All information is current as at 1 November 2016.

Medication Management reviews

Service type Domiciliary Medication Management Review (DMMR) or Home Medicines Review
MBS Item 900
Or
Residential Medication Management Review (RMMR)
MBS Item 903
Ensure patient / client eligibility Eligibility Criteria
For clients  who would benefit from a review of their medication due to risk factors such as their co-morbidities, age or social circumstances, the type and complexity of their medications or a lack of knowledge and understanding to use medicines effectively.
MBS item 900
Available to clients living in the community who meet the criteria.
MBS Item 903
Available to clients who are permanent residents in a Residential Aged Care Facility (RACF).
Obtain patient consent Explaining the service any other associated costs with the client, gaining and recording consent to proceed.
Role of the GP MBS item 900
Assesses the clients medication management needs, obtains the clients consent; refers the patient to a community pharmacy or an accredited pharmacist for a DMMR, provides relevant clinical information required for the review, discusses with the reviewing pharmacist the results of that review including suggested medication management strategies; and develops a written medication management plan following discussion with the client
MBS Item 903
Discusses and obtains consent for an RMMR from the new or existing resident; collaborates with the reviewing pharmacist regarding the pharmacy component of the review; provides input from the resident's Comprehensive Medical Assessment (CMA), or if a CMA has not been undertaken, provides relevant clinical information for the resident's RMMR; discusses findings of the pharmacist review and proposed medication management strategies with the reviewing pharmacist (unless exceptions apply); develops and/or revises a written medication plan for the resident; and consults with the resident to discuss the medication management plan and its implementation.
Risk factors for medication related adverse events conference A client currently taking five or more regular medications; more than 12 doses of medication per day; significant changes made to medication in the last three months; medications with a narrow therapeutic index or medications requiring therapeutic monitoring; symptoms suggestive of an adverse drug reaction; sub-optimal response to treatment with medicines; suspected non-compliance or inability to manage medication related therapeutic devices; difficulty managing their own medicines because of literacy or language difficulties, dexterity problems or impaired sight, confusion/dementia or other cognitive difficulties; patients attending a number of different doctors, both general practitioners and specialists; and recent discharge from a facility / hospital (in the last four weeks).
Frequency of service

MBS Item 900 and MBS Item 903
Every 12 months unless there has been a significant change in the clients condition or medication regime.

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