78Focussed psychological strategies

78 Focussed psychological strategies (1) An item in Subgroup 2 of Group A20 applies only to a service that: (a) is clinically indicated under a 3 Step Mental Health Process, GP Mental Health Care Plan or a Psychiatrist Assessment and Management Plan; and (b) is provided by a medical practitioner: (i) whose name is entered in the register maintained by the Medicare Australia CEO under section 28 of the Medicare Australia (Functions of Chief Executive Officer) Direction 2005; and (ii) who is identified in the register as a practitioner who can provide services to which Subgroup 2 of Group A20 applies; and (iii) who meets any training and skills requirements, as determined by the General Practice Mental Health Standards Collaboration, for providing services to which Subgroup 2 of Group A20 applies; and (c) is provided in a general practice that participates in the Practice Incentives Program or is an accredited general practice that is not participating in the Program. (2) An item in Subgroup 2 of Group A20 does not apply to: (a) a service that: (i) is provided to a patient who has already been provided, in the calender year, with a group of 6 other services to which any of the items in that Subgroup applies; and (ii) is provided before the medical practitioner managing the 3 Step Mental Health Process, GP Mental Health Care Plan or Psychiatrist Assessment and Management Plan has conducted a review and has noted in the patient’s records a recommendation that the patient have additional sessions of psychological strategies in the calender year; or (b) a service that is provided to a patient who has already been provided, in the calender year, with 12 (or, if exceptional circumstances exist, 18) other services to which any of items in that Subgroup applies. (3) In Group A20, a reference to focussed psychological strategies is a reference to any of the following mental health care management strategies, being a strategy that has been derived from evidence‑based psychological therapies: (a) psycho‑education; (b) cognitive‑behavioural therapy that involves cognitive or behavioural interventions; (c) relaxation strategies; (d) skills training; (e) interpersonal therapy. (4) In this rule: > general practice means a business, consisting of 1 or more medical practitioners, that provides a general practice of medical services.