Commonwealth Coat of Arms of Australia

 

Health Insurance (Section 3C General Medical Services - Telehealth and Telephone Attendances) Amendment (Remote Audiometry Programming) Determination 2022

I, Nigel Murray, delegate of the Minister for Health and Aged Care, make the following Determination.

Dated 11 February 2022

Nigel Murray

Assistant Secretary

MBS Policy and Specialist Services Branch

Medical Benefits Division

Health Resourcing Group

Department of Health

 

 

 

Contents

1  Name

2  Commencement

3  Authority

4  Schedules

Schedule 1— Amendments

 

1  Name

  This instrument is the Health Insurance (Section 3C General Medical Services - Telehealth and Telephone Attendances) Amendment (Remote Audiometry Programming) Determination 2022.

2  Commencement

(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.  The whole of this instrument

1 March 2022

 

 Note: This table relates only to the provisions of this instrument as originally made.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.

3  Authority

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  Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.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

Health Insurance (Section 3C General Medical Services – Telehealth and Telephone Attendances) Determination 2021

  1. Schedule 4 (after the Table in Division 4.3)

Insert:

 

Schedule 4A – Audiometry programming services 

 

Division 4A.1– Services and Fees – audiometry programming services

4A.1.1 Meaning of terms in Schedule 4A

(1)    For items 11342 and 82302, telehealth means a service by video conference where the rendering health practitioner:

(a)     has the capacity to provide the full service through this means safely and in accordance with relevant professional standards; and

(b)     is satisfied that it is clinically appropriate to provide the service to the patient; and

(c)     maintains a visual and audio link with the patient; and

(d)    is satisfied that the software and hardware used to deliver the service meets the applicable laws for security and privacy.

(2)    For items 11345 and 82304, phone means a service by telephone where the health practitioner:

(a)     has the capacity to provide the full service through this means safely and in accordance with professional standards; and

(b)     is satisfied that it is clinically appropriate to provide the service to the patient; and

(c)     maintains an audio link with the patient.

(3)    For items 11342 and 11345, rendering health practitioner includes a medical practitioner or a person on their behalf.

 

 

 

 

 

 

4A.1.2 Effect of election to claim private health insurance for an audiology health service

(1)  Items 82302 and 82304 apply only if a private health insurance benefit has not been claimed for the service.

Group D1—Miscellaneous diagnostic procedures and investigations

Column 1

Item

Column 2

Description

Column 3

Fee ($)

Subgroup 3—Otolaryngology

11342

 

Programming by telehealth of an auditory implant, or the sound processor of an auditory implant, unilateral, performed by or on behalf of a medical practitioner, if a service to which item 82300, 82302 or 82304 applies has not been performed on the patient on the same day.

Applicable up to a total of 4 services to which this item or item 11300 or 11345 apply on the same day

 

160.20

11345

Programming by phone of an auditory implant, or the sound processor of an auditory implant, unilateral, performed by or on behalf of a medical practitioner, if a service to which item 82300, 82302 or 82304 applies has not been performed on the patient on the same day.

Applicable up to a total of 4 services to which this item or item 11300 or 11342 apply on the same day

 

160.20

 

Group M15 – Diagnostic audiology services

Column 1

Item

Column 2

Description

Column 3

Fee ($)

82302

Audiology health service by telehealth for programming of an auditory implant, or the sound processor of an auditory implant, unilateral, performed on a patient by an eligible audiologist if:

(a) the service is not performed for the purpose of a hearing screening; and

(b) a service to which item 11300, 11342 or 11345 applies has not been performed on the person on the same day.

Applicable up to a total of 4 services to which this item or item 82300 or 82304 apply on the same day

160.20

82304

Audiology health service by phone for programming of an auditory implant, or the sound processor of an auditory implant, unilateral, performed on a patient by an eligible audiologist if:

(a) the service is not performed for the purpose of a hearing screening; and

(b) a service to which item 11300, 11342 or 11345 applies has not been performed on the person on the same day.

Applicable up to a total of 4 services to which this item or item 82300 or 82302 apply on the same day

160.20