| 10950 | Aboriginal and Torres Strait Islander health service provided to a person by an eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner 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 or eligible Aboriginal and Torres Strait Islander health practitioner 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 or eligible Aboriginal and Torres Strait Islander health practitioner 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 | 62.25 |
| 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 | 62.25 |
| (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 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 20 minutes duration; and(g) after the service, the eligible diabetes educator 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 | |
| 10952 | Audiology health service provided to a person by an eligible audiologist 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 audiologist 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 | 62.25 |
| (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 audiologist 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 | |
| 10953 | Exercise physiology health service provided to a person by an eligible exercise physiologist 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 exercise physiologist 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 exercise physiologist 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 | 62.25 |
| 10954 | Dietetics health service provided to a person by an eligible dietitian 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 | 62.25 |
| (c) the person is referred to the eligible dietitian 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 dietitian 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 | |
| 10956 | Mental health service provided to a person by an eligible mental 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 | 62.25 |
| (c) the person is referred to the eligible mental 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 mental 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 | |
| 10958 | Occupational therapy health service provided to a person by an eligible occupational therapist 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 occupational therapist 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 occupational therapist 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 | 62.25 |
| (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 | |
| 10960 | Physiotherapy health service provided to a person by an eligible physiotherapist 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 physiotherapist 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 physiotherapist 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 | 62.25 |
| 10962 | Podiatry health service provided to a person by an eligible podiatrist 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 | 62.25 |
| (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 podiatrist 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 podiatrist 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 | |
| 10964 | Chiropractic health service provided to a person by an eligible chiropractor 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 chiropractor 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 chiropractor 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 | 62.25 |
| (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 | |
| 10966 | Osteopathy health service provided to a person by an eligible osteopath 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 osteopath 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 osteopath 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 | 62.25 |
| 10968 | Psychology health service provided to a person by an eligible psychologist if:(a) the service is provided to a person who has:(i) a chronic condition; and | 62.25 |
| (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 psychologist 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 psychologist 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 | |
| 10970 | Speech pathology health service provided to a person by an eligible speech pathologist 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 speech pathologist 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 | 62.25 |
| (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 speech pathologist 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 | |