Results 1 to 10 of 16 matches
Category 8 - MISCELLANEOUS SERVICES
10950 - Additional Information
ABORIGINAL AND TORRES STRAIT ISLANDER HEALTH SERVICE
Aboriginal or Torres Strait Islander health service provided to a person by an eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner if:
(a) the service is provided to a person who has:
- a chronic condition; and
- complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and
(b) the service is recommended in the person's Team Care Arrangements, multidisciplinary care plan or shared care plan as part of the management of the person's chronic condition and complex care needs; and
(c) 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; and
(d) the person is not an admitted patient of a hospital; and
(e) the service is provided to the person individually and in person; and
(f) the service is of at least 20 minutes duration; and
(g) 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 mentioned in paragraph (c):
(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 the 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; and
(h) for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit;
- to a maximum of five services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538 apply) in a calendar year
Fee: $68.20 Benefit: 85% = $58.00
(See para MN.3.1, MN.3.2, MN.3.3, MN.3.4, MN.3.5 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
10951 - Additional Information
DIABETES EDUCATION SERVICE
Diabetes education health service provided to a person by an eligible diabetes educator if:
(a) the service is provided to a person who has:
- a chronic condition; and
- complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and
(b) the service is recommended in the person's Team Care Arrangements, multidisciplinary care plan or shared care plan as part of the management of the person's chronic condition and complex care needs; and
(c) 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; and
(d) the person is not an admitted patient of a hospital; and
(e) the service is provided to the person individually and in person; and
(f) the service is of at least 20 minutes duration; and
(g) after the service, the eligible diabetes educator gives a written report to the referring medical practitioner mentioned in paragraph (c):
(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 the 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; and
(h) for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit;
- to a maximum of five services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538 apply) in a calendar year
Fee: $68.20 Benefit: 85% = $58.00
(See para MN.3.1, MN.3.2, MN.3.3, MN.3.4, MN.3.5 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
10952 - Additional Information
AUDIOLOGY
Audiology health service provided to a person by an eligible audiologist if:
(a) the service is provided to a person who has:
- a chronic condition; and
- complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and
(b) the service is recommended in the person's Team Care Arrangements, multidisciplinary care plan or shared can plan as part of the management of the person's chronic condition and complex care needs; and
(c) 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; and
(d) the person is not an admitted patient of a hospital; and
(e) the service is provided to the person individually and in person; and
(f) the service is of at least 20 minutes duration; and
(g) after the service, the eligible audiologist gives a written report to the referring medical practitioner mentioned in paragraph (c):
(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 the 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; and
(h) for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit;
- to a maximum of five services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538 apply) in a calendar year
Fee: $68.20 Benefit: 85% = $58.00
(See para MN.3.1, MN.3.2, MN.3.3, MN.3.4, MN.3.5 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
10953 - Additional Information
EXERCISE PHYSIOLOGY
Exercise physiology service provided to a person by an eligible exercise physiologist if:
(a) the service is provided to a person who has:
- a chronic condition; and
- complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and
(b) the service is recommended in the person's Team Care Arrangements, multidisciplinary care plan or shared care plan as part of the management of the person's chronic condition and complex care needs; and
(c) 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; and
(d) the person is not an admitted patient of a hospital; and
(e) the service is provided to the person individually and in person; and
(f) the service is of at least 20 minutes duration; and
(g) after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner mentioned in paragraph (c):
(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 the 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; and
(h) for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit;
- to a maximum of five services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538 apply) in a calendar year
Fee: $68.20 Benefit: 85% = $58.00
(See para MN.3.1, MN.3.2, MN.3.3, MN.3.4, MN.3.5 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
10954 - Additional Information
DIETETICS SERVICES
Dietetics health service provided to a person by an eligible dietician if:
(a) the service is provided to a person who has:
- a chronic condition; and
- complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and
(b) the service is recommended in the person's Team Care Arrangements, multidisciplinary care plan or shared care plan as part of the management of the person's chronic condition and complex care needs; and
(c) the person is referred to the eligible dietician by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and
(d) the person is not an admitted patient of a hospital; and
(e) the service is provided to the person individually and in person; and
(f) the service is of at least 20 minutes duration; and
(g) after the service, the eligible dietician gives a written report to the referring medical practitioner mentioned in paragraph (c):
(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 the 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; and
(h) for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit;
- to a maximum of five services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538 apply) in a calendar year
Fee: $68.20 Benefit: 85% = $58.00
(See para MN.3.1, MN.3.2, MN.3.3, MN.3.4, MN.3.5 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
10955 - Additional Information
Attendance by an eligible allied health practitioner, 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: $53.50 Benefit: 85% = $45.50
(See para MN.3.6 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
10956 - Additional Information
MENTAL HEALTH SERVICE
Mental health service provided to a person by an eligible mental health worker if:
(a) the service is provided to a person who has:
- a chronic condition; and
- complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and
(b) the service is recommended in the person's Team Care Arrangements, multidisciplinary care plan or shared care plan as part of the management of the person's chronic condition and complex care needs; and
(c) 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; and
(d) the person is not an admitted patient of a hospital; and
(e) the service is provided to the person individually and in person; and
(f) the service is of at least 20 minutes duration; and
(g) after the service, the eligible mental health worker gives a written report to the referring medical practitioner mentioned in paragraph (c):
(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 the 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; and
(h) for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit;
- to a maximum of five services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538 apply) in a calendar year
Fee: $68.20 Benefit: 85% = $58.00
(See para MN.3.1, MN.3.2, MN.3.3, MN.3.4, MN.3.5 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
10957 - Additional Information
Attendance by an eligible allied health practitioner, 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: $91.75 Benefit: 85% = $78.00
(See para MN.3.6 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
10958 - Additional Information
OCCUPATIONAL THERAPY
Occupational therapy health service provided to a person by an eligible occupational therapist if:
(a) the service is provided to a person who has:
- a chronic condition; and
- complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and
(b) the service is recommended in the person's Team Care Arrangements, multidisciplinary care plan or shared care plan as part of the management of the person's chronic condition and complex care needs; and
(c) 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; and
(d) the person is not an admitted patient of a hospital; and
(e) the service is provided to the person individually and in person; and
(f) the service is of at least 20 minutes duration; and
(g) after the service, the eligible occupational therapist gives a written report to the referring medical practitioner mentioned in paragraph (c):
(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 the 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; and
(h) for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit;
- to a maximum of five services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538 apply) in a calendar year
Fee: $68.20 Benefit: 85% = $58.00
(See para MN.3.1, MN.3.2, MN.3.3, MN.3.4, MN.3.5 of explanatory notes to this Category)
Category 8 - MISCELLANEOUS SERVICES
10959 - Additional Information
Attendance by an eligible allied health practitioner, 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: $152.70 Benefit: 85% = $129.80
(See para MN.3.6 of explanatory notes to this Category)
Results 1 to 10 of 16 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