Part Part 2 - Health Insurance (Allied Health Services) Determination 2008 - Services and fees — psychological therapy and focussed psychological strategies

Part 2 Services and fees — psychological therapy and focussed psychological strategies

| 80000 | Psychological therapy health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health 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 (aa) the service is provided to the person individually and in person; and (b) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (c) 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 (d) the service is at least 30 minutes but less than 50 minutes duration This item is subject to sections 7, 8 and 9 | 92.20 | | 80005 | Psychological therapy health service provided to a person at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible clinical psychologist in accordance with the requirements of item 80000 This item is subject to sections 6, 7 and 9 | 115.20 | | 80010 | Psychological therapy health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health 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 (aa) the service is provided to the person individually and in person; and (b) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and | 135.30 | | | (c) 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 (d) the service is at least 50 minutes duration This item is subject to sections 6, 7 and 9 | | | 80015 | Psychological therapy health service provided to a person at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible clinical psychologist in accordance with the requirements of item 80010 This item is subject to sections 6, 7 and 9 | 158.30 | | 80020 | Psychological therapy health service provided to a person as part of a group of 6 to 10 patients (but not as an admitted patient of a hospital) by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health 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 (aa) the service is provided in person; and (b) the service is at least 60 minutes duration; to a maximum of 12 services (including services to which items 80120, 80145 and 80170 apply) in a calendar year This item is subject to sections 7 and 9 | 34.35 | | 80100 | Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health 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 (aa) the service is provided to the person individually and in person; and (b) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and | 65.30 | | | (c) 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 (d) the service is at least 20 minutes but less than 50 minutes duration This item is subject to sections 6, 7 and 9 | | | 80105 | Focussed psychological strategies health service provided to a person at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible psychologist in accordance with the requirements of item 80100 This item is subject to sections 6, 7 and 9 | 88.80 | | 80110 | Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health 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 (aa) the service is provided to the person individually and in person; and (b) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (c) 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 (d) the service is at least 50 minutes duration This item is subject to sections 6, 7 and 9 | 92.20 | | 80115 | Focussed psychological strategies health service provided to a person at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible psychologist in accordance with the requirements of item 80110 This item is subject to sections 6, 7 and 9 | 115.75 | | 80120 | Focussed psychological strategies health service provided to a person as part of a group of 6 to 10 patients (but not as an admitted patient of a hospital) by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health 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 (aa) the service is provided in person; and (b) the service is at least 60 minutes duration; to a maximum of 12 services (including services to which items 80120, 80145 and 80170 apply) in a calendar year This item is subject to sections 7 and 9 | 23.50 | | 80125 | Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health 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 (aa) the service is provided to the person individually and in person; and (b) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (c) 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 (d) the service is at least 20 minutes but less than 50 minutes duration This item is subject to sections 6, 7 and 9 | 57.55 | | 80130 | Focussed psychological strategies health service provided to a person at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible occupational therapist in accordance with the requirements of item 80125 This item is subject to sections 6, 7 and 9 | 81.00 | | 80135 | Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health 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 (aa) the service is provided to the person individually and in person; and (b) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (c) 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 (d) the service is at least 50 minutes duration This item is subject to sections 6, 7 and 9 | 81.25 | | 80140 | Focussed psychological strategies health service provided to a person at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible occupational therapist in accordance with the requirements of item 80135 This item is subject to sections 6, 7 and 9 | 104.70 | | 80145 | Focussed psychological strategies health service provided to a person as part of a group of 6 to 10 patients (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health 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 (aa) the service is provided in person; and (b) the service is at least 60 minutes duration; to a maximum of 12 services (including services to which items 80120, 80145 and 80170 apply) in a calendar year This item is subject to sections 7 and 9 | 20.65 | | 80150 | Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health 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 (aa) the service is provided to the person individually and in person; and (b) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and | 57.55 | | | (c) 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 (d) the service is at least 20 minutes but less than 50 minutes duration This item is subject to sections 6, 7 and 9 | | | 80155 | Focussed psychological strategies health service provided to a person at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible social worker in accordance with the requirements of item 80150 This item is subject to sections 6, 7 and 9 | 81.00 | | 80160 | Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health 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 (aa) the service is provided to the person individually and in person; and (b) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (c) 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 (d) the service is at least 50 minutes duration This item is subject to sections 6, 7 and 9 | 81.25 | | 80165 | Focussed psychological strategies health service provided to a person at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible social worker in accordance with the requirements of item 80160 This item is subject to sections 6, 7 and 9 | 104.70 | | 80170 | Focussed psychological strategies health service provided to a person as part of a group of 6 to 10 patients (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health 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 (aa) the service is provided in person; and (b) the service is at least 60 minutes duration; to a maximum of 12 services (including services to which items 80120, 80145 and 80170 apply) in a calendar year This item is subject to sections 7 and 9 | 20.65 |

Part 2Services and fees — psychological therapy and focussed psychological strategies

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