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Most Doctors know about Mental Health Care Plans, however there are a number of other billable Medicare items relating to Psychology Services. The following section outlines other service options to assist you in securing appr-opriate patient care and provides information about the Medicare Mental Health changes (Effective 01/11/11).
 
Mental Health Treatment Plans
 
Please click HERE for information regarding Mental Health Treatment Plans.
 
Enhanced Primary Care / Chronic Disease Management Plans
 
To be eligible for this item patients have a chronic condition and complex care needs that are being managed under a GP Management Plan and Team Care Arrangements. For this service, patients must have received the following two MBS items in the previous two years:
 
  • GP Management Plan - MBS item 721 (or review item 725 AND
  • Team Care Arrangements - MBS item 723 (or review item 727)
 
A chronic medical condition is one that has been, or is likely to be, present for at least six months. Chronic medical conditions include (but are not limited to):
 
  • Asthma
  • Cancer
  • Cardiovascular Illness
  • Diabetes Mellitus
  • Musculoskeletal Conditions
  • Stroke
 
Pregnancy Support Counselling
 
Medicare benefits are available for non-directive pregnancy support counselling services provided to women who are concerned about a current pregnancy, or a pregnancy that occurred in the preceding 12 months.
 
Services can be provided either by an eligible GP or by an eligible psychologist, social worker or mental health nurse on referral from a GP.
 
Children with autism, pervasive developmental disorder or disability
 
MBS items 82000 to 82035 are for allied health professional services for children with autism, pervasive developmental disorder (PDD) or disability.
 
Assessment and diagnosis and development of a treatment plan (items 82000-82010 and 82030) apply to children aged under 13 years, where the child is refer-red by an eligible consultant psychiatrist or paediatrician for autism/PDD or by a specialist, consultant physician or general practitioner for disability.
 
Treatment services (items 82015-82025 and 82035) apply to children aged under 15 years, where the child was aged under 13 years at the time of receiving an autism/PDD or disability management and treatment plan.
 
Follow-up Allied Health Services for Aboriginal and Torres Strait Islander Peoples who have had a Health Assessment
 
Items 81300 to 81360 can be accessed by Aboriginal and Torres Strait Islander peoples who have had a health assessment.
 
A person who is of Aboriginal or Torres Strait Islander descent may be referred
by their GP for allied health services under these items when the GP has under-taken a health assessment and identified a need for allied health services.
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