, AN.0.72, AN.0.73, AN.15.6, MN.10.1, MN.10.3 of explanatory notes to this Category)

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: $116.40 Benefit: 85% = $98.95

(See para AN.0.24, AN.0.25, AN.0.72, AN.0.73, AN.15.6, MN.10.2, MN.10.3 of explanatory notes to this Category)

Speech pathology 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 speech pathologist, 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 speech pathologist 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 82015, 82025, 82035, 93035, 93036, 93043 or 93044 apply may be provided to the same patient on the same day

Fee: $102.60 Benefit: 85% = $87.25

(See para AN.0.24, AN.0.25, AN.0.72, AN.0.73, AN.15.6, MN.10.2, MN.10.3 of explanatory notes to this Category)

Occupational therapy 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 occupational therapist, 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 occupational therapist 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 82015, 82020, 82035, 93035, 93036, 93043 or 93044 apply may be provided to the same patient on the same day

Fee: $102.60 Benefit: 85% = $87.25

(See para AN.0.24, AN.0.25, AN.0.72, AN.0.73, AN.15.6, MN.10.2, MN.10.3 of explanatory notes to this Category)

Audiology, dietetic, exercise physiology, optometry, orthoptic or physiotherapy health service provided to a patient aged under 25 years by an eligible audiologist, dietitian, exercise physiologist, optometrist, orthoptist or physiotherapist 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 82000, 82005, 82010, 93032, 93033, 93040 or 93041 apply may be provided to the same patient on the same day

Fee: $102.60 Benefit: 85% = $87.25

(See para AN.0.24, AN.0.25, AN.0.72, AN.0.73, AN.15.6, MN.10.1, MN.10.3 of explanatory notes to this Category)

Audiology, dietetic, exercise physiology, optometry, orthoptic or physiotherapy 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 audiologist, dietitian, exercise physiologist, optometrist, orthoptist or physiotherapist, 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 audiologist, dietitian, exercise physiologist, optometrist, orthoptist or physiotherapist 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 82015, 82020, 82025, 93035, 93036, 93043 or 93044 apply may be provided to the same patient on the same day

Fee: $102.60 Benefit: 85% = $87.25

(See para AN.0.24, AN.0.25, AN.0.72, AN.0.73, AN.15.6, MN.10.2, MN.10.3 of explanatory notes to this Category)

Contribution by a general practitioner (not including a specialist or consultant physician) to:

(a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or

(b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider

(other than a service associated with a service to which item 735, 739, 743, 747, 750 or 758 applies)

Fee: $82.10 Benefit: 100% = $82.10

(See para AN.15.3, AN.15.4, AN.15.6, AN.15.8, AN.36.2 of explanatory notes to this Category)

Professional attendance by a general practitioner to prepare a GP chronic condition management plan for a patient

Fee: $156.55 Benefit: 75% = $117.45 100% = $156.55

(See para AN.0.47, AN.15.3, AN.15.4, AN.15.5, AN.15.6, AN.36.2 of explanatory notes to this Category)

Professional attendance by a general practitioner to review a GP chronic condition management plan prepared by the general practitioner or an associated medical practitioner

Fee: $156.55 Benefit: 75% = $117.45 100% = $156.55

(See para AN.0.47, AN.15.3, AN.15.4, AN.15.5, AN.15.6, AN.36.2 of explanatory notes to this Category)

Aboriginal and Torres Strait Islander health and wellbeing service provided to a patient of Aboriginal or Torres Strait Islander descent by an eligible Aboriginal and Torres Strait Islander health worker or eligible Aboriginal and Torres Strait Islander health practitioner 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 Aboriginal and Torres Strait Islander health and wellbeing services; or

(b) the patient has a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.11.1 of explanatory notes to this Category)

Diabetes education health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible diabetes educator 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 a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.11.1 of explanatory notes to this Category)

Audiology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible audiologist 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 a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.11.1 of explanatory notes to this Category)

Exercise physiology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible exercise physiologist 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 a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.11.1 of explanatory notes to this Category)

Dietetics health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible dietitian 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 a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.11.1 of explanatory notes to this Category)

Mental health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible mental health worker 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 a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.11.1 of explanatory notes to this Category)

Occupational therapy health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible occupational therapist 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 a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.11.1 of explanatory notes to this Category)

Physiotherapy health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible physiotherapist 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 a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.11.1 of explanatory notes to this Category)

Podiatry health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible podiatrist 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 a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.11.1 of explanatory notes to this Category)

Chiropractic health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible chiropractor 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 a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.11.1 of explanatory notes to this Category)

Osteopathy health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible osteopath 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 a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.11.1 of explanatory notes to this Category)

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 a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.11.1 of explanatory notes to this Category)

Speech pathology health service provided to a patient who is of Aboriginal or Torres Strait Islander descent by an eligible speech pathologist 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 a chronic condition and complex care needs being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan and Team Care Arrangements prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

the service is recommended in the patient’s plan or arrangements 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 Attendance Determination applies) in a calendar year

Fee: $72.65 Benefit: 85% = $61.80

(See para AN.15.3, AN.15.5, AN.15.6, MN.11.1 of explanatory notes to this Category)

Either:
(a) contribution to a multidisciplinary care plan, for a patient in a residential aged care facility, prepared by that facility, or contribution to a review of a multidisciplinary care plan, for a patient, prepared by such a facility; or
(b) contribution to a multidisciplinary care plan, for a patient, prepared by another provider before the patient is discharged from a hospital or contribution to a review of a multidisciplinary care plan, for a patient, prepared by another provider;
by a prescribed medical practitioner, other than a service associated with a service to which any of items 235 to 240, 735, 739, 743, 747, 750 or 758 apply

Fee: $65.70 Benefit: 75% = $49.30 100% = $65.70

(See para AN.7.1, AN.15.3, AN.15.4, AN.15.6, AN.15.8, AN.36.2 of explanatory notes to this Category)

Professional attendance by a prescribed medical practitioner to prepare a GP chronic condition management plan for a patient

Fee: $125.30 Benefit: 75% = $94.00 100% = $125.30

(See para AN.0.47, AN.15.3, AN.15.4, AN.15.5, AN.15.6, AN.36.2 of explanatory notes to this Category)

Professional attendance by a prescribed medical practitioner to review a GP chronic condition management plan prepared by the prescribed medical practitioner or an associated medical practitioner

Fee: $125.30 Benefit: 75% = $94.00 100% = $125.30

(See para AN.0.47, AN.15.3, AN.15.4, AN.15.5, AN.15.6, AN.36.2 of explanatory notes to this Category)

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 patient is being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

(c) the patient is referred to an eligible exercise physiologist by the medical practitioner; 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 Attendance Determination)

Fee: $93.25 Benefit: 85% = $79.30

(See para AN.15.3, AN.15.5, AN.15.6, MN.9.1, MN.9.2 of explanatory notes to this Category)

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 Attendance 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 Attendance 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 Attendance Determination)

Fee: $23.20 Benefit: 85% = $19.75

(See para AN.15.3, AN.15.5, AN.15.6 of explanatory notes to this Category)

Attendance by an eligible allied health practitioner, or eligible Aboriginal and Torres Strait Islander primary health care professional, as a member of a multidisciplinary case conference team, to participate in:

(a)   a community case conference; or

(b)   a multidisciplinary case conference in a residential aged care facility;

if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which another item in this Group applies)

Fee: $57.00 Benefit: 85% = $48.45

(See para AN.15.3, AN.15.5, AN.15.6, MN.3.2 of explanatory notes to this Category)

Attendance by an eligible allied health practitioner, or eligible Aboriginal and Torres Strait Islander primary health care professional, as a member of a multidisciplinary case conference team, to participate in:

(a)   a community case conference; or

(b)   a multidisciplinary case conference in a residential aged care facility;

if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which another item in this Group applies)

Fee: $97.75 Benefit: 85% = $83.10

(See para AN.15.3, AN.15.5, AN.15.6, MN.3.2 of explanatory notes to this Category)

Attendance by an eligible allied health practitioner, or eligible Aboriginal and Torres Strait Islander primary health care professional, as a member of a multidisciplinary case conference team, to participate in:

(a)   a community case conference; or

(b)   a multidisciplinary case conference in a residential aged care facility;

if the conference lasts for at least 40 minutes (other than a service associated with a service to which another item in this Group applies)

Fee: $162.60 Benefit: 85% = $138.25

(See para AN.15.3, AN.15.5, AN.15.6, MN.3.2 of explanatory notes to this Category)

Non‑directive pregnancy support counselling health service provided to a patient who is currently pregnant or who has been pregnant in the preceding 12 months, by an eligible psychologist if:

(a)   the patient is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and

(b)  the patient is referred by a medical practitioner who is not a specialist or consultant physician; and

(c)   the eligible psychologist does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and

(d)  the service is at least 30 minutes duration;

to a maximum of 3 services (including services to which items 81000, 81005 or 81010, items 792 or 4001 in the general medical services table, or items 92136, 92138, 93026, 93029, 92137 or 92139 in the Telehealth Attendance Determination apply) for each pregnancy

Fee: $85.30 Benefit: 85% = $72.55

(See para AN.15.6, MN.8.1, MN.8.2, MN.8.3, MN.8.4 of explanatory notes to this Category)

Non‑directive pregnancy support counselling health service provided to a patient, who is currently pregnant or who has been pregnant in the preceding 12 months, by an eligible social worker if:

(a)   the patient is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and

(b)  the patient is referred by a medical practitioner who is not a specialist or consultant physician; and

(c)   the eligible social worker does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and

(d)  the service is at least 30 minutes duration;

to a maximum of 3 services (including services to which items 81000, 81005 or 81010, items 792 or 4001 in the general medical services table, or items 92136, 92138, 93026, 93029, 92137 or 92139 in the Telehealth Attendance Determination apply) for each pregnancy

Fee: $85.30 Benefit: 85% = $72.55

(See para AN.15.6, MN.8.1, MN.8.2, MN.8.3, MN.8.4 of explanatory notes to this Category)

Non‑directive pregnancy support counselling health service provided to a patient, who is currently pregnant or who has been pregnant in the preceding 12 months, by an eligible mental health nurse if:

(a)   the patient is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and

(b)  the patient is referred by a medical practitioner who is not a specialist or consultant physician; and

(c)   the eligible mental health nurse does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and

(d)  the service is at least 30 minutes duration;

to a maximum of 3 services (including services to which items 81000, 81005 or 81010, items 792 or 4001 in the general medical services table, or items 92136, 92138, 93026, 93029, 92137 or 92139 in the Telehealth Attendance Determination apply) for each pregnancy

Fee: $85.30 Benefit: 85% = $72.55

(See para AN.15.6, MN.8.1, MN.8.2, MN.8.3, MN.8.4 of explanatory notes to this Category)

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 patient is being managed by a medical practitioner (other than a specialist or consultant physician) under:

(i) a GP chronic condition management plan that has been prepared or reviewed in the last 18 months; or

(ii) until the end of 30 June 2027—a GP Management Plan prepared prior to 1 July 2025; or

(iii) a multidisciplinary care plan; and

(c) the patient is referred to an eligible dietitian by the medical practitioner; 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 Attendance Determination)

Fee: $93.25 Benefit: 85% = $79.30

(See para AN.15.3, AN.15.5, AN.15.6, MN.9.1, MN.9.2 of explanatory notes to this Category)

Dietetics health service provided to a person by an eligible dietitian, 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 Attendance 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 Determination, the eligible dietitian 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 dietitian;

to a maximum of 8 group services in a calendar year (including services to which items 81105, 81115 and 81125 or item 93285 of the Telehealth Attendance Determination apply)

Fee: $23.20 Benefit: 85% = $19.75

(See para AN.15.3, AN.15.5, AN.15.6 of explanatory notes to this Category)