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This instrument directs that Medicare benefits are payable for permitted items in the clinics listed where the professional service is provided by, or on behalf of, the South Australian Government.
Administered by: Health and Aged Care
Registered 23 Dec 2021
To be ceased 30 Jun 2025
Ceased by Self Ceasing

 

AUSTRALIAN GOVERNMENT

DEPARTMENT OF HEALTH

 

HEALTH INSURANCE ACT 1973

Health Insurance (Medicare Benefits Payable in Respect of Professional Services – Noarlunga and Smaller Medical Services in South Australia) Direction (No.2) 2021

 

I, NIGEL MURRAY, 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 Direction made under subsection 19(2) of the Act that was granted on
1 July 2021, in respect of professional services provided by, or on behalf of, or under an arrangement with South Australia Health; 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 by, or on behalf of, or under an arrangement with South Australia Health (ABN: 97 643 356 590) for which:

(i)     items specified in Schedule A of this Direction; and

(ii)   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 receiving hospital treatment or 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):

(i)     is provided at a practice location specified in Schedule B of this Direction.

DECLARED that this Direction shall have effect from the date of signature until
30 June 2025 inclusive unless earlier revoked.

Date this          22 day of December 2021

 

 

Nigel Murray

Assistant Secretary

Medical Benefits Division

Health Resourcing Group

Department of Health 

 

SCHEDULE A

MEDICARE BENEFITS SCHEDULE ITEMS AS AGREED BETWEEN THE DEPARTMENT OF HEALTH AND south australia health

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.

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

M1

Management of bulk billed services

M12

Services provided by a practice nurse, an Aboriginal health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner

1

Video conferencing consultation support service provided by a practice nurse, an Aboriginal health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner

2

Video conferencing consultation support service provided at a residential aged care facility on behalf of a medical practitioner

3

Services provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner

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 Practice Locations

Approved locations:

Location

Practice Name

Street Address

Mailing Address

Sefton Park

Sefton Park Community Health Care Service

Shop 5, 22 Main North Road, Sefton Park, South Australia 5083

Shop 5, 22 Main North Road, Sefton Park, South Australia 5083

Port Adelaide

Watto Purrunna Aboriginal Health Service

Wonggangga Turtpandi,
11 Church Street, Port Adelaide, South Australia 5015

Wonggangga Turtpandi,
11 Church Street, Port Adelaide, South Australia 5015

Elizabeth

Youth Health Service

6 Gillingham Street, Elizabeth, South Australia 5112

6 Gillingham Street, Elizabeth, South Australia 5112

Angel Park

Youth Health Service

40-44 Trafford Street, Angle Park, South Australia 5010

40-44 Trafford Street, Angle Park, South Australia 5010

Christies Beach

Youth Health Service

50A Beach Road, Christies Beach, South Australia 5165

50A Beach Road, Christies Beach, South Australia 5165

Noarlunga Centre

Noarlunga Health Service

20 Alexander Kelly Drive, Noarlunga Centre, South Australia 5168.

20 Alexander Kelly Drive, Noarlunga Centre, South Australia 5168.