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

Bookmark

this version | go to latest

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

- F2021N00163
In force - Latest Version
View Series

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

Details

Expand

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

Federal Register of Legislation - Australian Government

Primary content

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