Part Part 6 - Health Insurance (Allied Health Services) Determination 2009 (No. 2) - Services and fees — Aboriginal and Torres Strait Islander services | Zoe
Part 6 Services and fees — Aboriginal and Torres Strait Islander services
Item
Service
Fee ($)
81300
Aboriginal and Torres Strait Islander health service provided to a person of Aboriginal or Torres Strait Islander descent by an eligible Aboriginal health worker if:(a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up allied health services; and(b) the person is referred to the eligible Aboriginal health worker by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and(c) the person is not an admitted patient of a hospital; and(d) the service is provided to the person individually and in person; and(e) the service is of at least 20 minutes duration; and(f) after the service, the eligible Aboriginal health worker gives a written report to the referring medical practitioner mentioned in paragraph (b):(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 the 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 6 of this Schedule applies) in a calendar yearThis item is subject to section 9
58.85
81305
Diabetes education health service provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible diabetes educator if:(a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up allied health services; and(b) the person is referred to the eligible diabetes educator by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and(c) the person is not an admitted patient of a hospital; and(d) the service is provided to the person individually and in person; and(e) the service is of at least 20 minutes duration; and
58.85
(f) after the service, the eligible diabetes educator gives a written report to the referring medical practitioner mentioned in paragraph (b):(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 the 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 6 of this Schedule applies) in a calendar yearThis item is subject to section 9
81310
Audiology health service provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible audiologist if:(a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up allied health services; and(b) the person is referred to the eligible audiologist by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and(c) the person is not an admitted patient of a hospital; and(d) the service is provided to the person individually and in person; and(e) the service is of at least 20 minutes duration; and(f) after the service, the eligible audiologist gives a written report to the referring medical practitioner mentioned in paragraph (b):(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 the 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 6 of this Schedule applies) in a calendar yearThis item is subject to section 9
58.85
81315
Exercise physiology health service provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible exercise physiologist if:(a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up allied health services; and(b) the person is referred to the eligible exercise physiologist by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and(c) the person is not an admitted patient of a hospital; and(d) the service is provided to the person individually and in person; and(e) the service is of at least 20 minutes duration; and(f) after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner mentioned in paragraph (b):(i) if the service is the only service under the referral — in relation to that service; or
58.85
(ii) if the service is the first or the 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 6 of this Schedule applies) in a calendar yearThis item is subject to section 9
81320
Dietetics health service provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible dietitian if:(a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up allied health services; and(b) the person is referred to the eligible dietitian by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and(c) the person is not an admitted patient of a hospital; and(d) the service is provided to the person individually and in person; and(e) the service is of at least 20 minutes duration; and(f) after the service, the eligible dietitian gives a written report to the referring medical practitioner mentioned in paragraph (b):(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 the 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 6 of this Schedule applies) in a calendar yearThis item is subject to section 9
58.85
81325
Mental health service provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible mental health worker if:(a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up allied health services; and(b) the person is referred to the eligible mental health worker by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and(c) the person is not an admitted patient of a hospital; and(d) the service is provided to the person individually and in person; and(e) the service is of at least 20 minutes duration; and
58.85
(f) after the service, the eligible mental health worker gives a written report to the referring medical practitioner mentioned in paragraph (b):
(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 the 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 6 of this Schedule applies) in a calendar yearThis item is subject to section 9
81330
Occupational therapy health service provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible occupational therapist if:(a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up allied health services; and(b) the person is referred to the eligible occupational therapist by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and(c) the person is not an admitted patient of a hospital; and(d) the service is provided to the person individually and in person; and(e) the service is of at least 20 minutes duration; and
58.85
(f) after the service, the eligible occupational therapist gives a written report to the referring medical practitioner mentioned in paragraph (b):(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 the 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 6 of this Schedule applies) in a calendar yearThis item is subject to section 9
81335
Physiotherapy health service provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible physiotherapist if:(a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up allied health services; and(b) the person is referred to the eligible physiotherapist by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and
58.85
(c) the person is not an admitted patient of a hospital; and(d) the service is provided to the person individually and in person; and(e) the service is of at least 20 minutes duration; and(f) after the service, the eligible physiotherapist gives a written report to the referring medical practitioner mentioned in paragraph (b):(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 the 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 6 of this Schedule applies) in a calendar yearThis item is subject to section 9
81340
Podiatry health service provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible podiatrist if:(a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up allied health services; and(b) the person is referred to the eligible podiatrist by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and(c) the person is not an admitted patient of a hospital; and(d) the service is provided to the person individually and in person; and(e) the service is of at least 20 minutes duration; and(f) after the service, the eligible podiatrist gives a written report to the referring medical practitioner mentioned in paragraph (b):(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 the 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 6 of this Schedule applies) in a calendar yearThis item is subject to section 9
58.85
81345
Chiropractic health service provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible chiropractor if:(a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up allied health services; and(b) the person is referred to the eligible chiropractor by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and(c) the person is not an admitted patient of a hospital; and(d) the service is provided to the person individually and in person; and(e) the service is of at least 20 minutes duration; and(f) after the service, the eligible chiropractor gives a written report to the referring medical practitioner mentioned in paragraph (b):(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 the 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 6 of this Schedule applies) in a calendar yearThis item is subject to section 9
58.85
81350
Osteopathy health service provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible osteopath if:(a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up allied health services; and(b) the person is referred to the eligible osteopath by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and(c) the person is not an admitted patient of a hospital; and(d) the service is provided to the person individually and in person; and(e) the service is of at least 20 minutes duration; and(f) after the service, the eligible osteopath gives a written report to the referring medical practitioner mentioned in paragraph (b):(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 the 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 6 of this Schedule applies) in a calendar yearThis item is subject to section 9
58.85
81355
Psychology health service provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible psychologist if:(a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up allied health services; and(b) the person is referred to the eligible psychologist by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and(c) the person is not an admitted patient of a hospital; and(d) the service is provided to the person individually and in person; and(e) the service is of at least 20 minutes duration; and(f) after the service, the eligible psychologist gives a written report to the referring medical practitioner mentioned in paragraph (b):(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 the 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 6 of this Schedule applies) in a calendar yearThis item is subject to section 9
58.85
81360
Speech pathology health service provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible speech pathologist if:(a) a medical practitioner has undertaken a health assessment and identified a need for follow‑up allied health services; and(b) the person is referred to the eligible speech pathologist by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and(c) the person is not an admitted patient of a hospital; and(d) the service is provided to the person individually and in person; and(e) the service is of at least 20 minutes duration; and(f) after the service, the eligible speech pathologist gives a written report to the referring medical practitioner mentioned in paragraph (b):(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 the 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 6 of this Schedule applies) in a calendar yearThis item is subject to section 9
58.85
Notes to the Health Insurance (Allied Health Services) Determination 2009 (No. 2)
Note 1
Note: The Health Insurance (Allied Health Services) Determination 2009 (No. 2) (in force under subsection 3C (1) of the Health Insurance Act 1973) as shown in this compilation is amended as indicated in the Tables below.
Note: For all relevant information pertaining to application, saving or transitional provisions see Table A.
Note: > Note: Table of Instruments
Title
Date of FRLI registration
Date ofcommencement
Application, saving ortransitional provisions
Health Insurance (Allied Health Services) Determination 2009 (No. 2)
7 Oct 2009 (see F2009L03704)
1 Nov 2009
Health Insurance (Allied Health Services) Amendment Determination 2010
28 Apr 2010 (see F2010L00993)
1 May 2010
—
Health Insurance (Allied Health Services) Amendment Determination 2010 (No. 2)
Health Insurance (Allied Health Services) Amendment Determination
2010 (No. 2)
4 Schedule 2 – transitional provisions
Items in Schedule 2 have effect according to their terms.
Schedule 2
[10] A person who was an allied health professional in relation to the provision of a podiatry health service provided in the Northern Territory because of the operation of subitem 13(a)(i) of Schedule 1 to the Health Insurance (Allied Health Services) Determination 2009 (No 2) immediately before the amendments made by Schedule 1 to this Determination is taken to be an allied health professional in relation to the provision of a podiatry health service in the Northern Territory for a period of six months from the date of commencement of this Determination.
[11] A person who was an allied health professional in relation to the provision of a mental health service provided in Tasmania or the Australian Capital Territory immediately before the amendments made by Schedule 1 to this Determination is taken to be an allied health professional in relation to the provision of a mental health service in Tasmania or the Australian Capital Territory for a period of six months from the date of commencement of this Determination.