All information is current as at 1 November 2016.
Access to MBS Rebateable (Private) Allied Health Services through GP-led Care Plans
Chronic Disease Management - Individual Allied Health Services
||Clients with Chronic Disease Conditions and complex care needs
Client's who have complex care needs and require ongoing care from a multidisciplinary team consisting of their GP and at least two health or care providers.
|Ensure patient / client eligibility
Clients living in the community that have a chronic disease condition and their GP has produced a GPMP (MBS Item 721) and TCA (MBS Item 723).
Residents living in a residential aged care facility maybe eligible if the GP has contributed or reviewed a multidisciplinary care plan (MBS Item 731).
Item 10950 Aboriginal health worker or Aboriginal and Torres Strait Islander health practitioner service; Item 10951 Diabetes Education; Item 10952 Audiology; Item 10953 Exercise Physiology; Item 10954 Dietetics services; Item 10956 Mental Health Service; Item 10958 Occupational therapy; Item 10960 Physiotherapy; Item 10962 Podiatry; Item 10964 Chiropractic; Item 10966 Osteopathy; Item 10968 Psychology; Item 10970 Speech pathology.
|Role of the GP
||To refer clients to allied health providers for services recommended in their care plan using the referral form issued by the Department of health or a form that contains all the components.
|Contribution of AHW
Services must be at least 20 minutes duration and be provided to an individual patient, with personal attendance with the client.
A written report is required after the first and last service or more often if clinically required.
Reports should include any investigations; tests or assessments carried out on the patient and treatment provided and the ongoing management of the clients condition.
If a provider accepts the Medicare Benefit there will be no out of pocket expenses, if not the patient will have to pay the difference between fee charged and MBS rebate.
5 services per patient each calendar year.
A referral is valid for the stated number of services. If all services are not be used within a calendar year they may be used within the next calendar year. However they will be counted toward the 5 rebates for allied health services available for that calendar year.
||MBS Online - Medicare Benefits Schedule
Australian Department of Health - Primary care (GP, nursing, allied health)
Australian Department of Human Services - Education services for health professionals