All information is current as at 1 November 2016.

Health Assessments

Service type Health Assessments
MBS 701-Brief (≤30 mins); MBS 703 - Standard (30-45 mins);
MBS 705-Long (45-60 mins); MBS 707 - Prolonged (60 mins or more)
Time related health assessments are determined by the complexity of the client's presentation and the specific requirements that have been established for each eligible client group.
Ensure patient / client eligibility Eligibility Criteria
A) People aged 45-49 years with a high risk of developing type 2 Diabetes as per DRAT*.
B) People aged between the age of 45 and 49 who are at risk of developing a chronic disease.
C) People aged 75 years and older.
D) Permanent residents of a Residential Aged Care Facility.
E) People who have an Intellectual disability.
F) Humanitarian entrants who are resident in Australia with access to Medicare services, including Refugees and Special Humanitarian Program and Protection program entrants.
G) Former serving members of the Australian Defence Force including former members of permanent and reserve forces.
Obtain patient consent Explaining the service any other associated costs with the client, gaining and recording consent to proceed.
Role of the GP Ultimate responsibility for delivery of the service, which must include a personal attendance by a GP with the client which may or may not include the clients' carer or representative as necessary.
Role of the PN or AHW To assist in the collection of information, providing patients with information about recommended interventions at the direction of the GP.
Health assessment elements

Information collection, including taking a patient history and undertaking or arranging examinations  and investigations as required; making an overall assessment of the patient; recommending appropriate interventions; providing advice and information to the patient; keeping a record of the health assessment, and offering the patient a written report about the health assessment, with recommendations about matters covered by the health assessment; offering the patient's carer (if any, and if the medical practitioner considers it appropriate and the patient agrees) a copy of the report or extracts of the report relevant to the carer.

Frequency of service (Once every 3 years)
People aged 45-49 years with a high risk of developing type 2 Diabetes as per DRAT.
(Once only)
People aged between the age of 45 and 49 who are at risk of developing a chronic disease; Humanitarian entrants who are resident in Australia with access to Medicare services, including Refugees and Special Humanitarian Program and Protection program entrants; Former serving members of the Australian Defence Force including former members of permanent and reserve forces.
(Provided annually)
People aged 75 years and older; Comprehensive Medical Assessment for Permanent residents of a Residential Aged Care Facility; People who have an Intellectual disability.
Associated MBS items Item 701; Item 703; Item 705; Item 707 Health Assessments
Further information 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

Health Assessments for Aboriginal and Torres Strait Islanders

Service type Aboriginal and Torres Strait Islander Health Assessment
MBS 715

Ensure patient / client eligibility Eligibility Criteria
A person who is of Aboriginal or Torres Strait Islander descent in the following age ranges Children between ages of 0 and 14 years;  Adults between the ages of 15 and 54 years and Older people over the age of 55 years
Obtain patient consent Explaining the service and any other associated costs with the client, gaining and recording consent to proceed
Role of the GP Ultimate responsibility for delivery of the service, which must include a personal attendance by a GP
Role of the PN or AHW To assist in the collection of information, providing patients with information about recommended interventions at the direction of the GP
Develop a plan Elements of a Health Assessment
Information collection, including taking a patient history  and undertaking or arranging examinations  and investigations as required; making an overall assessment of the patient; recommending appropriate interventions;  providing advice and information to the patient; keeping a record of the health assessment, and offering the patient a written report about the health assessment, with recommendations about matters covered by the health assessment and in the instance where required offering a copy or extracts to the carer. At each life stage ie children; adult and older person there specific criteria related to obtaining a patient history; psychosocial examination and investigations.
Frequency of service Many be provided every 9 months.
Associated MBS items If after receiving a health assessment, a patient who is fifteen years and over but under the age of 55 years, is identified as having a high risk of developing type 2 diabetes as determined by the DRATS Australian Type 2 Diabetes Risk Assessment Tool, the medical practitioner may refer that person to a subsidised lifestyle modification program, along with other possible strategies to improve the health status of the patient.
Further information 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

More information

GP-led care planning and access to MBS-rebates for allied health services for clients with chronic disease and complex care needs

Clients living in the community with at least one medical condition that has been present for more than six months or is terminal and requires care from at least 3 collaborating health care providers (including the GP) are eligible for up to five Medicare rebates per calendar year for allied health services provided by Medicare-registered providers if during the last two years their usual GP has prepared a care plan for them and:

  • has claimed a GP Management Plan service (#721) and Coordination of Team Care Arrangements (#723) service, or
  • has claimed a Review of GP Management Plan (#732) or Coordinate a Review of Team Care Arrangements (#732) service.

Note that the GP must refer to allied health providers using the referral form issued by the Department of Health, or another form that is similar and contains all the components of that form.

Chronic Disease management items are designed for patients who require a structured approach, including those requiring ongoing care from a multidisciplinary team.

Client eligibility for MBS-rebates for allied health services

For clients living in the community a chronic medical condition is one that has been (or is likely to be) present for six months or longer.

Patients who have a chronic medical condition and complex care needs and are being managed by their GP under a GP Management Plan (MBS item 721) and Team Care Arrangements (MBS item 723) are eligible for up to five Medicare rebates per calendar year for certain allied health services on referral from their GP.
GPs are required to refer patients for services recommended in their care plan, using the referral form issued by the Department or a form that contains all the components of the Department's form.

Care planning with general practice

The Victorian Government has provided advice to agencies in relation to involving GPs through GPMP.