Health Insurance (Allied Health Services) Amendment (Psychological Telehealth Services) Determination 2017

Health Insurance Act 1973

I, Michael Ryan, delegate of the Minister for Health, make this Determination under subsection 3C (1) of the Health Insurance Act 1973.

Dated   28 September 2017

 

 

 

 

 

 

 

 

MICHAEL RYAN

ACTING ASSISTANT SECRETARY

MBS POLICY AND SPECIALIST SERVICES BRANCH

MEDICAL BENEFITS DIVISION

DEPARTMENT OF HEALTH

POSITION NUMBER: 01202529

 

 

1  Name

  This Determination is the Health Insurance (Allied Health Services) Amendment (Psychological Telehealth Services) Determination 2017.

2  Commencement

  This Determination commences on 1 November 2017.

3  Authority

  This Determination is made under section 3C of the Health Insurance Act 1973.

4  Schedules

 

Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.

 


Schedule 1 Amendment

 

Health Insurance (Allied Health Services) Determination 2014

1  Subsection 4(1)

Insert:

telehealth eligible area has the meaning given by section 6D.

2  Subsection 6(2)

Repeal the subsection.

3  Subsection 6(3)

Omit “From 1 January 2013, for”, substitute “For”.

4  Subsection 6(4)

Repeal the section, substitute:

(4) In this section relevant service means a service to which any of items 2721 to 2727 of the general medical services table, or items 80000 to 80015, 80100 to 80115, 80125 to 80140, or 80150 to 80165 in Schedule 2, apply.

5  Subsection 6A(2)

Repeal the subsection, substitute:

(2) The items are items 80020, 80021, 80120, 80121, 80145, 80146, 80170 and 80171 in Schedule 2.

6  After section 6A

Insert:

6B  Limitation on certain individual telehealth items

(1) This section applies to items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 in Schedule 2.

(2) For any particular patient, an item mentioned in subsection (1) applies to a service provided in a calendar year only if:

(a) it is one of the first 7 telehealth individual services provided to the patient in the year; and

(b) it is one of the first 10 services that is either a telehealth individual service or personal individual service provided to the patient in the year; and

(c) where the service is the fourth or subsequent telehealth individual service provided to the patient in the calendar year – the patient has previously received at least one personal individual service in the year.

(3) An item mentioned in subsection (1) does not apply to a service if the patient or the allied health professional has travelled to a place to satisfy the requirement in paragraph (f) of the item.

(4) In this section:

(a) telehealth individual service means a service mentioned in any of items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 in Schedule 2;

(b) personal individual service means a service mentioned in any of items 2721 to 2727 of the general medical services table or items 80000, 80005, 80010, 80015, 80100, 80105, 80110, 80115, 80125, 80130, 80135, 80140, 80150, 80155, 80160 and 80165 in Schedule 2.

6C  Limitation on certain group telehealth items

(1) This section applies to items 80021, 80121, 80146 and 80171 in Schedule 2.

(2) For any particular patient, an item mentioned in subsection (1) applies to a service provided in a calendar year only if:

(a) it is one of the first 7 telehealth group services provided to the patient in the year; and

(b) it is one of the first 10 services that is either a telehealth group service or personal group service provided to the patient in the year; and

(c) where the service is the fourth or subsequent telehealth group service provided to the patient in the calendar year – the patient has previously received at least one personal group service in the year.

(3) An item mentioned in subsection (1) does not apply if the patient or the allied health professional has travelled to a place to satisfy the requirement in paragraph (e) of the item.

(4) In this section:

(a) telehealth group service means a service mentioned in any of items 80021, 80121, 80146 and 80171 in Schedule 2;

(b) personal group service means a service mentioned in any of items 80020, 80120, 80145 and 80170 in Schedule 2.

6D  Telehealth eligible areas

(1) A telehealth eligible area means an area within:

(a) Modified Monash area 4, being all areas categorised as ASGS-RA 2 or ASGS-RA 3 under the ASGS that are not in Modified Monash areas 2 or 3, and are in, or within 10 kilometre road distance of, a town with population between 5,000 and 15,000; or

(b) Modified Monash area 5, being all areas categorised as ASGS-RA 2 or ASGS-RA 3 under the ASGS that are not in Modified Monash areas 2, 3 or 4; or

(c) Modified Monash area 6, being all areas categorised as ASGS-RA 4 under the ASGS that are not on a populated island that is separated from the mainland in the Australian Bureau of Statistics geography and is more than 5 kilometres offshore; or

(d) Modified Monash area 7, being all areas categorised as ASGS-RA 5 under the ASGS and areas on a populated island that is separated from the mainland in the Australian Bureau of Statistics geography and is more than 5 kilometres offshore.

(2) In this section:

(a) ASGS means the geographical framework known as the Australian Statistical Geography Standard, July 2011 edition, published by the Australian Bureau of Statistics;

(b) Modified Monash area 2 means areas categorised as ASGS-RA 2 or ASGS-RA 3 under the ASGS that are in, or within 20 kilometres road distance of, a town with population >50,000; and

(c) Modified Monash area 3 means areas categorised as ASGS-RA 2 or ASGS-RA 3 under the ASGS that are not in Modified Monash area 2 and are in, or within 15 kilometres road distance of, a town with population between 15,001 and 50,000.

Note 1: The Modified Monash Model is a geographical classification system developed by the Department for categorising metropolitan, regional, rural and remote locations according to both geographical remoteness and population size, based on population data published by the Australian Bureau of Statistics. 

The Department uses the ASGS system as published by the Australian Bureau of Statistics in July 2011, but has different numbering system.

Note 2: In 2017, maps of the Modified Monash Model areas and the Department’s remoteness classification were available at www.doctorconnect.gov.au.

7  Subsection 7(1)

Repeal the subsection, substitute:

(1) This section applies to items 80000 to 80171 in Schedule 2.

8  Schedule 2, Part 2

Repeal the Part, substitute:

Item

Service

Fee($)

80000

Psychological therapy health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible clinical psychologist if:

 (a) the person is referred by:

 (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

 (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

 (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

 (b) the service is provided to the person individually and in person; and

 (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

 (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

 (e) the service is at least 30 minutes but less than 50 minutes duration

This item is subject to sections 6, 7 and 9

99.75

80001

Psychological therapy health service provided to a person (but not as an admitted patient of a hospital) by an eligible clinical psychologist if:

 (a) the person is referred by:

 (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

 (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

 (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

 (b) the service is provided to the person individually; and

 (c) the attendance is by video conference; and

 (d) the patient is not an admitted patient; and

 (e) the patient is located within a telehealth eligible area; and

 (f) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and

 (g) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

 (h) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

 (i) the service is at least 30 minutes but less than 50 minutes duration

This item is subject to sections 6B, 7 and 9

99.75

80005

Psychological therapy health service provided to a person at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible clinical psychologist in accordance with the requirements of item 80000

This item is subject to sections 6, 7 and 9

124.65

80010

Psychological therapy health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible clinical psychologist if:

 (a) the person is referred by:

 (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

 (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

 (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

 (b) the service is provided to the person individually and in person; and

 (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

 (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

 (e) the service is at least 50 minutes duration

This item is subject to sections 6, 7 and 9

146.45

80011

Psychological therapy health service provided to a person (but not as an admitted patient of a hospital) by an eligible clinical psychologist if:

 (a) the person is referred by:

 (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

 (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

 (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

 (b) the service is provided to the person individually; and

 (c) the attendance is by video conference; and

 (d) the patient is not an admitted patient; and

 (e) the patient is located within a telehealth eligible area; and

 (f) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and

 (g) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

 (h) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

 (i) the service is at least 50 minutes duration

This item is subject to sections 6B, 7 and 9

146.45

80015

Psychological therapy health service provided to a person at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible clinical psychologist in accordance with the requirements of item 80010

This item is subject to sections 6, 7 and 9

171.35

80020

Psychological therapy health service provided to a person as part of a group of 6 to 10 patients (but not as an admitted patient of a hospital) by an eligible clinical psychologist if:

 (a) the person is referred by:

 (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

 (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

 (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

 (b) the service is provided in person; and

 (c) the service is at least 60 minutes duration;

This item is subject to sections 6A, 7 and 9

37.20

80021

Psychological therapy health service provided to a person as part of a group of 6 to 10 patients (but not as an admitted patient of a hospital) by an eligible clinical psychologist if:

 (a) the person is referred by:

 (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

 (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

 (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

 (b) the attendance is by video conference; and

 (c) the patient is not an admitted patient; and

 (d) the patient is located within a telehealth eligible area; and

 (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and

 (f) the service is at least 60 minutes duration

This item is subject to sections 6C, 7 and 9

37.20

80100

Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible psychologist if:

 (a) the person is referred by:

 (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

 (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

 (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

 (b) the service is provided to the person individually and in person; and

 (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

 (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

 (e) the service is at least 20 minutes but less than 50 minutes duration

This item is subject to sections 6, 7 and 9

70.65

80101

Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital) by an eligible psychologist if:

 (a) the person is referred by:

 (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

 (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

 (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

 (b) the service is provided to the person individually; and

 (c) the attendance is by video conference; and

 (d) the patient is not an admitted patient; and

 (e) the patient is located within a telehealth eligible area; and

 (f) the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist; and

 (g) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

 (h) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

 (i) the service is at least 20 minutes but less than 50 minutes duration

This item is subject to sections 6B, 7 and 9

70.65

80105

Focussed psychological strategies health service provided to a person at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible psychologist in accordance with the requirements of item 80100

This item is subject to sections 6, 7 and 9

96.15

80110

Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible psychologist if:

 (a) the person is referred by:

 (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

 (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

 (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

 (b) the service is provided to the person individually and in person; and

 (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

 (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

 (e) the service is at least 50 minutes duration

This item is subject to sections 6, 7 and 9

99.75

80111

Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital) by an eligible psychologist if:

 (a) the person is referred by:

 (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

 (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

 (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

 (b) the service is provided to the person individually; and

 (c) the attendance is by video conference; and

 (d) the patient is not an admitted patient; and

 (e) the patient is located within a telehealth eligible area; and

 (f) the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist; and

 (g) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

 (h) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

 (i) the service is at least 50 minutes duration

This item is subject to sections 6B, 7 and 9

99.75

80115

Focussed psychological strategies health service provided to a person at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible psychologist in accordance with the requirements of item 80110

This item is subject to sections 6, 7 and 9

125.30

80120

Focussed psychological strategies health service provided to a person as part of a group of 6 to 10 patients (but not as an admitted patient of a hospital) by an eligible psychologist if:

 (a) the person is referred by:

 (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

 (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

 (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

 (b) the service is provided in person; and

 (c) the service is at least 60 minutes duration;

This item is subject to sections 6A, 7 and 9

25.45

80121

Focussed psychological strategies health service provided to a person as part of a group of 6 to 10 patients (but not as an admitted patient of a hospital) by an eligible psychologist if:

 (a) the person is referred by:

 (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

 (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

 (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

 (b) the attendance is by video conference; and

 (c) the patient is not an admitted patient; and

 (d) the patient is located within a telehealth eligible area; and

 (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist; and

 (f) the service is at least 60 minutes duration

This item is subject to sections 6C, 7 and 9

25.45

80125

Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible occupational therapist if:

 (a) the person is referred by:

 (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

 (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

 (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

 (b) the service is provided to the person individually and in person; and

 (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

 (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

 (e) the service is at least 20 minutes but less than 50 minutes duration

This item is subject to sections 6, 7 and 9

62.25

80126

Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital) by an eligible occupational therapist if:

 (a) the person is referred by:

 (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

 (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

 (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

 (b) the service is provided to the person individually; and

 (c) the attendance is by video conference; and

 (d) the patient is not an admitted patient; and

 (e) the patient is located within a telehealth eligible area; and

 (f) the patient is, at the time of the attendance, at least 15 kilometres by road from the occupational therapist; and

 (g) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

 (h) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

 (i) the service is at least 20 minutes but less than 50 minutes duration

This item is subject to sections 6B, 7 and 9

62.25

80130

Focussed psychological strategies health service provided to a person at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible occupational therapist in accordance with the requirements of item 80125

This item is subject to sections 6, 7 and 9

87.70

80135

Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible occupational therapist if:

 (a) the person is referred by:

 (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

 (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

 (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

 (b) the service is provided to the person individually and in person; and

 (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

 (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

 (e) the service is at least 50 minutes duration

This item is subject to sections 6, 7 and 9

87.95

80136

Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital) by an eligible occupational therapist if:

 (a) the person is referred by:

 (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

 (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

 (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

 (b) the service is provided to the person individually; and

 (c) the attendance is by video conference; and

 (d) the patient is not an admitted patient; and

 (e) the patient is located within a telehealth eligible area; and

 (f) the patient is, at the time of the attendance, at least 15 kilometres by road from the occupational therapist; and

 (g) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

 (h) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

 (i) the service is at least 50 minutes duration

This item is subject to sections 6B, 7 and 9

87.95

80140

Focussed psychological strategies health service provided to a person at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible occupational therapist in accordance with the requirements of item 80135

This item is subject to sections 6, 7 and 9

113.35

80145

Focussed psychological strategies health service provided to a person as part of a group of 6 to 10 patients (but not as an admitted patient of a hospital) by an eligible occupational therapist if:

 (a) the person is referred by:

 (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

 (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

 (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

 (b) the service is provided in person; and

 (c) the service is at least 60 minutes duration;

This item is subject to sections 6A, 7 and 9

22.35

80146

Focussed psychological strategies health service provided to a person as part of a group of 6 to 10 patients (but not as an admitted patient of a hospital) by an eligible occupational therapist if:

 (a) the person is referred by:

 (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

 (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

 (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

 (b) the attendance is by video conference; and

 (c) the patient is not an admitted patient; and

 (d) the patient is located within a telehealth eligible area; and

 (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the occupational therapist; and

 (f) the service is at least 60 minutes duration

This item is subject to sections 6C, 7 and 9

22.35

80150

Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible social worker if:

 (a) the person is referred by:

 (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

 (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

 (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

 (b) the service is provided to the person individually and in person; and

 (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

62.25

 

 (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

 (e) the service is at least 20 minutes but less than 50 minutes duration

This item is subject to sections 6, 7 and 9

 

80151

Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital) by an eligible social worker if:

 (a) the person is referred by:

 (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

 (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

 (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

 (b) the service is provided to the person individually; and

 (c) the attendance is by video conference; and

 (d) the patient is not an admitted patient; and

 (e) the patient is located within a telehealth eligible area; and

 (f) the patient is, at the time of the attendance, at least 15 kilometres by road from the social worker; and

 (g) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

 (h) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

 (i) the service is at least 20 minutes but less than 50 minutes duration

This item is subject to sections 6B, 7 and 9

62.25

80155

Focussed psychological strategies health service provided to a person at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible social worker in accordance with the requirements of item 80150

This item is subject to sections 6, 7 and 9

87.70

80160

Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible social worker if:

 (a) the person is referred by:

 (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

 (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

 (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

 (b) the service is provided to the person individually and in person; and

 (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

 (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

 (e) the service is at least 50 minutes duration

This item is subject to sections 6, 7 and 9

87.95

80161

Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital) by an eligible social worker if:

 (a) the person is referred by:

 (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

 (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

 (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

 (b) the service is provided to the person individually; and

 (c) the attendance is by video conference; and

 (d) the patient is not an admitted patient; and

 (e) the patient is located within a telehealth eligible area; and

 (f) the patient is, at the time of the attendance, at least 15 kilometres by road from the social worker; and

 (g) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and

 (h) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and

 (i) the service is at least 50 minutes duration

This item is subject to sections 6B, 7 and 9

87.95

80165

Focussed psychological strategies health service provided to a person at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible social worker in accordance with the requirements of item 80160

This item is subject to sections 6, 7 and 9

113.35

80170

Focussed psychological strategies health service provided to a person as part of a group of 6 to 10 patients (but not as an admitted patient of a hospital) by an eligible social worker if:

 (a) the person is referred by:

 (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

 (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

 (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

 (b) the service is provided in person; and

 (c) the service is at least 60 minutes duration;

This item is subject to sections 6A, 7 and 9

22.35

80171

Focussed psychological strategies health service provided to a person as part of a group of 6 to 10 patients (but not as an admitted patient of a hospital) by an eligible social worker if:

 (a) the person is referred by:

 (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or

 (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or

 (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and

 (b) the attendance is by video conference; and

 (c) the patient is not an admitted patient; and

 (d) the patient is located within a telehealth eligible area; and

 (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the eligible social; and

 (f) the service is at least 60 minutes duration

This item is subject to sections 6C, 7 and 9

22.35