Part Part 1 - Health Insurance (Allied Health Services) Determination 2009 (No. 2) - Services and fees — general

Part 1 Services and fees — general

Item	Service	Fee ($)
10950	Aboriginal and Torres Strait Islander health service provided to a person by an eligible Aboriginal health worker if:(a) the service is provided to a person who has:(i) a chronic condition; and(ii) complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person’s medical practitioner has contributed to a multidisciplinary care plan; and(b) the service is recommended in the person’s Team Care Arrangements or multidisciplinary care plan as part of the management of the person’s chronic condition and complex care needs; and(c) the person is referred to the eligible Aboriginal health worker by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and(d) the person is not an admitted patient of a hospital; and(e) the service is provided to the person individually and in person; and(f) the service is of at least 20 minutes duration; and(g) after the service, the eligible Aboriginal health worker gives a written report to the referring medical practitioner mentioned in paragraph (c):(i) if the service is the only service under the referral — in relation to that service; or(ii) if the service is the first or last service under the referral — in relation to that service; or(iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of — in relation to those matters;to a maximum of 5 services (including any services to which this item or any other item in Part 1 of this Schedule applies) in a calendar yearThis item is subject to section 9	58.85
10951	Diabetes education health service provided to a person by an eligible diabetes educator if:(a) the service is provided to a person who has:(i) a chronic condition; and	58.85
	(ii) complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person’s medical practitioner has contributed to a multidisciplinary care plan; and(b) the service is recommended in the person’s Team Care Arrangements or multidisciplinary care plan as part of the management of the person’s chronic condition and complex care needs; and

Part 1Services and fees — general

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