Health Insurance Legislation Amendment (Section 3C General Medical Services – Medicare Indexation and Extension of Remote Service Options) Determination 2021
I, Travis Haslam, delegate of the Minister for Health and Aged Care, make the following Determination.
Dated 18 June 2021
Travis Haslam
Acting First Assistant Secretary
Medical Benefits Division
Health Resourcing Group
Department of Health
Contents
1 Name
2 Commencement
3 Authority
4 Schedules
Schedule 1— Extend sunset provisions
Schedule 2— Indexation
Health Insurance (Section 3C General Medical Services - COVID-19 Telehealth and Telephone Attendances) Determination 2020
Health Insurance (Section 3C General Medical Services – General Practice Attendance for Assessing Patient Suitability for a COVID-19 Vaccine) Determination 2021
Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Mental Health Services) Determination 2020
Schedule 3— GP telehealth and telephone services amendments
Schedule 4— Fee amendment
This instrument is the Health Insurance Legislation Amendment (Section 3C General Medical Services – Medicare Indexation and Extension of Remote Service Options) Determination 2021.
(1) Each provision of this instrument specified in column 1 of the table commences, or is taken to have commenced, in accordance with column 2 of the table. Any other statement in column 2 has effect according to its terms.
Commencement information | ||
Column 1 | Column 2 | Column 3 |
Provisions | Commencement | Date/Details |
1. Sections 1 to 4 | Immediately after registration of this instrument |
|
2. Schedule 1 | The day after registration of this instrument |
|
3. Schedule 2 | 1 July 2021 |
|
4. Schedule 3 | 1 July 2021 |
|
5. Schedule 4 | Immediately after commencement of the Health Insurance Legislation Amendment (Section 3C General Medical and Diagnostic Imaging Services – Medicare Indexation) Determination 2021 |
|
Note: This table relates only to the provisions of this instrument as originally made. It will not be amended to deal with any later amendments of this instrument.
(2) Any information in column 3 of the table is not part of this instrument. Information may be inserted in this column, or information in it may be edited, in any published version of this instrument.
This instrument is made under subsection 3C(1) 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Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.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— Extend sunset provisions
Health Insurance (Section 3C General Medical Services – COVID-19 Telehealth and Telephone Attendances) Determination 2020
Omit “30 June 2021”, substitute “31 December 2021”.
Health Insurance (Section 3C General Medical – Expansion of GP and Allied Health Mental Health Services) Determination 2020
2. Paragraph 4(a)
Omit “30 June 2021”, substitute “31 December 2021”.
Health Insurance (Section 3C General Medical Services - COVID-19 Telehealth and Telephone Attendances) Determination 2020
The items of the table in Schedule 1 listed in the following table are amended as set out in the table.
Amendments relating to fees | |||
Item | Table item | Omit | Substitute |
1 | Item 91790 | 20.85 | 21.05 |
2 | Item 91800 | 45.55 | 46.00 |
3 | Item 91801 | 88.25 | 89.10 |
4 | Item 91802 | 130.00 | 131.15 |
5 | Item 91794 | 16.70 | 16.80 |
6 | Item 91806 | 36.45 | 36.80 |
7 | Item 91807 | 70.60 | 71.25 |
8 | Item 91808 | 104.00 | 104.90 |
9 | Item 91818 | 112.50 | 113.50 |
10 | Item 91819 | 161.00 | 162.45 |
11 | Item 91820 | 90.00 | 90.80 |
12 | Item 91821 | 128.80 | 130.00 |
13 | Item 91842 | 112.50 | 113.50 |
14 | Item 91843 | 161.00 | 162.45 |
15 | Item 91844 | 90.00 | 90.80 |
16 | Item 91845 | 128.80 | 130.00 |
17 | Item 92004 | 257.50 | 259.80 |
18 | Item 92011 | 206.00 | 207.85 |
19 | Item 92024 | 175.00 | 176.55 |
20 | Item 92025 | 138.70 | 139.90 |
21 | Item 92026 | 85.40 | 86.15 |
22 | Item 92027 | 85.40 | 86.15 |
23 | Item 92028 | 87.40 | 88.15 |
24 | Item 92055 | 140.00 | 141.25 |
25 | Item 92056 | 110.90 | 111.90 |
26 | Item 92057 | 68.35 | 68.90 |
27 | Item 92058 | 68.35 | 68.90 |
28 | Item 92059 | 69.90 | 70.50 |
29 | Item 92136 | 92.90 | 93.75 |
30 | Item 92137 | 74.35 | 75.00 |
31 | Item 92138 | 92.90 | 93.75 |
32 | Item 92139 | 74.35 | 75.00 |
33 | Item 92142 | 163.15 | 164.60 |
34 | Item 92112 | 87.00 | 87.75 |
35 | Item 92113 | 128.05 | 129.20 |
36 | Item 92114 | 87.00 | 87.75 |
37 | Item 92115 | 87.00 | 87.75 |
38 | Item 92116 | 110.45 | 111.45 |
39 | Item 92117 | 162.70 | 164.15 |
40 | Item 92118 | 69.55 | 70.20 |
41 | Item 92119 | 102.45 | 103.40 |
42 | Item 92120 | 69.55 | 70.20 |
43 | Item 92121 | 69.55 | 70.20 |
44 | Item 92122 | 88.35 | 89.15 |
45 | Item 92123 | 130.15 | 131.35 |
46 | Item 92127 | 87.00 | 87.75 |
47 | Item 92132 | 69.55 | 70.20 |
48 | Item 92133 | 69.55 | 70.20 |
49 | Item 92146 | 87.00 | 87.75 |
50 | Item 92147 | 128.05 | 129.20 |
51 | Item 92148 | 110.45 | 111.45 |
52 | Item 92149 | 162.70 | 164.15 |
53 | Item 92150 | 69.55 | 70.20 |
54 | Item 92151 | 102.45 | 103.40 |
55 | Item 92152 | 88.35 | 89.15 |
56 | Item 92153 | 130.15 | 131.35 |
57 | Item 92170 | 87.00 | 87.75 |
58 | Item 92171 | 69.55 | 70.20 |
59 | Item 92176 | 87.00 | 87.75 |
60 | Item 92177 | 69.55 | 70.20 |
61 | Item 92182 | 112.50 | 113.50 |
62 | Item 92184 | 161.00 | 162.45 |
63 | Item 92186 | 90.00 | 90.80 |
64 | Item 92188 | 128.80 | 130.00 |
65 | Item 92194 | 112.50 | 113.50 |
66 | Item 92196 | 161.00 | 162.45 |
67 | Item 92198 | 90.00 | 90.80 |
68 | Item 92200 | 128.80 | 130.00 |
69 | Item 92210 | 185.60 | 187.25 |
70 | Item 92211 | 148.35 | 149.70 |
2. Amendments of listed provisions— Division 2.1 of Schedule 2
The items of the table in Division 2.1 of Schedule 2 listed in the following table are amended as set out in the table.
Amendments relating to fees | |||
Item | Table item | Omit | Substitute |
1 | Item 91822 | 89.55 | 90.35 |
2 | Item 91823 | 45.00 | 45.40 |
3 | Item 91824 | 157.95 | 159.35 |
4 | Item 91825 | 79.05 | 79.75 |
5 | Item 91826 | 45.00 | 45.40 |
6 | Item 92422 | 276.25 | 278.75 |
7 | Item 92423 | 138.30 | 139.55 |
8 | Item 91827 | 45.35 | 45.75 |
9 | Item 91828 | 90.50 | 91.30 |
10 | Item 91829 | 139.30 | 140.55 |
11 | Item 91830 | 192.25 | 194.00 |
12 | Item 91831 | 223.10 | 225.10 |
13 | Item 92434 | 276.25 | 278.75 |
14 | Item 92435 | 473.80 | 478.05 |
15 | Item 92436 | 296.20 | 298.85 |
16 | Item 92437 | 272.50 | 274.95 |
17 | Item 92455 | 51.60 | 52.05 |
18 | Item 92456 | 68.50 | 69.10 |
19 | Item 92457 | 101.30 | 102.20 |
20 | Item 92458 | 132.65 | 133.85 |
21 | Item 92459 | 183.15 | 184.80 |
22 | Item 92460 | 132.65 | 133.85 |
23 | Item 91832 | 89.55 | 90.35 |
24 | Item 91833 | 45.00 | 45.40 |
25 | Item 91834 | 157.95 | 159.35 |
26 | Item 91835 | 79.05 | 79.75 |
27 | Item 91836 | 45.00 | 45.40 |
28 | Item 92431 | 276.25 | 278.75 |
29 | Item 92432 | 138.30 | 139.55 |
30 | Item 91837 | 45.35 | 45.75 |
31 | Item 91838 | 90.50 | 91.30 |
32 | Item 91839 | 139.30 | 140.55 |
33 | Item 91840 | 192.25 | 194.00 |
34 | Item 91841 | 223.10 | 225.10 |
35 | Item 92474 | 276.25 | 278.75 |
36 | Item 92475 | 473.80 | 478.05 |
37 | Item 92476 | 296.20 | 298.85 |
38 | Item 92477 | 272.50 | 274.95 |
39 | Item 92495 | 51.60 | 52.05 |
40 | Item 92496 | 68.50 | 69.10 |
41 | Item 92497 | 101.30 | 102.20 |
42 | Item 92498 | 132.65 | 133.85 |
43 | Item 92499 | 183.15 | 184.80 |
44 | Item 92500 | 132.65 | 133.85 |
45 | Item 92140 | 276.25 | 278.75 |
46 | Item 92141 | 276.25 | 278.75 |
47 | Item 92143 | 276.25 | 278.75 |
48 | Item 92144 | 276.25 | 278.75 |
49 | Item 92162 | 473.80 | 478.05 |
50 | Item 92163 | 276.25 | 278.75 |
51 | Item 92166 | 473.80 | 478.05 |
52 | Item 92167 | 276.25 | 278.75 |
53 | Item 92172 | 296.20 | 298.85 |
54 | Item 92173 | 138.30 | 139.55 |
55 | Item 92178 | 296.20 | 298.85 |
56 | Item 92179 | 138.30 | 139.55 |
3. Amendments of listed provisions— Division 2.2 of Schedule 2
The items of the table in Division 2.2 of Schedule 2 listed in the following table are amended as set out in the table.
Amendments relating to fees | |||
Item | Table item | Omit | Substitute |
1 | Item 91850 | 28.10 | 28.35 |
2 | Item 91851 | 73.95 | 74.60 |
3 | Item 91852 | 55.05 | 55.55 |
4 | Item 91853 | 48.60 | 49.05 |
5 | Item 91855 | 28.10 | 28.35 |
6 | Item 91856 | 73.95 | 74.60 |
7 | Item 91857 | 55.05 | 55.55 |
8 | Item 91858 | 48.60 | 49.05 |
9 | Item 92623 | 473.80 | 478.05 |
10 | Item 92624 | 296.20 | 298.85 |
11 | Item 92628 | 473.80 | 478.05 |
12 | Item 92629 | 296.20 | 298.85 |
13 | Item 92513 | 20.45 | 20.65 |
14 | Item 92514 | 44.75 | 45.15 |
15 | Item 92515 | 86.55 | 87.35 |
16 | Item 92516 | 127.45 | 128.60 |
17 | Item 92521 | 20.45 | 20.65 |
18 | Item 92522 | 44.75 | 45.15 |
19 | Item 92523 | 86.55 | 87.35 |
20 | Item 92524 | 127.45 | 128.60 |
21 | Item 92610 | 135.65 | 136.85 |
22 | Item 92611 | 45.00 | 45.40 |
23 | Item 92612 | 89.55 | 90.35 |
24 | Item 92613 | 124.05 | 125.15 |
25 | Item 92614 | 157.95 | 159.35 |
26 | Item 92617 | 135.65 | 136.85 |
27 | Item 92618 | 45.00 | 45.40 |
28 | Item 92619 | 89.55 | 90.35 |
29 | Item 92620 | 124.05 | 125.15 |
30 | Item 92621 | 157.95 | 159.35 |
31 | Item 92701 | 89.55 | 90.35 |
32 | Item 92712 | 89.55 | 90.35 |
4. Amendments of listed provisions—Schedule 3
The items of the table in Schedule 3 listed in the following table are amended as set out in the table.
Amendments relating to fees | |||
Item | Table item | Omit | Substitute |
1 | Item 91166 | 102.85 | 103.80 |
2 | Item 91167 | 151.05 | 152.40 |
3 | Item 91169 | 72.90 | 73.55 |
4 | Item 91170 | 102.85 | 103.80 |
5 | Item 91172 | 64.20 | 64.80 |
6 | Item 91173 | 90.70 | 91.50 |
7 | Item 91175 | 64.20 | 64.80 |
8 | Item 91176 | 90.70 | 91.50 |
9 | Item 91181 | 102.85 | 103.80 |
10 | Item 91182 | 151.05 | 152.40 |
11 | Item 91183 | 72.90 | 73.55 |
12 | Item 91184 | 102.85 | 103.80 |
13 | Item 91185 | 64.20 | 64.80 |
14 | Item 91186 | 90.70 | 91.50 |
15 | Item 91187 | 64.20 | 64.80 |
16 | Item 91188 | 90.70 | 91.50 |
17 | Item 93000 | 64.20 | 64.80 |
18 | Item 93013 | 64.20 | 64.80 |
19 | Item 93026 | 75.40 | 76.10 |
20 | Item 93029 | 75.40 | 76.10 |
21 | Item 93032 | 102.85 | 103.80 |
22 | Item 93033 | 90.70 | 91.50 |
23 | Item 93035 | 102.85 | 103.80 |
24 | Item 93036 | 90.70 | 91.50 |
25 | Item 93040 | 102.85 | 103.80 |
26 | Item 93041 | 90.70 | 91.50 |
27 | Item 93043 | 102.85 | 103.80 |
28 | Item 93044 | 90.70 | 91.50 |
29 | Item 93048 | 64.20 | 64.80 |
30 | Item 93061 | 64.20 | 64.80 |
31 | Item 93074 | 64.20 | 64.80 |
32 | Item 93076 | 102.85 | 103.80 |
33 | Item 93079 | 151.05 | 152.40 |
34 | Item 93084 | 72.90 | 73.55 |
35 | Item 93087 | 102.85 | 103.80 |
36 | Item 93092 | 64.20 | 64.80 |
37 | Item 93095 | 90.70 | 91.50 |
38 | Item 93100 | 64.20 | 64.80 |
39 | Item 93103 | 90.70 | 91.50 |
40 | Item 93108 | 64.20 | 64.80 |
41 | Item 93110 | 102.85 | 103.80 |
42 | Item 93113 | 151.05 | 152.40 |
43 | Item 93118 | 72.90 | 73.55 |
44 | Item 93121 | 102.85 | 103.80 |
45 | Item 93126 | 64.20 | 64.80 |
46 | Item 93129 | 90.70 | 91.50 |
47 | Item 93134 | 64.20 | 64.80 |
48 | Item 93137 | 90.70 | 91.50 |
49 | Item 93284 | 82.35 | 83.10 |
50 | Item 93285 | 20.50 | 20.70 |
51 | Item 93286 | 82.35 | 83.10 |
5. Amendments of listed provisions— Division 4.1 of Schedule 4
The items of the table in Division 4.1 of Schedule 4 listed in the following table are amended as set out in the table.
Amendments relating to fees | |||
Item | Table item | Omit | Substitute |
1 | Item 91192 | 9.90 | 10.00 |
2 | Item 91178 | 21.60 | 21.80 |
3 | Item 91179 | 41.00 | 41.35 |
4 | Item 91180 | 60.40 | 60.95 |
5 | Item 91193 | 9.90 | 10.00 |
6 | Item 91189 | 21.60 | 21.80 |
7 | Item 91190 | 41.00 | 41.35 |
8 | Item 91191 | 60.40 | 60.95 |
9 | Item 93200 | 29.10 | 29.35 |
10 | Item 93201 | 14.55 | 14.70 |
11 | Item 93202 | 29.10 | 29.35 |
12 | Item 93203 | 14.55 | 14.70 |
6. Amendments of listed provisions— Division 4.2 of Schedule 4
The items of the table in Division 4.2 of Schedule 4 listed in the following table are amended as set out in the table.
Amendments relating to fees | |||
Item | Table item | Omit | Substitute |
1 | Item 91211 | 33.30 | 33.60 |
2 | Item 91212 | 55.05 | 55.55 |
3 | Item 91214 | 55.05 | 55.55 |
4 | Item 91215 | 80.95 | 81.70 |
5 | Item 91218 | 33.30 | 33.60 |
6 | Item 91219 | 55.05 | 55.55 |
7 | Item 91221 | 55.05 | 55.55 |
8 | Item 91222 | 80.95 | 81.70 |
7. Amendments of listed provisions— Division 4.3 of Schedule 4
The items of the table in Schedule 4 listed in the following table are amended as set out in the table.
Amendments relating to fees | |||
Item | Table item | Omit | Substitute |
1 | Item 54001 | 88.20 | 89.00 |
2 | Item 54002 | 44.35 | 44.75 |
3 | Item 54003 | 88.20 | 89.00 |
4 | Item 54004 | 44.35 | 44.75 |
8. Subsection 9(1)
Omit “66.75”, substitute “67.35”.
9. Schedule (item 93624, column 3)
Omit “36.15”, substitute “36.50”.
10. Schedule (item 93625, column 3)
Omit “43.90”, substitute “44.30”.
11. Schedule (item 93626, column 3)
Omit “28.20”, substitute “28.45”.
12. Schedule (item 93627, column 3)
Omit “39.75”, substitute “40.10”.
13. Schedule (item 93634, column 3)
Omit “50.45”, substitute “50.90”.
14. Schedule (item 93635, column 3)
Omit “58.20”, substitute “58.70”.
15. Schedule (item 93636, column 3)
Omit “39.95”, substitute “40.30”.
16. Schedule (item 93637, column 3)
Omit “51.15”, substitute “51.60”.
17. Schedule (item 93644, column 3)
Omit “28.50”, substitute “28.75”.
18. Schedule (item 93645, column 3)
Omit “32.40”, substitute “32.70”.
19. Schedule (item 93646, column 3)
Omit “20.55”, substitute “20.75”.
20. Schedule (item 93647, column 3)
Omit “28.20”, substitute “28.45”.
21. Schedule (item 93653, column 3)
Omit “42.80”, substitute “43.20”.
22. Schedule (item 93654, column 3)
Omit “46.70”, substitute “47.10”.
23. Schedule (item 93655, column 3)
Omit “32.30”, substitute “32.60”.
24. Schedule (item 93656, column 3)
Omit “39.60”, substitute “39.95”.
25. Schedule 2 (item 93301, column 3)
Omit “112.50”, substitute “113.50”.
26. Schedule 2 (item 93302, column 3)
Omit “112.50”, substitute “113.50”.
27. Schedule 2 (item 93304, column 3)
Omit “161.00”, substitute “162.45”.
28. Schedule 2 (item 93305, column 3)
Omit “161.00”, substitute “162.45”.
29. Schedule 2 (item 93307, column 3)
Omit “90.00”, substitute “90.80”.
30. Schedule 2 (item 93308, column 3)
Omit “90.00”, substitute “90.80”.
31. Schedule 2 (item 93310, column 3)
Omit “128.80”, substitute “130.00”.
32. Schedule 2 (item 93311, column 3)
Omit “128.80”, substitute “130.00”.
33. Schedule 2 (item 93404, column 3)
Omit “87.00”, substitute “87.75”.
34. Schedule 2 (item 93405, column 3)
Omit “128.05”, substitute “129.20”.
35. Schedule 2 (item 93406, column 3)
Omit “110.45”, substitute “111.45”.
36. Schedule 2 (item 93407, column 3)
Omit “162.70”, substitute “164.15”.
37. Schedule 2 (item 93408, column 3)
Omit “87.00”, substitute “87.75”.
38. Schedule 2 (item 93409, column 3)
Omit “128.05”, substitute “129.20”.
39. Schedule 2 (item 93410, column 3)
Omit “110.45”, substitute “111.45”.
40. Schedule 2 (item 93411, column 3)
Omit “162.70”, substitute “164.15”.
41. Schedule 2 (item 93422, column 3)
Omit “87.00”, substitute “87.75”.
42. Schedule 2 (item 93423, column 3)
Omit “87.00”, substitute “87.75”.
43. Schedule 2 (item 93435, column 3)
Omit “69.55”, substitute “70.20”.
44. Schedule 2 (item 93436, column 3)
Omit “102.45”, substitute “103.40”.
45. Schedule 2 (item 93437, column 3)
Omit “88.35”, substitute “89.15”.
46. Schedule 2 (item 93438, column 3)
Omit “130.15”, substitute “131.30”.
47. Schedule 2 (item 93439, column 3)
Omit “69.55”, substitute “70.20”.
48. Schedule 2 (item 93440, column 3)
Omit “102.45”, substitute “103.40”.
49. Schedule 2 (item 93441, column 3)
Omit “88.35”, substitute “89.15”.
50. Schedule 2 (item 93442, column 3)
Omit “130.15”, substitute “131.30”.
51. Schedule 2 (item 93452, column 3)
Omit “69.55”, substitute “70.20”.
52. Schedule 2 (item 93453, column 3)
Omit “69.55”, substitute “70.20”.
53. Schedule 2 (item 93331, column 3)
Omit “102.85”, substitute “103.80”.
54. Schedule 2 (item 93332, column 3)
Omit “102.85”, substitute “103.80”.
55. Schedule 2 (item 93334, column 3)
Omit “151.05”, substitute “152.40”.
56. Schedule 2 (item 93335, column 3)
Omit “151.05”, substitute “152.40”.
57. Schedule 2 (item 93351, column 3)
Omit “72.90”, substitute “73.55”.
58. Schedule 2 (item 93352, column 3)
Omit “72.90”, substitute “73.55”.
59. Schedule 2 (item 93354, column 3)
Omit “102.85”, substitute “103.80”.
60. Schedule 2 (item 93355, column 3)
Omit “102.85”, substitute “103.80”.
61. Schedule 2 (item 93357, column 3)
Omit “64.20”, substitute “64.80”.
62. Schedule 2 (item 93358, column 3)
Omit “64.20”, substitute “64.80”.
63. Schedule 2 (item 93360, column 3)
Omit “90.70”, substitute “91.50”.
64. Schedule 2 (item 93361, column 3)
Omit “90.70”, substitute “91.50”.
65. Schedule 2 (item 93363, column 3)
Omit “64.20”, substitute “64.80”.
66. Schedule 2 (item 93364, column 3)
Omit “64.20”, substitute “64.80”.
67. Schedule 2 (item 93366, column 3)
Omit “90.70”, substitute “91.50”.
68. Schedule 2 (item 93367, column 3)
Omit “90.70”, substitute “91.50”.
Schedule 3— GP telehealth and telephone services amendments
Health Insurance (Section 3C General Medical Services - COVID-19 Telehealth and Telephone Attendances) Determination 2020
Repeal the subsections, substitute:
(10) Subsection 8(8) does not apply to an item listed in Subgroup 15, 16, 29, 39 and 40 of Group A40.
(11) For the purpose of subsection 8(8):
patient’s usual medical practitioner means a medical practitioner (other than a specialist or consultant physician) who:
(a) has provided at least one service to the patient in the past 12 months; or
(b) is located at a medical practice at which at least one service to the patient was provided, or arranged by, in the past 12 months.
For the purpose of this subsection, service means a personal attendance on the patient and excludes telehealth and phone attendances.
2. Subclause 1.1.1(1) of Schedule 1
Repeal the subclause, substitute:
(1) For items 91794, 91806, 91807, 91808, 92717, 92720, 92723, 92726, 92733, 92736, 92739 and 92742 eligible area has the meaning given by section 4 of the Other Medical Practitioner Determination.
3. Paragraph 1.1.5(1)(c) of Schedule 1
Repeal the paragraph, substitute:
(c) items 91790, 91800, 91801, 91802, 91890, 91891, 91792, 91803, 91804, 91805, 91892, 91893, 91794, 91806, 91807, 91808, 92210 and 92211.
4. Paragraph 1.1.8(1)(c) of Schedule 1
Repeal the paragraph, substitute:
(c) items 91790, 91800, 91801, 91802, 91890, 91891, 91792, 91803,
91804, 91805, 91892, 91893, 91794, 91806, 91807, 91808, 92210
and 92211.
5. Clause 1.1.17 of Schedule 1 (after clause)
Insert:
1.1.18 Application of items in Subgroups 39 and 40 of Group A40
(1) An item in Subgroup 39 or 40 of Group A40 does not apply to a
service described in the item if the service is provided to a patient for the purpose of, or in relation to, assisted reproductive technology or antenatal care.
(2) An item in Subgroup 39 or 40 of Group A40 only applies to a service performed by a medical practitioner (other than a specialist or consultant physician) who:
(a) is located at a medical practice; or
(b) has a formal agreement with a medical practice to provide personal attendance services.
6. Schedule 1 (table, Subgroup 2)
Repeal the Subgroup, substitute:
Subgroup 2 – COVID-19 general practice phone services | ||
91890 | Phone attendance by a general practitioner lasting less than 6 minutes for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management | 21.05 |
91891 | Phone attendance by a general practitioner lasting at least 6 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care | 46.00 |
91892 | Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting less than 6 minutes for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management | 12.90 |
91893 | Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 6 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care | 24.70 |
7. Schedule 1 (table, Subgroups 12, 14 and 18)
Repeal the Subgroups.
8. Schedule 1 (table items 92124, 92125, 92126, 92128, 92129, 92130, 92131, 92134 and 92135)
Repeal the items.
9. Schedule 1 (table, Subgroups 22 and 30)
Repeal the Subgroups.
10. Schedule 1 (table, after Subgroup 30)
Insert:
Subgroup 39 – GP Blood Borne Viruses, Sexual or Reproductive Health Consultation – Telehealth Service | ||
92715 | Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care | 21.05 |
92716 | Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care | 12.90 |
92717 | Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care | 16.80 |
92718 | Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care | 46.00 |
92719 | Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care | 24.70 |
92720 | Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care | 36.80 |
92721 | Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care | 89.10 |
92722 | Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care | 44.70 |
92723 | Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care | 71.25 |
92724 | Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care | 131.15 |
92725 | Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care | 71.75 |
92726 | Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care | 104.90 |
Subgroup 40 – GP Blood Borne Viruses, Sexual or Reproductive Health Consultation – Phone Service | ||
92731 | Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care | 21.05 |
92732 | Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care | 12.90 |
92733 | Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care | 16.70 |
92734 | Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care | 46.00 |
92735 | Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care | 24.70 |
92736 | Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care | 36.45 |
92737 | Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care | 89.10 |
92738 | Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care | 44.70 |
92739 | Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care | 70.60 |
92740 | Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care | 131.15 |
92741 | Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care | 71.75 |
92742 | Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a general practitioner, specialist or consultant physician), in an eligible area, lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care | 104.90 |
11. Subclause 3.1.3(3) of Schedule 3
Repeal the subclause, substitute:
(3) For items 93032, 93033, 93040 and 93041, the referral by a general
practitioner must be a referral for a service to which any of items 3 to 51 of the general medical services table or to which any of items 91790, 91800, 91801, 91802, 91890, 91891, 91892 or 91893 applies.
Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018
Omit “116.65”, substitute “111.65”.