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This determination amends the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018 to increase the Medicare benefit for the most commonly claimed general practice services performed by other medical practitioners (OMPs) in regional residential aged care facilities. The changes also simplify the item structure for doctors and patients.
Administered by: Health
Registered 25 Feb 2019
Tabling HistoryDate
Tabled Senate02-Apr-2019
Tabled HR02-Apr-2019
Table of contents.

 

 

Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) (Services for Patients in Residential Aged Care Facilities) Amendment Determination 2019
__________________________________________________________________

I, ANDREW SIMPSON, delegate of the Minister for Health, make the following determination.

Dated           22 February 2019

 

 

Andrew Simpson

Assistant Secretary

MBS Reviews Branch

Medical Benefits Division

Health Financing Group

Department of Health

 

 

 

 

 


Contents

1.               Name of Determination  3

2.               Commencement 3

3.               Authority  3

4.               Schedules 3

Schedule 1 – Amendments  4


 

1.                   Name of Determination

This instrument is the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) (Services for Patients in Residential Aged Care Facilities) Amendment Determination 2019.

2.                   Commencement

(1)     Each provision of this instrument specified in column 1 of the table commences, or is taken to have commenced, in accordance with column 2 of the table. Any other statement in column 2 has effect according to its terms.

 

Commencement information

Column 1

Column 2

Column 3

Provisions

Commencement

Date/Details

1.  The whole of this instrument

1 March 2019

1 March 2019

Note:          This table relates only to the provisions of this instrument as originally made. It will not be amended to deal with any later amendments of this instrument.

(2)     Any information in column 3 of the table is not part of this instrument. Information may be inserted in this column, or information in it may be edited, in any published version of this instrument.

3.                   Authority

This instrument is made under subsection 3C(1) of the Health Insurance Act 1973.

4.                   Schedules

Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.

 


5.             

Schedule 1 – Amendments

 

Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018

 

1    Clause 1.1.1 of Schedule 1 (table items 2, 4, 6 and 8)

Repeal the items.

 

2    Division 1.2 of Schedule 1 (items 183, 188, 202 and 212)

Repeal the items.

 

3    After Division 1.12 of Schedule 1

Insert:

 

Division 1.13—Group A35: Non-referred attendance at a residential aged care facility

 

1.13.1  Fee in relation to the first patient during each attendance at a residential aged care facility

(1)        For the first patient attended during one attendance by a medical practitioner at one residential aged care facility on one occasion, the fee for the medical service described in whichever of items 90183, 90188, 90202 or 90212 applies is the amount listed in the item plus $40.

 

Group A35—Non-referred attendance at a residential aged care facility

Column 1

Item

Column 2

Description

Column 3

Fee ($)

90183

Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of not more than 5 minutes in duration—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by medical practitioner in an eligible area

13.75

90188

Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of more than 5 minutes in duration but not more than 25 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner in an eligible area

30.10

90202

Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of more than 25 minutes in duration but not more than 45 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner in an eligible area

58.25

90212

Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of more than 45 minutes in duration—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner in an eligible area

85.70