AUSTRALIAN GOVERNMENT

DEPARTMENT OF HEALTH AND AGED CARE

HEALTH INSURANCE ACT 1973

Health Insurance (Medicare Benefits Payable in Respect of Professional Services – New South Wales - Medical Services performed under the Single Employer Model Trial) Direction (No. 2) 2024

I, Nigel Murray, Assistant Secretary, MBS Policy and Specialist Programs Branch, Medicare Benefits and Digital Health Division, Health Resourcing Group, delegate for the Minister for Health and Aged Care, 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 – New South Wales - Medical Services performed under the Single Employer Model Trial) Direction (No. 1) 2024; and
DIRECT that Medicare Benefits shall be payable in respect of:
1. A professional service (as defined in Section 3 of the Act) which has been agreed to be provided under the Rural Generalist Single Employer Model Trial Memorandum of Understanding between the Department of Health and Aged Care (ABN: 83 605 426 759) and the Health Administration Corporation for and on behalf of the NSW Ministry of Health (ABN: 45 100 538 161) in relation to the Rural Generalist Single Employer Model for which:
  1. items specified in Schedule A of this Direction; and of the general medical services table (means the table prescribed under subsection 4(1) of the Act), diagnostic imaging services table (means the table prescribed under subsection 4AA(1) of the Act) or pathology services table (means the table prescribed under subsection 4A(1) of the Act) relates: and
2. Where the professional service is provided to:
  1. an eligible person (as defined in Section 3 of the Act);
  2. 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); and
  3. a patient who also is not receiving a service which attracts a payment through the 2020-2025 Addendum to the National Health Reform Agreement for a service rendered to a public patient; and
3. The professional services referred to in paragraph (2)(a) must be provided:
  1. at a general practice (as defined in Section 7.1.1 of the general medical services table); and
  2. at a rural or remote practice location specified in Schedule B in an eligible area (as defined in the Dictionary of the of the general medical services table); and
  3. by a participating rural generalist trainee participating in the program mentioned in paragraph (2)(a):
    1. who is formally enrolled in a fellowship training program that meets the training standards of either:
      1. the Australian College of Rural and Remote Medicine; and/or
      2. the Royal Australian College of General Practitioners.
    2. who is employed by the Government of New South Wales for the provision of primary and acute care services; and
DECLARE that this Direction commences on 3 February 2025 and ceases to have effect at the end of 31 December 2028 unless earlier revoked.

Note, this program covers the eighty rural generalist participants who are eligible to use this Direction at any one time.

Date: 18 December 2024

Nigel Murray
Assistant Secretary
MBS Policy and Specialist Programs Branch
Medicare Benefits and Digital Health Division
Health Resourcing Group
Department of Health and Aged Care

SCHEDULE A

MEDICARE BENEFITS SCHEDULE ITEMS AS AGREED under the NEW SOUTH WALES rural Generalist SINGLE EMPLOYER Model TRIAL

For services listed in the below tables, all provisions of the Health Insurance Act 1973 (the Act) and regulations made under the Act, and the National Health Act 1953 and regulations made under the National Health Act 1953, relating to medical services, professional services or items apply. Medical practitioners and health services must ensure they fulfil the MBS requirements for all items.

General Medical Services Table

Standard Primary Care Services Table

For services listed in the below table, this list of items includes MBS items that are commonly claimed by doctors in primary care.

Group	Group Name	Subgroup	Subgroup Name
A1	General practitioner attendances to which no other item applies
A2	Other non‑referred attendances to which no other item applies
A5	Prolonged attendances to which no other item applies
A6	Group therapy
A7	Acupuncture and non‑specialist practitioner items
A11	Urgent attendances after—hours
A14	Health assessments
A15	GP management plans, team care arrangements and multidisciplinary care plans and case conferences	1	GP management plans, team care arrangements and multidisciplinary care plans
A15		2	Case conferences
A17	Domiciliary and residential medication management reviews
A20	Mental health care
A22	General practitioner after‑hours attendances to which no other item applies
A23	Other non‑referred after‑hours attendances to which no other item applies
A27	Pregnancy support counselling
A29	Attendance services for complex neurodevelopmental disorder or disability
A35	Non‑referred attendance at a residential aged care facility
A36	Eating disorder services	1	Preparation of eating disorder treatment and management plans: general practitioners and non‑specialist medical practitioners
		3	Review of eating disorder treatment and management plans
		4	Providing treatments under eating disorder treatment and management plans
A40	Telehealth and phone attendance services	1	General practice telehealth services
		2	General practice phone services
		3	Focussed Psychological Strategies telehealth services
		10	Focussed Psychological Strategies phone services
		11	Health Assessments for Aboriginal and Torres Strait Islander People ‑ Telehealth Service
		13	GP management plans, team care arrangements and multidisciplinary care plans via telehealth attendance
		15	GP Pregnancy Support Counselling ‑ Telehealth Service
		16	GP Pregnancy Support Counselling ‑ Phone Service
		17	GP, specialist and consultant physician complex neurodevelopmental disorder or disability service ‑ telehealth service
		19	GP Mental Health Treatment Plan ‑ Telehealth Service
		20	GP Mental Health Treatment Plan ‑ Phone Service
		21	GP Eating Disorder Treatment and Management Plan – Telehealth Service
		25	Review of an Eating Disorder Plan ‑ Telehealth Service
		26	Review of an Eating Disorder Plan – Phone Service
		27	Eating Disorder Psychological Treatment Services – Telehealth Service
		28	Eating Disorder Psychological Treatment Strategies – Phone Service
		29	GP and Other Medical Practitioner ‑ Urgent After Hours Service in Unsociable Hours ‑ Telehealth Service
		37	Specialist, anaesthesia telehealth services
		39	GP Blood Borne Viruses, Sexual or Reproductive Health Consultation – Telehealth Service
		40	GP Blood Borne Viruses, Sexual or Reproductive Health Consultation – Phone Service
A44	General Practice Attendance for Assessing Patient Suitability for a COVID‑19 Vaccine
M1	Management of bulk‑billed services
M12	Services provided by a practice nurse, an Aboriginal health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner	1	Video conferencing consultation support service provided by a practice nurse, an Aboriginal health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner
M12		3	Services provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner

Non-Standard Primary Care Services Table

For services listed in the below table, this list of items includes MBS items that are not commonly claimed by doctors in primary care.

Group	Group Name	Subgroup	Subgroup Name
D1	Miscellaneous diagnostic procedures and investigations	2	Ophthalmology
		3	Otolaryngology
		4	Respiratory
		5	Vascular
		6	Cardiovascular
		8	Genito‑urinary physiological investigations
		9	Allergy testing
		10	Other diagnostic procedures and investigations
D2	Nuclear medicine (non‑imaging)
T1	Miscellaneous therapeutic procedures	2	Dialysis
		4	Paediatric and neonatal
		5	Cardiovascular
		8	Haematology
		9	Procedures associated with intensive care and cardiopulmonary support
		11	Chemotherapeutic procedures
		13	Miscellaneous therapeutic procedures
T3	Therapeutic nuclear medicine
T4	Obstetrics
T6	Examination by anaesthetist
T7	Regional or field nerve blocks
T8	Surgical operations	1	General
		2	Colorectal
		3	Vascular
		4	Gynaecological
		5	Urological
		6	Cardio‑thoracic
		7	Neurosurgical
		8	Ear, nose and throat
		9	Ophthalmology
		11	Paediatric
		12	Amputations
		13	Plastic and reconstructive surgery
		14	Hand or wrist surgery
		15	Orthopaedic
T9	Assistance at operations
T10	Anaesthesia performed in connection with certain services (Relative Value Guide)

Diagnostic Imaging Services Table

Group	Group Name	Subgroup	Subgroup Name
I1	ultrasound	6	Musculoskeletal ultrasound
I3	diagnostic radiology	1	Radiographic examination of extremities
		2	Radiographic examination of shoulder or pelvis
		3	Radiographic examination of head
		4	Radiographic examination of spine
		5	Bone age study and skeletal survey
		6	Radiographic examination of thoracic region
		7	Radiographic examination of urinary tract
		8	Radiographic examination of alimentary tract and biliary system
		12	Radiographic examination with opaque or contrast media
I6	management of bulk‑billed services

Pathology Services Table

Group	Group Name
P1	haematology
P2	chemical
P9	simple basic pathology tests
P12	management of bulk‑billed services

SCHEDULE B

Approved Modified Monash 2-7 rural and remote Practice Locations AS AGREED under the New South Wales rural Generalist SINGLE EMPLOYER Model TRIAL

Approved primary care Modified Monash Model (MMM) 2 locations:

MMM 2 location	Practice Name	Legal Name	Street Address
Medowie	Peppertree GP Medical Centre	Dissanayake, Rohan Senarath Bandara	Shop 7/12 Peppertree Rd Medowie NSW 2318

Approved primary care Modified Monash Model (MMM) 3 locations:

MMM 3 location	Practice Name	Legal Name	Street Address
Armidale	Health on Rusden	The Trustee for Rivosa Service Trust	211 Rusden Street Armidale NSW 2350
Armidale	West Armidale Medical Centre	Healthy Communities Foundation Australia Limited	277 Rusden Street Armidale NSW 2350
Ballina	Doctors at Ballina Fair	Doctors@Ballina Fair Pty Ltd	Shop 70, Ballina Fair Shopping Centre, 84 Kerr Street Ballina NSW 2478
Berry	Cottage Medical on Pullman	Moss Street Management Pty Ltd	1 Pulman St Berry NSW 2535
Broken Hill	Grillett Family Practice	The Trustee For Grillett Family Unit Trust	47 Oxide Street Broken Hill NSW 2289
Broken Hill	Thrive Medical Centre	Thrive Med Pty Ltd	170 Crystal Street Broken Hill NSW 2880
Broken Hill	William Street Surgery	The Trustee for Biljana Trask Medical Services Family Trust	139 Williams Street Broken Hill NSW 2280
Broken Hill	Broken Hill GP Super Clinic	The Trustee For Broken Hill GP Super Clinic Trust	235 Thomas Street Broken Hill NSW 2880
Broken Hill	Clive Bishop Medical Centre, Royal Flying Doctor Service (SE Section)	Royal Flying Doctor Service Of Australia (South Eastern Section)	Broken Hill Airport Pro Hart Way Broken Hill NSW 2880
Cessnock	Maitland Road Medical Centre	Rosa Family Pty Ltd	259 Maitland Road Cessnock NSW, 2320
Coffs Harbour	Coffs Medical Centre	The Trustee For For Coffs Medical Centre Unit Trust	42 Gordon Street Coffs Harbour 2450
Coffs Harbour	CHC Medical Centre	The Trustee For CHC Medical Trust	Level One Suite 105-107, 343 - 345 Pacific Hwy Coffs Harbour NSW 2450
Forest Hill	Foresthill Medical Centre	The Trustee For Forest Hill Medical And Dental Centre	Forest Hill Shopping Centre, Shop 7, 34 Allonby Avenue Forest Hill NSW 2651
Goonellabah	Lismore GP Super Clinic	Lismore Gp Super Clinic (Management) Pty Ltd	33-35 Rous Rd Goonellabah NSW 2480
Goulburn	Argyle Medical Centre	Ivan Wilden-Constantin Pty Ltd	5 Fenwick Crescent Goulburn NSW 2580
North Nowra	North Nowra Medical Practice	The Trustee For Camdebro Unit Trust	23 McMahons Rd North Nowra NSW 2541
Nowra	Grand Pacific Health Nowra	Grand Pacific Health Limited	107 Scenic Drive Nowra NSW 2541
Nowra	Moss Street Medical Practice	Moss Street Medical Practice	1 Moss Street Nowra NSW 2541
Port Macquarie	Flynns Beach Medical Centre	Heise Holdings Pty Ltd	54 Pacific Dr Port Macquarie NSW 2444
Port Macquarie	The Good Shepherd Medical & Dental Port Macquarie	The Trustee For The Good Shepherd Trust	10 Jindalee Road Port Macquarie NSW 2444
Sawtell	Sawtell Medical Centre	The Trustee For Toormina Medical Centre Unit Trust	71 First Avenue Sawtell NSW 2452
Tamworth	Peel Health Care	Peel Health Care Ltd	103 Peel Street Tamworth NSW 2340
Tamworth	Tallowood Health	Tamworth Family Medicine Pty Ltd	121 Johnston Street Tamworth NSW 2340
Tamworth	My GP Tamworth	The Trustee For Casey Sullivan Medical Trust	Shop 32-34, Tamworth Square, 432-452 Peel Street Tamworth NSW 2340
Toormina	Toormina Medical Centre	Feelalright Pty Ltd	9 Minorca Place Toormina NSW 2452
Wauchope	Hastings Medical Centre	Hastings Medical Centre	70 High Street Wauchope NSW 2446
Worrigee	Worrigee Medical Centre	St Patricks Trust	53 Isa Road Worrigee NSW 2540

Approved primary care Modified Monash Model (MMM) 4 locations:

MMM 4 location	Practice Name	Legal Name	Street Address
Basin View	Basin View Medical Centre	St Patricks Trust	3 Tallyan Point Road Basin View NSW 2540
Cooma	Bombala Street Surgery	The Trustee For The Bombala Street Surgery	62 Bombala St Cooma NSW 2630
Cooma	Ochre Medical Centre	Ochre Health Pty Limited	184 Sharp St Cooma NSW 2630
Cootamundra	Cootamundra Medical Centre	The Trustee For Cootamundra Medical Centre Unit Trust	118 MacKay St Cootamundra NSW 2590
Cowra	Cowra Medical Associates / Kendall Street Medical Practice	The Trustee For Cma Services Unit Trust	165-169 Kendal St Cowra NSW 2794
Deniliquin	Deniliquin Clinic	R. J. Campbell Pty. Ltd	409 George St Deniliquin NSW 2710
Forbes	Forbes Medicine and Mind	Bbob Enterprises Pty Ltd	12 Cross St Forbes NSW 2871
Gunnedah	Barber Street Practice	Gunnedah Independent Doctors Pty Ltd	110 Barber Street Gunnedah NSW 2380
Inverell	Inverell Medical Centre	Inverell Medical Centre Pty Ltd	113 Swanbrook Rd Inverell NSW 2360
Laurieton	Camden Haven Medical Centre	Camden Haven Medical Centre Pty Ltd	5/16 Laurie St Laurieton NSW 2443
Merimbula	Sapphire Clinic	The Trustee For Sapphire Clinic Management Trust	44 Merimbula Dr Merimbula NSW 2548
Milton	Milton Family Practice	Mf Medical Pty Ltd	141-145 Princes Highway Milton NSW 2538
Parkes	Ochre - Parkes	Ochre Health Pty Limited	335 Clarinda Street Parkes NSW 2870
Singleton Heights	Singleton Heights Medical Practice	Panere Unit Trust	108 Blaxland Ave Singleton Heights NSW 2330
Tumut	Tumut Family Medical Centre	Tumut Family Medical Practice Pty Ltd	9-12/95 Wynyard Street Tumut NSW 2720
Ulladulla	Ulladulla Medical Clinic	The Trustee For Ulladulla Trust	Phillip Centre Shop, 6 Princes Highway Ulladulla NSW 2539
Vincentia	Vincentia Medical Centre	St Patricks Trust	5 Halloran Street Vincentia NSW 2540
Young	Young District Medical Centre	The Trustee For The Young Medical Service Trust	16 Cloete St Young NSW 2594

Approved primary care Modified Monash Model (MMM) 5 locations:

MMM 5 location	Practice Name	Legal Name	Street Address
Bega	Bega Valley Medical Practice	Mackinnon Medical Services Pty Ltd	61 Carp Street Bega NSW 2550
Bellingen	Bellingen Family Medical Centre	The Trustee For Platypus Medical Trust	16 Church St Bellingen NSW 2454
Bermagui	Bermagui Medical Centre	Braveheart Healthcare Pty Ltd	24 Bunga St Bermagui NSW 2546
Blayney	Blayney Family Medical Practice	Blayney Family Medical Practice Pty Ltd	1-3 Osman Street Blayney NSW 2799
Brunswick Heads	Brunswick Heads Medical Centre	H.L Lloyd And The Trustees For The Banksia Trust	2/14 Mullumbimbi St Brunswick Heads NSW 2483
Condobolin	RFDS Condobolin Medical Centre	Doctor Service South Eastern Section Medical Services Pty Ltd	5 Melrose Street Condobolin NSW 2877
Coolamon	Coolamon Regional Medical Centre	The Trustee For Crmc Unit Trust	59 Wallace Street Coolamon NSW 2701
Culburra Beach	Culburra Beach Medical Centre	St Patricks Trust	167 Prince Edward Road Culburra Beach NSW 2540
Dungog	The Medical Practice	Dungog Medical Pty Ltd	245 Dowling Street Dungog NSW 2420
Gilgandra	RFDS Medical Services Gilgandra	Royal Flying Doctor Service South Eastern Section Medical Services Pty Ltd	1a Warren Rd Gilgandra NSW 2827
Gloucester	Gloucester MediCo	The Trustee for DMD Medical Unit Trust	77-81 Denison Street Gloucester NSW 2422
Grenfell	Main St Medical Service (Grenfell)	Pakmed Group Australia Pty Ltd	156 Main St Grenfell NSW 2810
Gundagai	Gundagai Medical Centre	The Trustee For Gundagai Medical Centre Unit Trust	95 Sheridan St Gundagai NSW 2722
Guyra	Guyra Medical Centre	The Trustee For RST Medical Trust	9 Abercrombie Street Guyra NSW 2365
Kyogle	McKid Medical	The Trustee For The Potumuthu Trust	199 Summerland Way Kyogle NSW 2474
Manilla	Rural Medical Clinic	The Trustee for Rural medical Clinic Trust	113 Manilla Street Manilla NSW 2346
Millthorpe	Millthorpe Medical Practice	Watts, Amanda Catherine	44 Victoria Street Millthorpe NSW 2798
Moruya	Moruya Medical Centre	The Trustee For Moruya Medical Services Trust	73A Queen St Moruya NSW 2537
Moruya	Queen Street Medical Practice	L.J Roverts-Thomson & W.N Starmer	45- 49 Queen Street Moruya NSW 2537
Mullumbimby	Meadows Medical Clinic Mullumbimby	H.L Lloyd & The Trustee For The Banksia Trust	123 Dalley St Mullumbimby NSW 2482
Narooma	Lighthouse Surgery	Braveheart Healthcare Pty Ltd	80 Princes Highway Narooma NSW 2546
Narrandera	Narrandera Medical Centre	Ngpm Pty Limited	3/7 Victoria Square Narrandera NSW 2700
Narromine	Narromine Shire Family Health Centre	Narromine Medical Services Trust	127 Dandaloo Street Narromine NSW 2821
Scone	Scone Medical Practice	Surman Trust	5 Surman Street Scone NSW 2337
Tea Gardens	Tea Gardens GP	Gloaming Medical Pty Ltd	Unit 1 & 4 Myall Street Tea Gardens NSW 2324
Temora	Temora Medical Complex	The Trustee For T M C Unit Trust No 2	296/298 Hoskins St Temora NSW 2666
Urana	Urana Medical Centre	The Trustee for Aayush Health Care Trust	31 William Street Urana NSW 2645
Warren	RFDS Medical Services Warren	Royal Flying Doctor Service South Eastern Section Medical Services Pty Ltd	21 Lawson Street Warren NSW 2824
Woolgoolga	Woopi Medical Centre	Mt&J Pty Ltd.	2 Market Street Woolgoolga NSW 2456