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This direction enables Medicare benefits to be claimed for professional services provided in certain locations by participating remote general practice trainees under the Remote Vocational Training Scheme (RVTS) Extended Targeted Recruitment Pilot.
Administered by: Health
Registered 02 Feb 2021
To be ceased 31 Dec 2021
Ceased by Self Ceasing
Date of repeal 01 Sep 2021
Repealed by Health Insurance (Medicare Benefits Payable in Respect of Professional Services – Remote Vocational Training Scheme Extended Targeted Recruitment Pilot) Direction (No. 2) 2021

 

AUSTRALIAN GOVERNMENT

DEPARTMENT OF HEALTH

 

HEALTH INSURANCE ACT 1973

Health Insurance (Medicare Benefits Payable in Respect of Professional Services – Remote Vocational Training Scheme Extended Targeted Recruitment Pilot) Direction 2021

I, Liz Dowd, Assistant Secretary, Medical Benefits Division, Health Resourcing Group, delegate for the Minister for Health, acting under subsection 19(2) of the Health Insurance Act 1973, hereby:

1.      REVOKE the Health Insurance (Medicare Benefits Payable in Respect of Professional Services – Remote Vocational Training Scheme Extended Targeted Recruitment Pilot) Direction 2020, dated 21 December 2020; and 

 

2.      DIRECT that Medicare Benefits shall be payable in respect of:

 

(a)    A professional service (as defined in Section 3 of the Health Insurance Act 1973) which has been agreed to be provided under the Remote Vocational Training Scheme (RVTS) Extended Targeted Recruitment Pilot between the Department of Health (ABN: 24 004 196 909) and the Remote Vocational Training Scheme Limited (ABN: 99 122 891 838) in relation to the remote general practice innovative employment model trial for which;

(i)     items specified in Schedule A of this Direction; and of the general medical services table (means the table prescribed under subsection 4(1) of the Health Insurance Act 1973), diagnostic imaging services table (means the table prescribed under subsection 4AA(1) of the Health Insurance Act 1973) and pathology services table (means the table prescribed under subsection 4A(1) of the Health Insurance Act 1973) relates: and

 

(b)   Where the professional service is provided to:

(i)     an eligible person (as defined in Section 3 of the Health Insurance Act 1973); and

(ii)   a patient who is not part of an episode of hospital treatment (as defined in Section 121-5 of the Private Health Insurance Act 2007); and

 

(c)    the professional services referred to in clause (a) must be provided:

(i)     at a general practice (as defined in Section 7.1.1 of the general medical services table); and

(ii)   at a rural or remote practice location specified in Schedule B in Modified Monash Model 4-7 (as defined in Section 7.1.1 of the general medical services table); and

(iii)  by a participating remote general practice trainee mentioned in (a):

                                                              i.      who is formally enrolled in the Remote Vocational Training Scheme training towards GP  fellowship with the Royal Australian College of General Practitioners or the Australian College of Rural and Remote Medicine; and

                                                            ii.      who has been employed, with a salary, in one of the ten RVTS extended targeted-recruitment training posts for appropriate primary care attendance; and

                                                          iii.      is registered in the RVTS Extended Targeted Recruitment Pilot.

DECLARED that this Direction shall have effect from the date of signature until
31 December 2021 inclusive unless earlier revoked.

 

Date this          21st day of January 2021

 

 

Liz Dowd

Assistant Secretary  

MBS Policy and Specialist Services Branch

Medical Benefits Division

Health Resourcing Group

Department of Health 


 

SCHEDULE A

MEDICARE BENEFITS SCHEDULE ITEMS AS AGREED under the remote vocational training scheme (rvts) extended targeted recruitment pilot

For services listed in the below tables, all provisions of the Health Insurance Act 1973 (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 apply.

General Medical Services Table

Group

Group Name

Subgroup

Subgroup Name

A1

General practitioner attendances to which no other item applies

A2

Other non-referred attendances to which no other item applies

A5

Prolonged attendances to which no other item applies

A6

Group therapy

A7

Acupuncture and non-specialist practitioner items

All

 

A11

Urgent attendances after-hours

A14

Health assessments

A15

GP Management plans, team care arrangements and multidisciplinary care plans and case

1

GP Management plans, team care arrangements and multidisciplinary care plans

2

Case conferences

A17

Domiciliary and residential medication management reviews

A18

Attendances associated with Practice Incentive Program payments

All

A19

Attendances associated with Practice Incentive Program payments

All

 

A20

Mental health Care

All

A22

General practitioner after-hours attendances to which no other item applies

A23

Other non-referred after-hour attendances to which no other item applies

A27

Pregnancy support counselling

A29

Early intervention services for children with autism, pervasive development disorder or disability

A30

Medical practitioner video conferencing consultation

1

Video conferencing consultation attendance at consulting rooms, home visit of other institution

2

Video conferencing consultation attendance at a residential aged care facility

3

Mental health and well-being video conferencing consultation

5

General practitioner video conferencing consultation attendance for patients in rural and remote areas

6

Other non-referred video conferencing consultation attendance for patients in rural and remote areas

7

Non-specialist practitioner video conferencing consultation for patients in rural and remote areas

A35

Non-referred attendance at a residential aged care facility

A36

Eating Disorder Services

1

GP and Medical Practitioner eating disorder treatment and management plans

3

Review of eating disorder treatment and management plan

4

GP and medical practitioner eating disorder s psychological treatment services

A39

Bushfire Recovery Access Initiative – GP and Medical Practitioner Focussed Psychological Strategies

A40

COVID-19 Services

1

COVID-19 general practice -  telehealth services

2

COVID-19 general practice - phone services

3

COVID-19 Focussed psychological strategies - telehealth services

10

COVID-19 Focussed psychological strategies - phone services

11

Health assessments for Aboriginal and Torres Strait Islander People - telehealth services

12

Health assessments for Aboriginal and Torres Strait Islander People - phone Services

13

GP management plans, team care arrangements and multidisciplinary care plans via telehealth attendance 

14

GP management plans, team care arrangements and multidisciplinary care plans via phone attendance 

15

GP pregnancy support counselling - telehealth services

16

GP pregnancy support counselling - phone services

17

GP, Specialist and Consultant Physician autism service - telehealth services

18

GP, Specialist and Consultant Physician autism service - phone services

19

GP mental health treatment plan - telehealth services

20

GP mental health treatment plan - phone services

21

GP Eating Disorder Treatment and Management Plan – telehealth services

22

GP Eating Disorder Treatment and Management Plans - phone services

25

Review of an eating disorder Plan - telehealth services

26

Review of an Eating Disorder Plan – phone services

27

GP - Eating Disorder Focussed Psychological Strategies – telehealth services

28

GP - Eating Disorder Focussed Psychological Strategies – phone services

29

GP and Other Medical Practitioner - urgent after hours service in unsociable hours - telehealth services

30

GP and Other Medical Practitioner - urgent after hours service in unsociable hours - phone services

A41

Additional focussed psychological strategies

1

GP additional focussed psychological strategies

2

Non specialist practitioner addition focussed psychological strategies

M1

Management of bulk billed services

D1

Miscellaneous diagnostic procedures and investigations

2

Ophthalmology

3

Otolaryngology

4

Respiratory

5

Vascular

6

Cardiovascular

8

Genito-urinary physiological investigations

9

Allergy testing

10

Other diagnostic procedures and investigations

D2

Nuclear Medicine (non-imaging)

T1

Miscellaneous therapeutic procedures

2

Dialysis

4

Paediatric and neonatal

5

Cardiovascular

8

Haematology

9

Procedures associated with intensive care and cardiopulmonary support

11

Chemotherapeutic procedures

13

Miscellaneous therapeutic procedures

T2

Radiation oncology

1

Superficial

T3

Therapeutic nuclear medicine

T4

Obstetrics

T6

Examination by anaesthetist

T7

Regional or field nerve blocks

T8

Surgical Operations

1

General

2

Colorectal

3

Vascular

4

Ear, nose and throat

5

Urological

6

Cardio-thoracic

7

Neurosurgical

8

Ear, nose and throat

9

Ophthalmology

11

Paediatric

12

Amputations

13

Plastic and reconstructive surgery

14

Hand surgery

15

Orthopaedic

T9

Assistance at operations

T10

Anaesthesia performed in connect with certain services (relative value guide)

All

 

 

 

Diagnostic Imaging Services Table

Group

Group Name

Subgroup

Subgroup Name

I1

Ultrasound

6

Musculoskeletal ultrasound

I3

 

 

Diagnostic Radiology

 

 

1

Radiographic examination of extremities

2

Radiographic examination of shoulder or pelvis

3

Radiographic examination of head

4

Radiographic examination of spine

5

Cardiovascular

6

Radiographic examination of thoracic region

7

Radiographic examination of urinary tract

8

Radiographic examination of alimentary tract and biliary system

12

Radiographic examination with opaque or contrast media

I6

Management of bulk billed Services

 

Pathology Services Table

Group

Group Name

P1

Haematology

P2

Chemical

P9

Simple Basic Pathology Tests

P12

Management of bulk billed services

 


 

SCHEDULE B

 

Approved Modified Monash 4-7 rural and remote Practice Locations AS AGREED under the remote vocational training scheme (rvts) extended targeted recruitment pilot

Approved primary care Modified Monash Model (MMM) 5 locations:

MMM 5 location

Practice Name

Street Address

Sponsor

Smithton

Ochre Medical Centre Smithton

14 King St, Smithton TAS 7330

Tasmanian Department of Health and Health Recruitment Plus

Robinvale

Robinvale District Medical Centre

39 Latje Road, Robinvale, VIC 3549

Rural Workforce Agency Victoria

Approved primary care Modified Monash Model (MMM) 6 locations:

MMM 6 location

Practice Name

Street Address

Sponsor

Cobar

Cobar Primary Health Care Centre

26 Harcourt St, Cobar NSW 2835

New South Wales Rural Doctors Network

Lake Cargelligo

Lake Cargelligo Family Practice

Cnr Bridge & Canada Street Lake Cargelligo NSW 2672

New South Wales Rural Doctors Network

Clermont

Clermont Doctors Surgery

24 Francis St, Clermont QLD 4721

Health Workforce Queensland and Central Queensland Rural Health

Mount Isa*

Gidgee Healing (2 locations)

8 Burke Street and 121 Marion Street, Mount Isa, QLD 4825

Health Workforce Queensland

Cleve, Kimba, Elliston & Cowell

Mid Eyre Medical Service (4 locations)

15 Main Street, Cleve, SA 5640

34 Park Terrace, Kimba, SA 5641

Memorial Drive, Elliston, SA 5670

17 South Terrace, Cowell, SA 5602

Eyre and Far North Local Health Network and South Australia Health

Approved primary care Modified Monash Model (MMM) 7 locations:

MMM 7 location

Practice Name

Street Address

Sponsor

Badu Island

Badu Island Primary Health Care Centre

181 Tamwoy Street, Badu Island, QLD 4875

Torres and Cape Hospital and Health Service

Streaky Bay

Streaky Bay & District Medical Centre

Community Services Building, 1 Flinders Drive, Streaky Bay, SA 5680

Eyre & Far North Local Health and South Australia Health

Fitzroy Crossing

Fitzroy Valley Health Services

52 & 82 Fallon Rd, Fitzroy Crossing, WA 6765

 

Western Australia Country Health Service