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Determinations/Health as made
This instrument provides for the payment of Medicare benefits for Medicare Benefits Schedule (MBS) items to allow general practitioners (GPs) to provide telehealth consultations to patients who have been diagnosed with the COVID-19 virus, or who are vulnerable of contracting the COVID-19 virus. These services will also be able to be provided by GPs who are in isolation due to possible COVID-19 infection.
Administered by: Health
Registered 12 Mar 2020
Tabling HistoryDate
Tabled HR23-Mar-2020
Tabled Senate23-Mar-2020
To be ceased 30 Sep 2020
Ceased by Self Ceasing

Commonwealth Coat of Arms of Australia

 

Health Insurance (Section 3C General Medical Services – GP and Allied Health COVID-19 Services) Determination 2020

I, DAVID WEISS, delegate of the Minister for Health, make the following determination.

Dated      12 March 2020

 

 

 

 

David Weiss

First Assistant Secretary

Medical Benefits Division

Health Financing Group

Department of Health

 

 

 

 

 


1.             Name

            This instrument is the Health Insurance (Section 3C General Medical Services – GP and Allied Health COVID-19 Services) Determination 2020.

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

13 March 2020

 

                Note:        This table relates only to the provisions of this instrument as originally made.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.       Cessation

Unless earlier revoked this instrument ceases on 30 September 2020.

4.       Authority

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

5.       Definitions

(1)       In this instrument:

Act means the Health Insurance Act 1973.

admitted patient means a patient who is receiving a service that is provided:

(a)           as part of an episode of hospital treatment; or

(b)          as part of an episode of hospital substitute treatment in respect of which the person to whom the treatment is provided choses to receive a benefit from a private health insurer

NOTE: hospital treatment and hospital-substitute treatment have the same meaning as defined in the Health Insurance Act 1973

bulk‑billed: a service in the Determination is bulk‑billed if:

(a)  a medicare benefit is payable to a person in relation to the service; and

(b)  under an agreement entered into under section 20A of the Act:

(i)      the person assigns to the practitioner by whom, or on whose behalf, the service is provided, the person’s right to the payment of the medicare benefit; and

(ii)     the practitioner accepts the assignment in full payment of the practitioner’s fee for the service provided.

health professional is at risk of COVID-19 virus means a person that:

(a)    has been diagnosed with COVID-19 virus but who is not a patient of a  hospital; or

(b)     has been required to isolate themselves in quarantine in accordance with home isolation guidance issued by Australian Health Protection Principal Committee; or

patient at risk of COVID-19 virus means a person that:

(a)      has been diagnosed with COVID-19 virus but who is not a patient of a hospital; or

(b)   has been required to isolate themselves in quarantine in accordance with home isolation guidance issued by Australian Health Protection Principal Committee; or

(c)  considered more susceptible to the COVID-19 virus being:

                                                                                         (i)            at least 70 years old, or

                                                                                       (ii)            at least 50 years old or over if of Aboriginal or Torres Strait Islander descent; or

                                                                                     (iii)            pregnant; or

                                                                                     (iv)            a parent of a child under 12 months; or

                                                                                       (v)            a person under treatment for chronic health conditions or who are immune compromised

phone attendance means a professional attendance by telephone where the health practitioner:

(a)           has the capacity to provide the full service through this means safely and in accordance with professional standards; and

(b)          is satisfied that it is clinically appropriate to provide the service to the patient; and

(c)           maintains an audio link with the patient

relevant provisions means all provisions, of the Act and regulations made under the Act, and the National Health Act 1953 and regulations made under the National Health Act 1953, relating to medical services, professional services or items.

relevant service means a health service, as defined in subsection 3C(8) of the Act, that is specified in a Schedule.

Schedule means a Schedule to this instrument.

Note:     The following terms are defined in subsection 3(1) of the Act:

·          clinically relevant service;

·          general medical services table;

·          item;

·          professional service.


telehealth attendance
means a professional attendance by video conference where the health practitioner:

(a)           has the capacity to provide the full service through this means safely and in accordance with professional standards; and

(b)          is satisfied that it is clinically appropriate to provide the service to the patient; and

(c)           maintains a visual and audio link with the patient; and

(d)          is satisfied that the software and hardware used to deliver the service meets the applicable laws for security and privacy.

 (2)         Unless the contrary intention appears, a reference in this instrument to a provision of the Act or the National Health Act 1953 or regulations made under the Act or under the National Health Act 1953 as applied, adopted or incorporated in relation to specifying a matter is a reference to those provisions as in force from time to time and any other reference to provisions of an Act or regulations is a reference to those provisions as in force from time to time.

6.       Treatment of relevant services

For subsection 3C(1) of the Act a relevant service, provided in accordance with this Instrument where a clinically relevant service, is to be treated, for the relevant provisions, as if:

(a)      it were both a professional service and a medical service; and

(b)      there were an item in the general medical services table that:

(i)        related to the service; and

(ii)       specified for the service a fee in relation to each State, being the fee specified in the Schedule in relation to the service.

 


 

Schedule 1 – Relevant Services

Division 1.1 – Services and fees – COVID-19 medical practitioner attendances

 

1.1.1 – Application of COVID-19 medical practitioner telehealth services

(1)   For items in 91802 and 91805, “eligible area” has the meaning given by section 4 of the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018.

(2)   For items in Division 1.1, “medical practitioner” has the meaning given by section 4 of the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018.

(3)   Clause 2.22.7 of the general medical services table shall have effect as if items 91806 and 91807 were also specified in that clause.

(4)   Clause 1.9.4 of the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018 shall have effect as if items 91808 and 91809 were also specified in that clause.

(5)   For items in Subgroups 1 and 2, the rendering practitioner must not perform a service in subgroup 2 if the practitioner and the patient have the capacity to undertake an attendance by telehealth.

(6)   For items in Subgroup 1 and 2, the rendering practitioner must have had at least one face to face attendance with the patient in the preceding 12 months if the patient is considered to be more susceptible to the COVID-19.

 

Group A40 – COVID-19 general practice telehealth services

 

Item

Description

Fee ($)

Subgroup 1 – COVID-19 general practice telehealth services

91800

 

Telehealth attendance by a general practitioner lasting less than 20 minutes if:

(a)     the attendance is where:

(i)   the person is a patient at risk of COVID-19 virus; or

(ii)  the general practitioner is a health professional at risk of COVID-19 virus; and

(b)     the attendance includes any of the following that are clinically relevant:

(i)       taking a patient history;

(ii)      arranging any necessary investigation

(iii)    conducting or supervising such clinical examinations as may be practical;

(iv)    implementing a management plan;

(v)     providing appropriate preventative health care

where the service is bulk-billed

44.90

91801

Telehealth attendance by a general practitioner lasting at least 20 minutes if:

(a)     the attendance is where:

(i)   the person is a patient at risk of COVID-19 virus; or

(ii)  the general practitioner is a health professional at risk of COVID-19 virus; and

(b)     the attendance includes any of the following that are clinically relevant:

(i)       taking a patient history;

(ii)      arranging any necessary investigation

(iii)    conducting or supervising such clinical examinations as may be practical;

(iv)    implementing a management plan;

(v)     providing appropriate preventative health care

where the service is bulk-billed

87.00

91802

Telehealth attendance by a general practitioner lasting at least 40 minutes if:

(a)     the attendance is where:

(i)   the person is a patient at risk of COVID-19 virus; or

(ii)  the general practitioner is a health professional at risk of COVID-19 virus; and

(b)     the attendance includes any of the following that are clinically relevant:

(i)                   taking a patient history;

(ii)                 arranging any necessary investigation

(iii)                conducting or supervising such clinical examinations as may be practical;

(iv)               implementing a management plan;

(v)                 providing appropriate preventative health care

where the service is bulk-billed

128.05

91803

Telehealth attendance by a medical practitioner of more than 5 minutes in duration but not more than 25 minutes if:

(a)     the attendance is where:

(i)   the person is a patient at risk of COVID-19 virus; or

(ii)  the medical practitioner is a health professional at risk of COVID-19 virus; and

(b)     the attendance includes any of the following that are clinically relevant:

(i)       taking a patient history;

(ii)      arranging any necessary investigation

(iii)    conducting or supervising such clinical examinations as may be practical;

(iv)    implementing a management plan;

(v)     providing appropriate preventative health care

where the service is bulk-billed

24.70

91804

Telehealth attendance by a medical practitioner of more than 25 minutes in duration but not more than 45 minutes if:

(a)     the attendance is where:

(i)   the person is a patient at risk of COVID-19 virus; or

(ii)  the medical practitioner is a health professional at risk of COVID-19 virus; and

(b)     the attendance includes any of the following that are clinically relevant:

(i)       taking a patient history;

(ii)      arranging any necessary investigation

(iii)    conducting or supervising such clinical examinations as may be practical;

(iv)    implementing a management plan;

(v)     providing appropriate preventative health care

where the service is bulk-billed

44.70

91805

Telehealth attendance by a medical practitioner of at least 45 minutes in duration if:

(a)     the attendance is where:

(i)   the person is a patient at risk of COVID-19 virus; or

(ii)  the medical practitioner is a health professional at risk of COVID-19 virus; and

(b)     the attendance includes any of the following that are clinically relevant:

(i)       taking a patient history;

(ii)      arranging any necessary investigation

(iii)    conducting or supervising such clinical examinations as may be practical;

(iv)    implementing a management plan;

(v)     providing appropriate preventative health care

where the service is bulk-billed

71.75

91806

Telehealth attendance by a medical practitioner, in an eligible area, of more than 5 minutes in duration but not more than 25 minutes if:

(a)     the attendance is where:

(i)   the person is a patient at risk of COVID-19 virus; or

(ii)  the medical practitioner is a health professional at risk of COVID-19 virus; and

(b)     the attendance includes any of the following that are clinically relevant:

(i)       taking a patient history;

(ii)      arranging any necessary investigation

(iii)    conducting or supervising such clinical examinations as may be practical;

(iv)    implementing a management plan;

(v)     providing appropriate preventative health care

where the service is bulk-billed

35.90

91807

Telehealth attendance by a medical practitioner, in an eligible area, of more than 25 minutes in duration but not more than 45 minutes if:

(a)     the attendance is where:

(i)   the person is a patient at risk of COVID-19 virus; or

(ii)  the medical practitioner is a health professional at risk of COVID-19 virus; and

(b)     the attendance includes any of the following that are clinically relevant:

(i)       taking a patient history;

(ii)      arranging any necessary investigation

(iii)    conducting or supervising such clinical examinations as may be practical;

(iv)    implementing a management plan;

(v)     providing appropriate preventative health care

where the service is bulk-billed

69.55

91808

Telehealth attendance by a medical practitioner, in an eligible area, of at least 45 minutes in duration if:

(a)     the attendance is where:

(i)   the person is a patient at risk of COVID-19 virus; or

(ii)  the medical practitioner is a health professional at risk of COVID-19 virus; and

(b)     the attendance includes any of the following that are clinically relevant:

(i)       taking a patient history;

(ii)      arranging any necessary investigation

(iii)    conducting or supervising such clinical examinations as may be practical;

(iv)    implementing a management plan;

(v)     providing appropriate preventative health care

where the service is bulk-billed

102.45

Subgroup 2 – COVID-19 general practice phone services

91809

Phone attendance by a general practitioner lasting less than 20 minutes if:

(a)     the attendance is where:

(i)   the person is a patient at risk of COVID-19 virus; or

(ii)  the general practitioner is a health professional at risk of COVID-19 virus; and

(b)     the attendance includes any of the following that are clinically relevant:

(i)       taking a short patient history;

(ii)      limited examination and management;

where the service is bulk-billed

44.90

91810

Phone attendance by a general practitioner lasting at least 20 minutes if:

(a)     the attendance is where:

(i)   the person is a patient at risk of COVID-19 virus; or

(ii)  the general practitioner is a health professional at risk of COVID-19 virus; and

(b)     the attendance includes any of the following that are clinically relevant:

(i)       taking a short patient history;

(ii)      limited examination and management;

where the service is bulk-billed

87.00

91811

Phone attendance by a general practitioner lasting at least 40 minutes if:

(a)     the attendance is where:

(i)   the person is a patient at risk of COVID-19 virus; or

(ii)  the general practitioner is a health professional at risk of COVID-19 virus; and

(b)     the attendance includes any of the following that are clinically relevant:

(i)       taking a short patient history;

(ii)      limited examination and management;

where the service is bulk-billed

128.05

91812

Phone attendance by a medical practitioner of more than 5 minutes in duration but not more than 25 minutes if:

(a)     the attendance is where:

(i)   the person is a patient at risk of COVID-19 virus; or

(ii)  the medical practitioner is a health professional at risk of COVID-19 virus; and

(b)     the attendance includes any of the following that are clinically relevant:

(i)       taking a short patient history;

(ii)      limited examination and management;

where the service is bulk-billed

24.70

91813

Phone attendance by a medical practitioner of at least 25 minutes in duration but not more than 45 minutes if:

(a)     the attendance is where:

(i)   the person is a patient at risk of COVID-19 virus; or

(ii)  the medical practitioner is a health professional at risk of COVID-19 virus; and

(b)     the attendance includes any of the following that are clinically relevant:

(i)       taking a short patient history;

(ii)      limited examination and management;

where the service is bulk-billed

44.70

91814

Phone attendance by a medical practitioner of at least 45 minutes in duration if:

(a)     the attendance is where:

(i)   the person is a patient at risk of COVID-19 virus; or

(ii)  the medical practitioner is a health professional at risk of COVID-19 virus; and

(b)     the attendance includes any of the following that are clinically relevant:

(i)       taking a short patient history;

(ii)      limited examination and management;

where the service is bulk-billed

71.75

91815

Phone attendance by a medical practitioner, in an eligible area, of more than 5 minutes in duration but not more than 25 minutes if:

(a)     the attendance is where:

(i)   the person is a patient at risk of COVID-19 virus; or

(ii)  the medical practitioner is a health professional at risk of COVID-19 virus; and

(b)     the attendance includes any of the following that are clinically relevant:

(i)       taking a short patient history;

(ii)      limited examination and management;

where the service is bulk-billed

35.90

91816

Phone attendance by a medical practitioner, in an eligible area, of more than 25 minutes in duration but not more than 45 minutes if:

(a)     the attendance is where:

(i)   the person is a patient at risk of COVID-19 virus; or

(ii)  the medical practitioner is a health professional at risk of COVID-19 virus; and

(b)     the attendance includes any of the following that are clinically relevant:

(i)       taking a short patient history;

(ii)      limited examination and management;

where the service is bulk-billed

69.55

91817

Phone attendance by a medical practitioner, in an eligible area, of more than 45 minutes in duration if:

(a)     the attendance is where:

(i)   the person is a patient at risk of COVID-19 virus; or

(ii)  the medical practitioner is a health professional at risk of COVID-19 virus; and

(b)     the attendance includes any of the following that are clinically relevant:

(i)       taking a short patient history;

(ii)      limited examination and management;

where the service is bulk-billed

102.45

Subgroup 3 – COVID-19 Focussed Psychological Strategies telehealth services

91818

Telehealth attendance for a patient at risk for COVID-19 virus by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

(a)     the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and

(b)     the service lasts at least 30 minutes, but less than 40 minutes;

where the service is bulk-billed

110.85

91819

Telehealth attendance for a patient at risk for COVID-19 virus by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

(a)     the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and

(b)     the service lasts at least 40 minutes;

where the service is bulk-billed

158.60

91820

Telehealth attendance for a patient at risk for COVID-19 virus by a medical practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

(a)       the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and

(b)       the service lasts at least 30 minutes, but less than 40 minutes;

where the service is bulk-billed

88.70

91821

Telehealth attendance for a patient at risk for COVID-19 virus by a medical practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

(a)     the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and

(b)     the service lasts at least 40 minutes;

where the service is bulk-billed

126.90


 

Division 1.2 – Services and fees – COVID-19 allied health telehealth services

1.2.1 – Application of COVID-19 allied health attendances

(1)   For items in Division 1.2, “eligible clinical psychologist”, “eligible psychologist”, “eligible occupational therapist” and “eligible social worker” have the meanings given by section 4 of the Health Insurance (Allied Health Services) Determination 2014.

(2)   For items 91166 and 91167, sections 7 and 9 of the Health Insurance (Allied Health Services) Determination 2014 shall have effect as if the items were also specified in those clauses.

 

Group M18 – COVID-19 allied health telehealth services

 

Item

Description

Fee ($)

Subgroup 1 – COVID-19 psychological therapies telehealth services

91166

 

Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if:

(a) the attendance is where:

(i)     the person is a patient at risk of COVID-19 virus; or

(ii)    the eligible clinical psychologist is a health professional at risk of COVID-19 virus; and

(b) the person is referred by:

(i)     a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

(ii)    a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

(iii)   a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

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

(d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

(e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

(f) the service is at least 30 minutes but less than 50 minutes duration;

where the service is bulk-billed

101.35

91167

Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if:

(a) the attendance is where:

(i)     the person is a patient at risk of COVID-19 virus; or

(ii)    the eligible clinical psychologist is a health professional at risk of COVID-19 virus; and

(b) the person is referred by:

(i)  a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

(ii)   a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

(iii)  a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

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

(d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

(e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

(f) the service is at least 50 minutes duration;

where the service is bulk-billed

148.80

Subgroup 2 – COVID-19 psychologist focussed psychological strategies telehealth services

91169

Focussed psychological strategies health service provided by telehealth attendance by an eligible psychologist if:

(a) the attendance is where:

(i)     the person is a patient at risk of COVID-19 virus; or

(ii)    the eligible psychologist is a health professional at risk of COVID-19 virus; and

(b)  the person is referred by:

(i)  a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

(ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

(iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

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

(d)  at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

(e)  on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

(g)  the service is at least 20 minutes but less than 50 minutes duration;

where the service is bulk-billed

71.80

91170

Focussed psychological strategies health service provided by telehealth attendance by an eligible psychologist if:

(a) the attendance is where:

(i)     the person is a patient at risk of COVID-19 virus; or

(ii)    the eligible psychologist is a health professional at risk of COVID-19 virus; and

(b)  the person is referred by:

(i)  a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

(ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

(iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

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

(d)  at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

(e)  on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

(f)  the service is at least 50 minutes duration;

where the service is bulk-billed

101.35

Subgroup 3 – COVID-19 occupational therapist focussed psychological strategies telehealth services

91172

Focussed psychological strategies health service provided by telehealth attendance by an eligible occupational therapist if:

(a) the attendance is where:

(i)     the person is a patient at risk of COVID-19 virus; or

(ii)    the eligible occupational therapist is a health professional at risk of COVID-19 virus; and

(a) the person is referred by:

(i)  a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

(ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

(iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

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

(c)  at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

(d)  on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

(e)  the service is at least 20 minutes but less than 50 minutes duration

where the service is bulk-billed

63.25

91173

Focussed psychological strategies health service provided by telehealth attendance by an eligible occupational therapist if:

(a) the attendance is where:

(i)   the person is a patient at risk of COVID-19 virus; or

(ii)  the eligible occupational therapist is a health professional at risk of COVID-19 virus; and

(b) the person is referred by:

(i)  a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

(ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

(iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

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

(d)  at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

(e)  on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

(f)  the service is at least 50 minutes in duration

where the service is bulk-billed

89.35

Subgroup 4 – COVID-19 social worker focussed psychological strategies telehealth services

91175

Focussed psychological strategies health service provided by an eligible social worker if:

(a) the attendance is where:

(i)   the person is a patient at risk of COVID-19 virus; or

(ii)  the eligible social worker is a health professional at risk of COVID-19 virus; and

(b)  the person is referred by:

(i)  a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

(ii)   a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

(iii)   a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

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

(c)  at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

(d)  on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

(e)  the service is at least 20 minutes but less than 50 minutes duration

where the service is bulk-billed

63.25

91176

Focussed psychological strategies health service provided to a person at risk for COVID-19 virus by an eligible social worker if:

(a) the attendance is where:

(i)   the person is a patient at risk of COVID-19 virus; or

(ii)  the eligible social worker is a health professional at risk of COVID-19 virus; and

(b)  the person is referred by:

(i)  a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

(ii)   a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

(iii)   a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

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

(d)  at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

(e)  on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

(f)  the service is at least 50 minutes duration

where the service is bulk-billed

89.35

Subgroup 5 – COVID-19 nurse practitioner telehealth services

91178

Focussed psychological strategies health service provided by telehealth attendance by a participating nurse practitioner lasting less than 20 minutes if:

(a)     The attendance is where:

(i)       The person is at risk of COVID-19 virus; or

(ii)      The participating nurse practitioner is a health professional at risk of COVID-19 virus; and

(b)     The attendance includes any of the following that are clinically relevant:

(i)       taking a history;

(ii)      undertaking clinical examination;

(iii)    arranging any necessary investigation;

(iv)    implementing a management plan;

(v)     providing appropriate preventive health care;

where the service is bulk-billed.

21.30

 

91179

Focussed psychological strategies health service provided by telehealth attendance by a participating nurse practitioner lasting at least 20 minutes if:

(a)     The attendance is where:

(i)       The person is at risk of COVID-19 virus; or

(ii)      The participating nurse practitioner is a health professional at risk of COVID-19 virus; and

(b)     The attendance includes any of the following that are clinically relevant:

(i)       taking a history;

(ii)      undertaking clinical examination;

(iii)    arranging any necessary investigation;

(iv)    implementing a management plan;

(v)     providing appropriate preventive health care;

where the service is bulk-billed.

40.40

 

91180

Focussed psychological strategies health service provided by telehealth attendance by a participating nurse practitioner lasting at least 40 minutes if:

(a)     The attendance is where:

(i)       The person is at risk of COVID-19 virus; or

(ii)      The participating nurse practitioner is a health professional at risk of COVID-19 virus; and

(b)     The attendance includes any of the following that are clinically relevant:

(i)       taking a history;

(ii)      undertaking clinical examination;

(iii)    arranging any necessary investigation;

(iv)    implementing a management plan;

(v)     providing appropriate preventive health care;

where the service is bulk-billed.

59.50