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This instrument amends the Health Insurance (Section 3C General Medical Services - COVID-19 Telehealth and Telephone Attendances) Determination 2020 to list two new items to enable patients affected by coronavirus to receive a Medicare benefit for longer phone attendances performed by a GP or another medical practitioner working in general practice.
Administered by: Health
Registered 16 Jul 2021
Table of contents.

Commonwealth Coat of Arms of Australia

 

Health Insurance Legislation Amendment (Section 3C General Medical Services – Phone Consultation for COVID-19 Hotspots) Determination 2021

I, Louise Riley, delegate of the Minister for Health and Aged Care, make the following Determination.

Dated   16 July 2021

Louise Riley

Assistance Secretary

MBS Review Branch

Medical Benefits Division

Health Resourcing Group

Department of Health

 

 

 


Contents

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

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

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

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

Schedule 1— Amendments.......................................................................................................... 2

 

 


1  Name

                        This instrument is the Health Insurance Legislation Amendment (Section 3C General Medical Services – Phone Consultation for COVID-19 Hotspots) 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.  The whole of this instrument

16 July 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                Note:        This table relates only to the provisions of this instrument as originally made.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— Amendments

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

1.    Subsection 5(1) (definition of person who is in a COVID-19 impacted area)

Repeal the definition, substitute:

person who is in a COVID-19 Commonwealth declared hotspot means a patient who, at the time of accessing the service, is located in an area determined by the Commonwealth Chief Medical Officer to be a COVID-19 hotspot.

2.    Paragraph 8(9)(c)

Repeal the paragraph, substitute:

(c)   a person who is in a COVID-19 Commonwealth declared hotspot; or

(ca)   a person who is in COVID-19 isolation because of a State or Territory public health order; or

(cb)   a person who is in COVID-19 quarantine because of a State or Territory public health order; or

3.    Subsection 8(10)

Omit “39 and 40”, substitute “39, 40 or 41”.

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

Omit “and 92217,” substitute “92217, 92746 or 92747”.

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

Omit “and 92217,” substitute “92217, 92746 or 92747”.

6.    Schedule 1 (after item 92742)

Insert:

Subgroup 41 – COVID-19 impacted general practice phone services

92746

Phone attendance by a general practitioner lasting at least 20 minutes in duration, if;

(a)     the service is performed on:

(i) a person who is in a COVID-19 Commonwealth declared hotspot; or

(ii) a person who is in COVID-19 isolation because of a State or Territory public health order; or

(iii) a person who is in COVID-19 quarantine because of a State or Territory public health order; and

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

(i) taking a detailed patient history;

(ii) arranging any necessary investigation;

(iii) implementing a management plan;

(iv) providing appropriate preventative health care

89.10

92747

Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 20 minutes in duration, if:

(a)     the service is performed on:

(i) a person who is in a COVID-19 Commonwealth declared hotspot; or

(ii) a person who is in COVID-19 isolation because of a State or Territory public health order; or

(iii) a person who is in COVID-19 quarantine because of a State or Territory public health order; and

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

(i) taking a detailed patient history;

(ii) arranging any necessary investigation;

(iii) implementing a management plan;

(iv) providing appropriate preventative health care

44.70

7.    Subclause 3.1.3(3) of Schedule 3

Omit “91892 or 91893”, substitute “91892, 91893, 92746 or 92747”.