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This instrument allows Medicare benefits to be payable in respect of a professional service which has been agreed to be provided under the Memorandum of Understanding between the Department of Health and the Queensland Government from 1 July 2022 to 30 July 2025.
Administered by: Health and Aged Care
Registered 30 Jun 2022
To be ceased 30 Jul 2025
Ceased by Self Ceasing

 

AUSTRALIAN GOVERNMENT

DEPARTMENT OF HEALTH

 

HEALTH INSURANCE ACT 1973

Health Insurance (Medicare Benefits Payable in Respect of Professional Services – Council of Australian Governments’ Improving Access to Primary Care in Rural and Remote Areas – COAG s19(2) Exemptions Initiative - Queensland Direction 2022

I, Nigel Murray, Assistant Secretary, MBS Policy and Specialist Services Branch,

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
16 December 2021, that Medicare benefits shall be payable in respect of professional services provided by health services in Queensland that are a part of the Council of Australian Governments’ Improving Access to Primary Care in Rural and Remote Areas – COAG s19(2) Exemptions Initiative, as described in the Memorandum of Understanding between the Australian Government and Queensland dated 13 December 2016; 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 Memorandum of Understanding (MOU) between the Department of Health (ABN: 24 004 196 909) and the Queensland (ABN: 75 818 456 675) 9 June 2022 as part of the Council of Australian Governments’ Improving Access to Primary Care in Rural and Remote Areas – COAG s19(2) Exemptions Initiative relating to primary care services 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 profession 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 a clause in (2)(a):

(i)     is provided at an approved Modified Monash Model 5-7 area (as defined in Section 7.1.1 of the general medical services table) practice location specified in Schedule B; and

                                                                          i.      is a professional non-referred service provided by a state remunerated medical practitioner, participating midwife, or participating nurse practitioner; or

                                                                        ii.      is a professional referred service provided by a state remunerated allied health and dental health practitioner; and

 

 

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

Date this 29th day of June 2022

 

 

Nigel Murray

Assistant Secretary

MBS Policy and Specialist Services Branch

Medical Benefits Division

Health Resourcing Group

Department of Health 


 

 

SCHEDULE A

 

MEDICARE BENEFITS SCHEDULE ITEMS AS Approved Practice Locations AS AGREED under the Council of Australian Governments’ Improving Access to Primary Care in Rural and Remote Areas – COAG s19(2) Exemptions Initiative – queensland

 

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

A9

Contact lenses – attendances

A10

Optometrical attendances

A11

Urgent attendance after hours

A14

Health assessments

A15

GP management plans, team care arrangements, multidisciplinary care plans

A17

Domiciliary and residential management plans

A18

General Practitioner attendance associated with PIP incentive payments to which no other item applies

A19

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

A20

General Practitioner mental health treatment

A22

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

A23

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

A27

Pregnancy support counselling

A30

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

A35

Services for patients in Residential Aged Care Facilities

A40

Telehealth and phone services 

1

General practice telehealth services

2

General practice phone services

3

Focussed psychological strategies telehealth services

10

Focussed psychological strategies phone services

11

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

13

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

15

GP pregnancy support counselling telehealth services

16

GP pregnancy support counselling phone services

17

GP, Specialist and Consultant Physician Autism Service Telehealth Service

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

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

39

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

40

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

A41

Additional focussed psychological strategies

A42

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

A43

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

A45

Nicotine and Smoking Cessation Counselling

M1

Management of bulk-billed services

M3

Allied Health services

M6

Psychological therapy services

M7

Focussed psychological strategies

M8

Pregnancy support counselling

M9

Allied Health group services

M10

Autism, pervasive developmental disorder and disability services

M11

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

M12

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

M14

Nurse Practitioners

M15

Diagnostic audiology services

M16

Eating Disorder services

M18

Allied health telehealth services

1

Psychological therapies telehealth services

2

Psychologist focussed psychological strategies telehealth services

3

Occupational therapist focussed psychological strategies telehealth services

4

Social worker focussed psychological strategies telehealth services

5

Nurse practitioner telehealth services

6

Psychological therapies phone services

7

Psychologist focussed psychological strategies phone service

8

Occupational therapist focussed psychological strategies phone services

9

Social worker focussed psychological strategies phone services

10

Nurse practitioner phone services

11

General allied health telehealth services

12

General allied health phone services

13

Pregnancy support counselling telehealth services

14

Pregnancy support counselling phone services

15

Autism, pervasive developmental disorder and disability telehealth services

16

Autism, pervasive developmental disorder and disability phone services

17

Telehealth attendance to person of Aboriginal and Torres Strait Islander descent

18

Phone attendance to person of Aboriginal and Torres Strait Islander descent

23

COVID-19 Follow up service provided by a practice nurse or Aboriginal and Torres Strait Islander health practitioner – Telehealth Services

25

COVID-19 Allied health, group dietetics telehealth services

26

COVID-19 Allied health, group dietetics phone

M25

Additional psychological therapy services

M26

Additional focussed psychological strategies (allied mental health)

M27

Initial psychological therapy services

M28

Initial focussed psychological strategies (allied mental health)

M29

Additional allied health services

M30

Allied health services for Indigenous Australians in RACF

M31

Allied health group services in RACF

D1

Miscellaneous diagnostic procedures and investigations

1

Neurology

2

Ophthalmology

5

Vascular

7

Gastroenterology and colorectal

8

Genito/urinary physiological investigations

D2

Nuclear medicine (non-imaging)

T1

Miscellaneous therapeutic procedures

6

Gastroenterology

* Note: Claims under any item Group A30 in the General Medical Services Table may only be exempt from Subsection 19(2) of the HIA 1973 when the services are claimed by a General Practitioner.

 

General Medical Services Table – permitted items

Group

Group Name

Items

Item overview

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

92170, 92171, 92176, 92177

General Practitioner and Other Medical Practitioner items

A44

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

93625, 93627, 93635, 93637, 93645, 93647, 93654, 93656, 93661, 93666, 10660, 10661

General Practice Attendance for Assessing Patient Suitability for a COVID-19 Vaccine

D1

Miscellaneous diagnostic procedures and investigations

11300-11318, 11330, 11333-11339, 11503-11507, 11512, 11707, 12000-12004, 12012-12024, 12200, 12306-12326

Non-referred services only

M13

Midwifery services

82100-82115, 82130-82152

Midwifery items

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, 91850, 91855, 91851, 91856, 91852, 91857, 91853, 91858, 91855

Antenatal and postnatal attendances

T8

Surgical operations

30001-30006, 30010, 30023, 30026-30055, 30061-30072, 30187, 30189, 30192-30219, 47015, 47042, 47057, 47069, 47301, 47348,

47354, 47361, 47387, 47423, 47444, 47453, 47462, 47466. 47471, 47543, 47561, 47579, 47595, 47663, 47735, 47904-47918

Minor surgical procedures

O1

Consultations

51700- 51703, 54001-54004

Dental practitioner attendances

 

Diagnostic Imaging Services Table

Group

Group Name

I1

Ultrasound

I3

Diagnostic radiology

I6

Management of bulk-billed services

 

Pathology Services Table

Group

Group Name

P9

Simple basic pathology tests

P12

Management of bulk-billed services

P13

Bulk-billing incentive


 

SCHEDULE B

 

Approved Practice Locations AS AGREED under the Council of Australian Governments’ Improving Access to Primary Care in Rural and Remote Areas – COAG s19(2) Exemptions Initiative - Queensland

Approved locations:

Location

Practice Name

Street Address

Mailing Address

Babinda

Babinda Hospital Multi-Purpose Health Service

 

128 Munro Street, Babinda, QLD 4861

 

PO Box 160

BABINDA QLD 4861

Barcaldine

Barcaldine Hospital Multi-Purpose Health Service

 

25 Oak Street, Barcaldine, QLD 4725

25 Oak Street

BARCALDINE QLD 4725

Alpha

Alpha Hospital and Multipurpose Health Service

1 Burns Street

Alpha QLD 4724

 

1 Burns Street

ALPHA  QLD  4724

Aramac

Aramac Primary Health Clinic

2 Lodge Street

Aramac QLD 4726

2 Lodge Street

ARAMAC  QLD  4726

Jericho

Jericho Health Clinic

 

19 Pasteur Street

Jericho QLD 4728

19 Pasteur Street

JERICHO  QLD  4728

Muttaburra

Muttaburra Primary Health Care Centre

Edkins Street

Muttaburra QLD 4732

Edkins Street

MUTTABURRA  QLD  4732

Biggenden

Biggenden MPHS

 

57 Alice Street, Biggenden, QLD 4621

57 Alice St

BIGGENDEN QLD 4621

Blackall

Blackall Hospital

 

Hospital Road, Blackall, QLD 4472

 

PO BOX 131

BLACKALL QLD 4472

Blackwater

Blackwater Hospital Multi-Purpose Health Service

41 McKenzie Street, Blackwater, Qld 4717

PO Box 47

BLACKWATER QLD 4717

Boulia

Boulia Primary Health Centre

49 Wills Street, Boulia, QLD 4829

49 Wills Street

BOULIA QLD 4829

Capella

Capella Outpatients Clinic

5 Slider Street, Capella, QLD 4723

5 Slider Street

CAPELLA QLD 4723

Cardwell

Cardwell Community Health Centre

Victoria Street, Cardwell, QLD 4819

PO Box 391

CARDWELL QLD 4819

Childers

Childers Hospital Multi-Purpose Health Service

44 Broadhurst Street, Childers, QLD 4660

PO Box 62

CHILDERS QLD 4660

Chillagoe

Chillagoe Primary Health Centre

21 Hospital Avenue, Chillagoe, QLD 4871

PO Box 4

CHILLAGOE QLD, 4871

Collinsville

Collinsville Hospital

81-91 Garrick Street, Collinsville, QLD 4804

PO Box 56

COLLINSVILLE QLD 4808

Dimbulah

Dimbulah Primary Health Centre

1-5 Stephen Street, Dimbulah, QLD 4872

PO Box 148

DIMBULAH QLD 4872

Dirranbandi

Dirranbandi Multipurpose Health Service

Corner of Jane and Crothers Streets, Dirranbandi, QLD 4486

PO Box 20

DIRRANBANDI QLD 4486

Eidsvold

Eidsvold Multi-Purpose Health Service

Cracow Rd, Eidsvold, QLD 4627

PO Box 40

EIDSVOLD QLD 4627

Gayndah

Gayndah Hospital

69 Warton Street, Gayndah, QLD 4625

PO Box 41

GAYNDAH QLD 4625

Sapphire

Gemfields Outpatient Clinic

984 Rubyvale Road, Sapphire, QLD 4702

PO Box 342

SAPPHIRE QLD 4702

Gin Gin

Gin Gin Hospital

5 King Street, Gin Gin, QLD 4671

PO Box 14

GIN GIN QLD 4671

Hughenden

Hughenden Health Centre

Richmond Hill Drive, Hughenden, QLD 4821

PO Box 228

HUGHENDEN QLD 4821

Inglewood

Inglewood Multi-Purpose Health Service

Cunningham Highway, Inglewood, QLD 4387

PO Box 42

INGLEWOOD QLD 4387

Injune

Injune Multi-Purpose Health Service

Fifth Avenue, Injune, QLD 4454

PO Box 35

INJUNE QLD 4454

Isisford

Isisford Primary Health Centre

St Helena Street, Isisford, QLD 4731

St Helena Street

ISISFORD QLD 4731

Jandowae

Jandowae Health Services

Jandowae Hospital, 13 Dalby Street, Jandowae, QLD 4410

PO Box 75

JANDOWAE QLD 4410

Jundah

Jundah Primary Health Centre

1 Hospital Road, Jundah, QLD 4736

1 Hospital Road

JUNDAH QLD 4736

Longreach

Longreach Hospital

Corner Jabiru and Plover Streets, Longreach, QLD 4730

Corner Jabiru and Plover Streets

LONGREACH QLD 4730

Miles

Miles Hospital Health Service

5-11 Colamba Street, Miles, QLD 4415

PO Box 187

MILES QLD 4415

Millmerran

Millmerran Multi-Purpose Health Service

50 Commens Street, Millmerran, QLD 4357

50 Commens Street

MILLMERRAN QLD 4357

Cecil Plains

Millmerran Multi-Purpose Health Service - Outreach Primary Clinic (Cecil Plains)

Co located at Anglicare, 24 Geraghty Street, Cecil Plains, QLD 4407

Co located at Anglicare

24 Geraghty Street

CECIL PLAINS QLD 4407

Mitchell

Mitchell Hospital

95 Ann Street, Mitchell, QLD 4465

95 Ann Street

MITCHELL QLD 4465

Monto

Monto Health Service

Flinders Street, Monto, QLD 4630

PO Box 220

MONTO QLD 4630

Mossman

Mossman Multi-Purpose Health Service

9 Hospital Street, Mossman, QLD 4873

9 Hospital Street

MOSSMAN QLD 4873

Cow Bay

Cow Bay Primary Health Centre

69 Tea Tree Road

Diwan QLD 4873

PMB 3

CAPE TRIBULATION  QLD  4873

Moura

Moura Multi-Purpose Health Service

14 Nott Street, Moura, QLD 4718

14 Nott Street

MOURA QLD 4718

Mundubbera

Mundubbera Health Service

96 Leichardt Street, Mundubbera QLD 4626

PO Box 35

MUNDUBBERA QLD 4626

Mungindi

Mungindi Multi-Purpose Health Service

90 Barwon St, Mungindi, QLD 2406

90 Barwon St

MUNGINDI QLD 2406

Murgon

Murgon Health Service

Coronation Drive, Murgon, QLD 4605

Coronation Drive

MURGON QLD 4605

Nanango

Nanango Health Service

135 Brisbane Street, Nanango, QLD 4615

PO Box 60

NANANGO QLD 4615

Oakey

Oakey Health Services – Oakey Hospital

Cnr Beale and Fitzpatrick Streets, Oakey, QLD 4401

Cnr Beale and Fitzpatrick Streets

OAKEY QLD 4401

Proserpine

Proserpine Hospital and Community Health Centre

26-32 Taylor Street, Proserpine, QLD 4800

PO Box 229

PROSERPINE QLD 4800

Quilpie

Quilpie Multi-Purpose Health Service

30 Gyrica Street, Quilpie, QLD 4480

PO Box 27

QUILPIE QLD 4480

Richmond

Richmond Health Service

Gallagher Drive, Richmond, QLD 4822

PO Box 24

RICHMOND QLD 4822

Springsure

Springsure Multi-Purpose Health Service

21 Woodbine Street, Springsure, QLD 4722

PO Box 14

SPRINGSURE QLD 4722

Surat

Surat Hospital Multi-Purpose Health Service

2 Ivan St, Surat, QLD 4417

PO Box 2,

SURAT QLD 4417

Tambo

Tambo Primary Health Care Centre

Garden Street, Tambo, QLD 4478

Garden Street

TAMBO QLD 4478

Tara

Tara Hospital

15 Bilton Street, Tara, QLD 4421

15 Bilton Street

TARA QLD 4421

Taroom

Taroom Hospital

Taroom Hospital, 14 Miller Street, Taroom QLD 4420

PO Box 358

TAROOM QLD 4420

Texas

Texas Multi Purpose Health Service

Mingoola Road, Texas, QLD 4385

PO Box 91

TEXAS QLD 4385

Tully

Tully Hospital

17 Bryant Street, Tully, QLD 4854

PO Box 489

TULLY QLD 4854

Wallumbilla

Wallumbilla Community Health Care Clinic

Stakeyard Road, Wallumbilla, QLD 4428

PO Box 21

WALLUMBILLA QLD 4428

Windorah

Windorah Primary Healthcare Centre

15 Victoria Street, Windorah, QLD 4481

15 Victoria Street

WINDORAH QLD 4481

Winton

Winton Hospital and Multi-Purpose Health Service

Oondooroo Street, Winton, QLD 4735

Oondooroo Street

WINTON QLD 4735