{"id":"F2020L00249","name":"Health Insurance (Section 3C General Medical Services – GP and Allied Health COVID-19 Services) Determination 2020","slug":"health-insurance-section-3c-general-medical-services-gp-and-allied-health-covid-19-services-determin","collection":"legislative_instrument","jurisdiction":"commonwealth","status":"repealed","isInForce":false,"actNumber":null,"makingDate":null,"administeringDepartment":null,"currentVersion":{"id":100796,"registerId":"commonwealth-F2020L00249-current","compilationNumber":null,"startDate":"2026-04-02","status":"Repealed","reasons":null,"registeredAt":null},"sections":[{"sectionNumber":"1","sectionType":"section","heading":"Health Insurance (Section 3C General Medical Services – GP and Allied Health COVID-19 Services) Determination 2020","content":"![Commonwealth Coat of Arms of Australia](image.001.png)\n\nHealth Insurance (Section 3C General Medical Services – GP and Allied Health COVID‑19 Services) Determination 2020\n\nmade under subsection 3C(1) of the\n\nHealth Insurance Act 1973\n\nCompilation No. 4\n\nCompilation date: 23 March 2020\n\nIncludes amendments up to: F2020L00298\n\nRegistered: 22 May 2020\n\nAbout this compilation\n\nThis compilation\n\nThis is a compilation of the Health Insurance (Section 3C General Medical Services – GP and Allied Health COVID-19 Services) Determination 2020 that shows the text of the law as amended and in force on 23 March 2020 (the compilation date).\n\nThe notes at the end of this compilation (the endnotes) include information about amending laws and the amendment history of provisions of the compiled law.\n\nUncommenced amendments\n\nThe effect of uncommenced amendments is not shown in the text of the compiled law. Any uncommenced amendments affecting the law are accessible on the Legislation Register (www.legislation.gov.au). The details of amendments made up to, but not commenced at, the compilation date are underlined in the endnotes. For more information on any uncommenced amendments, see the series page on the Legislation Register for the compiled law.\n\nApplication, saving and transitional provisions for provisions and amendments\n\nIf the operation of a provision or amendment of the compiled law is affected by an application, saving or transitional provision that is not included in this compilation, details are included in the endnotes.\n\nEditorial changes\n\nFor more information about any editorial changes made in this compilation, see the endnotes.\n\nModifications\n\nIf the compiled law is modified by another law, the compiled law operates as modified but the modification does not amend the text of the law. Accordingly, this compilation does not show the text of the compiled law as modified. For more information on any modifications, see the series page on the Legislation Register for the compiled law.\n\nSelf‑repealing provisions\n\nIf a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.\n\nContents\n\n1. Name ..................................................1\n\n2. Commencement............................................1\n\n3. Cessation................................................1\n\n4. Authority................................................1\n\n5. Definitions...............................................1\n\n6. Treatment of relevant services....................................3\n\nSchedule 1 – Relevant Services 4\n\nDivision 1.1 – Services and fees – COVID‑19 medical practitioner attendances 4\n\nDivision 1.2 – Services and fees – COVID‑19 allied health telehealth services 13\n\nDivision 1.3 – Services and fees – COVID‑19 medical practitioner attendances 20\n\nDivision 1.4 – Services and fees – Services and fees – COVID‑19 allied health phone services 22\n\nDivision 1.5 – Services and fees – Services and fees – COVID‑19 midwifery telehealth and phone services 29\n\nEndnotes 31\n\nEndnote 1—About the endnotes 31\n\nEndnote 2—Abbreviation key 32\n\nEndnote 3—Legislation history 33\n\nEndnote 4—Amendment history 34\n\n1. Name\n\nThis instrument is the Health Insurance (Section 3C General Medical Services – GP and Allied Health COVID‑19 Services) Determination 2020.\n\n2. Commencement\n\n(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.\n\n```html\n

Commencement information

Column 1

Column 2

Column 3

Provisions

Commencement

Date/Details

1. The whole of this instrument

13 March 2020

\n```\n\nNote: 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.\n\n(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.\n\n3. Cessation\n\nUnless earlier revoked this instrument ceases on 30 September 2020.\n\n4. Authority\n\nThis instrument is made under subsection 3C(1) of the Health Insurance Act 1973.\n\n5. Definitions\n\n(1) In this instrument:\n\nAct means the Health Insurance Act 1973.\n\nadmitted patient means a patient who is receiving a service that is provided:\n\n(a) as part of an episode of hospital treatment; or\n\n(b) as part of an episode of hospital substitute treatment in respect of which the person to whom the treatment is provided choses to receive a benefit from a private health insurer\n\nNOTE: hospital treatment and hospital‑substitute treatment have the same meaning as defined in the Health Insurance Act 1973\n\nbulk‑billed: a service in the Determination is bulk‑billed if:\n\n(a) a medicare benefit is payable to a person in relation to the service; and\n\n(b) under an agreement entered into under section 20A of the Act:\n\n(i) the person assigns to the practitioner by whom, or on whose behalf, the service is provided, the person’s right to the payment of the medicare benefit; and\n\n(ii) the practitioner accepts the assignment in full payment of the practitioner’s fee for the service provided.\n\nhealth professional is at risk of COVID‑19 virus means a person that:\n\n(a) has been diagnosed with COVID‑19 virus but who is not a patient of a hospital; or\n\n(b) has been required to isolate themselves in quarantine in accordance with home isolation guidance issued by Australian Health Protection Principal Committee; or\n\npatient at risk of COVID‑19 virus means a person that:\n\n(a) has been diagnosed with COVID‑19 virus but who is not a patient of a hospital; or\n\n(b) has been required to isolate themselves in quarantine in accordance with home isolation guidance issued by Australian Health Protection Principal Committee; or\n\n(c) considered more susceptible to the COVID‑19 virus being:\n\n(i) at least 70 years old, or\n\n(ii) at least 50 years old or over if of Aboriginal or Torres Strait Islander descent; or\n\n(iii) pregnant; or\n\n(iv) a parent of a child under 12 months; or\n\n(v) a person under treatment for chronic health conditions or who are immune compromised; or\n\n(d) the person meets the current national triage protocol criteria for suspected COVID‑19 infection.\n\nphone attendance means a professional attendance by telephone where the health practitioner:\n\n(a) has the capacity to provide the full service through this means safely and in accordance with professional standards; and\n\n(b) is satisfied that it is clinically appropriate to provide the service to the patient; and\n\n(c) maintains an audio link with the patient\n\nrelevant provisions means all provisions, of the Act and regulations made under the Act, and the National Health Act 1953 and regulations made under the National Health Act 1953, relating to medical services, professional services or items.\n\nrelevant service means a health service, as defined in subsection 3C(8) of the Act, that is specified in a Schedule.\n\nSchedule means a Schedule to this instrument.\n\nNote: The following terms are defined in subsection 3(1) of the Act:\n\n clinically relevant service;\n\n general medical services table;\n\n item;\n\n participating midwife;\n\n participating nurse practitioner;\n\n professional service\n\n \ntelehealth attendance means a professional attendance by video conference where the health practitioner:\n\n(a) has the capacity to provide the full service through this means safely and in accordance with professional standards; and\n\n(b) is satisfied that it is clinically appropriate to provide the service to the patient; and\n\n(c) maintains a visual and audio link with the patient; and\n\n(d) is satisfied that the software and hardware used to deliver the service meets the applicable laws for security and privacy.\n\n(2) Unless the contrary intention appears, a reference in this instrument to a provision of the Act or the National Health Act 1953 or regulations made under the Act or under the National Health Act 1953 as applied, adopted or incorporated in relation to specifying a matter is a reference to those provisions as in force from time to time and any other reference to provisions of an Act or regulations is a reference to those provisions as in force from time to time.\n\n6. Treatment of relevant services\n\nFor subsection 3C(1) of the Act a relevant service, provided in accordance with this Instrument where a clinically relevant service, is to be treated, for the relevant provisions, as if:\n\n(a) it were both a professional service and a medical service; and\n\n(b) there were an item in the general medical services table that:\n\n(i) related to the service; and\n\n(ii) specified for the service a fee in relation to each State, being the fee specified in the Schedule in relation to the service.\n\nAn item in a Schedule to this Determination only applies to a service provided on and after 13 March 2020 and before the commencement of the Health Insurance (Section 3C General Medical Services –COVID-19 Services) Determination 2020.\n\n \n\nSchedule 1 – Relevant Services\n\nDivision 1.1 – Services and fees – COVID‑19 medical practitioner attendances\n\n1.1.1 – Application of COVID‑19 medical practitioner telehealth services\n\n (1) For items 91794, 91799, 91806, 91807, 91808, 91815, 91816 and 91817, “eligible area” has the meaning given by section 4 of the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018.\n (2) For items in Division 1.1, “medical practitioner” has the meaning given by section 4 of the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018.\n\n (3) Clause 2.22.7 of the general medical services table shall have effect as if items 91818 and 91819 were also specified in that clause.\n\n (4) Clause 1.9.4 of the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018 shall have effect as if items 91820 and 91821 were also specified in that clause.\n\n (5) For items in Subgroups 1 and 2, the rendering practitioner must not perform a service in subgroup 2 if the practitioner and the patient have the capacity to undertake an attendance by telehealth.\n\n (6) For items in Subgroups 1 and 2, a person who meets the requirements of a “patient at risk for COVID‑19 virus” in paragraph (c) of the definition must:\n\n (a) have had at least one face to face attendance rendered in the preceding 12 months by the practitioner who renders the COVID‑19 virus service; or\n\n (b) have had at least one face to face attendance service rendered in the preceding 12 months at (or arranged by) the medical practice where the practitioner who renders the COVID‑19 virus service is employed.\n\n```html\n

Group A40 – COVID‑19 general practice telehealth services

Item

Description

Fee ($)

Subgroup 1 – COVID‑19 general practice telehealth services

91790

Telehealth attendance by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the general practitioner is a health professional at risk of COVID‑19 virus;

where the service is bulk‑billed

20.55

91800

Telehealth attendance by a general practitioner lasting less than 20 minutes if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the general practitioner is a health professional at risk of COVID‑19 virus; and

(b) the attendance includes any of the following that are clinically relevant:

(i) taking a short patient history;

(ii) arranging any necessary investigation

(iii) implementing a management plan;

(iv) providing appropriate preventative health care;

where the service is bulk‑billed

44.90

91801

Telehealth attendance by a general practitioner lasting at least 20 minutes if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the general practitioner is a health professional at risk of COVID‑19 virus; and

(b) the attendance includes any of the following that are clinically relevant:

(i) taking a detailed patient history;

(ii) arranging any necessary investigation

(iii) implementing a management plan;

(iv) providing appropriate preventative health care;

where the service is bulk‑billed

87.00

91802

Telehealth attendance by a general practitioner lasting at least 40 minutes if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the general practitioner is a health professional at risk of COVID‑19 virus; and

(b) the attendance includes any of the following that are clinically relevant:

(i) taking an extensive patient history;

(ii) arranging any necessary investigation

(iii) implementing a management plan;

(iv) providing appropriate preventative health care;

where the service is bulk‑billed

128.05

91792

Telehealth attendance by a medical practitioner of not more than 5 minutes if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the medical practitioner is a health professional at risk of COVID‑19 virus;

where the service is bulk‑billed

12.90

91803

Telehealth attendance by a medical practitioner of more than 5 minutes in duration but not more than 25 minutes if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the medical practitioner is a health professional at risk of COVID‑19 virus; and

(b) the attendance includes any of the following that are clinically relevant:

(i) taking a short patient history;

(ii) arranging any necessary investigation

(iii) implementing a management plan;

(iv) providing appropriate preventative health care;

where the service is bulk‑billed

24.70

91804

Telehealth attendance by a medical practitioner of more than 25 minutes in duration but not more than 45 minutes if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the medical practitioner is a health professional at risk of COVID‑19 virus; and

(b) the attendance includes any of the following that are clinically relevant:

(i) taking a detailed patient history;

(ii) arranging any necessary investigation

(iii) implementing a management plan;

(iv) providing appropriate preventative health care;

where the service is bulk‑billed

44.70

91805

Telehealth attendance by a medical practitioner of at least 45 minutes in duration if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the medical practitioner is a health professional at risk of COVID‑19 virus; and

(b) the attendance includes any of the following that are clinically relevant:

(i) taking an extensive patient history;

(ii) arranging any necessary investigation

(iii) implementing a management plan;

(iv) providing appropriate preventative health care;

where the service is bulk‑billed

71.75

91794

Telehealth attendance by a medical practitioner, in an eligible area, of not more than 5 minutes if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the medical practitioner is a health professional at risk of COVID‑19 virus;

where the service is bulk‑billed

16.45

91806

Telehealth attendance by a medical practitioner, in an eligible area, of more than 5 minutes in duration but not more than 25 minutes if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the medical practitioner is a health professional at risk of COVID‑19 virus; and

(b) the attendance includes any of the following that are clinically relevant:

(i) taking a short patient history;

(ii) arranging any necessary investigation

(iii) implementing a management plan;

(iv) providing appropriate preventative health care;

where the service is bulk‑billed

35.90

91807

Telehealth attendance by a medical practitioner, in an eligible area, of more than 25 minutes in duration but not more than 45 minutes if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the medical practitioner is a health professional at risk of COVID‑19 virus; and

(b) the attendance includes any of the following that are clinically relevant:

(i) taking a detailed patient history;

(ii) arranging any necessary investigation

(iii) implementing a management plan;

(iv) providing appropriate preventative health care;

where the service is bulk‑billed

69.55

91808

Telehealth attendance by a medical practitioner, in an eligible area, of at least 45 minutes in duration if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the medical practitioner is a health professional at risk of COVID‑19 virus; and

(b) the attendance includes any of the following that are clinically relevant:

(i) taking an extensive patient history;

(ii) arranging any necessary investigation

(iii) implementing a management plan;

(iv) providing appropriate preventative health care;

where the service is bulk‑billed

102.45

Subgroup 2 – COVID‑19 general practice phone services

91795

Phone attendance by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the general practitioner is a health professional at risk of COVID‑19 virus;

where the service is bulk‑billed

20.55

91809

Phone attendance by a general practitioner lasting less than 20 minutes if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the general practitioner is a health professional at risk of COVID‑19 virus; and

(b) the attendance includes any of the following that are clinically relevant:

(i) taking a short patient history;

(ii) arranging any necessary investigation;

(iii) implementing a management plan;

(iv) providing appropriate preventative health care;

where the service is bulk‑billed

44.90

91810

Phone attendance by a general practitioner lasting at least 20 minutes if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the general practitioner is a health professional at risk of COVID‑19 virus; and

(b) the attendance includes any of the following that are clinically relevant:

(i) taking a detailed patient history;

(ii) arranging any necessary investigation;

(iii) implementing a management plan;

(iv) providing appropriate preventative health care;

where the service is bulk‑billed

87.00

91811

Phone attendance by a general practitioner lasting at least 40 minutes if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the general practitioner is a health professional at risk of COVID‑19 virus; and

(b) the attendance includes any of the following that are clinically relevant:

(i) taking an extensive patient history;

(ii) arranging any necessary investigation;

(iii) implementing a management plan;

(iv) providing appropriate preventative health care;

where the service is bulk‑billed

128.05

91797

Phone attendance by a medical practitioner of not more than 5 minutes if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the medical practitioner is a health professional at risk of COVID‑19 virus;

where the service is bulk‑billed

12.90

91812

Phone attendance by a medical practitioner of more than 5 minutes in duration but not more than 25 minutes if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the medical practitioner is a health professional at risk of COVID‑19 virus; and

(b) the attendance includes any of the following that are clinically relevant:

(i) taking a short patient history;

(ii) arranging any necessary investigation;

(iii) implementing a management plan;

(iv) providing appropriate preventative health care;

where the service is bulk‑billed

24.70

91813

Phone attendance by a medical practitioner of at least 25 minutes in duration but not more than 45 minutes if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the medical practitioner is a health professional at risk of COVID‑19 virus; and

(b) the attendance includes any of the following that are clinically relevant:

(i) taking a detailed patient history;

(ii) arranging any necessary investigation;

(iii) implementing a management plan;

(iv) providing appropriate preventative health care;

where the service is bulk‑billed

44.70

91814

Phone attendance by a medical practitioner of at least 45 minutes in duration if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the medical practitioner is a health professional at risk of COVID‑19 virus; and

(b) the attendance includes any of the following that are clinically relevant:

(i) taking an extensive patient history;

(ii) arranging any necessary investigation;

(iii) implementing a management plan;

(iv) providing appropriate preventative health care;

where the service is bulk‑billed

71.75

91799

Phone attendance by a medical practitioner, in an eligible area, of not more than 5 minutes if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the medical practitioner is a health professional at risk of COVID‑19 virus;

where the service is bulk‑billed

16.45

91815

Phone attendance by a medical practitioner, in an eligible area, of more than 5 minutes in duration but not more than 25 minutes if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the medical practitioner is a health professional at risk of COVID‑19 virus; and

(b) the attendance includes any of the following that are clinically relevant:

(i) taking a short patient history;

(ii) arranging any necessary investigation;

(iii) implementing a management plan;

(iv) providing appropriate preventative health care;

where the service is bulk‑billed

35.90

91816

Phone attendance by a medical practitioner, in an eligible area, of more than 25 minutes in duration but not more than 45 minutes if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the medical practitioner is a health professional at risk of COVID‑19 virus; and

(b) the attendance includes any of the following that are clinically relevant:

(i) taking a detailed patient history;

(ii) arranging any necessary investigation;

(iii) implementing a management plan;

(iv) providing appropriate preventative health care;

where the service is bulk‑billed

69.55

91817

Phone attendance by a medical practitioner, in an eligible area, of more than 45 minutes in duration if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the medical practitioner is a health professional at risk of COVID‑19 virus; and

(b) the attendance includes any of the following that are clinically relevant:

(i) taking an extensive patient history;

(ii) arranging any necessary investigation

(iii) implementing a management plan;

(iv) providing appropriate preventative health care;

where the service is bulk‑billed

102.45

Subgroup 3 – COVID‑19 Focussed Psychological Strategies telehealth services

91818

Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the general practitioner is a health professional at risk of COVID‑19 virus; and

(b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and

(c) the service lasts at least 30 minutes, but less than 40 minutes;

where the service is bulk‑billed

110.85

91819

Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the general practitioner is a health professional at risk of COVID‑19 virus; and

(b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and

(c) the service lasts at least 40 minutes;

where the service is bulk‑billed

158.60

91820

Telehealth attendance by a medical practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the medical practitioner is a health professional at risk of COVID‑19 virus; and

(b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and

(c) the service lasts at least 30 minutes, but less than 40 minutes;

where the service is bulk‑billed

88.70

91821

Telehealth attendance by a medical practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the medical practitioner is a health professional at risk of COVID‑19 virus; and

(b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and

(c) the service lasts at least 40 minutes;

where the service is bulk‑billed

126.90

\n```\n\n \n\nDivision 1.2 – Services and fees – COVID‑19 allied health telehealth services\n\n1.2.1 – Application of COVID‑19 allied health attendances\n\n (1) For items in Division 1.2, “eligible clinical psychologist”, “eligible psychologist”, “eligible occupational therapist” and “eligible social worker” have the meanings given by section 4 of the Health Insurance (Allied Health Services) Determination 2014.\n (2) For items 91166 and 91167, sections 7 and 9 of the Health Insurance (Allied Health Services) Determination 2014 shall have effect as if the items were also specified in those clauses.\n\n```html\n

Group M18 – COVID‑19 allied health telehealth services

Item

Description

Fee ($)

Subgroup 1 – COVID‑19 psychological therapies telehealth services

91166

Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the eligible clinical psychologist is a health professional at risk of COVID‑19 virus; and

(b) 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

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

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

(e) 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

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

where the service is bulk‑billed

101.35

91167

Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the eligible clinical psychologist is a health professional at risk of COVID‑19 virus; and

(b) 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

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

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

(e) 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

(f) the service is at least 50 minutes duration;

where the service is bulk‑billed

148.80

Subgroup 2 – COVID‑19 psychologist focussed psychological strategies telehealth services

91169

Focussed psychological strategies health service provided by telehealth attendance by an eligible psychologist if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the eligible psychologist is a health professional at risk of COVID‑19 virus; and

(b) 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

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

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

(e) 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

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

where the service is bulk‑billed

71.80

91170

Focussed psychological strategies health service provided by telehealth attendance by an eligible psychologist if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the eligible psychologist is a health professional at risk of COVID‑19 virus; and

(b) 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

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

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

(e) 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

(f) the service is at least 50 minutes duration;

where the service is bulk‑billed

101.35

Subgroup 3 – COVID‑19 occupational therapist focussed psychological strategies telehealth services

91172

Focussed psychological strategies health service provided by telehealth attendance by an eligible occupational therapist if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the eligible occupational therapist is a health professional at risk of COVID‑19 virus; and

(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) 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

where the service is bulk‑billed

63.25

91173

Focussed psychological strategies health service provided by telehealth attendance by an eligible occupational therapist if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the eligible occupational therapist is a health professional at risk of COVID‑19 virus; and

(b) 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

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

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

(e) 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

(f) the service is at least 50 minutes in duration

where the service is bulk‑billed

89.35

Subgroup 4 – COVID‑19 social worker focussed psychological strategies telehealth services

91175

Focussed psychological strategies health service provided by telehealth attendance by an eligible social worker if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the eligible social worker is a health professional at risk of COVID‑19 virus; and

(b) 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) 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 20 minutes but less than 50 minutes duration

where the service is bulk‑billed

63.25

91176

Focussed psychological strategies health service provided by telehealth attendance by an eligible social worker if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the eligible social worker is a health professional at risk of COVID‑19 virus; and

(b) 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

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

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

(e) 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

(f) the service is at least 50 minutes duration

where the service is bulk‑billed

89.35

Subgroup 5 – COVID‑19 nurse practitioner telehealth services

91192

Telehealth attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management, if:

(a) the attendance is where:

(i) the person is at risk of COVID‑19 virus; or

(ii) the participating nurse practitioner is a health professional at risk of COVID‑19 virus;

where the service is bulk‑billed

9.75

91178

Telehealth attendance by a participating nurse practitioner lasting less than 20 minutes if:

(a) the attendance is where:

(i) the person is at risk of COVID‑19 virus; or

(ii) the participating nurse practitioner is a health professional at risk of COVID‑19 virus; and

(b) the attendance includes any of the following that are clinically relevant:

(i) taking a short history;

(ii) arranging any necessary investigation;

(iii) implementing a management plan;

(iv) providing appropriate preventive health care;

where the service is bulk‑billed

21.30

91179

Telehealth attendance by a participating nurse practitioner lasting at least 20 minutes if:

(a) the attendance is where:

(i) the person is at risk of COVID‑19 virus; or

(ii) the participating nurse practitioner is a health professional at risk of COVID‑19 virus; and

(b) the attendance includes any of the following that are clinically relevant:

(i) taking a detailed history;

(ii) arranging any necessary investigation;

(iii) implementing a management plan;

(iv) providing appropriate preventive health care;

where the service is bulk‑billed

40.40

91180

Telehealth attendance by a participating nurse practitioner lasting at least 40 minutes if:

(a) the attendance is where:

(i) the person is at risk of COVID‑19 virus; or

(ii) the participating nurse practitioner is a health professional at risk of COVID‑19 virus; and

(b) the attendance includes any of the following that are clinically relevant:

(i) taking an extensive history;

(ii) arranging any necessary investigation;

(iii) implementing a management plan;

(iv) providing appropriate preventive health care;

where the service is bulk‑billed

59.50

\n```\n\nDivision 1.3 ‑ Services and fees – COVID‑19 medical practitioner attendances\n\n1.3.1 Application of COVID‑19 medical practitioner phone services\n\nInsert:\n\n (1) For items in the subgroup below, the rendering practitioner must not perform a service in subgroup 10 if the practitioner and the patient have the capacity to undertake an attendance by telehealth.\n\n```html\n

Group A40 – COVID‑19 medical practitioner phone services

Item

Description

Fee ($)

Subgroup 10 – COVID‑19 Focussed Psychological Strategies phone services

91842

Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the general practitioner is a health professional at risk of COVID‑19 virus; and

(b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and

(c) the service lasts at least 30 minutes, but less than 40 minutes;

where the service is bulk‑billed

110.85

91843

Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the general practitioner is a health professional at risk of COVID‑19 virus; and

(b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and

(c) the service lasts at least 40 minutes;

where the service is bulk‑billed

158.60

91844

Phone attendance by a medical practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the medical practitioner is a health professional at risk of COVID‑19 virus; and

(b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and

(c) the service lasts at least 30 minutes, but less than 40 minutes;

where the service is bulk‑billed

88.70

91845

Phone attendance by a medical practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the medical practitioner is a health professional at risk of COVID‑19 virus; and

(b) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and

(c) the service lasts at least 40 minutes;

where the service is bulk‑billed

126.90

\n```\n\nDivision 1.4 ‑ Services and fees – Services and fees – COVID‑19 allied health phone services\n\n1.4.1 – Application of COVID‑19 allied health attendances\n\n (1) For items in Division 1.4, “eligible clinical psychologist”, “eligible psychologist”, “eligible occupational therapist” and “eligible social worker” have the meanings given by section 4 of the Health Insurance (Allied Health Services) Determination 2014.\n (2) For items 91181 and 91189, sections 7 and 9 of the Health Insurance (Allied Health Services) Determination 2014 shall have effect as if the items were also specified in those clauses.\n (3) For items in subgroups below the rendering practitioner must not perform a service in these subgroups 6, 7, 8, 9 and 10 if the practitioner and the patient have the capacity to undertake an attendance by telehealth.\n\n```html\n

Group M18 – COVID‑19 allied health telehealth services

Item

Description

Fee ($)

Subgroup 6 – COVID‑19 psychological therapies phone services

91181

Psychological therapy health service provided by phone attendance by an eligible clinical psychologist if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the eligible clinical psychologist is a health professional at risk of COVID‑19 virus; and

(b) 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

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

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

(e) 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

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

where the service is bulk‑billed

101.35

91182

Psychological therapy health service provided by phone attendance by an eligible clinical psychologist if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the eligible clinical psychologist is a health professional at risk of COVID‑19 virus; and

(b) 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

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

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

(e) 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

(f) the service is at least 50 minutes duration;

where the service is bulk‑billed

148.80

Subgroup 7 – COVID‑19 psychologist focussed psychological strategies phone services

91183

Focussed psychological strategies health service provided by phone attendance by an eligible psychologist if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the eligible psychologist is a health professional at risk of COVID‑19 virus; and

(b) 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

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

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

(e) 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

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

where the service is bulk‑billed

71.80

91184

Focussed psychological strategies health service provided by phone attendance by an eligible psychologist if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the eligible psychologist is a health professional at risk of COVID‑19 virus; and

(b) 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

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

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

(e) 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

(f) the service is at least 50 minutes duration;

where the service is bulk‑billed

101.35

Subgroup 8 – COVID‑19 occupational therapist focussed psychological strategies phone services

91185

Focussed psychological strategies health service provided by phone attendance by an eligible occupational therapist if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the eligible occupational therapist is a health professional at risk of COVID‑19 virus; and

(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) 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

where the service is bulk‑billed

63.25

91186

Focussed psychological strategies health service provided by phone attendance by an eligible occupational therapist if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the eligible occupational therapist is a health professional at risk of COVID‑19 virus; and

(b) 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

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

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

(e) 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

(f) the service is at least 50 minutes in duration

where the service is bulk‑billed

89.35

Subgroup 9 – COVID‑19 social worker focussed psychological strategies phone services

91187

Focussed psychological strategies health service provided by phone attendance by an eligible social worker if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the eligible social worker is a health professional at risk of COVID‑19 virus; and

(b) 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) 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 20 minutes but less than 50 minutes duration

where the service is bulk‑billed

63.25

91188

Focussed psychological strategies health service provided by phone attendance by an eligible social worker if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the eligible social worker is a health professional at risk of COVID‑19 virus; and

(b) 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

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

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

(e) 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

(f) the service is at least 50 minutes duration

where the service is bulk‑billed

89.35

Subgroup 10 – COVID‑19 nurse practitioner phone services

91193

Phone attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management, if:

(a) the attendance is where:

(i) the person is at risk of COVID‑19 virus; or

(ii) the participating nurse practitioner is a health professional at risk of COVID‑19 virus;

where the service is bulk‑billed

9.75

91189

Phone attendance by a participating nurse practitioner lasting less than 20 minutes if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the participating nurse practitioner is a health professional at risk of COVID‑19 virus; and

(b) the attendance includes any of the following that are clinically relevant:

(i) taking a short history;

(ii) arranging any necessary investigation;

(iii) implementing a management plan;

(iv) providing appropriate preventive health care;

where the service is bulk‑billed.

21.30

91190

Phone attendance by a participating nurse practitioner lasting at least 20 minutes if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the participating nurse practitioner is a health professional at risk of COVID‑19 virus; and

(b) the attendance includes any of the following that are clinically relevant:

(i) taking a detailed history;

(ii) arranging any necessary investigation;

(iii) implementing a management plan;

(iv) providing appropriate preventive health care;

where the service is bulk‑billed.

40.40

91191

Phone attendance by a participating nurse practitioner lasting at least 40 minutes if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the participating nurse practitioner is a health professional at risk of COVID‑19 virus; and

(b) the attendance includes any of the following that are clinically relevant:

(i) taking an extensive history;

(ii) arranging any necessary investigation;

(iii) implementing a management plan;

(iv) providing appropriate preventive health care;

where the service is bulk‑billed.

59.50

\n```\n\nDivision 1.5 ‑ Services and fees – Services and fees – COVID‑19 midwifery telehealth and phone services\n\n1.5.1 – Application of COVID‑19 midwifery telehealth and phone services\n\n (1) For items in Division 1.5, “collaborative arrangements” has the meaning given by section 4 of the Health Insurance (Midwife and Nurse Practitioner) Determination 2015.\n\n```html\n

Group M19 – COVID‑19 midwifery telehealth and phone services

Item

Description

Fee ($)

Subgroup 1 – COVID‑19 midwifery telehealth services

91211

Short antenatal telehealth attendance by a participating midwife, lasting up to 40 minutes, if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the participating midwife is a health professional at risk of COVID‑19 virus; and

(b) the attendance is bulk‑billed

32.80

91212

Long antenatal telehealth attendance by a participating midwife, lasting at least 40 minutes, if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the participating midwife is a health professional at risk of COVID‑19 virus; and

(b) the attendance is bulk‑billed

54.25

91214

Short postnatal telehealth attendance by a participating midwife, lasting up to 40 minutes, if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the participating midwife is a health professional at risk of COVID‑19 virus; and

(b) the attendance is bulk‑billed

54.25

91215

Long postnatal telehealth attendance by a participating midwife, lasting at least 40 minutes, if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the participating midwife is a health professional at risk of COVID‑19 virus; and

(b) the attendance is bulk‑billed

79.75

Subgroup 2 – COVID‑19 midwifery phone services

91218

Short antenatal phone attendance by a participating midwife, lasting up to 40 minutes, if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the participating midwife is a health professional at risk of COVID‑19 virus; and

(b) the attendance is bulk‑billed

32.80

91219

Long antenatal phone attendance by a participating midwife, lasting at least 40 minutes, if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the participating midwife is a health professional at risk of COVID‑19 virus; and

(b) the attendance is bulk‑billed

54.25

91221

Short postnatal phone attendance by a participating midwife, lasting up to 40 minutes, if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the participating midwife is a health professional at risk of COVID‑19 virus; and

(b) the attendance is bulk‑billed

54.25

91222

Long postnatal phone attendance by a participating midwife, lasting at least 40 minutes, if:

(a) the attendance is where:

(i) the person is a patient at risk of COVID‑19 virus; or

(ii) the participating midwife is a health professional at risk of COVID‑19 virus; and

(b) the attendance is bulk‑billed

79.75

\n```\n\n> Note: Endnotes\n\n> Note: Endnote 1—About the endnotes\n\nThe endnotes provide information about this compilation and the compiled law.\n\nThe following endnotes are included in every compilation:\n\nEndnote 1—About the endnotes\n\nEndnote 2—Abbreviation key\n\nEndnote 3—Legislation history\n\nEndnote 4—Amendment history\n\nAbbreviation key—Endnote 2\n\nThe abbreviation key sets out abbreviations that may be used in the endnotes.\n\nLegislation history and amendment history—Endnotes 3 and 4\n\nAmending laws are annotated in the legislation history and amendment history.\n\nThe legislation history in endnote 3 provides information about each law that has amended (or will amend) the compiled law. The information includes commencement details for amending laws and details of any application, saving or transitional provisions that are not included in this compilation.\n\nThe amendment history in endnote 4 provides information about amendments at the provision (generally section or equivalent) level. It also includes information about any provision of the compiled law that has been repealed in accordance with a provision of the law.\n\nEditorial changes\n\nThe Legislation Act 2003 authorises First Parliamentary Counsel to make editorial and presentational changes to a compiled law in preparing a compilation of the law for registration. The changes must not change the effect of the law. Editorial changes take effect from the compilation registration date.\n\nIf the compilation includes editorial changes, the endnotes include a brief outline of the changes in general terms. Full details of any changes can be obtained from the Office of Parliamentary Counsel.\n\nMisdescribed amendments\n\nA misdescribed amendment is an amendment that does not accurately describe the amendment to be made. If, despite the misdescription, the amendment can be given effect as intended, the amendment is incorporated into the compiled law and the abbreviation “(md)” added to the details of the amendment included in the amendment history.\n\nIf a misdescribed amendment cannot be given effect as intended, the abbreviation “(md not incorp)” is added to the details of the amendment included in the amendment history.\n\n> Note: Endnote 2—Abbreviation key\n\n| ad = added or inserted | o = order(s) |\n| ---------------------------------------------- | ----------------------------------- |\n| am = amended | Ord = Ordinance |\n| amdt = amendment | orig = original |\n| c = clause(s) | par = paragraph(s)/subparagraph(s) |\n| C[x] = Compilation No. x | /sub‑subparagraph(s) |\n| Ch = Chapter(s) | pres = present |\n| def = definition(s) | prev = previous |\n| Dict = Dictionary | (prev…) = previously |\n| disallowed = disallowed by Parliament | Pt = Part(s) |\n| Div = Division(s) | r = regulation(s)/rule(s) |\n| ed = editorial change | reloc = relocated |\n| exp = expires/expired or ceases/ceased to have | renum = renumbered |\n| effect | rep = repealed |\n| F = Federal Register of Legislation | rs = repealed and substituted |\n| gaz = gazette | s = section(s)/subsection(s) |\n| LA = Legislation Act 2003 | Sch = Schedule(s) |\n| LIA = Legislative Instruments Act 2003 | Sdiv = Subdivision(s) |\n| (md) = misdescribed amendment can be given | SLI = Select Legislative Instrument |\n| effect | SR = Statutory Rules |\n| (md not incorp) = misdescribed amendment | Sub‑Ch = Sub‑Chapter(s) |\n| cannot be given effect | SubPt = Subpart(s) |\n| mod = modified/modification | underlining = whole or part not |\n| No. = Number(s) | commenced or to be commenced |\n\n> Note: Endnote 3—Legislation history\n\n| Name | Registration | Commencement | Application, saving and transitional provisions |\n| ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ------------------------- | ---------------------------------- | ----------------------------------------------- |\n| Health Insurance (Section 3C General Medical Services – GP and Allied Health COVID‑19 Services) Determination 2020 | 12 Mar 2020 (F2020L00249) | 13 Mar 2020 (s 2(1) item 1) | |\n| Health Insurance (Section 3C General Medical Services – GP and Allied Health COVID‑19 Services) Amendment Determination No.1 2020 | 13 Mar 2020 (F2020L00255) | 13 Mar 2020 (s 2(1) item 1) | — |\n| Health Insurance (Section 3C General Medical Services – GP and Allied Health COVID‑19 Services) Amendment Determination No. 2 2020 | 16 Mar 2020 (F2020L00259) | Sch 1: 13 Mar 2020 (s 2(1) item 2) | — |\n| Health Insurance (Section 3C General Medical Services – GP and Allied Health COVID‑19 Services) Amendment Determination No. 3 2020 | 17 Mar 2020 (F2020L00261) | 13 Mar 2020 (s 2(1) item 1) | — |\n| Health Insurance (Section 3C General Medical Services – Application of GP and Allied Health COVID-19 Services and Specialist, Consultant Physician and Consultant Psychiatrist COVID-19 Telehealth Services) Amendment Determination 2020 | 24 Mar 2020 (F2020L00298) | Sch 1: 23 Mar 2020 (s 2(1) item 1) | — |\n\n> Note: Endnote 4—Amendment history\n\n| Provision affected | How affected |\n| --------------------------- | ---------------------------------------- |\n| s 2..................... | rep LA s 48D |\n| s 5..................... | am F2020L00255 |\n| | ed C1 |\n| | am F2020L00259 |\n| | ed C2 |\n| s 6..................... | am F2020L00298 |\n| Schedule 1 | |\n| Division 1.1 | |\n| c 1.1.1................... | rs F2020L00255 |\n| | am F2020L00259; F2020L00261 |\n| Group A40 table............ | rs F2020L00259 |\n| | am F2020L00261 |\n| Division 1.2 | |\n| Group M18 table............ | am F2020L00255; F2020L00259; F2020L00261 |\n| Division 1.3 | |\n| Division 1.3............... | ad F2020L00255 |\n| c 1.3.1................... | ad F2020L00255 |\n| Group A40 table............ | rs F2020L00259 |\n| Division 1.4 | |\n| Division 1.4............... | ad F2020L00255 |\n| c 1.4.1................... | ad F2020L00255 |\n| Group M18 table............ | am F2020L00259; F2020L00261 |\n| Division 1.5 | |\n| Division 1.5............... | ad F2020L00259 |\n| c 1.5.1................... | ad F2020L00259 |\n| Group M19 table............ | am F2020L00261 |","sortOrder":0}],"analysis":{"kimi_summary":{"_metrics":{"model":"kimi-k2.5","source":"moonshot-realtime","completionTokens":2725},"content_quality":"ok","complexity_score":7,"scope_assessment":{"changed":true,"description":"The instrument expanded significantly from its original scope through multiple amendments. Initially covering only GP and allied health telehealth services, subsequent amendments added phone consultation alternatives for medical practitioners (Division 1.3) and allied health professionals (Division 1.4), plus midwifery telehealth and phone services (Division 1.5)."},"complexity_factors":["Cross-references to three other legislative instruments (Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018, Health Insurance (Allied Health Services) Determination 2014, and Health Insurance (Midwife and Nurse Practitioner) Determination 2015)","Nested conditional logic requiring telehealth over phone where technically possible","Multiple overlapping eligibility criteria for patients (age, Indigenous status, pregnancy, chronic conditions, quarantine status) and providers (credentialing requirements for mental health services)","Time-based billing tiers with precise duration thresholds (e.g., 'at least 20 minutes but less than 50 minutes')","Self-terminating provision with automatic cessation date (30 September 2020)","Mandatory bulk-billing requirements creating statutory assignment of Medicare benefits"],"plain_english_summary":"This temporary instrument created Medicare rebates for phone and video (telehealth) consultations during COVID-19 so vulnerable Australians could access care remotely. It covered higher‑risk patients (e.g. older adults, pregnant women, infants’ parents, immunocompromised, quarantined, or triaged cases) and a range of providers (GPs, other doctors, allied health, nurse practitioners, midwives). Services were bulk‑billed, required continuous audio (and video when available), favoured video over phone, and sometimes required a prior 12‑month face‑to‑face; it lapsed on 30 Sept 2020."}},"importantCases":[],"_links":{"self":"/api/acts/health-insurance-section-3c-general-medical-services-gp-and-allied-health-covid-19-services-determin","history":"/api/acts/health-insurance-section-3c-general-medical-services-gp-and-allied-health-covid-19-services-determin/history","analysis":"/api/acts/health-insurance-section-3c-general-medical-services-gp-and-allied-health-covid-19-services-determin/analysis","conflicts":"/api/acts/health-insurance-section-3c-general-medical-services-gp-and-allied-health-covid-19-services-determin/conflicts","importantCases":"/api/acts/health-insurance-section-3c-general-medical-services-gp-and-allied-health-covid-19-services-determin/important-cases","documents":"/api/acts/health-insurance-section-3c-general-medical-services-gp-and-allied-health-covid-19-services-determin/documents"}}