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Determinations/Health as made
This instrument amends the Health Insurance (Section 3C General Medical Services – GP and Allied Health COVID-19 Services) Determination 2020 to list new Level A consultation services provided by GPs, other doctors in general practice, and nurse practitioners. These services are to be provided by telehealth or telephone.
Administered by: Health
Registered 17 Mar 2020
Tabling HistoryDate
Tabled HR23-Mar-2020
Tabled Senate23-Mar-2020
To be repealed 18 Sep 2020
Repealed by Division 1 of Part 3 of Chapter 3 of the Legislation Act 2003
Table of contents.

Commonwealth Coat of Arms of Australia

 

 

Health Insurance (Section 3C General Medical Services – GP and Allied Health COVID-19 Services) Amendment Determination No. 3 2020

I, David Weiss, delegate of the Minister for Health, make the following determination.

Dated   17 March 2020

 

 

 

 

David Weiss

First Assistant Secretary

Medical Benefits Division

Health Financing Group

Department of Health

 

 

 

 

 

 


 

Contents

1.      Name. 3

2.      Commencement 3

3.      Authority. 3

4.      Schedules. 3

Schedule 1 – Amendments to the Health Insurance (Section 3C General Medical Services – GP and Allied Health COVID-19 Services) Determination 2020. 4

 

 


 


1.      Name

            This instrument is the Health Insurance (Section 3C General Medical Services – GP and Allied Health COVID-19 Services) Amendment Determination No. 3 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

Immediately after the commencement of the Schedule to the Health Insurance (Section 3C General Medical Services – GP and Allied Health COVID-19 Services) Amendment Determination No.1 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                Note:        This table relates only to the provisions of this instrument as originally made.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.      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.


 

Schedule 1 – Amendments to the Health Insurance (Section 3C General Medical Services – GP and Allied Health COVID-19 Services) Determination 2020

1.    Schedule 1, subclause 1.1.1(1)

Repeal the subclause, substitute:

(1)      For items 91794, 91799, 91806, 91807, 91808, 91815, 91816 and 91817, “eligible area” has the meaning given by section 4 of the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018.

 

2.    Schedule 1, before item 91800

Insert:

91790

 

Telehealth attendance by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management 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;  

where the service is bulk-billed

20.55

 

3.    Schedule 1, after item 91802

Insert:

91792

Telehealth attendance by a medical practitioner of not more than 5  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;

where the service is bulk-billed

12.90

 

4.    Schedule 1, after item 91805

Insert:

91794

Telehealth attendance by a medical practitioner, in an eligible area, of not more than 5 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;

where the service is bulk-billed

16.45

 

5.    Schedule 1, before item 91809

Insert:

91795

Phone attendance by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management 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; 

where the service is bulk-billed

20.55

 

6.    Schedule 1, after item 91811

Insert:

91797

Phone attendance by a medical practitioner of not more than 5 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;

where the service is bulk-billed

12.90

 

7.    Schedule 1, after item 91814

Insert:

91799

Phone attendance by a medical practitioner, in an eligible area, of not more than 5 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;

where the service is bulk-billed

16.45

 

8.    Schedule 1, items 91178, 91179 and 91180

Repeal the items, substitute:

 

91192

Telehealth attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management, 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;

where the service is bulk-billed

9.75

91178

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 short history;

(ii)      arranging any necessary investigation;

(iii)    implementing a management plan;

(iv)     providing appropriate preventive health care;

where the service is bulk-billed

21.30

91179

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 detailed history;

(ii)      arranging any necessary investigation;

(iii)    implementing a management plan;

(iv)     providing appropriate preventive health care;

where the service is bulk-billed

40.40

91180

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 an extensive history;

(ii)      arranging any necessary investigation;

(iii)    implementing a management plan;

(iv)     providing appropriate preventive health care;

where the service is bulk-billed

59.50

 

9.    Schedule 1, before item 91189

Insert:

 

91193

Phone attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management, 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;

where the service is bulk-billed

9.75

10. Schedule 1, item 91222 (column 2)

Omit “telehealth”, substitute “phone”