AUSTRALIAN GOVERNMENT

DEPARTMENT OF HEALTH, DISABILITY AND AGEING

HEALTH INSURANCE ACT 1973

Health Insurance (Medicare Benefits Payable in Respect of Professional Services – Services Rendered under the Commonwealth Medicare Urgent Care Clinic Program) Direction (No. 4) 2025

I, Michelle Trainor, Acting Assistant Secretary, MBS Policy and Specialist Programs Branch, Medicare 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 – Services Rendered under the Commonwealth Medicare Urgent Care Clinic Program) Direction (No. 3) 2025; 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 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 D and E of this direction in relation to medical services available to patients who attend a Commonwealth Medicare Urgent Care Clinic Location for which:
1. items specified in Schedules A, B and C 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 section 4AA of the Act) or pathology service table (means the table prescribed under section 4A of the Act) relates; and
Where the professional service is provided to:

an eligible person (as defined in section 3 of the Act);
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:
1. 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; or
2. 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

The professional services referred to in paragraph (2)(a) must be provided:
1. if the service is specified in Schedule A:
  1. at a practice location specified in Schedule D or E of this Direction; and
  2. by a general practitioner, prescribed medical practitioner or participating nurse practitioner who is registered to provide services with Services Australia under the Commonwealth Medicare Urgent Care Clinic Program mentioned in paragraph (2)(a).
2. if the service is specified in Schedule B:
  1. at a practice location specified in Schedule D of this Direction; and
  2. by a prescribed medical practitioner who is registered to provide services with Services Australia under the Commonwealth Medicare Urgent Care Clinic Program mentioned in paragraph (2)(a).
3. if the service is specified in Schedule C:
1. at a practice location specified in Schedule E of this Direction; and
2. by a prescribed medical practitioner who is registered to provide services with Services Australia under the Commonwealth Medicare Urgent Care Clinic Program mentioned in paragraph (2)(a).

DECLARE that this Direction commences on 1 August 2025 and ceases to have effect at the end of 30 June 2026 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 general practitioner, participating nurse practitioner and professional service; and

• Health Insurance (General Medical Services Table) Regulations 2021: the meaning of prescribed medical practitioner.

Dated: 24 July 2025

Michelle Trainor

Acting 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 AS AGREED under the COMMONWEALTH MEDICARE Urgent care clinic program

For services listed in the below tables, all provisions of 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			3, 23, 36, 44, 123
A5	Prolonged attendances to which no other item applies
A7	Acupuncture and non-specialist practitioner items	9	Prescribed medical practitioner mental health care	279
A20	GP Mental health treatment	1	GP mental health treatment plans	2713
A22	General practitioner after-hours attendances to which no other item applies			5000, 5020, 5040, 5060, 5071
D1	Miscellaneous diagnostic procedures and investigations	6	Cardiovascular	11707
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, 41659, 41677
		9	Ophthalmology	42644, 42650
		14	Hand or wrist 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	1	Management of general bulk-billed services	10990, 10991, 10992, 75855, 75856, 75857, 75858
M1	Management of bulk-billed services	2	General support service	75870, 75871, 75872, 75873, 75874, 75875, 75876
M14	Nurse practitioners	1	Nurse practitioners	82200, 82205, 82210, 82215

*Note: Claims under any item in Group A7 in the General Medical Services Table may only be exempt from subsection 19(2) of the Act when the services are claimed by a Prescribed Medical Practitioner operating under the Commonwealth Medicare Urgent Care Clinic Program.

Diagnostic Imaging Services Table

I1	Ultrasound	1	General	55028, 55032, 55036, 55038, 55048, 55054, 55065, 55066, 55070, 55071, 55076
		3	Vascular	55238, 55244, 55246, 55252, 55274, 55276, 55278
		4	Urological	55600
		5	Obstetric And Gynaecological	55700, 55704, 55706, 55707, 55712, 55718, 55721
		6	Musculoskeletal	55812, 55844, 55848, 55850, 55856, 55858, 55860, 55862, 55864, 55866, 55868, 55870, 55872, 55874, 55876, 55878, 55880, 55882, 55884, 55886, 55888, 55890, 55892, 55894
		7	Transthoracic Echocardiogram and Stress Echocardiogram	55126, 55132, 55133, 55141
I2	Computed Tomography	1	Head	56001, 56007, 56013, 56016, 56022, 56028, 56030, 56036,
		2	Neck	56101, 56107
		3	Spine	56220, 56221, 56223, 56226, 56233, 56237,
		4	Chest and upper abdomen	56301, 56307
		5	Upper abdomen only	56401, 56407, 56409, 56412
		6	Upper abdomen and pelvis	56501, 56507
		7	Extremities	56620, 56622, 56623, 56627, 56629,
		8	Chest, abdomen, pelvis and neck	56801, 56807
		9	Brain, chest and upper abdomen	57001, 57007
		11	Interventional techniques	57341
		12	Spiral angiography	57352, 57353, 57354, 57357
I3	Diagnostic Radiology	1	Radiographic Examination Of Extremities	57509, 57515, 57521, 57523, 57527
		2	Radiographic Examination Of Shoulder Or Pelvis	57703, 57709, 57712, 57715
		3	Radiographic Examination Of Head	57901, 57907, 57915, 57921, 57924, 57927, 57945, 57960, 57963, 57969
		4	Radiographic Examination Of Spine	58100, 58103, 58106, 58109, 58112, 58115
		6	Radiographic Examination Of Thoracic Region	58503, 58509, 58521, 58524
		7	Radiographic Examination Of Urinary Tract	58700
		8	Radiographic Examination Of Alimentary Tract And Biliary System	58903, 58909
		9	Radiographic Examination For Localisation Of Foreign Bodies	59103
		10	Radiographic Examination Of Breasts	59300, 59302, 59303, 59305, 59314
		12	Radiographic Examination With Opaque Or Contrast Media	59751
		17	Interventional Techniques	61109
I4	Nuclear Medicine Imaging	1	Nuclear medicine- non PET	61329, 61345, 61357, 61421, 61425, 61473
I4	Nuclear Medicine Imaging	3	Adjunctive services	61505
I5	Magnetic Resonance Imaging	1	Scan Of Head – For Specified Conditions	63001, 63007
		2	Scan Of Head - For Specified Conditions	63040, 63049, 63058, 63064
		6	Scan Of Spine - One Region Or Two Contiguous Regions - For Infection or Tumour	63151
		7	Scan Of Spine - One Region Or Two Contiguous Regions - For Other Conditions	63161, 63167, 63173, 63176, 63179, 63182, 63185
		8	Scan Of Spine - Three Contiguous Regions Or Two Non-Contiguous Regions - For Infection or Tumour	63201
		9	Scan Of Spine - Three Contiguous Regions Or Two Non-Contiguous Regions - For Other Conditions	63219, 63228
		11	Scan Of Musculoskeletal System - For Tumour, Infection or Osteonecrosis	63301
		12	Scan Of Musculoskeletal System - For Joint Derangement	63322, 63325, 63328, 63331, 63334, 63337, 63340
		19	Scan Of Body - For Specified Conditions	63461
		20	Scans Of Pelvis And Upper Abdomen - For Specified Conditions	63740
		33	Scan of Body - Person Under the Age of 16 Years - General Practice Requests	63507, 63513, 63522
		34	Scan of Body - Person Over the Age of 16 Years - General Practice Requests	63551, 63554, 63557, 63560

Pathology Services Table

Group	Group Name	Item Number
P1	Haematology	65060, 65070, 65072, 65075, 65078, 65081, 65090, 65093, 65096, 65111, 65114, 65120, 65123, 65126, 65129, 65137, 65144, 65156, 65178, 65179,
P2	Chemical	66500, 66503, 66506, 66509, 66512, 66518, 66519, 66536, 66542, 66548, 66551, 66554, 66560, 66563, 66566, 66584, 66593, 66596, 66605, 66607, 66623, 66626, 66632, 66635, 66638, 66641, 66650, 66653, 66655, 66656, 66659, 66660, 66665, 66686, 66695, 66697, 66698, 66701, 66704, 66707, 66716, 66719, 66722, 66725, 66728, 66731, 66734, 66750, 66751, 66752, 66756, 66758, 66764, 66767, 66770, 66779, 66800, 66803, 66812, 66816, 66819, 66820, 66822, 66828, 66833, 66837, 66838, 66839, 66840, 66841, 66900
P3	Microbiology	69300, 69303, 69306, 69309, 69312, 69317, 69318, 69319, 69321, 69324, 69330, 69333, 69336, 69345, 69354, 69363, 69384, 69387, 69390, 69393, 69396, 69400, 69401, 69405, 69411, 69413, 69415, 69471, 69474, 69475, 69478, 69481, 69482, 69483, 69484, 69488, 69491, 69494, 69495, 69496, 69497, 69498, 69499
P4	Immunology	71057, 71058, 71059, 71060, 71069, 71071, 71072, 71073, 71075, 71079, 71083, 71085, 71097, 71099, 71101, 71103, 71106, 71119, 71123, 71125, 71143, 71147, 71151, 71153, 71155, 71157, 71163, 71164, 71165, 71166, 71167, 71168, 71180, 71183, 71186, 71198, 71200,
P5	Tissue Pathology	72816, 72817, 72818, 72823, 72824, 72825, 72830, 72846, 72847, 72849
P6	Cytology	73045, 73047, 73049, 73063, 73070, 73071, 73072, 73074, 73076
P7	Genetics	73289, 73292, 73308, 73311, 73314, 73317, 73320, 73325
P8	Infertility and Pregnancy Test	73523, 73527, 73529
P9	Simple basic pathology tests	73806
P10	Patient Episode Initiation	73922, 73924, 73926, 73928, 73930, 73932, 73934, 73936, 73937, 73938, 73939
P11	Specimen Referred	73940

SCHEDULE B

MEDICARE BENEFITS SCHEDULE ITEMS where a clinic is located in MMM 1 locations

General Medical Services Table

Group	Group Name	Subgroup	Subgroup Name	Item Number
A2	Other non-referred attendances to which no other item applies	1	Other medical practitioner attendances	52, 53, 54, 57
A23	Other non-referred after-hours attendances to which no other item applies			5200, 5203, 5207, 5208

*Note: Claims under any item in Group A2 and A23 in the General Medical Services Table may only be exempt from subsection 19(2) of the Act when the services are claimed by a Prescribed Medical Practitioner operating under the Commonwealth Medicare Urgent Care Clinic Program.

SCHEDULE C

MEDICARE BENEFITS SCHEDULE ITEMS WHERE A CLINIC IS LOCATED IN MMM 2-7 LOCATIONS

General Medical Services Table

Group	Group Name	Subgroup	Subgroup Name	Item Number
A7	Acupuncture and non-specialist practitioner items	2	Prescribed medical practitioner attendance to which no other item applies	179, 185, 189, 203
A7	Acupuncture and non-specialist practitioner items	10	Prescribed Medical Practitioner after‑hours attendances to which no other item applies	733, 737, 741, 745

SCHEDULE D

APPROVED COMMONWEALTH MEDICARE URGENT CARE CLINIC MMM 1 LOCATIONS AS AGREED UNDER THE COMMONWEALTH MEDICARE URGENT CARE CLINIC PROGRAM

Approved primary care locations:

NEW SOUTH WALES

State	MMM 1 Location	Practice Name	Legal Name	Street Address
NSW	Bankstown	Bankstown Medical and Dental Centre	The Trustee for ARTLU UNIT TRUST	67 Rickard Road, Bankstown NSW 2200
NSW	Carlton	Eastbrooke Medical Centre	BUPA Health Centres Pty Ltd	354-356 Railway Parade Carlton NSW 2218
NSW	Dapto	Dapto Medical and Dental Centre	The Trustee for ARTLU UNIT TRUST	112 Princes Highway, Dapto NSW 2530
NSW	Fairfield	Fairfield Chase Medical & Dental	The Trustee for ARTLU UNIT TRUST	49-61 Spencer Street, Fairfield NSW 2165
NSW	Lake Haven	Coastal Lakes Medical Practice Lake Haven	The Trustee for The Lake Haven Medical Centre Trust	Lake Haven Shopping Centre, 127 Lake Haven Drive, Lake Haven NSW 2263
NSW	Liverpool	Myhealth Liverpool	Myhealth Liverpool Pty Ltd	Shop 2090, Level 2, Liverpool Westfield, Macquarie Street, Liverpool NSW 2170
NSW	Newcastle	Charlestown Medical and Dental Centre	The Trustee for ARTLU UNIT TRUST	316 Charlestown Road, Charlestown NSW 2290
NSW	Maroubra	Maroubra Medical and Dental Centre	The Trustee for ARTLU UNIT TRUST	806-812 Anzac Parade, Maroubra NSW 2035
NSW	Peninsula	Providence Medical Umina	Providence Medical Umina Pty Ltd	297 West Street, Umina Beach NSW 2257
NSW	Penrith	Our Medical Home	Wycombe Services Pty Ltd	2227 Wolseley Street, Jamisontown NSW 2750
NSW	Queanbeyan	Brindabella Family Practice	Brindabella Medical Practice Services Pty Ltd	7-9 Morissett Street Queanbeyan NSW 2620
NSW	Rooty Hill	Rooty Hill Medical and Dental Centre	The Trustee for Meditech Trust	31 Rooty Hill Road, Rooty Hill NSW 2766
NSW	Ryde	Myhealth Top Ryde	Myhealth Medical Top Ryde Pty Ltd	MM17C, Top Ryde City Shopping Centre, Blaxland Road and Devlin Street, Ryde NSW 2112
NSW	Westmead	Wentworthville Medical and Dental Centre	The Trustee for ARTLU UNIT TRUST	122-128 Station Street, Wentworthville NSW 2145
NSW	Wollongong	Corrimal Medical and Dental Centre	The Trustee for ARTLU UNIT TRUST	46-50 Underwood Street, Corrimal NSW 2518

QUEENSLAND

State	MMM 1 Location	Practice Name	Legal Name	Street Address
QLD	Gold Coast	Our Medical Home Gold Coast	The Trustee for Gold Coast GP Super Clinic Operating Trust	2 Leo Graham Way, Oxenford QLD 4210
QLD	Goodna	Goodna Family Medical Centre	Goodna Family Medical Centre Pty Ltd	2 Smiths Road, Goodna QLD 4300
QLD	Ipswich	Riverlink Medical and Dental Centre	The Trustee for ARTLU UNIT TRUST	FS1 Riverlink Shopping Centre, 2 The Terrace, North Ipswich QLD 4305
QLD	Logan (Browns Plains)	Browns Plains Medical and Dental Centre	The Trustee for ARTLU UNIT TRUST	2-10 Grand Plaza Drive, Browns Plains QLD 4118
QLD	Morayfield	Morayfield Accident & Illness Clinic Pty Ltd	Morayfield Accident & Illness Clinic Pty Ltd	19-31 Dickson Rd, Morayfield QLD 4506
QLD	Murrumba Downs	Murrumba Downs Medical and Dental Centre	The Trustee for ARTLU UNIT TRUST	Corner Goodrich Road and Dohles Rocks Road, Murrumba Downs QLD 4503
QLD	North Brisbane	Family Doctors Kedron Urgent Care Clinic	Medical Centre Services Pty Ltd	Corner Gympie and Brookfield Road, Kedron QLD 4031
QLD	Oxley	Growlife Medical	Sante Medical Services Pty Ltd	Ground Floor, Canossa Hospital, 169 Seventeen Mile Rocks Rd, Oxley QLD 4075
QLD	South Brisbane	Cornwall Street Medical Centre	UQ Health Care Limited	Level 4, PACE Building, 20 Cornwall Street, Woolloongabba QLD 4102
QLD	Southport	Southport Medical & Dental Centre	The Trustee for ARTLU UNIT TRUST	178 Nerang Street, Southport QLD 4215

SOUTH AUSTRALIA

State	MMM 1 Location	Practice Name	Legal Name	Street Address
SA	Elizabeth	Elizabeth Medical and Dental Centre	The Trustee for ARTLU UNIT TRUST	30 Philip Highway, Elizabeth SA 5112
SA	Marion	Marion Domain Medical and Dental Centre	The Trustee for ARTLU UNIT TRUST	453 Morphett Road, Oaklands Park SA 5046
SA	Morphett Vale	Morphett Vale Family Practice	The Trustee for THE DOCTORS ROAD TRUST	1 Doctors Road, Morphett Vale SA 5162
SA	Para Hills	McIntyre Medical Centre	Manor Family Care Pty Ltd	33 McIntyre Road, Para Hills SA 5096
SA	Western	Old Port Road Medical and Dental Centre	The Trustee for ARTLU UNIT TRUST	1202-1210 Old Port Road, Royal Park SA 5014

WESTERN AUSTRALIA

State	MMM 1 Location	Practice Name	Legal Name	Street Address
WA	Armadale	ARCHE HEALTH LTD	ARCHE HEALTH LTD	Unit 1, 2227 Albany Highway Gosnells WA 6110
WA	Beeliar	Lagoon Medical Centre	FGMC Pty Ltd	Unit 1, Beeliar Hive Shopping Centre, 283 Beeliar Drive, Yangebup WA 6164
WA	Clarkson	Clarkson Urgent Care Clinic	Ocean Keys Medical Practitioners Pty Ltd	Unit 6/5 Ebb Way, Clarkson WA 6030
WA	Midland	North Street Medical Centre	The Trustee for the Building Blocks Medical Unit Trust	40 Great Northern Highway, Midland WA 6056
WA	Perth City	Rudloc Road Medical and Dental Centre	The Trustee for ARTLU UNIT TRUST	40 Rudloc Road, Morley WA 6062
WA	Rockingham	Rockingham Medical and Dental Centre	The Trustee for ARTLU UNIT TRUST	18 Civic Boulevard, Rockingham WA 6168

SCHEDULE E

APPROVED COMMONWEALTH MEDICARE URGENT CARE CLINIC MMM 2-7 LOCATIONS AS AGREED UNDER THE COMMONWEALTH MEDICARE URGENT CARE CLINIC PROGRAM

Approved primary care locations:

NEW SOUTH WALES

State	MMM 2 Location	Practice Name	Legal Name	Street Address
NSW	Albury	Border Urgent Care Centre	Border Urgent Care Centre Pty Ltd	425 David Street, Albury NSW 2640

State	MMM 3 Location	Practice Name	Legal Name	Street Address
NSW	Cessnock	All Ways Healthcare	The Trustee for ARTLU UNIT TRUST	1/275 Vincent Street, Cessnock NSW 2325
NSW	Coffs Harbour	CHC Medical	The Trustee for Coffs Medical Alliance Trust	Suite 106, 343-345 Pacific Highway, Coffs Harbour NSW 2450
NSW	Lismore	Lismore GP Super Clinic	Lismore GP Super Clinic Pty Ltd	33-35 Rous Road, Goonellabah NSW 2480
NSW	Tamworth	Northwest Health	The trustee for the Northwest Health Unit Trust	279b Marius Street, Tamworth NSW 2340

State	MMM 4 Location	Practice Name	Legal Name	Street Address
NSW	Batemans Bay	Batemans Bay Medicare Urgent Care Clinic	The Trustee for ARTLU UNIT TRUST	7 Pacific Street Batemans Bay NSW 2536

QUEENSLAND

State	MMM 2 Location	Practice Name	Legal Name	Street Address
QLD	Bundaberg	Central Medical Bundaberg	The Trustee for ARTLU UNIT TRUST	53 Commercial Street Kensington Bundaberg QLD 4670
QLD	Cairns	Cairns Urgent Care Clinic	Cairns Urgent Care Clinic Pty Ltd	5b Walker Road, Edmonton QLD 4869
QLD	Hervey Bay	Pialba Medical Centre	The Trustee for ARTLU UNIT TRUST	5/166 Boat Harbour Drive, Pialba QLD 4655
QLD	Rockhampton	Rockhampton Central Medical Centre	The Trustee for ARTLU UNIT TRUST	Ground Floor, 120-331 Yaamba Road, Rockhampton QLD 4701
QLD	Toowoomba	Toowoomba Medical and Dental Centre	Idameneo (No. 123) Pty Ltd as the Trustee for ARTLU UNIT TRUST	Corner West and 261-269 James Street, Toowoomba QLD 4350
QLD	Townsville	Eastbrooke Family Clinic Townsville	BUPA Health Centres Pty Ltd	86 Thuringowa Drive, Thuringowa Central QLD 4817

WESTERN AUSTRALIA

State	MMM 2 Location	Practice Name	Legal Name	Street Address
WA	Greater Bunbury	Medicare Urgent Care Clinic Bunbury at Eaton Fair	Urgent Care Clinic Bunbury Pty Ltd	T82, Eaton Fair Shopping Centre, Recreation Drive, Eaton WA 6232