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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 Northern Territory Government. This instrument has effect from 1 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 – Northern Territory Government) Direction 2021

 

 

I, TRAVIS HASLAM, 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 Northern Territory Government dated 30 June 2020; 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 Northern Territory Government 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 1 July 2021 until 30 June 2024 inclusive, unless earlier revoked.

 

 

Date this 29th day of June 2021.

 

 

 

Travis Haslam

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 – NORTHERN TERRITORY

Practice Name

Street Address

Mailing Address

Darwin Rural District

Belyuen (Delissaville) Community Health Centre

Lot 252 Cox Peninsula Road, Belyuen, NT, 0822

PMB 18, Winnellie, NT, 0820

Maningrida Community Health Centre

Lot 659 Maningrida, NT, 0821

PMB 185, Winnellie, NT, 0820

Minjilang Community Health Centre

Lot 224 Yington Street, Minjilang, NT, 0822

Croker Island, via Darwin, NT, 0822

Nauiyu Community Health Centre

Lot 126, Nauiyu (Daly River), NT, 0822

PMB 28, Winnellie, NT, 0820

Nganmarriyanga (Palumpa) Community Health Centre

Lot 77, Palumpa, NT, 0822

CMB 30, Winnellie, NT, 0820

Oenpelli (Gunbalanya) Community Health Centre

Lot 503, Oenpelli, NT, 0822

CMB 6, Oenpelli, NT, 0822

Peppimenarti Community Health Centre

Lot 73, Peppimenarti NT, 0822

PMB 56, Winnellie, NT, 0820

Wadeye (Port Keats) Community Health Centre

Lot 490, Port Keats NT, 0822

PMB 202, Winnellie, NT, 0820

Warruwi Community Health Centre

Lot 50, Warruwi (Goulburn Island), NT, 0822

Goulburn Island, via Darwin

Woodycupildiya Community Health

Lot 12 via Daly River Road, Nemarluk, NT, 0822

PMB 132, Winnellie, NT, 0820

Katherine East District

Binjari Community Health Centre

Lot 43, Binjari North, via Katherine, NT, 0851

PO Box 480, Katherine, NT, 0851

Numbulwar Health Centre

Lot 141, Numbulwar, NT, 0822

CMB 17, via Katherine, NT, 0851

Pine Creek Community Health Centre

32 Baxter Terrace, Pine Creek, NT, 0847

PO Box 146, Pine Creek, NT, 0847

Robinson River Community Health Centre

Lot 44, Robinson River, NT, 0854

PO Box 433, Borroloola, NT, 0854

East Arnhem District

Alyangula (Groote Eylandt) Health Centre

Lot M1541, Poinciana Street, Alyangula, Groote Eylandt, NT, 0885

PO Box 347, Alyangula, Groote Eylandt, NT, 0885

Angurugu Community Health Centre

Lot 369, Angurugu, Groote Eylandt, NT, 0885

PO Box 347, Alyangula, Groote Eylandt, NT, 0885

Gunyangara (Marngarr) Health Centre

Gunyangara, NT, 0881

PO Box 144, Nhulunbuy, NT, 0880

Laynhapuy (Layna Homelands) Health Centre

Laynhapuy, NT, 0881

PO Box 1546, Nhulunbuy, NT, 0880

Milingimbi Community Health Centre

Lot M0037, Milingimbi, NT, 0882

 

Milyakburra (Bickerton Island) Health Centre

Lot 63, Milyakburra, Bickerton Island, NT, 0885

PMB 4, Alyangula, Groote Eylandt, NT, 0885

Umbakumba Health Centre

Lot 285, 23 Alyarrkangka Crescent, Umbakumba, NT, 0822

PO Box 347, Alyangula, Groote Eylandt, NT, 0885

Yirrkala Community Health Centre

Lot 144, Yirrkala, NT, 0881

PO Box 421, Nhulunbuy, NT, 0880

Alice Springs Remote District

Alpurrurulam (Lake Nash) Community Health Centre

Lot 21, Alpurrurulam, NT, 0871

PO Box 721, Alice Springs, NT, 0870

Amunturmgu (Mt Liebig) Community Health Centre

Lot 20, Mt Liebig, NT, 0871

PO Box 721, Alice Springs, NT, 0870

Aputula (Finke) Community Health Centre

Finke, NT 0872

CMB via Alice Springs, NT, 0870

Atitjere (Harts Range) Community Health Centre

Lot M2431, Harts Range, NT, 0871

PO Box 721, Alice Springs, NT, 0870

Bonya (Baikal Bonja) Community Health Centre

Bonya, NT, 0871

PO Box 721, Alice Springs, NT, 0870

Engawala (Alcoota) Community Health Centre

Lot 22, Engawala, NT, 0871

PO Box 721, Alice Springs, NT, 0870

Ikuntji (Haasts Bluff) Community Health Centre

Lot 78, Haasts Bluff, NT, 0871

PO Box 721, Alice Springs, NT, 0870

Kaltukatjara (Docker River) Community Health Centre

Lot 112, Kaltukatjara, NT, 0871

PO Box 721, Alice Springs, NT, 0870

Imanpa Community

Mount Ebenezer, NT, 0871

PMB Imanpa, via Alice Springs, NT, 0870

Laramba (Napperby) Community Health Centre

Lot 74, Laramba, NT, 0871

PO Box 721, Alice Springs, NT, 0870

Ntaria (Hermannsburg) Community Health Centre

Lot 95, Ntaria, NT, 0871

PO Box 721, Alice Springs, NT, 0870

Nturiya (Ti Tree Station) Community Health Centre

Lot 37, Nturiya, NT, 0871

PO Box 721, Alice Springs, NT, 0870

Nyirripi (Waite Creek) Community Health Centre

Lot 139, Nyirripi, NT, 0871

PO Box 721, Alice Springs, NT, 0870

Papunya Community Health Centre

Lot 224, Papunya, NT 0872

PO Box 721, Alice Springs, NT, 0870

Pmara Jutunta (Ti Tree 6 mile) Community Health Centre

Pmara Jutunta, NT 0872

PO Box 721, Alice Springs, NT, 0870

Tara (Neutral Junction) Community Health Centre

Lot 30, Tara, NT 0872

PO Box 721, Alice Springs, NT, 0870

Ti Tree Community Health Centre

Palmer Street, Ti Tree, NT, 0871

PO Box 721, Alice Springs, NT, 0870

Titjikala (Maryvale) Community Health Centre

Lot 53, Titjikala, NT, 0871

PO Box 721, Alice Springs, NT, 0870

Utju (Areyonga) Community Health Centre

Lot 75, Areyonga, NT, 0871

PO Box 721, Alice Springs, NT, 0870

Wallace Rockhole Health Centre

Lot 68, Wallace Rockhole, NT, 0871

PO Box 721, Alice Springs, NT, 0870

Watarrka (Kings Canyon - Ulpanyali) Community Health Centre

Watarrka, NT, 0871

PO Box 721, Alice Springs, NT, 0870

Wilora (Stirling) Community Health Centre

Lot M0025, Wilora, NT, 0871

PO Box 721, Alice Springs, NT, 0870

Wirilyatjarrayi (Willowra) Health Centre

Lot 40, Willowra, NT, 0871

PO Box 721, Alice Springs, NT, 0870

Yuelamu (Mt Alien) Community Health Centre

Lot 67, Yuelamu, NT, 0871

PO Box 721, Alice Springs, NT, 0870

Yuendumu Community Health Centre

Lot 430, Tanami Road, Yuendumu, NT, 0871

PO Box 721, Alice Springs, NT, 0870

Barkly District

Ali-Curung / Alekarenge (Warrabri) Community Health Centre

Lot 159, Ali-Curung, NT, 0861

PO Box 346, Tennant Creek, NT, 0860

 

Barkly Mobile#

Tennant Creek Hospital, Schmidt Street, Tennant Creek, NT, 0861

PO Box 346, Tennant Creek, NT, 0861

Canteen Creek (Orwatijilla) Health Centre

Lot 3, Canteen Creek, NT, 0861

PO Box 346, Tennant Creek, NT, 0861

Elliott Community Health Centre

Bray Street, Elliott, NT, 0861

PO Box 346, Tennant Creek, NT, 0861

Epenarra (Wutunurrgurru) Health Centre

Lot 26, Epenarra, NT, 0861

PO Box 346, Tennant Creek, NT, 0861

# Barkly Mobile includes approximately 20 stations including Brunette Downs, Muru Murula, Nicholson River, Alexandria, Walhallow, and Angus Camp

Borroloola

Borroloola Health Clinic

11 Gawara Street Borroloola, NT, 0854

PO Box 430 Borroloola, NT, 0854

Tiwi Islands Health Services

Julanimawu Primary Health Centre

Lot 737, Wurrumiyanga (Nguiu), NT, 0822

P.O. Box 75, Nguiu, NT, 0822

Milikapiti Community Health Centre

Lot 249 Milikapiti (Snake Bay), Melville Island, NT, 0822

PMB 279 via Winnellie, NT, 0820

Pirlangimpi

Lot 00238 Pirlangimpi, NT, 0822

PMB 155 via Winnellie, NT, 0820