AUSTRALIAN GOVERNMENT

DEPARTMENT OF HEALTH, DISABILITY AND AGEING

HEALTH INSURANCE ACT 1973

Health Insurance (Medicare Benefits Payable in Respect of Professional Services – Noarlunga and Smaller Medical Services in South Australia) Direction 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:

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

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:

(i) between the Commonwealth (represented by the Department of Health, Disability and Ageing, ABN: 83 605 426 759) and by, or on behalf of, or under an arrangement with South Australia Health (ABN: 97 643 356 590) for which:

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), the diagnostic imaging services table (means the table prescribed under subsection 4AAof the Act) or the pathology services table (means the table prescribed under subsection 4Aof the Act) relates: and

Where the professional service is provided to:

an eligible person (as defined in Section 3 of the Act); and
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);
a patient who also is not receiving a service which attracts a payment through the 2020-2025 Addendum, schedule K, one year extension to the National Health Reform Agreement for a service rendered to a public patient; and

The professional services referred to in paragraph (2) (a) must be provided:

at a practice location specified in Schedule B of this Direction.

DECLARE that this Direction shall have effect from the date of signature until
30 June 2026 inclusive unless earlier revoked.

Dated: 1 July 2025

Nigel Murray

Assistant Secretary

Medical Benefits Division

Health Resourcing Group

Department of Health, Disability and Ageing

SCHEDULE A

MEDICARE BENEFITS SCHEDULE ITEMS AS AGREED BETWEEN THE DEPARTMENT OF HEALTH, DISABILITY AND AGEING 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
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
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-hour attendances to which no other item applies
A27	Pregnancy support counselling
A29	Attendance services for complex neurodevelopmental disorder or disability
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
		3	Review of eating disorder treatment and management plan
		4	Providing treatments under eating disorder treatment and management plans
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 Services
		17	GP, specialist and consultant physician complex neurodevelopmental disorder or disability service ‑ Video Services
		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
		26	Review of an Eating Disorder Plan – Phone Service
		27	Eating Disorder Psychological Treatment Services – Video Services
		28	Eating Disorder Focussed Psychological Strategies – Phone Service
		29	GP and Other Medical Practitioner - urgent after hours service in unsociable hours - Video 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
M12		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	3	Kilovoltage MBS items: 15950, 15952, 15954, 15956
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	Gynaecological
		5	Urological
		6	Cardio-thoracic
		7	Neurosurgical
		8	Ear, nose and throat
		9	Ophthalmology
		11	Paediatric
		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	Bone age study and skeletal survey
		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 Primary Health Care Services	Shop 5, 221 Main North Road, Sefton Park, South Australia 5083	Shop 5, 221 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	Metropolitan Youth Health (North)	6 Gillingham Street, Elizabeth, South Australia 5112	6 Gillingham Street, Elizabeth, South Australia 5112
Angle Park	Metropolitan Youth Health (West)	40-44 Trafford Street, Angle Park, South Australia 5010	40-44 Trafford Street, Angle Park, South Australia 5010
Christies Beach	Metropolitan Youth Health (South)	50A Beach Road, Christies Beach, South Australia 5165	50A Beach Road, Christies Beach, South Australia 5165
Noarlunga Centre	Noarlunga Hospital	20 Alexander Kelly Drive, Noarlunga Centre, South Australia 5168	20 Alexander Kelly Drive, Noarlunga Centre, South Australia 5168