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This instrument allows Medicare benefits to be payable for permitted items in the clinics listed where the professional service is provided by, or on behalf of, the Queensland State Government or Royal Flying Doctor Service. This instrument has effect from 7 July 2021 until 30 June 2024 inclusive, unless earlier revoked.
Administered by: Health
Registered 15 Jul 2021
To be ceased 30 Jun 2024
Ceased by Self Ceasing

AUSTRALIAN GOVERNMENT

DEPARTMENT OF HEALTH

 

HEALTH INSURANCE ACT 1973

 

 

Health Insurance (Medicare Benefits Payable in Respect of Professional Services – Queensland State Government and Royal Flying Doctor Service) Direction 2021

 

 

I, LOUISE RILEY, ACTING FIRST ASSISTANT SECRETARY, delegate for the Minister for Health and Aged Care, acting under subsection 19(2) of the Health Insurance Act 1973 (the Act) hereby:

 

 (1)            REVOKE the Direction made under subsection 19(2) of the Act in respect of professional services provided by the Queensland State Government or Royal Flying Doctor Service dated 29 June 2021; and

 

 (2)          DIRECT that a medicare benefit shall be payable in respect of:

(a)    a professional service (as defined in Section 3 of the Act) provided by a salaried provider employed or engaged by the Queensland State Government or the Royal Flying Doctor Service and provided in a clinic listed in Schedule B to this Direction, for which;

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

(ii)   the professional service is provided to an eligible person (as defined in Section 3 of the Act).

 

Note:   ‘Professional service’ as used in this Direction is defined in the Act.

 

This Direction shall have effect from the date of signature until 30 June 2024 inclusive, unless earlier revoked.

 

 

Date this          7th day of July 2021.

 

 

 

Louise Riley

Acting First Assistant Secretary

Medical Benefits Division
Department of Health


SCHEDULE A

PERMITTED MEDICARE BENEFITS SCHEDULE items

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.

All items in the Groups listed in Table 1 are permitted. Services provided under this instrument must meet all the requirements of the items claimed, as provided in the relevant item descriptors.

Table 1: General Medical Services Table – item groups

Group

Group Name

Group

Group Name

A1

General Practitioner attendances to which no other item applies

A15

GP management plans, team care arrangements, multidisciplinary care plans

A2

Other non-referred attendances to which no other item applies

A17

Domiciliary and residential management plans

A5

Prolonged attendances to which no other item applies

A18

General Practitioner attendance associated with PIP incentive payments to which to other item applies

A6

Group therapy

A19

Other non-referred attendances associated with PIP incentive payments to which no other item applies

A7

Acupuncture and non-specialist practitioner items

A20

General Practitioner mental health treatment

A9

Contact lenses – attendances

A22

General Practitioner after-hours attendances to which to other item applies

A10

Optometrical attendances

A23

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

A11

Urgent attendance after hours

A27

Pregnancy support counselling

A14

Health assessments

A30

Medical practitioner (including General Practitioner, specialist or consultant physician) telehealth attendances

A35

Services for patients in Residential Aged Care Facilities

M11

Allied Health services for Indigenous Australians who have had a health check

A39

Bushfire recovery access initiative – GP and Medical Practitioner focussed psychological strategies

M12

Services provided by a Practice Nurse or Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner

A41

Additional focussed psychological strategies

M13

Midwifery services

A42

Mental health planning for care recipients of a residential aged care facility

M14

Nurse Practitioners

A43

Care recipient of a Residential Aged Care Facility planning and contribution items

M15

Diagnostic audiology services

A44

General Practice attendance for assessing patient suitability for a COVID-19 vaccine

M16

Eating Disorder services

D2

Nuclear medicine (non-imaging)

M25

Additional psychological therapy services

M1

Management of bulk-billed services

M26

Additional focussed psychological strategies (allied mental health)

M3

Allied Health services

M27

Initial psychological therapy services

M6

Psychological therapy services

M28

Initial focussed psychological strategies (allied mental health)

M7

Focussed psychological strategies

M29

Additional allied health services

M8

Pregnancy support counselling

M30

Allied health services for Indigenous Australians in RACF

M9

Allied Health group services

M31

Allied health group services in RACF

M10

Autism, pervasive developmental disorder and disability services

 

 

 

All items in the Subgroups listed in Table 2 are permitted.

Table 2: General Medical Services Table – item subgroups

Group

Group Name

Subgroup

Subgroup Name

A40

COVID-19 services

1

COVID-19 General Practice telehealth services

A40

COVID-19 services

2

COVID-19 General Practice phone services

A40

COVID-19 services

3

COVID-19 focussed psychological strategies telehealth services

A40

COVID-19 services

10

COVID-19 focussed psychological strategies phone services

A40

COVID-19 services

11

COVID-19 health assessment for Aboriginal and Torres Strait Islander people – telehealth service

A40

COVID-19 services

13

COVID-19 chronic disease management (CDM) service – telehealth service

A40

COVID-19 services

15

COVID-19 GP pregnancy support counselling – telehealth service

A40

COVID-19 services

16

COVID-19 GP pregnancy support counselling – phone service

A40

COVID-19 services

19

COVID-19 GP mental health treatment plan – telehealth service

A40

COVID-19 services

20

COVID-19 GP mental health treatment plan – phone service

A40

COVID-19 services

21

COVID-19 GP eating disorder treatment and management plan – telehealth service

A40

COVID-19 services

27

COVID-19 GP eating disorder focussed psychological strategies – telehealth service

A40

COVID-19 services

28

COVID-19 GP eating disorder focussed psychological strategies – phone service

A40

COVID-19 services

29

COVID-19 GP and Other Medical Practitioner – urgent after-hours service in unsociable hours – telehealth service

A40

COVID-19 services

39

GP Blood borne viruses, sexual or reproductive health consultation – telehealth service

A40

COVID-19 services

40

GP Blood borne viruses, sexual or reproductive health consultation – phone service

D1

Miscellaneous diagnostic procedures and investigations

1

Neurology

D1

Miscellaneous diagnostic procedures and investigations

2

Ophthalmology

D1

Miscellaneous diagnostic procedures and investigations

5

Vascular

D1

Miscellaneous diagnostic procedures and investigations

6

Cardiovascular

D1

Miscellaneous diagnostic procedures and investigations

7

Gastroenterology and colorectal

D1

Miscellaneous diagnostic procedures and investigations

8

Genito/urinary physiological investigations

D1

Miscellaneous diagnostic procedures and investigations

9

Allergy testing

D1

Miscellaneous diagnostic procedures and investigations

10

Other diagnostic procedures and interventions

T1

Miscellaneous therapeutic procedures

5

Cardiovascular

T1

Miscellaneous therapeutic procedures

6

Gastroenterology

 


 

All items listed in Table 3 are permitted.

Table 3: General Medical Services Table – items

Group

Group Name

Items

Item Description

A29

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

139

Professional attendance by a general practitioner for assessment, diagnosis and preparation of a treatment and management plan for a patient with an eligible disability.

A36

Eating disorder services

90250-90257, 90264, 90265, 90271-90282

Eating disorder services provided by General Practitioners or Medical Practitioners

A40

COVID-19 services

92145, 92170, 92171, 92176, 92177

General Practitioner and Other Medical Practitioner items

D1

Miscellaneous diagnostic procedures and investigations

11300-11318, 11330, 11333-11339, 11503-11507, 11512

Non-referred services only

T1

Miscellaneous therapeutic procedures

13105-13110

Haemodialysis provided by a registered nurse, Aboriginal health worker or Aboriginal and Torres Strait Islander health practitioner in a very remote location.

T4

Obstetrics

16400, 16406-16500, 16502-16591

Antenatal and postnatal attendances

T8

Surgical operations

30001-30006, 30026-30055, 30061-30072, 30187, 30189, 30192-30219

Minor surgical procedures

O1

Consultations

51700- 51703, 54001-54004

Dental practitioner attendances

 


All items in the Groups listed in Table 4 are permitted.

Table 4: Diagnostic Imaging Services Table

Group

Group Name

I1

Ultrasound

I3

Diagnostic radiology

I6

Management of bulk-billed services

 

All items in the Groups listed in Table 5 are permitted.

Table 5: Pathology Services Table

Group

Group Name

P9

Simple basic pathology tests

P12

Management of bulk-billed services

P13

Bulk-billing incentive

 


 


SCHEDULE B

 

Approved Services - QUEENSLAND

 

Practice Name

Street Address

Mailing Address

Torres and Cape Hospital and Health Service

Aurukun Health Service

Kang Kang Road, Aurukun, QLD, 4892

C/o Post Office, Aurukun, QLD, 4892

Badu Island Primary Health Care Centre

181 Tamwoy Street, Badu Island, QLD, 4875

PO Box 95, Badu Island, QLD, 4875

Bamaga Primary Health Care Centre

175 Adidi Street, Bamaga, QLD, 4876

PO Box 95, Bamaga, QLD, 4876

Bamaga Hospital

82 Sagaukaz Street, Bamaga, QLD, 4876

PO Box 99, Bamaga, QLD, 4876

Boigu Island Primary Health Care Centre

Chambers Street, Boigu Island, QLD, 4875

 

Coen Primary Health Care Centre

2 Armbrust Street, Coen, QLD, 4892

C/o Coen Post Office, Coen, QLD, 4892

Cooktown Multipurpose Health Service

48 Hope Street, Cooktown, QLD, 4895

PO Box 101, Cooktown, QLD, 4895

Dauan Island Primary Health Care Centre

Lot 16 Dauan Island, QLD, 4875

C/ Dauan Island Health Care Centre, Dauan Island, QLD, 4875

Erub (Darnley) Island Primary Health Care Centre

Lot 64 The Esplanade, Erub Island, QLD, 4875

C/ Erub (Darnley) Island Primary Health Care Centre, Erub Island, QLD, 4875

Hope Vale Primary Health Care Centre

Aerodrome Road, Hope Vale, QLD, 4895

C/o Post Office, Hope Vale, QLD, 4895

Iama (Yam) Island Primary Health Care Centre

Lot 13 Garth Lane, Iama Island, QLD, 4875

C/ Iama (Yam) Island Primary Health Care Centre, Iama Island, QLD, 4875

Kowanyama Primary Health Care Centre

Carrington Street, Kowanyama, QLD, 4892

C/o Post Office, Kowanyama, QLD, 892

Kubin Primary Health Care Centre

Lot 77 Kubin Village Health Centre, Kubin Village, Moa Island, QLD, 4875

C/ Kubin Health Centre, Lot 77 Kubin, QLD, 4875

Laura Primary Health Care Centre

1 Gladwell Street, Laura, QLD, 4871

Health Centre, Laura, QLD, 4871

Lockhart River Primary Health Care Centre

Lockhart River, QLD, 4892

C/o Post Office, Lockhart River, QLD, 4892

Mabuiag Island Primary Health Care Centre

Lot 2 Map Street, Mabuiag Island, QLD, 4875

C/ Mabuiag Island Primary Health Care Centre, Mabuiag Island, QLD, 4875

Malakoola (Napranum) Primary Health Care Centre

Munding Road, Napranum, QLD, 4874

PO Box 52, Weipa, QLD, 4874

Mapoon Primary Health Care Centre

Red Beach Road, Mapoon, QLD, 4874

PO Box 341, Weipa, QLD, 4874

Masig (Yorke) Island Primary Health Care Centre

Yorke Island, QLD, 4875

C/ Yorke Island, QLD, 4875

Mer (Murray) Island Primary Health Care Centre

Murray Island, QLD, 4875

C/ Post Office, Murray Island, QLD, 4875

New Mapoon Primary Health Care Centre

46 Langie-Drah Street, New Mapoon, QLD, 4876

PO Box 95, Bamaga, QLD, 4876

Ngurapai (Horn) Island Primary Health Care Centre

29 Nawie Street, Horn Island, QLD, 4875

Po Box 64, Horn Island, QLD, 4875

Pormpuraaw Primary Health Care Centre

8 Korka Street, Pormpuraaw, QLD, 4892

C/o Post Office, Pormpuraaw, QLD, 4892

Poruma (Coconut) Island Primary Health Care Centre

William Street, Poruma (Coconut) Island, QLD, 4875

C/ Poruma (Coconut) Island Primary Health Care Centre, Poruma, QLD, 4875

Saibai Island Primary Health Care Centre

Saibai Island, QLD, 4875

C/ Saibai Island, QLD, 4875

St Paul’s Primary Health Care Centre

Lot 33 Main Street, St Paul’s Village, Moa Island, QLD, 4875

C/ St Paul’s Primary Health Care Centre, Moa Island, QLD, 4875

Seisa Primary Health Care Centre

Lot 100 Mugai Street, Seisia, QLD, 4876

PO Box 95, Bamaga, QLD, 4876

Thursday Island Community Wellness Centre

Thursday Island Hospital Precint, 163 Douglas Street, Thursday Island, QLD, 4875

PO Box 391, Thursday Island, QLD, 4875

Thursday Island Hospital

163 Douglas Street, Thursday Island, QLD, 4875

PO Box 391, Thursday Island, QLD, 4875

Sibuwani Ngurpai Meta (Thursday Island Primary Health Care Centre)

74 Douglas Street, Thursday Island, QLD, 4875

PO Box 624, Thursday Island, QLD, 4875

Ugar (Stephen) Island Primary Health Care Centre

Lot 10 Orankie Street, Ugar (Stephen) Island, QLD, 4875

C/ Ugar (Stephens) Island Primary Health Care Centre, Ugar (Stephens) Island, QLD, 4875

Umagico Primary Health Care Centre

Charlie Street, Umagico, QLD, 4876

PO Box 95, Bamaga, QLD, 4876

Warraber (Sue) Island Primary Health Care Centre

Corner Esplanade and Aikuru Street, Warraber, QLD, 4875

C/ Warraber Primary Health Care Centre, Warraber, QLD, 4875

Weipa Integrated Health Service

Lot 407 John Evans Drive, Weipa, QLD, 4874

PO Box 341, Weipa, QLD, 4874

Wujal Wujal Primary Health Centre

100 Douglas Street, Wujal Wujal, QLD, 4895

PMB 1011, Cooktown, QLD, 4895

Cairns and Hinterland Hospital and Health Service

Jumbun Community Health Care Centre

Murray Upper Road, Jumbun, QLD, 4854

C/o Cassowary Area Community Health, PO Box 2463, Innisfail, QLD, 4860

Yarrabah Emergency Service

1 Bukki Road, Yarrabah, QLD, 4871

 

Central Queensland Hospital and Health Service

Woorabinda Multipurpose Health Service

1 Munns Drive, Woorabinda, QLD, 4713

 

Darling Downs Hospital and Health Service

Cherbourg Hospital and Community Health

Fisher Street, Cherbourg, QLD, 4605

PO Box 361, Murgon, QLD, 4605

Goondiwindi Hospital

Bowen Street, Goondiwindi, QLD, 4390

PO Box 339, Goondiwindi, QLD, 4390

Metro South Hospital and Health Service

Marie Rose Centre

36 Oxley Parade, Dunwich, QLD, 4183

PO Box 20, Dunwich, QLD, 4183

The Southern Queensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care, Inala

37 Wirraway Parade, Inala, QLD, 4077

 

South West Hospital and Health Service

Charleville Hospital

72 King Street, Charleville, QLD, 4470

PO Box 219, Charleville, QLD, 4470

Cunnamulla Hospital

56 Wicks Street, Cunnamulla, QLD, 4490

PO Box 78, Cunnamulla, QLD, 4490

Townsville Hospital and Health Service

Ayr Health Service

2 Chippendale Street, Ayr, QLD, 4807

PO Box 971, Ayr, QLD, 4807

Charters Towers Health Service

137-139 Gill Street, Charters Towers, QLD, 4820

PO Box 63, Charters Towers, QLD, 4820

Home Hill Health Service

Tenth Avenue, Home Hill, QLD, 4806

PO Box 53, Home Hill, QLD, 4806

Joyce Palmer Health Service

Beach Road, Palm Island, QLD, 4816

 

North West Hospital and Health Service

Burketown Primary Health Care Clinic

Beames St, Burketown, QLD, 4830

PO Box 70, Burketown, QLD, 4830

Cloncurry Hospital

Musgrave Street, Cloncurry, QLD, 4824

 

Camooweal Primary Health Care Clinic

52-60 Morrison Street, Camooweal, QLD, 4828

 

Dajarra Health Centre

Matheson Street, Mount Isa, QLD, 4825

Locked Mail Bag, Private Mail 17, Mount Isa, QLD, 4825

Doomadgee Rural Hospital

Sharpe Street, Doomadgee, QLD, 4830

 

McKinlay Shire Multipurpose Health Service

1 Burke Street, Julia Creek, QLD, 4823

PO Box 93, Julia Creek, QLD, 4823

Karumba Health Centre

140-160 Walker Street, Karumba, QLD, 4891

PO Box 44, Karumba, QLD, 4891

Mornington Island Hospital

Lardyl Street, Mornington Island, QLD, 4871

 

Normanton Hospital

Hospital Road, Normanton, QLD, 4890

PO Box 33, Normanton, QLD, 4890

 


 

APPROVED SERVICES – ROYAL FLYING DOCTOR SERVICE UNDER CONTRACT TO QUEENSLAND HEALTH

 

Practice Name

Street Address

Mailing Address

Torres and Cape Hospital and Health Service

Aurukun Health Service

Kang Kang Road, Aurukun, QLD, 4892

C/o Post Office, Aurukun, QLD, 4892

Coen Primary Health Care Centre

2 Armbrust Street, Coen, QLD, 4892

C/o Coen Post Office, Coen, QLD, 4892

Kowanyama Primary Health Care Centre

Carrington Street, Kowanyama, QLD, 4892

C/o Post Office, Kowanyama, QLD, 892

Lockhart River Primary Health Care Centre

Lockhart River, QLD, 4892

C/o Post Office, Lockhart River, QLD, 4892

Malakoola (Napranum) Primary Health Care Centre

Munding Road, Napranum, QLD, 4874

PO Box 52, Weipa, QLD, 4874

Pormpuraaw Primary Health Care Centre

8 Korka Street, Pormpuraaw, QLD, 4892

C/o Post Office, Pormpuraaw, QLD, 4892

Weipa Integrated Health Service

Lot 407 John Evans Drive, Weipa, QLD, 4874

PO Box 341, Weipa, QLD, 4874