Federal Register of Legislation - Australian Government

Primary content

Determinations/Other as made
This instrument amends multiple determinations to extend access to certain medical practitioner and allied health telehealth and phone services, changes the types of general practice telehealth and phone services available, and applies annual indexation of Medicare benefits.
Administered by: Health
General Comments: This instrument was registered at 2.04 pm (by legal time in the Australian Capital Territory) on 24 June 2021.
Registered 24 Jun 2021
Tabling HistoryDate
Tabled HR03-Aug-2021
Tabled Senate03-Aug-2021
Table of contents.

Commonwealth Coat of Arms of Australia

 

Health Insurance Legislation Amendment (Section 3C General Medical Services – Medicare Indexation and Extension of Remote Service Options) Determination 2021

I, Travis Haslam, delegate of the Minister for Health and Aged Care, make the following Determination.

Dated      18 June 2021

Travis Haslam

Acting First Assistant Secretary

Medical Benefits Division

Health Resourcing Group

Department of Health

 

 

 


Contents

1  Name........................................................................................................................................ 1

2  Commencement........................................................................................................................ 1

3  Authority.................................................................................................................................. 1

4  Schedules................................................................................................................................. 1

Schedule 1— Extend sunset provisions....................................................................................... 3

Schedule 2— Indexation.............................................................................................................. 4

Health Insurance (Section 3C General Medical Services - COVID-19 Telehealth and Telephone Attendances) Determination 2020................................................................................................................................. 4

Health Insurance (Section 3C General Medical Services – General Practice Attendance for Assessing Patient Suitability for a COVID-19 Vaccine) Determination 2021...................................................................... 12

Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Mental Health Services) Determination 2020....................................................................................................... 13

Schedule 3— GP telehealth and telephone services amendments............................................... 18

Schedule 4— Fee amendment.................................................................................................... 21

 

 

 

 

 

                                                                                       

                                                                                       


1  Name

            This instrument is the Health Insurance Legislation Amendment (Section 3C General Medical Services – Medicare Indexation and Extension of Remote Service Options) Determination 2021.

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.  Sections 1 to 4

Immediately after registration of this instrument

 

2.  Schedule 1

The day after registration of this instrument

 

3. Schedule 2

1 July 2021

 

4. Schedule 3

1 July 2021

 

5. Schedule 4

Immediately after commencement of the Health Insurance Legislation Amendment (Section 3C General Medical and Diagnostic Imaging Services – Medicare Indexation) Determination 2021

 

                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— Extend sunset provisions

Health Insurance (Section 3C General Medical Services – COVID-19 Telehealth and Telephone Attendances) Determination 2020

1.    Section 4

Omit “30 June 2021”, substitute “31 December 2021”.

Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Mental Health Services) Determination 2020

2.    Paragraph 4(a)

Omit “30 June 2021”, substitute “31 December 2021”.


 

Schedule 2— Indexation

Health Insurance (Section 3C General Medical Services - COVID-19 Telehealth and Telephone Attendances) Determination 2020

1.             Amendments of listed provisions—Schedule 1

The items of the table in Schedule 1 listed in the following table are amended as set out in the table.

 

Amendments relating to fees

Item

Table item

Omit

Substitute

1          

Item 91790

20.85

21.05

2          

Item 91800

45.55

46.00

3          

Item 91801

88.25

89.10

4          

Item 91802

130.00

131.15

5          

Item 91794

16.70

16.80

6          

Item 91806

36.45

36.80

7          

Item 91807

70.60

71.25

8          

Item 91808

104.00

104.90

9          

Item 91818

112.50

113.50

10      

Item 91819

161.00

162.45

11      

Item 91820

90.00

90.80

12      

Item 91821

128.80

130.00

13      

Item 91842

112.50

113.50

14      

Item 91843

161.00

162.45

15      

Item 91844

90.00

90.80

16      

Item 91845

128.80

130.00

17      

Item 92004

257.50

259.80

18      

Item 92011

206.00

207.85

19      

Item 92024

175.00

176.55

20      

Item 92025

138.70

139.90

21      

Item 92026

85.40

86.15

22      

Item 92027

85.40

86.15

23      

Item 92028

87.40

88.15

24      

Item 92055

140.00

141.25

25      

Item 92056

110.90

111.90

26      

Item 92057

68.35

68.90

27      

Item 92058

68.35

68.90

28      

Item 92059

69.90

70.50

29      

Item 92136

92.90

93.75

30      

Item 92137

74.35

75.00

31      

Item 92138

92.90

93.75

32      

Item 92139

74.35

75.00

33      

Item 92142

163.15

164.60

34      

Item 92112

87.00

87.75

35      

Item 92113

128.05

129.20

36      

Item 92114

87.00

87.75

37      

Item 92115

87.00

87.75

38      

Item 92116

110.45

111.45

39      

Item 92117

162.70

164.15

40      

Item 92118

69.55

70.20

41      

Item 92119

102.45

103.40

42      

Item 92120

69.55

70.20

43      

Item 92121

69.55

70.20

44      

Item 92122

88.35

89.15

45      

Item 92123

130.15

131.35

46      

Item 92127

87.00

87.75

47      

Item 92132

69.55

70.20

48      

Item 92133

69.55

70.20

49      

Item 92146

87.00

87.75

50      

Item 92147

128.05

129.20

51      

Item 92148

110.45

111.45

52      

Item 92149

162.70

164.15

53      

Item 92150

69.55

70.20

54      

Item 92151

102.45

103.40

55      

Item 92152

88.35

89.15

56      

Item 92153

130.15

131.35

57      

Item 92170

87.00

87.75

58      

Item 92171

69.55

70.20

59      

Item 92176

87.00

87.75

60      

Item 92177

69.55

70.20

61      

Item 92182

112.50

113.50

62      

Item 92184

161.00

162.45

63      

Item 92186

90.00

90.80

64      

Item 92188

128.80

130.00

65      

Item 92194

112.50

113.50

66      

Item 92196

161.00

162.45

67      

Item 92198

90.00

90.80

68      

Item 92200

128.80

130.00

69      

Item 92210

185.60

187.25

70      

Item 92211

148.35

149.70

 

2.              Amendments of listed provisions— Division 2.1 of Schedule 2

The items of the table in Division 2.1 of Schedule 2 listed in the following table are amended as set out in the table.

 

Amendments relating to fees

Item

Table item

Omit

Substitute

1          

Item 91822

89.55

90.35

2          

Item 91823

45.00

45.40

3          

Item 91824

157.95

159.35

4          

Item 91825

79.05

79.75

5          

Item 91826

45.00

45.40

6          

Item 92422

276.25

278.75

7          

Item 92423

138.30

139.55

8          

Item 91827

45.35

45.75

9          

Item 91828

90.50

91.30

10      

Item 91829

139.30

140.55

11      

Item 91830

192.25

194.00

12      

Item 91831

223.10

225.10

13      

Item 92434

276.25

278.75

14      

Item 92435

473.80

478.05

15      

Item 92436

296.20

298.85

16      

Item 92437

272.50

274.95

17      

Item 92455

51.60

52.05

18      

Item 92456

68.50

69.10

19      

Item 92457

101.30

102.20

20      

Item 92458

132.65

133.85

21      

Item 92459

183.15

184.80

22      

Item 92460

132.65

133.85

23      

Item 91832

89.55

90.35

24      

Item 91833

45.00

45.40

25      

Item 91834

157.95

159.35

26      

Item 91835

79.05

79.75

27      

Item 91836

45.00

45.40

28      

Item 92431

276.25

278.75

29      

Item 92432

138.30

139.55

30      

Item 91837

45.35

45.75

31      

Item 91838

90.50

91.30

32      

Item 91839

139.30

140.55

33      

Item 91840

192.25

194.00

34      

Item 91841

223.10

225.10

35      

Item 92474

276.25

278.75

36      

Item 92475

473.80

478.05

37      

Item 92476

296.20

298.85

38      

Item 92477

272.50

274.95

39      

Item 92495

51.60

52.05

40      

Item 92496

68.50

69.10

41      

Item 92497

101.30

102.20

42      

Item 92498

132.65

133.85

43      

Item 92499

183.15

184.80

44      

Item 92500

132.65

133.85

45      

Item 92140

276.25

278.75

46      

Item 92141

276.25

278.75

47      

Item 92143

276.25

278.75

48      

Item 92144

276.25

278.75

49      

Item 92162

473.80

478.05

50      

Item 92163

276.25

278.75

51      

Item 92166

473.80

478.05

52      

Item 92167

276.25

278.75

53      

Item 92172

296.20

298.85

54      

Item 92173

138.30

139.55

55      

Item 92178

296.20

298.85

56      

Item 92179

138.30

139.55

 

3.              Amendments of listed provisions— Division 2.2 of Schedule 2

The items of the table in Division 2.2 of Schedule 2 listed in the following table are amended as set out in the table.

 

Amendments relating to fees

Item

Table item

Omit

Substitute

1          

Item 91850

28.10

28.35

2          

Item 91851

73.95

74.60

3          

Item 91852

55.05

55.55

4          

Item 91853

48.60

49.05

5          

Item 91855

28.10

28.35

6          

Item 91856

73.95

74.60

7          

Item 91857

55.05

55.55

8          

Item 91858

48.60

49.05

9          

Item 92623

473.80

478.05

10      

Item 92624

296.20

298.85

11      

Item 92628

473.80

478.05

12      

Item 92629

296.20

298.85

13      

Item 92513

20.45

20.65

14      

Item 92514

44.75

45.15

15      

Item 92515

86.55

87.35

16      

Item 92516

127.45

128.60

17      

Item 92521

20.45

20.65

18      

Item 92522

44.75

45.15

19      

Item 92523

86.55

87.35

20      

Item 92524

127.45

128.60

21      

Item 92610

135.65

136.85

22      

Item 92611

45.00

45.40

23      

Item 92612

89.55

90.35

24      

Item 92613

124.05

125.15

25      

Item 92614

157.95

159.35

26      

Item 92617

135.65

136.85

27      

Item 92618

45.00

45.40

28      

Item 92619

89.55

90.35

29      

Item 92620

124.05

125.15

30      

Item 92621

157.95

159.35

31      

Item 92701

89.55

90.35

32      

Item 92712

89.55

90.35

4.              Amendments of listed provisions—Schedule 3

The items of the table in Schedule 3 listed in the following table are amended as set out in the table.

 

Amendments relating to fees

Item

Table item

Omit

Substitute

1          

Item 91166

102.85

103.80

2          

Item 91167

151.05

152.40

3          

Item 91169

72.90

73.55

4          

Item 91170

102.85

103.80

5          

Item 91172

64.20

64.80

6          

Item 91173

90.70

91.50

7          

Item 91175

64.20

64.80

8          

Item 91176

90.70

91.50

9          

Item 91181

102.85

103.80

10      

Item 91182

151.05

152.40

11      

Item 91183

72.90

73.55

12      

Item 91184

102.85

103.80

13      

Item 91185

64.20

64.80

14      

Item 91186

90.70

91.50

15      

Item 91187

64.20

64.80

16      

Item 91188

90.70

91.50

17      

Item 93000

64.20

64.80

18      

Item 93013

64.20

64.80

19      

Item 93026

75.40

76.10

20      

Item 93029

75.40

76.10

21      

Item 93032

102.85

103.80

22      

Item 93033

90.70

91.50

23      

Item 93035

102.85

103.80

24      

Item 93036

90.70

91.50

25      

Item 93040

102.85

103.80

26      

Item 93041

90.70

91.50

27      

Item 93043

102.85

103.80

28      

Item 93044

90.70

91.50

29      

Item 93048

64.20

64.80

30      

Item 93061

64.20

64.80

31      

Item 93074

64.20

64.80

32      

Item 93076

102.85

103.80

33      

Item 93079

151.05

152.40

34      

Item 93084

72.90

73.55

35      

Item 93087

102.85

103.80

36      

Item 93092

64.20

64.80

37      

Item 93095

90.70

91.50

38      

Item 93100

64.20

64.80

39      

Item 93103

90.70

91.50

40      

Item 93108

64.20

64.80

41      

Item 93110

102.85

103.80

42      

Item 93113

151.05

152.40

43      

Item 93118

72.90

73.55

44      

Item 93121

102.85

103.80

45      

Item 93126

64.20

64.80

46      

Item 93129

90.70

91.50

47      

Item 93134

64.20

64.80

48      

Item 93137

90.70

91.50

49      

Item 93284

82.35

83.10

50      

Item 93285

20.50

20.70

51      

Item 93286

82.35

83.10

5.              Amendments of listed provisions— Division 4.1 of Schedule 4

The items of the table in Division 4.1 of Schedule 4 listed in the following table are amended as set out in the table.

 

Amendments relating to fees

Item

Table item

Omit

Substitute

1          

Item 91192

9.90

10.00

2          

Item 91178

21.60

21.80

3          

Item 91179

41.00

41.35

4          

Item 91180

60.40

60.95

5          

Item 91193

9.90

10.00

6          

Item 91189

21.60

21.80

7          

Item 91190

41.00

41.35

8          

Item 91191

60.40

60.95

9          

Item 93200

29.10

29.35

10      

Item 93201

14.55

14.70

11      

Item 93202

29.10

29.35

12      

Item 93203

14.55

14.70

 

6.              Amendments of listed provisions— Division 4.2 of Schedule 4

The items of the table in Division 4.2 of Schedule 4 listed in the following table are amended as set out in the table.

 

Amendments relating to fees

Item

Table item

Omit

Substitute

1          

Item 91211

33.30

33.60

2          

Item 91212

55.05

55.55

3          

Item 91214

55.05

55.55

4          

Item 91215

80.95

81.70

5          

Item 91218

33.30

33.60

6          

Item 91219

55.05

55.55

7          

Item 91221

55.05

55.55

8          

Item 91222

80.95

81.70

7.              Amendments of listed provisions— Division 4.3 of Schedule 4

The items of the table in Schedule 4 listed in the following table are amended as set out in the table.

 

Amendments relating to fees

Item

Table item

Omit

Substitute

1          

Item 54001

88.20

89.00

2          

Item 54002

44.35

44.75

3          

Item 54003

88.20

89.00

4          

Item 54004

44.35

44.75

Health Insurance (Section 3C General Medical Services – General Practice Attendance for Assessing Patient Suitability for a COVID-19 Vaccine) Determination 2021

8.    Subsection 9(1)

Omit “66.75”, substitute “67.35”.

9.    Schedule (item 93624, column 3)

Omit “36.15”, substitute “36.50”.

10. Schedule (item 93625, column 3)

Omit “43.90”, substitute “44.30”.

11. Schedule (item 93626, column 3)

Omit “28.20”, substitute “28.45”.

12. Schedule (item 93627, column 3)

Omit “39.75”, substitute “40.10”.

13. Schedule (item 93634, column 3)

Omit “50.45”, substitute “50.90”.

14. Schedule (item 93635, column 3)

Omit “58.20”, substitute “58.70”.

15. Schedule (item 93636, column 3)

Omit “39.95”, substitute “40.30”.

16. Schedule (item 93637, column 3)

Omit “51.15”, substitute “51.60”.

17. Schedule (item 93644, column 3)

Omit “28.50”, substitute “28.75”.

18. Schedule (item 93645, column 3)

Omit “32.40”, substitute “32.70”.

19. Schedule (item 93646, column 3)

Omit “20.55”, substitute “20.75”.

20. Schedule (item 93647, column 3)

Omit “28.20”, substitute “28.45”.

21. Schedule (item 93653, column 3)

Omit “42.80”, substitute “43.20”.

22. Schedule (item 93654, column 3)

Omit “46.70”, substitute “47.10”.

23. Schedule (item 93655, column 3)

Omit “32.30”, substitute “32.60”.

24. Schedule (item 93656, column 3)

Omit “39.60”, substitute “39.95”.

Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Mental Health Services) Determination 2020

25. Schedule 2 (item 93301, column 3)

Omit “112.50”, substitute “113.50”.

26. Schedule 2 (item 93302, column 3)

Omit “112.50”, substitute “113.50”.

27. Schedule 2 (item 93304, column 3)

Omit “161.00”, substitute “162.45”.

28. Schedule 2 (item 93305, column 3)

Omit “161.00”, substitute “162.45”.

29. Schedule 2 (item 93307, column 3)

Omit “90.00”, substitute “90.80”.

30. Schedule 2 (item 93308, column 3)

Omit “90.00”, substitute “90.80”.

31. Schedule 2 (item 93310, column 3)

Omit “128.80”, substitute “130.00”.

32. Schedule 2 (item 93311, column 3)

Omit “128.80”, substitute “130.00”.

33. Schedule 2 (item 93404, column 3)

Omit “87.00”, substitute “87.75”.

34. Schedule 2 (item 93405, column 3)

Omit “128.05”, substitute “129.20”.

35. Schedule 2 (item 93406, column 3)

Omit “110.45”, substitute “111.45”.

36. Schedule 2 (item 93407, column 3)

Omit “162.70”, substitute “164.15”.

37. Schedule 2 (item 93408, column 3)

Omit “87.00”, substitute “87.75”.

38. Schedule 2 (item 93409, column 3)

Omit “128.05”, substitute “129.20”.

39. Schedule 2 (item 93410, column 3)

Omit “110.45”, substitute “111.45”.

40. Schedule 2 (item 93411, column 3)

Omit “162.70”, substitute “164.15”.

41. Schedule 2 (item 93422, column 3)

Omit “87.00”, substitute “87.75”.

42. Schedule 2 (item 93423, column 3)

Omit “87.00”, substitute “87.75”.

43. Schedule 2 (item 93435, column 3)

Omit “69.55”, substitute “70.20”.

44. Schedule 2 (item 93436, column 3)

Omit “102.45”, substitute “103.40”.

45. Schedule 2 (item 93437, column 3)

Omit “88.35”, substitute “89.15”.

46. Schedule 2 (item 93438, column 3)

Omit “130.15”, substitute “131.30”.

47. Schedule 2 (item 93439, column 3)

Omit “69.55”, substitute “70.20”.

48. Schedule 2 (item 93440, column 3)

Omit “102.45”, substitute “103.40”.

49. Schedule 2 (item 93441, column 3)

Omit “88.35”, substitute “89.15”.

50. Schedule 2 (item 93442, column 3)

Omit “130.15”, substitute “131.30”.

51. Schedule 2 (item 93452, column 3)

Omit “69.55”, substitute “70.20”.

52. Schedule 2 (item 93453, column 3)

Omit “69.55”, substitute “70.20”.

53. Schedule 2 (item 93331, column 3)

Omit “102.85”, substitute “103.80”.

54. Schedule 2 (item 93332, column 3)

Omit “102.85”, substitute “103.80”.

55. Schedule 2 (item 93334, column 3)

Omit “151.05”, substitute “152.40”.

56. Schedule 2 (item 93335, column 3)

Omit “151.05”, substitute “152.40”.

57. Schedule 2 (item 93351, column 3)

Omit “72.90”, substitute “73.55”.

58. Schedule 2 (item 93352, column 3)

Omit “72.90”, substitute “73.55”.

59. Schedule 2 (item 93354, column 3)

Omit “102.85”, substitute “103.80”.

60. Schedule 2 (item 93355, column 3)

Omit “102.85”, substitute “103.80”.

61. Schedule 2 (item 93357, column 3)

Omit “64.20”, substitute “64.80”.

62. Schedule 2 (item 93358, column 3)

Omit “64.20”, substitute “64.80”.

63. Schedule 2 (item 93360, column 3)

Omit “90.70”, substitute “91.50”.

64. Schedule 2 (item 93361, column 3)

Omit “90.70”, substitute “91.50”.

65. Schedule 2 (item 93363, column 3)

Omit “64.20”, substitute “64.80”.

66. Schedule 2 (item 93364, column 3)

Omit “64.20”, substitute “64.80”.

67. Schedule 2 (item 93366, column 3)

Omit “90.70”, substitute “91.50”.

68. Schedule 2 (item 93367, column 3)

Omit “90.70”, substitute “91.50”.


Schedule 3— GP telehealth and telephone services amendments

 

Health Insurance (Section 3C General Medical Services - COVID-19 Telehealth and Telephone Attendances) Determination 2020

1.    Subsections 8(10) and 8(11)

Repeal the subsections, substitute:

(10)   Subsection 8(8) does not apply to an item listed in Subgroup 15, 16, 29, 39 and 40 of Group A40.

(11)     For the purpose of subsection 8(8):

          patient’s usual medical practitioner means a medical practitioner (other than a specialist or consultant physician) who:

(a)    has provided at least one service to the patient in the past 12 months; or

(b)   is located at a medical practice at which at least one service to the patient was provided, or arranged by, in the past 12 months.

For the purpose of this subsection, service means a personal attendance on the patient and excludes telehealth and phone attendances.

2.    Subclause 1.1.1(1) of Schedule 1

Repeal the subclause, substitute:

(1)      For items 91794, 91806, 91807, 91808, 92717, 92720, 92723, 92726, 92733, 92736, 92739 and 92742 eligible area has the meaning given by section 4 of the Other Medical Practitioner Determination.

3.    Paragraph 1.1.5(1)(c) of Schedule 1

Repeal the paragraph, substitute:

(c)   items 91790, 91800, 91801, 91802, 91890, 91891, 91792, 91803, 91804, 91805, 91892, 91893, 91794, 91806, 91807, 91808, 92210 and 92211.

4.    Paragraph 1.1.8(1)(c) of Schedule 1

Repeal the paragraph, substitute:

                          (c)   items 91790, 91800, 91801, 91802, 91890, 91891, 91792, 91803,

91804, 91805, 91892, 91893, 91794, 91806, 91807, 91808, 92210

and 92211.

5.    Clause 1.1.17 of Schedule 1 (after clause)

Insert:

 

1.1.18 Application of items in Subgroups 39 and 40 of Group A40

(1)    An item in Subgroup 39 or 40 of Group A40 does not apply to a

service described in the item if the service is provided to a patient for the purpose of, or in relation to, assisted reproductive technology or antenatal care.

(2)   An item in Subgroup 39 or 40 of Group A40 only applies to a service performed by a medical practitioner (other than a specialist or consultant physician) who:

(a)  is located at a medical practice; or 

(b)  has a formal agreement with a medical practice to provide personal attendance services.

6.    Schedule 1 (table, Subgroup 2)

Repeal the Subgroup, substitute:

 

Subgroup 2 – COVID-19 general practice phone services

91890

Phone attendance by a general practitioner lasting less than 6 minutes for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management

21.05

91891

Phone attendance by a general practitioner lasting at least 6 minutes if the attendance includes any of the following that are clinically relevant:

(a)     taking a short patient history;

(b) arranging any necessary investigation;

(c)     implementing a management plan;

(d) providing appropriate preventative health care

46.00

91892

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting less than 6 minutes for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management

12.90

91893

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 6 minutes if the attendance includes any of the following that are clinically relevant:

(a)     taking a short patient history;

(b) arranging any necessary investigation;

(c)     implementing a management plan;

(d) providing appropriate preventative health care

24.70

7.    Schedule 1 (table, Subgroups 12, 14 and 18)

Repeal the Subgroups.

8.    Schedule 1 (table items 92124, 92125, 92126, 92128, 92129, 92130, 92131, 92134 and 92135)

Repeal the items.

9.     Schedule 1 (table, Subgroups 22 and 30)

Repeal the Subgroups.

10. Schedule 1 (table, after Subgroup 30)

Insert:

 

Subgroup 39 – GP Blood Borne Viruses, Sexual or Reproductive Health Consultation – Telehealth Service

92715

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of not more than 5 minutes if the attendance includes any of the following that are clinically relevant:

(a)      taking a short patient history;

(b)      arranging any necessary investigation;

(c)       implementing a management plan;

(d)      providing appropriate preventive health care

21.05

92716

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of not more than 5 minutes if the attendance includes any of the following that are clinically relevant:

(a)      taking a short patient history;

(b)      arranging any necessary investigation;

(c)       implementing a management plan;

(d)      providing appropriate preventive health care

12.90

92717

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of not more than 5 minutes if the attendance includes any of the following that are clinically relevant:

(a)      taking a short patient history;

(b)      arranging any necessary investigation;

(c)       implementing a management plan;

(d)      providing appropriate preventive health care

16.80

92718

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant:

(a)      taking a patient history;

(b)      arranging any necessary investigation;

(c)       implementing a management plan;

(d)      providing appropriate preventive health care

46.00

92719

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant:

(a)      taking a patient history;

(b)      arranging any necessary investigation;

(c)       implementing a management plan;

(d)      providing appropriate preventive health care

24.70

92720

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant:

(a)      taking a patient history;

(b)      arranging any necessary investigation;

(c)       implementing a management plan;

(d)      providing appropriate preventive health care

36.80

92721

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant:

(a)      taking a detailed patient history;

(b)      arranging any necessary investigation;

(c)       implementing a management plan;

(d)      providing appropriate preventive health care

89.10

92722

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant:

(a)      taking a detailed patient history;

(b)      arranging any necessary investigation;

(c)       implementing a management plan;

(d)      providing appropriate preventive health care

44.70

92723

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant:

(a)      taking a detailed patient history;

(b)      arranging any necessary investigation;

(c)       implementing a management plan;

(d)      providing appropriate preventive health care

71.25

92724

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant:

(a)      taking a detailed patient history;

(b)      arranging any necessary investigation;

(c)       implementing a management plan;

(d)      providing appropriate preventive health care

131.15

92725

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant:

(a)      taking an extensive patient history;

(b)      arranging any necessary investigation;

(c)       implementing a management plan;

(d)      providing appropriate preventive health care

71.75

92726

Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant:

(a)      taking an extensive patient history;

(b)      arranging any necessary investigation;

(c)       implementing a management plan;

(d)      providing appropriate preventive health care

104.90

Subgroup 40 – GP Blood Borne Viruses, Sexual or Reproductive Health Consultation – Phone Service

92731

Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of not more than 5 minutes if the attendance includes any of the following that are clinically relevant:

(a)      taking a short patient history;

(b)      arranging any necessary investigation;

(c)       implementing a management plan;

(d)      providing appropriate preventive health care

21.05

92732

Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of not more than 5 minutes if the attendance includes any of the following that are clinically relevant:

(a)      taking a short patient history;

(b)      arranging any necessary investigation;

(c)       implementing a management plan;

(d)      providing appropriate preventive health care

12.90

92733

Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of not more than 5 minutes if the attendance includes any of the following that are clinically relevant:

(a)      taking a short patient history;

(b)      arranging any necessary investigation;

(c)       implementing a management plan;

(d)      providing appropriate preventive health care

16.70

92734

Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant:

(a)      taking a patient history;

(b)      arranging any necessary investigation;

(c)       implementing a management plan;

(d)      providing appropriate preventive health care

46.00

92735

Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant:

(a)      taking a patient history;

(b)      arranging any necessary investigation;

(c)       implementing a management plan;

(d)      providing appropriate preventive health care

24.70

92736

Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant:

(a)      taking a patient history;

(b)      arranging any necessary investigation;

(c)       implementing a management plan;

(d)      providing appropriate preventive health care

36.45

92737

Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant:

(a)      taking a detailed patient history;

(b)      arranging any necessary investigation;

(c)       implementing a management plan;

(d)      providing appropriate preventive health care

89.10

92738

Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant:

(a)      taking a detailed patient history;

(b)      arranging any necessary investigation;

(c)       implementing a management plan;

(d)      providing appropriate preventive health care

44.70

92739

Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant:

(a)      taking a detailed patient history;

(b)      arranging any necessary investigation;

(c)       implementing a management plan;

(d)      providing appropriate preventive health care

70.60

92740

Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant:

(a)      taking an extensive patient history;

(b)      arranging any necessary investigation;

(c)       implementing a management plan;

(d)      providing appropriate preventive health care

131.15

92741

Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant:

(a)      taking an extensive patient history;

(b)      arranging any necessary investigation;

(c)       implementing a management plan;

(d)      providing appropriate preventive health care

71.75

92742

Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant:

(a)      taking an extensive patient history;

(b)      arranging any necessary investigation;

(c)       implementing a management plan;

(d)      providing appropriate preventive health care

104.90

11.  Subclause 3.1.3(3) of Schedule 3

Repeal the subclause, substitute:

(3)   For items 93032, 93033, 93040 and 93041, the referral by a general

practitioner must be a referral for a service to which any of items 3 to 51 of the general medical services table or to which any of items 91790, 91800, 91801, 91802, 91890, 91891, 91892 or 91893 applies.

 


 

Schedule 4— Fee amendment

 

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

1.    Schedule 1 (item 282, column 3)

Omit “116.65”, substitute “111.65”.