14Claiming limitation for chronic disease management items for care recipients in residential aged care facilities

14 Claiming limitation for chronic disease management items for care recipients in residential aged care facilities

Maximum of 5 chronic disease management assessment and standard items

(1) For any particular person, an item in subgroup 1 or 3 of Group M29 or Group M3 is not applicable more than 5 times in a calendar year (in total for all items).

Maximum of 5 additional chronic disease management physical therapy items

(2) For any particular person, an item in subgroup 2 of Group M29 is not applicable more than 5 times in a calendar year (in total for all items).

Note : Items in Group M3 are prescribed in the Health Insurance (Allied Health Services) Determination 2014.

<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 M29 – Additional allied health services</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—Intial/long allied health services in RACF</span></p></td></tr></thead></table>

<table cellspacing="0" cellpadding="0" style="width:459.9pt; border-collapse:collapse"><tbody><tr style="height:60.75pt"><td colspan="3" style="width:51.35pt; 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>93501</span></p></td><td colspan="3" style="width:265.75pt; 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>Aboriginal and Torres Strait Islander health service provided to a </span><span>care recipient in a residential aged care facility, at a residential aged care facility,</span><span> by an eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner if all of the following apply:</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs;</span></p><p style="margin-left:26.25pt; text-indent:-18pt; line-height:12pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is provided to a person whose chronic or complex care needs is being managed under:</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(i)</span><span> </span><span></span><span></span><span></span><span></span><span>a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 </span><span>applies; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(ii)</span><span> </span><span></span><span></span><span></span><span>a shared care plan; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(iii)</span><span> </span><span></span><span></span><span>a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span></span><span>(c)</span><span> </span><span></span><span>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;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(d)</span><span> </span><span></span><span>the service is provided to the person individually and in person; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(e)</span><span> </span><span></span><span>the service is at least 30 minutes in duration; and</span></p><p style="margin-top:3pt; margin-left:27.05pt; margin-bottom:3pt; text-indent:-21.25pt; line-height:12pt"><span>(f)</span><span> </span><span></span><span>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</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>not more than once in a calendar year</span></p></td><td colspan="4" style="width:88.7pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; page-break-after:avoid; line-height:12pt"><span>97.15</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="border-top:0.75pt solid #000000; vertical-align:top"></td><td style="border-top:0.75pt solid #000000; vertical-align:top"></td><td colspan="2" style="width:72.5pt; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>93502</span></p></td><td colspan="3" style="width:257.35pt; border-bottom:1pt 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>Diabetes education health service provided to a </span><span>care recipient in a residential aged care facility, at a residential aged care facility,</span><span> by an eligible diabetes educator if all of the following apply:</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs;</span></p><p style="margin-left:26.25pt; text-indent:-18pt; line-height:12pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is provided to a person whose chronic or complex care needs is being managed under:</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(i)</span><span> </span><span></span><span></span><span></span><span></span><span>a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(ii)</span><span> </span><span></span><span></span><span></span><span>a shared care plan; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(iii)</span><span> </span><span></span><span></span><span>a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span></span><span>(c)</span><span> </span><span></span><span>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 </span><span>referral form that contains all the components of the form issued by the Department;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(d)</span><span> </span><span></span><span>the service is provided to the person individually and in person; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(e)</span><span> </span><span></span><span>the service is at least 30 minutes in duration; and</span></p><p style="margin-top:3pt; margin-left:27.05pt; margin-bottom:3pt; text-indent:-21.25pt; line-height:12pt"><span>(f)</span><span> </span><span></span><span>after the service, the eligible diabetes educator gives a written report to the referring medical practitioner</span></p><p style="margin-top:3pt; margin-left:27.05pt; margin-bottom:3pt; text-indent:-21.25pt; line-height:12pt"><span>not more than once in a calendar year</span></p></td><td colspan="2" style="width:62.55pt; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>97.15</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="vertical-align:top"></td><td style="vertical-align:top"></td><td colspan="2" style="width:72.5pt; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>93503</span></p></td><td colspan="3" style="width:257.35pt; border-bottom:1pt 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>Audiology health service provided to a </span><span>care recipient in a residential aged care facility, at a residential aged care facility,</span><span> by an eligible audiologist if all of the following apply:</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs;</span></p><p style="margin-left:26.25pt; text-indent:-18pt; line-height:12pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is provided to a person whose chronic or complex care needs is being managed under:</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(i)</span><span> </span><span></span><span></span><span></span><span></span><span>a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(ii)</span><span> </span><span></span><span></span><span></span><span>a shared care plan; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(iii)</span><span> </span><span></span><span></span><span>a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span></span><span>(c)</span><span> </span><span></span><span>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;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(d)</span><span> </span><span></span><span>the service is provided to the person individually and in person; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(e)</span><span> </span><span></span><span>the service is at least 30 minutes in duration; and</span></p><p style="margin-top:3pt; margin-left:27.05pt; margin-bottom:3pt; text-indent:-21.25pt; line-height:12pt"><span>(f)</span><span> </span><span></span><span>after the service, the eligible audiologist gives a written report to the referring medical practitioner</span></p><p style="line-height:12pt"><span>not more than once in a calendar year</span></p></td><td colspan="2" style="width:62.55pt; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>97.15</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="vertical-align:top"></td><td style="vertical-align:top"></td><td colspan="2" style="width:72.5pt; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>93504</span></p></td><td colspan="3" style="width:257.35pt; 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>Exercise physiology health service provided to a </span><span>care recipient in a residential aged care facility, at a residential aged care facility,</span><span> by an eligible exercise physiologist if all of the following apply:</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs;</span></p><p style="margin-left:26.25pt; text-indent:-18pt; line-height:12pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is provided to a person whose chronic or complex care needs is being managed under:</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(i)</span><span> </span><span></span><span></span><span></span><span></span><span>a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(ii)</span><span> </span><span></span><span></span><span></span><span>a shared care plan; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(iii)</span><span> </span><span></span><span></span><span>a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span></span><span>(c)</span><span> </span><span></span><span>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;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(d)</span><span> </span><span></span><span>the service is provided to the person individually and in person; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(e)</span><span> </span><span></span><span>the service is at least 30 minutes in duration; and</span></p><p style="margin-top:3pt; margin-left:27.05pt; margin-bottom:3pt; text-indent:-21.25pt; line-height:12pt"><span>(f)</span><span> </span><span></span><span>after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner</span></p><p style="margin-bottom:3pt; line-height:12pt"><span>not more than once in a calendar year</span></p></td><td colspan="2" style="width:62.55pt; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>97.15</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="vertical-align:top"></td><td style="vertical-align:top"></td><td colspan="2" style="width:72.5pt; border-top:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>93505</span></p></td><td colspan="3" style="width:257.35pt; 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>Dietetics health service provided to a </span><span>care recipient in a residential aged care facility, at a residential aged care facility,</span><span> by an eligible dietitian if all of the following apply:</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs;</span></p><p style="margin-left:26.25pt; text-indent:-18pt; line-height:12pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is provided to a person whose chronic or complex care needs is being managed under:</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(i)</span><span> </span><span></span><span></span><span></span><span></span><span>a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475</span><span> </span><span>applies; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(ii)</span><span> </span><span></span><span></span><span></span><span>a shared care plan; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(iii)</span><span> </span><span></span><span></span><span>a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span></span><span>(c)</span><span> </span><span></span><span>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;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(d)</span><span> </span><span></span><span>the service is provided to the person individually and in person; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(e)</span><span> </span><span></span><span>the service is at least 30 minutes in duration; and</span></p><p style="margin-top:3pt; margin-left:27.05pt; margin-bottom:3pt; text-indent:-21.25pt; line-height:12pt"><span>(f)</span><span> </span><span></span><span>after the service, the eligible dietitian gives a written report to the referring medical practitioner</span></p><p style="line-height:normal"><span>not more than once in a calendar year</span></p></td><td colspan="2" style="width:62.55pt; border-top:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>97.15</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="vertical-align:top"></td><td style="border-bottom:0.75pt solid #000000; vertical-align:top"></td><td colspan="2" style="width:72.5pt; border-top:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>93506</span></p></td><td colspan="3" style="width:257.35pt; 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>Mental health service provided to a </span><span>care recipient in a residential aged care facility, at a residential aged care facility,</span><span> by an eligible mental health worker if all of the following apply:</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs;</span></p><p style="margin-left:26.25pt; text-indent:-18pt; line-height:12pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is provided to a person whose chronic or complex care needs is being managed under:</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(i)</span><span> </span><span></span><span></span><span></span><span></span><span>a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475</span><span> </span><span>applies; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(ii)</span><span> </span><span></span><span></span><span></span><span>a shared care plan; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(iii)</span><span> </span><span></span><span></span><span>a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span></span><span>(c)</span><span> </span><span></span><span>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;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(d)</span><span> </span><span></span><span>the service is provided to the person individually and in person; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(e)</span><span> </span><span></span><span>the service is at least 30 minutes in duration; and</span></p><p style="margin-top:3pt; margin-left:27.05pt; margin-bottom:3pt; text-indent:-21.25pt; line-height:12pt"><span>(f)</span><span> </span><span></span><span>after the service, the eligible mental health worker gives a written report to the referring medical practitioner</span></p><p style="margin-left:41.85pt; text-indent:-14.2pt; line-height:normal"><span>not more than once in a calendar year</span></p></td><td colspan="2" style="width:62.55pt; border-top:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>97.15</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="vertical-align:top"></td><td colspan="4" style="width:78.5pt; border-top:0.75pt solid #000000; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>93507</span></p></td><td colspan="2" style="width:252.5pt; border-top:0.75pt solid #000000; border-bottom:1pt 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>Occupational therapy health service provided to a </span><span>care recipient in a residential aged care facility, at a residential aged care facility,</span><span> by an eligible occupational therapist if all of the following apply:</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs;</span></p><p style="margin-left:26.25pt; text-indent:-18pt; line-height:12pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is provided to a person whose chronic or complex care needs is being managed under:</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(i)</span><span> </span><span></span><span></span><span></span><span></span><span>a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475</span><span> </span><span>applies; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(ii)</span><span> </span><span></span><span></span><span></span><span>a shared care plan; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(iii)</span><span> </span><span></span><span></span><span>a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span></span><span>(c)</span><span> </span><span></span><span>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;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(d)</span><span> </span><span></span><span>the service is provided to the person individually and in person; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(e)</span><span> </span><span></span><span>the service is at least 30 minutes in duration; and</span></p><p style="margin-top:3pt; margin-left:27.05pt; margin-bottom:3pt; text-indent:-21.25pt; line-height:12pt"><span>(f)</span><span> </span><span></span><span>after the service, the eligible occupational therapist gives a written report to the referring medical practitioner</span></p><p style="line-height:12pt"><span>not more than once in a calendar year</span></p></td><td style="width:59.95pt; border-top:0.75pt solid #000000; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>97.15</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="vertical-align:top"></td><td colspan="4" style="width:78.5pt; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>93508</span></p></td><td colspan="2" style="width:252.5pt; border-bottom:1pt 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>Physiotherapy health service provided to a </span><span>care recipient in a residential aged care facility, at a residential aged care facility,</span><span> by an eligible physiotherapist if all of the following apply:</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs;</span></p><p style="margin-left:26.25pt; text-indent:-18pt; line-height:12pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is provided to a person whose chronic or complex care needs is being managed under:</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(i)</span><span> </span><span></span><span></span><span></span><span></span><span>a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475</span><span> </span><span>applies; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(ii)</span><span> </span><span></span><span></span><span></span><span>a shared care plan; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(iii)</span><span> </span><span></span><span></span><span>a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span></span><span>(c)</span><span> </span><span></span><span>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;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(d)</span><span> </span><span></span><span>the service is provided to the person individually and in person; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(e)</span><span> </span><span></span><span>the service is at least 30 minutes in duration; and</span></p><p style="margin-top:3pt; margin-left:27.05pt; margin-bottom:3pt; text-indent:-21.25pt; line-height:12pt"><span>(f)</span><span> </span><span></span><span>after the service, the eligible physiotherapist gives a written report to the referring medical practitioner</span></p><p style="line-height:12pt"><span>not more than once in a calendar year</span></p></td><td style="width:59.95pt; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>97.15</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="vertical-align:top"></td><td colspan="4" style="width:78.5pt; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>93509</span></p></td><td colspan="2" style="width:252.5pt; 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>Podiatry health service provided to a </span><span>care recipient in a residential aged care facility, at a residential aged care facility,</span><span> by an eligible podiatrist if all of the following apply:</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs;</span></p><p style="margin-left:26.25pt; text-indent:-18pt; line-height:12pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is provided to a person whose chronic or complex care needs is being managed under:</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(i)</span><span> </span><span></span><span></span><span></span><span></span><span>a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475</span><span> </span><span>applies; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(ii)</span><span> </span><span></span><span></span><span></span><span>a shared care plan; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(iii)</span><span> </span><span></span><span></span><span>a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span></span><span>(c)</span><span> </span><span></span><span>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;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(d)</span><span> </span><span></span><span>the service is provided to the person individually and in person; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(e)</span><span> </span><span></span><span>the service is at least 30 minutes in duration; and</span></p><p style="margin-top:3pt; margin-left:27.05pt; margin-bottom:3pt; text-indent:-21.25pt; line-height:12pt"><span>(f)</span><span> </span><span></span><span>after the service, the eligible podiatrist gives a written report to the referring medical practitioner</span></p><p style="margin-bottom:3pt; line-height:12pt"><span>not more than once in a calendar year</span></p></td><td style="width:59.95pt; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>97.15</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="vertical-align:top"></td><td colspan="4" style="width:78.5pt; border-top:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>93510</span></p></td><td colspan="2" style="width:252.5pt; 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>Chiropractic health service provided to a </span><span>care recipient in a residential aged care facility, at a residential aged care facility,</span><span> by an eligible chiropractor if all of the following apply:</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs;</span></p><p style="margin-left:26.25pt; text-indent:-18pt; line-height:12pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is provided to a person whose chronic or complex care needs is being managed under:</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(i)</span><span> </span><span></span><span></span><span></span><span></span><span>a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475</span><span> </span><span>applies; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(ii)</span><span> </span><span></span><span></span><span></span><span>a shared care plan; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(iii)</span><span> </span><span></span><span></span><span>a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span></span><span>(c)</span><span> </span><span></span><span>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;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(d)</span><span> </span><span></span><span>the service is provided to the person individually and in person; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(e)</span><span> </span><span></span><span>the service is at least 30 minutes in duration; and</span></p><p style="margin-top:3pt; margin-left:27.05pt; margin-bottom:3pt; text-indent:-21.25pt; line-height:12pt"><span>(f)</span><span> </span><span></span><span>after the service, the eligible chiropractor gives a written report to the referring medical practitioner</span></p><p style="margin-top:3pt; line-height:normal"><span>not more than once in a calendar year</span></p></td><td style="width:59.95pt; border-top:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>97.15</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="vertical-align:top"></td><td colspan="4" style="width:78.5pt; border-top:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>93511</span></p></td><td colspan="2" style="width:252.5pt; 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>Osteopathy health service provided to a </span><span>care recipient in a residential aged care facility, at a residential aged care facility,</span><span> by an eligible osteopath if all of the following apply:</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs;</span></p><p style="margin-left:26.25pt; text-indent:-18pt; line-height:12pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is provided to a person whose chronic or complex care needs is being managed under:</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(i)</span><span> </span><span></span><span></span><span></span><span></span><span>a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475</span><span> </span><span>applies; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(ii)</span><span> </span><span></span><span></span><span></span><span>a shared care plan; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(iii)</span><span> </span><span></span><span></span><span>a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span></span><span>(c)</span><span> </span><span></span><span>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;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(d)</span><span> </span><span></span><span>the service is provided to the person individually and in person; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(e)</span><span> </span><span></span><span>the service is at least 30 minutes in duration; and</span></p><p style="margin-top:3pt; margin-left:27.05pt; margin-bottom:3pt; text-indent:-21.25pt; line-height:12pt"><span>(f)</span><span> </span><span></span><span>after the service, the eligible osteopath gives a written report to the referring medical practitioner</span></p><p><span>not more than once in a calendar year</span></p></td><td style="width:59.95pt; border-top:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>97.15</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="vertical-align:top"></td><td colspan="4" style="width:78.5pt; border-top:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>93512</span></p></td><td colspan="2" style="width:252.5pt; 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>Psychology health service provided to a </span><span>care recipient in a residential aged care facility, at a residential aged care facility,</span><span> by an eligible psychologist if all of the following apply:</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs;</span></p><p style="margin-left:26.25pt; text-indent:-18pt; line-height:12pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is provided to a person whose chronic or complex care needs is being managed under:</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(i)</span><span> </span><span></span><span></span><span></span><span></span><span>a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475</span><span> </span><span>applies; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(ii)</span><span> </span><span></span><span></span><span></span><span>a shared care plan; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(iii)</span><span> </span><span></span><span></span><span>a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span></span><span>(c)</span><span> </span><span></span><span>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;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(d)</span><span> </span><span></span><span>the service is provided to the person individually and in person; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(e)</span><span> </span><span></span><span>the service is at least 30 minutes in duration; and</span></p><p style="margin-top:3pt; margin-left:27.05pt; margin-bottom:3pt; text-indent:-21.25pt; line-height:12pt"><span>(f)</span><span> </span><span></span><span>after the service, the eligible psychologist gives a written report to the referring medical practitioner</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>not more than once in a calendar year</span></p></td><td style="width:59.95pt; border-top:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>97.15</span></p></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td><td style="vertical-align:top"></td></tr><tr><td style="border-bottom:0.75pt solid #000000; vertical-align:top"></td><td colspan="4" style="width:78.5pt; 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="line-height:normal"><span>93513</span></p></td><td colspan="2" style="width:252.5pt; 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>Speech pathology health service provided to a </span><span>care recipient in a residential aged care facility, at a residential aged care facility,</span><span> by an eligible speech pathologist if all of the following apply:</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs;</span></p><p style="margin-left:26.25pt; text-indent:-18pt; line-height:12pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is provided to a person whose chronic or complex care needs is being managed under:</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(i)</span><span> </span><span></span><span></span><span></span><span></span><span>a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475</span><span> </span><span>applies; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(ii)</span><span> </span><span></span><span></span><span></span><span>a shared care plan; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(iii)</span><span> </span><span></span><span></span><span>a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span></span><span>(c)</span><span> </span><span></span><span>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;</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(d)</span><span> </span><span></span><span>the service is provided to the person individually and in person; and</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-20.5pt; line-height:12pt"><span>(e)</span><span> </span><span></span><span>the service is at least 30 minutes in duration; and</span></p><p style="margin-top:3pt; margin-left:27.05pt; margin-bottom:3pt; text-indent:-21.25pt; line-height:12pt"><span>(f)</span><span> </span><span></span><span>after the service, the eligible speech pathologist gives a written report to the referring medical practitioner</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span>not more than once in a calendar year</span></p></td><td style="width:59.95pt; 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="text-align:right; line-height:normal"><span>97.15</span></p></td><td style="border-bottom:0.75pt solid #000000; vertical-align:top"></td><td style="border-bottom:0.75pt solid #000000; vertical-align:top"></td><td style="border-bottom:0.75pt solid #000000; vertical-align:top"></td><td style="border-bottom:0.75pt solid #000000; vertical-align:top"></td></tr><tr><td colspan="10" style="width:427.2pt; border-top:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><table cellspacing="0" cellpadding="0" style="width:104.4%; margin-right:9pt; margin-left:9pt; border-collapse:collapse; float:left"><thead><tr><td style="width:100%; 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—Physical therapy items in RACF</span></p></td></tr></thead></table><table cellspacing="0" cellpadding="0" style="width:427.15pt; border-collapse:collapse"><tbody><tr style="height:60.75pt"><td colspan="2" style="width:54.3pt; 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>93518</span></p></td><td colspan="3" style="width:296.85pt; 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>Additional exercise physiology health service provided to a </span><span>care </span><span>recipient</span><span> in a residential aged care facility, at a residential aged care facility,</span><span> by an eligible exercise physiologist if all of the following apply:</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the person’s chronic or complex care needs are </span><span>assessed</span><span> as requiring additional exercise physiology therapy services in a calendar year;</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the </span><span>service</span><span> is provided to a person whose chronic or complex care needs are being managed under:</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(i)</span><span style="width:16.27pt; text-indent:0pt; display:inline-block"> </span><span>a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(ii)</span><span style="width:13.21pt; text-indent:0pt; display:inline-block"> </span><span>a </span><span>shared</span><span> care plan; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(iii)</span><span style="width:10.16pt; text-indent:0pt; display:inline-block"> </span><span>GP Management Plan and Team Care </span><span>Arrangements</span><span>, where the chronic or complex condition was being treated prior to the person receiving residential care;</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(c)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the person is referred to the eligible exercise </span><span>physiologist</span><span> 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;</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(d)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is provided to the person individually and </span><span>in</span><span> person;</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(e)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the service is at least 20 minutes in duration;</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(f)</span><span style="width:7.01pt; text-indent:0pt; display:inline-block"> </span><span>after</span><span> the service, the eligible exercise physiologist gives a written report to the referring medical practitioner</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(i)</span><span style="width:16.27pt; text-indent:0pt; display:inline-block"> </span><span>if the service is the only service under the </span><span>referral</span><span> – in relation to that service; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(ii)</span><span style="width:13.21pt; text-indent:0pt; display:inline-block"> </span><span>if the service is the first or last service under the </span><span>referral</span><span> – in relation to that service; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(iii)</span><span style="width:10.16pt; text-indent:0pt; display:inline-block"> </span><span>if neither subparagraph</span><span> </span><span>(i) nor (ii) applies but the </span><span>service</span><span> involves matters that the referring medical practitioner would reasonably expect to be informed of – in relation to those matters</span></p></td><td colspan="2" style="width:43.9pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; page-break-after:avoid; line-height:12pt"><span>64.80</span></p></td></tr><tr><td style="border-top:0.75pt solid #000000; vertical-align:top"></td><td colspan="2" style="width:57.95pt; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="line-height:normal"><span>93519</span></p></td><td style="width:257.35pt; border-bottom:1pt 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>Additional occupational therapy health service provided to a </span><span>care recipient in a residential aged care facility, at a residential aged care facility,</span><span> by an eligible occupational therapist if all of the following apply:</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the person’s chronic or complex care needs are assessed as requiring additional occupational therapy services in a calendar year;</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is provided to a person whose chronic or complex care needs are being managed under:</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(i)</span><span style="width:16.27pt; text-indent:0pt; display:inline-block"> </span><span>a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(ii)</span><span style="width:13.21pt; text-indent:0pt; display:inline-block"> </span><span>a shared care plan; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(iii)</span><span style="width:10.16pt; text-indent:0pt; display:inline-block"> </span><span>a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(c)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>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;</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(d)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is provided to the person individually and in person;</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(e)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the service is at least 20 minutes in duration;</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(f)</span><span style="width:7.01pt; text-indent:0pt; display:inline-block"> </span><span>after the service, the eligible occupational therapist gives a written report to the referring medical practitioner:</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(i)</span><span style="width:16.27pt; text-indent:0pt; display:inline-block"> </span><span>if the service is the only service under the referral – in relation to that service; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(ii)</span><span style="width:13.21pt; text-indent:0pt; display:inline-block"> </span><span>if the service is the first or last service under the referral – in relation to that service; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(iii)</span><span style="width:10.16pt; text-indent:0pt; display:inline-block"> </span><span>if neither subparagraph</span><span> </span><span>(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</span></p></td><td colspan="2" style="width:65pt; border-bottom:1pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span>64.80</span></p></td><td style="vertical-align:top"></td></tr><tr style="height:60.75pt"><td colspan="2" style="width:54.3pt; 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>93520</span></p></td><td colspan="3" style="width:296.85pt; 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>Additi</span><span>onal physiotherapy health service provided to a </span><span>care recipient in a residential aged care facility, at a residential aged care facility,</span><span> by an eligible physiotherapist if all of the following apply:</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(a)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the person’s chronic or complex care needs are assessed as requiring additional physiotherapy services in a calendar year;</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(b)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is provided to a person whose chronic or complex care needs are being managed under:</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(i)</span><span style="width:16.27pt; text-indent:0pt; display:inline-block"> </span><span>a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(ii)</span><span style="width:13.21pt; text-indent:0pt; display:inline-block"> </span><span>a shared care plan; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(iii)</span><span style="width:10.16pt; text-indent:0pt; display:inline-block"> </span><span>a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care;</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(c)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>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;</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(d)</span><span style="width:5.17pt; text-indent:0pt; display:inline-block"> </span><span>the service is provided to the person individually and in person;</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(e)</span><span style="width:5.79pt; text-indent:0pt; display:inline-block"> </span><span>the service is at least 20 minutes in duration;</span></p><p style="margin-left:26.25pt; margin-bottom:3pt; text-indent:-18pt; line-height:12pt"><span>(f)</span><span style="width:7.01pt; text-indent:0pt; display:inline-block"> </span><span>after the service, the eligible physiotherapist gives a written report to the referring medical practitioner:</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(i)</span><span style="width:16.27pt; text-indent:0pt; display:inline-block"> </span><span>if the service is the only service under the referral – in relation to that service; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(ii)</span><span style="width:13.21pt; text-indent:0pt; display:inline-block"> </span><span>if the service is the first or last service under the referral – in relation to that service; or</span></p><p style="margin-left:47.05pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span>(iii)</span><span style="width:10.16pt; text-indent:0pt; display:inline-block"> </span><span>if neither subparagraph</span><span> </span><span>(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</span></p></td><td colspan="2" style="width:43.9pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; page-break-after:avoid; line-height:12pt"><span>64.80</span></p></td></tr><tr style="height:0pt"><td style="width:1.45pt"></td><td style="width:63.55pt"></td><td style="width:5.1pt"></td><td style="width:268.05pt"></td><td style="width:34.4pt"></td><td style="width:41.3pt"></td><td style="width:13.3pt"></td></tr></tbody></table><p style="line-height:normal"></p></td><td style="width:0.3pt; 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></span></p></td><td style="width:0.3pt; border-top:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="text-align:right; line-height:normal"><span></span></p></td></tr><tr style="height:0pt"><td style="width:0.8pt"></td><td style="width:1.15pt"></td><td style="width:60.1pt"></td><td style="width:23.1pt"></td><td style="width:4.85pt"></td><td style="width:248.5pt"></td><td style="width:14.7pt"></td><td style="width:70.65pt"></td><td style="width:2.6pt"></td><td style="width:11.45pt"></td><td style="width:11pt"></td><td style="width:11pt"></td></tr></tbody></table>