Part Part 6 - Health Insurance (Allied Health Services) Determination 2009 - Services and fees — Aboriginal and Torres Strait Islander services

Part 6 Services and fees — Aboriginal and Torres Strait Islander services

| 81300 | Aboriginal or 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 substantially complies with 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 year This item is subject to section 9 | 57.55 | | 81305 | Diabetes education health service provided to a person 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 substantially complies with 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 | 57.55 | | | (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 year This item is subject to section 9 | | | 81310 | Audiology health service provided to a person 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 substantially complies with 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 year This item is subject to section 9 | 57.55 | | 81315 | Exercise physiology health service provided to a person 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 substantially complies with 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 (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 year This item is subject to section 9 | 57.55 | | 81320 | Dietetics health service provided to a person 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 substantially complies with 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 year This item is subject to section 9 | 57.55 | | 81325 | Mental health service provided to a person 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 substantially complies with 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 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 year This item is subject to section 9 | 57.55 | | 81330 | Occupational therapy health service provided to a person 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 substantially complies with 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 | 57.55 | | | (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 year This item is subject to section 9 | | | 81335 | Physiotherapy health service provided to a person 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 substantially complies with 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 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 year This item is subject to section 9 | 57.55 | | 81340 | Podiatry health service provided to a person 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 substantially complies with 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 year This item is subject to section 9 | 57.55 | | 81345 | Chiropractic health service provided to a person 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 substantially complies with 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 year This item is subject to section 9 | 57.55 | | 81350 | Osteopathy health service provided to a person 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 substantially complies with 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 year This item is subject to section 9 | 57.55 | | 81355 | Psychology health service provided to a person 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 substantially complies with 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 year This item is subject to section 9 | 57.55 | | 81360 | Speech pathology health service provided to a person 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 substantially complies with 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 year This item is subject to section 9 | 57.55 |

Part 6Services and fees — Aboriginal and Torres Strait Islander services

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