AUSTRALIAN GOVERNMENT

DEPARTMENT OF HEALTH, DISABILITY AND AGEING

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 (No. 1) 2025

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

DIRECT that Medicare Benefits shall be payable in respect of:

A professional service (as defined in Section 3 of the Act) which has been agreed to be provided under the Memorandum of Understanding (MOU) between the Department of Health and Aged Care (ABN: 83 605 426 759) and the Queensland Department of Health (ABN: 75 818 456 675) dated 20 February 2025 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:
1. 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 Act), diagnostic imaging services table (means the table prescribed under subsection 4AA(1) of the Act) or pathology services table (means the table prescribed under subsection 4A(1) of the Act) relates; and
where the profession service is provided to:
1. an eligible person (as defined in Section 3 of the Act); and
2. 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
The professional service referred to in paragraph (2)(a):
1. 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
2. is either:
  1. a professional non-referred service provided by a state remunerated medical practitioner, participating midwife, or participating nurse practitioner; or
  2. a professional referred service provided by a state remunerated allied health and dental health practitioner.

DECLARE that this Direction commences on 1 July 2025 and ceases to have effect at the end of 30 June 2027 unless earlier revoked.

Note, a number of expressions used in this direction are defined in the below instruments:

Health Insurance Act 1973: the meaning of dental practitioner, participating midwife, participating nurse practitioner, and professional service; and
Health Insurance (General Medical Services Table) Regulations 2021: the meaning of prescribed medical practitioner.
Health Insurance (Section 3C General Medical Services – Allied Health Services) Determination 2024: the meaning of allied health professional.

Date: 16 June 2025

Nigel Murray

Assistant Secretary

MBS Policy and Specialist Programs Branch

Medicare Benefits and Digital Health Division

Health Resourcing Group

Department of Health, Disability and Ageing

SCHEDULE A

MEDICARE BENEFITS SCHEDULE ITEMS At 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	Item Number
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
A10	Optometric services provided by optometrist
A11	Urgent attendances after hours
A14	Health assessments
A15	GP chronic condition management plans, multidisciplinary care plans and case conferences	1	GP chronic condition management plans and multidisciplinary care plans
A15		2	Case Conferences	735, 739, 743, 747-758, 930-945
A17	Domiciliary and residential medication management reviews
A20	Mental health care
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
A29	Attendance services for complex neurodevelopmental disorder or disability			139
A35	Non‑referred attendance at a residential aged care facility
A36	Eating disorders	1	Preparation of eating disorder treatment and management plans: general practitioners and non‑specialist medical practitioners	90250-90257
		3	Review of eating disorder treatment and management plans	90264, 90265
		4	Providing treatments under eating disorder treatment and management plans	90271-90278
A40	Telehealth attendance services	1	General practice video services
		2	General practice phone services
		3	Focussed Psychological Strategies ‑ Video Services
		10	Focussed Psychological Strategies phone services
		11	Health Assessments for Aboriginal and Torres Strait Islander People ‑ Video Services
		13	GP management plans, team care arrangements and multidisciplinary care plans services – Video Services
		15	GP Pregnancy Support Counselling ‑ Video Services
		16	GP Pregnancy Support Counselling ‑ Phone Service
		17	GP, specialist and consultant physician complex neurodevelopmental disorder or disability service ‑ Video Services	92142
		19	GP Mental Health Treatment Plan ‑ Video Services
		20	GP Mental Health Treatment Plan ‑ Phone Service
		21	GP Eating Disorder Treatment and Management Plan – Video Services
		25	Review of an Eating Disorder Plan ‑ Video Services	92170, 92171
		26	Review of an Eating Disorder Plan – Phone Service	92176, 92177
		27	Eating Disorder Psychological Treatment Services – Video Services
		28	Eating Disorder Psychological Treatment Strategies – Phone Service
		29	GP and Other Medical Practitioner ‑ Urgent After Hours Service in Unsociable Hours ‑ Video Services
		39	GP Blood Borne Viruses, Sexual or Reproductive Health Consultation – Video Services
		40	GP Blood Borne Viruses, Sexual or Reproductive Health Consultation – Phone Service
D1	Miscellaneous diagnostic procedures and investigations	3	Otolaryngology	11300-11318
		4	Respiratory	11505, 11506
		5	Vascular	11602-11615
		6	Cardiovascular	11707, 11729, 11730
		9	Allergy testing	12001-12004, 12012, 12017
		10	Other diagnostic procedures and investigations	12200, 12306, 12312, 12315, 12320-12322, 12325, 12326
D2	Nuclear medicine (non‑imaging)			12500, 12524, 12527
M1	Management of bulk‑billed services	1	Management of general bulk‑billed services
		2	General support service
		3	Patients enrolled in MyMedicare
M3	Allied health services
M6	Psychological Therapy Services
M7	Focussed Psychological Strategies (Allied Mental Health)
M8	Pregnancy support counselling
M9	Allied health group services
M10	Complex neurodevelopmental disorder and disability services
M11	Allied health services for Aboriginal and Torres Strait Islander people
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
M13	Midwifery Services	1	MBS items for participating midwives	82100-82115, 82130-82140
M14	Nurse practitioners
M15	Diagnostic audiology services
M16	Eating disorders services
M18	Allied Health telehealth services	1	Psychological therapies video services
		2	Psychologist focussed psychological strategies video services
		3	Occupational Therapist focussed psychological strategies video services
		4	Social Worker focussed psychological strategies video services
		5	Nurse practitioner video 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 video services
		12	General allied health phone services
		13	Pregnancy support counselling video services
		14	Pregnancy support counselling phone services
		15	Complex neurodevelopmental disorder and disability video services
		16	Complex neurodevelopmental disorder and disability phone services
		17	Video attendance to person of Aboriginal and Torres Strait Islander descent
		18	Phone attendance to person of Aboriginal and Torres Strait Islander descent
		23	Follow up service provided by a practice nurse or Aboriginal and Torres Strait Islander health practitioner – Telehealth Services
		25	Allied health, group dietetics video services
		26	Allied health, group dietetics phone services
T1	Miscellaneous therapeutic procedures	2	Dialysis	13105
		6	Gastroenterology
		13	Miscellaneous therapeutic procedures	14206
T4	Obstetrics			16400, 16406-16500, 16502-16514, 16530, 16590, 16591
		1	Obstetric video services	91850-91853
		2	Obstetric phone services	91855-91858
T8	Surgical operations	1	General	30003, 30006, 30023, 30026-30055, 30061-30072, 30107, 30192-30207, 30216, 30219, 31356
		2	Colorectal	32072, 32147
		4	Gynaecological	35503
		8	Ear, nose and throat	41500
		15	Orthopaedic	47015, 47042, 47057, 47069, 47301, 47348, 47354, 47361, 47387, 47423, 47444, 47453, 47462, 47466, 47471, 47543, 47561, 47579, 47595, 47663, 47735, 47904, 47915, 47916, 47918
O1	Consultations			51700, 51703
		1	dental practitioner video services	54001, 54002
		2	dental practitioner phone services	54004

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	Legal Name	Street Address	Mailing Address
Alpha (Outreach service of Barcaldine)	Alpha Hospital and Multi-Purpose Health Service	Central West Hospital and Health Service	1 Burns Street, Alpha QLD 4724	1 Burns Street, Alpha QLD 4724
Augathella	Augathella Multi-Purpose Health Service	South West Hospital and Health Service	Cavanagh Street, Augathella QLD 4477	PO Box 84, Augathella QLD 4477
Aramac (Outreach service of Barcaldine)	Aramac Primary Health Clinic	Central West Hospital and Health Service	2 Lodge Street, Aramac QLD 4726	2 Lodge Street, Aramac QLD 4726
Babinda	Babinda Hospital Multi-Purpose Health Service	Cairns and Hinterland Hospital and Health Service	128 Munro Street, Babinda QLD 4861	PO Box 160, Babinda QLD 4861
Barcaldine	Barcaldine Hospital Multi-Purpose Health Service	Central West Hospital and Health Service	25 Oak Street, Barcaldine QLD 4725	25 Oak Street, Barcaldine QLD 4725
Biggenden	Biggenden Multi-Purpose Health Service	Wide Bay Hospital and Health Service	57 Alice Street, Biggenden QLD 4621	57 Alice St, Biggenden QLD 4621
Blackall	Blackall Hospital	Central West Hospital and Health Service	189 Landsborough Highway, Blackall QLD 4472	PO Box 131, Blackall QLD 4472
Blackwater	Blackwater Hospital Multi-Purpose Health Service	Central Queensland Hospital and Health Service	41 McKenzie Street, Blackwater QLD 4717	PO Box 47, Blackwater QLD 4717
Bollon	Bollon Community Clinic	South West Hospital and Health Service	37 Main Street, Bollon QLD 4488	PO Box 17, Bollon QLD 4488
Boulia	Boulia Primary Health Centre	Central Queensland Hospital and Health Service	49 Wills Street, Boulia QLD 4829	PO Box 24, Boulia QLD 4829
Capella	Capella Outpatients Clinic	Central Queensland Hospital and Health Service	5 Slider Street, Capella QLD 4723	5 Slider Street, Capella QLD 4723
Cardwell	Cardwell Community Health Centre	Townsville Hospital and Health Service	226 Victoria Street, Cardwell QLD 4819	PO Box 391, Cardwell QLD 4819
Cecil Plains (Outreach service of Millmerran)	Millmerran Multi-Purpose Health Service – Outreach Primary Clinic (Cecil Plains)	Darling Downs Hospital and Health Service	Co located at Anglicare, 24 Geraghty Street, Cecil Plains QLD 4407	Co Located at Anglicare 24 Geraghty Street, Cecil Plains QLD 4407
Childers	Childers Multi-Purpose Health Service	Wide Bay Hospital and Health Service	44 Broadhurst Street, Childers QLD 4660	PO Box 62, Childers QLD 4660
Chillagoe	Chillagoe Primary Health Centre	Cairns and Hinterland Hospital and Health Service	21 Hospital Avenue, Chillagoe QLD 4871	PO Box 4, Chillagoe QLD 4871
Collinsville	Collinsville Multi-Purpose Health Service	Mackay Hospital and Health Service	81-91 Garrick Street, Collinsville QLD 4804	PO Box 56, Collinsville QLD 4808
Cow Bay (Outreach service of Mossman)	Cow Bay Primary Health Centre	Cairns and Hinterland Hospital and Health Service	69 Tea Tree Road, Diwan QLD 4873	Pmb 3, Cape Tribulation QLD 4873
Dimbulah	Dimbulah Primary Health Centre	Cairns and Hinterland Hospital and Health Service	1-5 Stephen Street, Dimbulah QLD 4872	PO Box 148, Dimbulah QLD 4872
Dirranbandi	Dirranbandi Multi-Purpose Health Service	South West Hospital and Health Service	Corner of Jane and Crothers Streets, Dirranbandi QLD 4486	PO Box 20, Dirranbandi QLD 4486
Eidsvold	Eidsvold Multi-Purpose Health Service	Wide Bay Hospital and Health Service	Eidsvold Theodore Road, Eidsvold QLD 4627	PO Box 40, Eidsvold QLD 4627
Gayndah	Gayndah Hospital	Wide Bay Hospital and Health Service	69 Warton Street, Gayndah QLD 4625	PO Box 41, Gayndah QLD 4625
Gin Gin	Gin Gin Hospital	Wide Bay Hospital and Health Service	5 King Street, Gin Gin QLD 4671	PO Box 14, Gin Gin QLD 4671
Hughenden	Hughenden Multi-Purpose Health Service	Townsville Hospital and Health Service	Richmond Hill Drive, Hughenden QLD 4821	PO Box 228, Hughenden QLD 4821
Inglewood	Inglewood Multi-Purpose Health Service	Darling Downs Hospital and Health Service	24606 Cunningham Highway, Inglewood QLD 4387	PO Box 42, Inglewood QLD 4387
Injune	Injune Multi-Purpose Health Service	South West Hospital and Health Service	Fifth Avenue, Injune QLD 4454	PO Box 35, Injune QLD 4454
Isisford	Isisford Primary Health Centre	Central West Hospital and Health Service	St Helena Street, Isisford QLD 4731	St Helena Street, Isisford QLD 4731
Jandowae	Jandowae Health Services	Darling Downs Hospital and Health Service	13 Dalby Street, Jandowae QLD 4410	PO Box 75, Jandowae QLD 4410
Jericho (Outreach service of Barcaldine)	Jericho Health Clinic	Central West Hospital and Health Service	19 Pasteur Street, Jericho QLD 4728	19 Pasteur Street, Jericho QLD 4728
Jundah	Jundah Primary Health Centre	Central West Hospital and Health Service	1 Hospital Road, Jundah QLD 4736	PO Box 26, Jundah QLD 4736
Longreach	Longreach Hospital	Central West Hospital and Health Service	Corner Jabiru and Plover Streets, Longreach QLD 4730	Corner Jabiru and Plover Streets, Longreach QLD 4730
Maleny	Maleny Soldiers Memorial Hospital	Sunshine Coast Hospital and Health Service	17 Bean Street, Maleny QLD 4552	17 Bean Street, Maleny QLD 4552
Miles	Miles Health Service	Darling Downs Hospital and Health Service	5-11 Colamba Street, Miles QLD 4415	PO Box 187, Miles QLD 4415
Millmerran	Millmerran Multi-Purpose Health Service	Darling Downs Hospital and Health Service	50 Commens Street, Millmerran QLD 4357	50 Commens Street, Millmerran QLD 4357
Mitchell	Mitchell Multi-Purpose Health Service	South West Hospital and Health Service	95 Ann Street, Mitchell QLD 4465	95 Ann Street, Mitchell QLD 4465
Monto	Monto Hospital	Wide Bay Hospital and Health Service	35 Flinders Street, Monto QLD 4630	PO Box 220, Monto QLD 4630
Morven	Morven Community Clinic	South West Hospital and Health Service	Warrego Highway, Morven QLD 4468	PO Box 18, Morven QLD 4468
Mossman	Mossman Multi-Purpose Health Service	Cairns and Hinterland Hospital and Health Service	9 Hospital Street, Mossman QLD 4873	9 Hospital Street, Mossman QLD 4873
Moura	Moura Multi-Purpose Health Service	Central Queensland Hospital and Health Service	14 Nott Street, Moura QLD 4718	14 Nott Street, Moura QLD 4718
Mundubbera	Mundubbera Health Service	Wide Bay Hospital and Health Service	96 Leichardt Street, Mundubbera QLD 4626	PO Box 35, Mundubbera QLD 4626
Mungindi	Mungindi Multi-Purpose Health Service	South West Hospital and Health Service	90 Barwon Street, Mungindi QLD 2406	90 Barwon St, Mungindi QLD 2406
Murgon	Murgon Health Service	Darling Downs Hospital and Health Service	Coronation Drive, Murgon QLD 4605	Coronation Drive, Murgon QLD 4605
Muttaburra (Outreach service of Barcaldine)	Muttaburra Primary Health Care Centre	Central West Hospital and Health Service	Edkins Street, Muttaburra QLD 4732	Edkins Street, Muttaburra QLD 4732
Nanango	Nanango Health Service	Darling Downs Hospital and Health Service	135 Brisbane Street, Nanango QLD 4615	PO Box 60, Nanango QLD 4615
Oakey	Oakey Health Services – Oakey Hospital	Darling Downs Hospital and Health Service	Cnr Beale and Fitzpatrick Streets, Oakey QLD 4401	Cnr Beale and Fitzpatrick Streets, Oakey QLD 4401
Proserpine	Proserpine Hospital and Community Health Centre	Mackay Hospital and Health Service	26-32 Taylor Street, Proserpine QLD 4800	PO Box 229, Proserpine QLD 4800
Quilpie	Quilpie Multi-Purpose Health Service	South West Hospital and Health Service	30 Gyrica Street, Quilpie QLD 4480	PO Box 27, Quilpie QLD 4480
Richmond	Richmond Multi-Purpose Health Service	Townsville Hospital and Health Service	Gallagher Drive, Richmond QLD 4822	PO Box 24, Richmond QLD 4822
Sapphire	Gemfields Outpatient Clinic	Central Queensland Hospital and Health Service	984 Rubyvale Road, Sapphire QLD 4702	PO Box 342, Sapphire QLD 4702
Springsure	Springsure Multi-Purpose Health Service	Central Queensland Hospital and Health Service	21 Woodbine Street, Springsure QLD 4722	PO Box 14, Springsure QLD 4722
Surat	Surat Hospital Multi-Purpose Health Service	South West Hospital and Health Service	2 Ivan Street, Surat QLD 4417	PO Box 2, Surat QLD 4417
Tambo	Tambo Primary Health Care Centre	Central West Hospital and Health Service	8 Garden Street, Tambo QLD 4478	Garden Street, Tambo QLD 4478
Tara	Tara Hospital	Darling Downs Hospital and Health Service	15 Bilton Street, Tara QLD 4421	15 Bilton Street, Tara QLD 4421
Taroom	Taroom Hospital	Darling Downs Hospital and Health Service	14 Miller Street, Taroom QLD 4420	PO Box 358, Taroom QLD 4420
Texas	Texas Multi-Purpose Health Service	Darling Downs Hospital and Health Service	Mingoola Road, Texas QLD 4385	PO Box 91, Texas QLD 4385
Tully	Tully Hospital	Cairns and Hinterland Hospital and Health Service	17 Bryant Street, Tully QLD 4854	PO Box 489, Tully QLD 4854
Wallumbilla	Wallumbilla Community Clinic	South West Hospital and Health Service	Stakeyard Road, Wallumbilla QLD 4428	PO Box 21, Wallumbilla QLD 4428
Windorah	Windorah Primary Health Centre	Central West Hospital and Health Service	25 Cecil Street, Windorah QLD 4481	25 Cecil Street, Windorah QLD 4481
Winton	Winton Multi-Purpose Health Service	Central West Hospital and Health Service	70 Oondooroo Street, Winton QLD 4735	PO Box 295, Winton QLD 4735