CTHRepealedLegislation
Health Insurance (Allied Health Services) Determination 2011
Division 4.1Diabetes education services
Start here
Get a plain-English read of Division 4.1
Turn the raw legal text into a practical explanation grounded in Health Insurance (Allied Health Services) Determination 2011.
Division 4.1—Diabetes education services
| Item | Service | Fee($) |
|---|---|---|
| 81100 | Diabetes education health service provided to a person by an eligible diabetes educator for assessing the person’s suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient’s needs and preparing the person for the group services if:(a) the person has type 2 diabetes; and(b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a GP Management Plan 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(c) the person is referred to an eligible diabetes educator 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 45 minutes duration; and(g) after the service, the eligible diabetes educator gives a written report to the referring medical practitioner mentioned in paragraph (c);payable once in a calendar year for this or any other assessment for group services item (including services in items 81100, 81110 and 81120)This item is subject to section 9 | 79.85 |
| 81105 | Diabetes education health service provided to a person by an eligible diabetes educator, as a group service for the management of type 2 diabetes if:(a) the person has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110 or 81120; and(b) the service is provided to a person who is part of a group of between 2 and 12 patients; and(c) the person is not an admitted patient of a hospital; and(d) the service is provided in person; and(e) the service is of at least 60 minutes duration; and | 19.90 |
| (f) after the last service in the group services program provided to the person under item 81105, 81115 or 81125, the eligible diabetes educator prepares, or contributes to, a written report to be provided to the referring medical practitioner; and | ||
| (g) an attendance record for the group is maintained by the eligible diabetes educator;to a maximum of 8 group services in a calendar year (including services in items 81105, 81115 and 81125)This item is subject to section 9 |