12Application provisions for health assessment items for care recipients in residential aged care facilities of Aboriginal and Torres Strait Islander descent

12 Application provisions for health assessment items for care recipients in residential aged care facilities of Aboriginal and Torres Strait Islander descent

Claimining limitation provisions for health assessment items for Aboriginal and Torres Strait Islander people(s) in residential care

(1) Items 93470 and 93479 do not apply to a service if the person has received a service to which item 228, 715, 92004, 92011, 92016, or 92023 applied in the previous 9 months.

Application provisions for health assessment items for Aboriginal and Torres Strait Islander people(s) in residential care

(2) Clause 2.15.14 of the general medical services table shall have effect as if items 93470 and 93479 were also specified in the clause.

<table cellspacing="0" cellpadding="0" style="margin-right:9pt; margin-left:9pt; border-collapse:collapse; float:left"><thead><tr><td colspan="2" style="width:327.75pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span style="font-weight:bold">Group A43 – Care Reciepient of a Residental Aged Care Facility planning and contribution items</span></p></td><td style="width:55pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span style="font-weight:bold"></span></p></td></tr><tr><td style="width:52.4pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span style="font-weight:bold">Item</span></p></td><td style="width:264.55pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span style="font-weight:bold">Service</span></p></td><td style="width:55pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-left:10.55pt"><span style="font-weight:bold">Fee($)</span></p></td></tr><tr><td colspan="3" style="width:393.55pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span style="font-weight:bold">Subgroup 1—GP planning and contribution items in RACF</span></p></td></tr></thead></table>

<table cellspacing="0" cellpadding="0" style="width:454.6pt; border-collapse:collapse"><tbody><tr style="height:60.75pt"><td style="width:55.3pt; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>93469</span></p></td><td style="width:284.35pt; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Professional attendance by a general practitioner at a residential aged care facility to contribute to a multidisciplinary care plan, prepared by that facility, or to a review of such a plan prepared by such a facility, if the practitioner performs any of the following:</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>(a) prepares part of a multidisciplinary care plan and adding a copy of that part of the plan to the person’s medical records; or</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>(b) </span><span>preparing amendments to part of a multidisciplinary care </span><span>plan and adding a copy of the amendments to the person’s medical records;</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>(c) giving advice to a practitioner who prepares part of a multidisciplinary care plan and recording in writing, on the person’s medical records, any advice provided to the practitioner; or</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>(d) </span><span>giving advice to a practitioner who reviews part of a multidisciplinary care plan and recording in writing, on the person’s medical records, any advice provided to the practitioner</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>not more than once in a 3 month period</span></p></td><td style="width:38.6pt; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-right:2.5pt; margin-bottom:3pt; text-align:center; page-break-after:avoid; line-height:12pt"><span>73.25</span></p></td><td style="width:44.25pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; page-break-after:avoid; line-height:12pt"><span></span></p></td></tr><tr style="height:60.75pt"><td style="width:55.3pt; border-top:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>93470</span></p></td><td style="width:284.35pt; border-top:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Professional attendance by a general practitioner at a residential aged care facility to perform a health assessment of a person who is:</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>(a) of Aboriginal or Torres Strait Islander descent; and</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>(b) </span><span>a care recipient in a residential aged care facility</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>not more than once in a 9 month period</span></p></td><td style="width:38.6pt; border-top:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-right:2.5pt; margin-bottom:3pt; text-align:center; page-break-after:avoid; line-height:12pt"><span>220.85</span></p></td><td style="width:44.25pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:12pt"><span></span></p></td></tr><tr style="height:60.75pt"><td colspan="4" style="width:443.9pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><table cellspacing="0" cellpadding="0" style="margin-right:9pt; margin-left:9pt; border-collapse:collapse; float:left"><thead><tr><td style="width:393.55pt; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p><span style="font-weight:bold">Subgroup 2—Medical practitioner planning and contribution items in RACF</span></p></td></tr></thead></table><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:12pt"><span></span></p><table cellspacing="0" cellpadding="0" style="width:404pt; border-collapse:collapse"><tbody><tr style="height:60.75pt"><td style="width:54.95pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>93475</span></p></td><td style="width:279.9pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Professional attendance by a medical practitioner</span><span> </span><span>(not including a general practitioner, specialist or a consultant physician) at a residential aged care facility to contribute to a multidisciplinary care plan, prepared by that facility, or to a review of such a plan prepared by such a facility, if the practitioner performs any of the following:</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>(a) prepares part of a multidisciplinary care plan and adding a copy of that part of the plan to the person’s medical records; or</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>(b) </span><span>preparing amendments to part of a multidisciplinary care plan and adding a copy of the amendments to the person’s medical records;</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>(c) giving advice to a practitioner who prepares part of a multidisciplinary care plan and recording in writing, on the person’s medical records, any advice provided to the practitioner; or</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>(d) </span><span>giving advice to a practitioner who reviews part of a multidisciplinary care plan and recording in writing, on the person’s medical records, any advice provided to the practitioner</span></p><p style="margin-top:3pt; line-height:12pt"><span>not more than once in a 3 month period</span></p></td><td style="width:37.05pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-right:2.5pt; margin-bottom:3pt; text-align:center; page-break-after:avoid; line-height:12pt"><span>58.60</span></p></td></tr></tbody></table><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:12pt"></p></td></tr><tr style="height:16.3pt"><td style="width:55.3pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>93479</span></p></td><td style="width:284.35pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>Professional attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician) at a residential aged care facility to perform a health assessment of a person who is:</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>(a) of Aboriginal or Torres Strait Islander descent; and</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>(b) a care recipient in a residential aged care facility</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>not more than once in a 9 month period</span></p></td><td style="width:38.6pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-right:2.5pt; margin-bottom:3pt; text-align:center; page-break-after:avoid; line-height:12pt"><span>176.70</span></p></td><td style="width:44.25pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; page-break-after:avoid; line-height:12pt"><span></span></p></td></tr></tbody></table>