AUSTRALIAN GOVERNMENT

DEPARTMENT OF HEALTH AND AGED CARE

HEALTH INSURANCE ACT 1973

Health Insurance (Medicare Benefits Payable in Respect of Professional Services – Services Rendered under the Commonwealth Urgent Care Clinic Program) Direction (No. 5) 2023

I, Nigel Murray, Assistant Secretary, MBS Policy and Specialist Programs Branch, Medicare Benefits and Digital Health Division, Health Resourcing Group, delegate for the Minister for Health and Aged Care, acting under subsection 19(2) of the Health Insurance Act 1973, hereby:

(1) REVOKE the Health Insurance (Medicare Benefits Payable in Respect of Professional Services – Services Rendered under the Commonwealth Urgent Care Clinic Program) Direction (No.4) 2023 made under subsection 19(2) of the Act that was signed on 11 September 2023, in respect of professional services Rendered under the Commonwealth Urgent Care Clinic Program; 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 Commonwealth Medicare Urgent Care Clinic Program between the Department of Health and Aged Care (ABN: 83 605 426 759) and the practices listed in Schedule B of this direction in relation to medical services available to patients who attend a Commonwealth Urgent Care Clinic Location 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) 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);

(ii) a patient who is not receiving the service as part of an episode of hospital treatment (as defined in Section 121-5 of the Private Health Insurance Act 2007);

(iii) a patient who also is not receiving a service:

which attracts a payment through the 2020-2025 Addendum to the National Health Reform Agreement for a service rendered to a public patient; or
which attracts a payment through another government arrangement outside of the Commonwealth Medicare Urgent Care Clinic program for a service rendered to the patient; and

(i) at a general practice (as defined in Section 7.1.1 of the general medical services table); and

(ii) by a general practitioner or participating nurse practitioner mentioned in (a) who is registered to provide services, in Schedule A, with Services Australia under the Commonwealth Urgent Care Clinic program.

DECLARE that this Direction commences on 1 October 2023 and ceases to have affect at the end of 30 June 2026 unless earlier revoked.

Date this 27 day of September 2023

Nigel Murray

Assistant Secretary

MBS Policy and Specialist Programs Branch

Medicare Benefits and Digital Health Division

Health Resourcing Group

Department of Health and Aged Care

SCHEDULE A

MEDICARE BENEFITS SCHEDULE ITEMS AS AGREED under the Urgent care clinic program

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	Item Number
A1	GP attendances to which no other item applies	1	Level A	3
		2	Level B	23
		3	Level C	36
		4	Level D	44
A5	Prolonged Attendance to Which no Other Item Applies	1	Prolonged Professional Attendance
A20	GP Mental health Care	1	GP Mental Health Treatment Plans	2713
A22	General Practitioner After-Hours Attendances To Which No Other Item Applies	1	Level A	5000
		2	Level B	5020
		3	Level C	5040
		4	Level D	5060
T4	Obstetrics			16500
T7	Regional or Field Nerve Blocks			18213
T8	Surgical Operations	1	General	30003, 30006, 30026, 30029, 30032, 30035, 30038, 30042, 30045, 30049, 30061, 30064, 30099, 30216, 30219
		2	Colorectal	32147
		5	Urological	36800
		8	Ear, Nose and Throat	41500, 41677
		9	Ophthalmology	42644, 42650
		14	Hand Surgery	46513, 46528, 46531
		15	Orthopaedic	47904, 47915, 47916, 47015, 47030, 47042, 47057, 47063, 47069, 47301, 47348, 47354, 47361, 47387, 47423, 47444, 47453, 47462, 47466, 47471, 47543, 47561, 47579, 47595, 47637, 47663, 47735
M1	Management of Bulk Billed Services			10990, 10991, 10992, 75855, 75856, 75857, 75858
M14	Nurse Practitioners	1	Nurse Practitioners	82200, 82205, 82210, 82215

SCHEDULE B

Approved COMMONWEALTH Urgent care clinic Locations AS AGREED under the Commonwealth urgent care clinic program

Approved primary care locations:

WESTERN AUSTRALIA

State	Location/ Town	Practice Name	Legal Name	Street Address
WA	Clarkson	Ocean Keys Family Practice	The Trustee for OKM Trust.	Unit 2/5 Ebb Way, Clarkson WA 6030
WA	Perth City	Rudloc Road Medical and Dental Centre	Idameneo (No. 123) Pty Ltd as the Trustee for Artlu Unit Trust	40 Rudloc Rd, Morley WA 6062
WA	Rockingham	Rockingham Medical and Dental Centre	Idameneo (No. 123) Pty Ltd as the Trustee for Artlu Unit Trust	18 Civic Blvd, Rockingham WA 6168

NEW SOUTH WALES

State	Location/ Town	Practice Name	Legal Name	Street Address
NSW	Albury	Border General Practice	Border Urgent Care Centre Pty Ltd	425 David Street, Albury NSW 2640
NSW	Blacktown	Rooty Hill Medical Centre	The Trustee for Meditech Trust	31 Rooty Hill Road, Rooty Hill NSW 2766
NSW	Cessnock	All Ways Healthcare	Idameneo (No. 123) Pty Ltd as the trustee of the Artlu Unit Trust	1/275 Vincent St, Cessnock NSW 2325
NSW	Coffs Harbour	CHC Medical	Coffs Medical Alliance Pty Ltd	Suite 106, 343-345 Pacific Highway, Coffs Harbour NSW 2450
NSW	Gosford	Providence Medical Umina	Providence Medical Umina Pty Ltd	297 West Street, Umina Beach NSW 2257
NSW	Lismore	Lismore GP Super Clinic	Lismore GP Super Clinic Pty Ltd	33-35 Rous Road, Goonellabah NSW 2480
NSW	Maroubra	Maroubra Medical and Dental Centre	Idameneo (No. 123) Pty Ltd as the trustee of the Artlu Unit Trust	806/812 Anzac Parade, Maroubra NSW 2035
NSW	Penrith	Our Medical Home	Wycombe Services Pty Ltd	2227 Wolseley Street, Jamisontown NSW 2750
NSW	Tamworth	Northwest Health	Kamerwell Pty Ltd	279b Marius Street, Tamworth NSW 2340
NSW	Westmead	Wentworthville Medical and Dental Centre	Idameneo (No. 123) Pty Ltd as the trustee of the Artlu Unit Trust	122-128 Station Street, Wentworthville NSW 2145
NSW	Wollongong	Corrimal Medical and Dental Centre	Idameneo (No. 123) Pty Ltd as the trustee of the Artlu Unit Trust	46-50 Underwood Street, Corrimal NSW 2518
NSW	Wyong	Coastal Lakes Medical Practice	The trustee for The Lake Haven Medical Centre Trust	Lake Haven Shopping Centre, 127 Lake Haven Drive, Lake Haven NSW 2263

QUEENSLAND

State	Location/ Town	Practice Name	Legal Name	Street Address
QLD	Bundaberg	Bundaberg Health and Wellbeing Centre	Indigenous Wellbeing Centre LTD	184 Barolin Street, Walkervale QLD 4670
QLD	Gold Coast	Our Medical Home Gold Coast	Wycombe Services (Gold Coast) Pty Limited ATF Gold Coast GP Super Clinic Operating Trust	2 Leo Graham Way, Oxenford QLD 4210
QLD	Ipswich	Riverlink Medical and Dental Centre (ForHealth)	Idameneo (No. 123) Pty Ltd as the Trustee for Artlu Unit Trust	FS1 Riverlink Shopping Centre, 2 The Terrace, North Ipswich QLD 4305
QLD	Logan	Browns Plains Medical & Dental Centre	Idameneo (No. 123) Pty Ltd as the Trustee for Artlu Unit Trust	2-10 Grand Plaza Drive, Browns Plains QLD 4118
QLD	Redcliffe	Murrumba Downs Medical & Dental Centre	Idameneo (No. 123) Pty Ltd as the Trustee for Artlu Unit Trust	Goodrich Road & Dohles Rocks Road, Murrumba Downs QLD 4503
QLD	South Brisbane	Cornwall Street Medical Centre	UQ Health Care Limited	Level 4, PACE Building, 20 Cornwall Street, Woolloongabba QLD 4102

SOUTH AUSTRALIA

State	Location/ Town	Practice Name	Legal Name	Street Address
SA	Adelaide Central	Old Port Road Medical & Dental Centre	Idameneo (No. 123) Pty Ltd as the Trustee for Artlu Unit Trust trading as Old Port Road Medical & Dental Centre	1202-1210 Old Port Road, Royal Park SA 5014
SA	Mount Gambier	Mount Gambier Family Health	The Trustee for Try Family Trust	Unit 3/14 Crouch Street, South Mount Gambier SA 5290
SA	Outer Northern Adelaide	Elizabeth Medical and Dental Centre	Idameneo (No. 123) Pty Ltd as the Trustee for Artlu Unit Trust trading as Elizabeth Medical and Dental Centre	30 Philip Highway, Elizabeth SA 5112
SA	Southern Adelaide Metro	Marion Domain Medical and Dental Centre	Idameneo (No. 123) Pty Ltd as the Trustee for Artlu Unit Trust trading as Marion Domain Medical and Dental Centre	453 Morphett Road, Oaklands Park SA 5046