• Bulk billing incentive 10991 ($8.90) ³
• Contribution to Multidisplinary Care Plan for resident in Aged Care Facility731
• PN or AHW providing chronic disease support and monitoring, item 10997($11.80) only if a 731 has already been claimed
• RMMR 903

• The Pink Peril - CMA resident information form for ACFs to give to practices
• CMA template, print (PDF) or Word version (meets ACFI requirements)
• Medical Director CDM referral forms for Allied Health Worker
• MedTech CDM referral forms for Allied Health Worker
• Referral form for Allied Health Group Services under Medicare for patients with type 2 diabetes
• 712 CMA assessment for Medical Director

CMA Fact Sheet, checklist and flowchart.

Don't want to do a CMA, but want to inform ACF of resident's care needs? Use this medical directive letter.

BHS protocol for practice nurses attending RACFs

Provision of a type 2 diabetes risk evaluation for a patient who is 40 to 49 years of age (inclusive) with a high risk of developing type 2 diabetes as determined by a score ≥ 12 using the Australian Type 2 Diabetes Risk Assessment Tool(AUSDRISK)

• Bulk billing incentive 10991 ($8.90) ³
• referral to a local Lifestyle Modification Program (details)

• NEVDGP's LMP referral for Medical Director (suitable for referral of all patients over 40 to both a Lifestyle Modification Program (LMP) or Life! program)
• DoHA's printable GP referral form (suitable for referral of patients 40-49 years of age to a LMP)
• Risk Assessment Tool (AusDrisk) and Health Assessment templates available for Medical Director and ZedMed

• Cannot bill within 3 years of a previous 40-49 yr health check or a 45-49 yr health check.
• GP Checklist for Type 2 Diabetes Risk Assessment (fees, patient eligibility, components of evaluation, follow-up)
• MBS explanatory notes on this item

ATSI only: item 10987, follow up by PN or AHW ($23.55) max 10 per year

• Bulk billing incentive 10991 ($8.90) ³
• GP Management Plan 721 and review 732
• Team Care Arrangement 723 and review 732
• Contribution to Multidisciplinary Care Plan 729
• Home Medicine Review 900
• GP Mental Health Care Plan 2710

Additional ATSI-only follow-up allied health services ($61.10) max 5 per calendar year

Assessments differ based on age:

• 0-14 assessment form
• 15-54 assessment form
• 55+ assessment form

• Medical Director template kindly supplied by Katrina Hishon of Baarlinjan Clinic
• Medical Director users can select a patient, go to Assessments, then select Health Assessments
• MedTech32 users can select Module > Clinical > Extended Primary Care > Health Assessment (patient record must be open)

MBS Online's explanatory notes on this item

Not to be claimed more than once in a 9 month period

Steps to MBS claiming pathways for Aboriginal & Torres Strait Islander patients – a 1 page colour chart from Adelaide Northern Division of General Practice (Nov 2011)

Attendance by a GP at a place other than a hospital to undertake a health check for a patient between the age of 45 and 49 (inclusive) at risk of developing a chronic disease.

• Bulk billing incentive 10991 ($8.90) ³
• GP Management Plan 721 and review 732
• Team Care Arrangement 723 and review 732
• Contribution to Multidisciplinary Care Plan 729
• Home Medicine Review 900
• GP Mental Health Care Plan 2710

• Template for Medical Director
• Template for ZedMed
• Template for MedTech32
• Template for Best Practice
• Template for Microsoft Word

Patient invitation letters:

• patient request letter 1
• patient request letter 2
• recall letter

45-49 health check to be billed only once and cannot be billed within 3 years of a 40-49 yr high risk of type 2 diabetes health assessment.

Following a 45-49 year old health check may be eligible for an LMP.

Indigenous people are encouraged to use item 715.

MBS Online's explanatory notes on this item.

45+ health check fact sheet, waiting room poster and tips.

Other resources: LifeScripts, Green Book, Red Book and SNAP

• Baseline ECG - MBS item available, see explanation
• Lung function test, e.g. Piko test or spirometry
• Spirometry MBS item available, see explanation

• Bulk billing incentive 10991 ($8.90) ³
• GP Management Plan 721 and review 732
• Team Care Arrangement 723 and review 732
• Home Medicine Review 900

Health assessment report for disability services to complete.

Pro forma for practices in Word or Medical Director format.

Desktop checklist for the intellectual disability assessment items(supplied by GP South)

DoHA's explanatory notes on this item

A GP guide to patients with ID

Checklist for assessing ID patients

Medical/dental treatment for patients who cannot consent

Syndrome specific list for GPs

• Bulk billing incentive 10991 ($8.90) ³
• Team Care Arrangement 723 and review 732
• PN or AHW providing chronic disease support and monitoring, item 10997($11.80)
• Home Medicine Review 900
• GP Mental Health Care Plan 2710

• Sample management plans for Medical Director: arthritis, breast cancer,COPD, diabetes, IHD, parkinsons and prostate cancer.
• Sample management plans for MedTech32: arthritis, breast cancer,COPD, diabetes, IHD, parkinsons and prostate cancer.
• Sample GPMP & TCA for dementia for Medical Director

DoHA's CDM resources

Patient fact sheet

Recommended freqency is every two years, with a minimum claiming period of twelve months except in exceptional circumstances ¹.

• Bulk billing incentive 10991 ($8.90) ³
• PN or AHW providing chronic disease support and monitoring, item 10997($11.80)
• Referral form for Allied Health Group Services under Medicare for patients with type 2 diabetes

• Templates for Medical Director
• Templates for MedTech32
• PDF & Word referral forms for chronic disease Allied Health (individual) services under Medicare

Recommended frequency is every two years, with a minimum claiming period of twelve months except in exceptional circumstances ¹.

DoHA's CDM resources

• Bulk billing incentive 10991 ($8.90) ³
• PN or AHW providing chronic disease support and monitoring, item 10997($11.80)
• Referral forms for Allied Health Group Services under Medicare for patients with type 2 diabetes

• Tempate for item 729 not currently available
• PDF & Word referral forms for chronic disease Allied Health (individual) services under Medicare

MBS Online's explanatory notes on this item

Recommended frequency is once every six months, with a minimum claiming period of three months except in exceptional circumstances ¹.

• Bulk billing incentive 10991 ($8.90) ³
• PN or AHW providing chronic disease support and monitoring, item 10997($11.80)
• Referral forms for Allied Health Group Services under Medicare for patients with type 2 diabetes

• Referral form for Microsoft Word
• PDF & Word referral forms for chronic disease Allied Health (individual) services under Medicare

MBS Online's explanatory notes on this item

Recommended frequency is once every six months, with a minimum claiming period of three months except in exceptional circumstances ¹.

• Bulk billing incentive 10991 ($8.90) ³
• Team care arrangment 723 ²
• PN or AHW providing chronic disease support and monitoring, item 10997($11.80)

DoHA's CDM resources

Recommended frequency is once every six months, with a minimum claiming period of three months except in exceptional circumstances ¹.

This item number can be claimed twice on the same day where a review of GPManagement Plan & Coordination of Team Care Arrangement Review are completed on that day, otherwise the minimum three month claiming period will be enforced.

MBS online: item 732

• Bulk billing incentive 10991 ($8.90) ³
• GPMP and review
• TCA and review

• Referral form for Medical Director
• Referral form for MedTech32
• Referral and review for print (PDF)

Medicare descriptor

HMR fact sheet and flowchart.

• Pamphlet
• Patient information sheet 1
• Patient information sheet 2

Recommended frequency every twelve months, minimum claiming period can be less than twelve months except in exceptional circumstances ¹.

Residential Medication Management Review (RMMR), a review of the patients' medications occurring in an aged care facility by a pharmacist.

RMMRs can be undertaken in two ways;

• collaborative RMMR initiated by a GP, and/or
• annual RMMR initiated by a pharmacist

GPs can only claim for a collaborative RMMR (item 903) where they have sent a signed referral to the pharmacist. GPs cannot claim for an annual pharmacist RMMR.

• Bulk billing incentive 10991 ($8.90) ³
• CMA (ideally RMMR is done as part of CMA)
• Contribution or review of multi-disciplinary care plan (in RACF) 731

• Referral form for Medical Director
• Referral form for MedTech32
• Referral forms for Word: to a GP and from a GP

Medicare descriptor

RMMR checklist and flowchart.

RMMR info for GPs and RACFs, and some RMMR questions and answers.

Recommended frequency: for new residents on admission to a residential aged care facility should receive this service and may then be claimed every twelve months afterwards. The minimum claiming period can be less than twelve months in exceptional circumstances ¹.

If performed by GP; brief, standard, long or prolonged

If performed by PH or AHW; item 10986

• Healthy kids check flowchart
• You'll need a Health Kids Resource Kit for each child. Call DoHA's National Mailing and Marketing department on 02 6269 1060 to order kits.
• List of local psychologists, you can search for those who specialise in children
• MBS Online's explanatory notes on this item
• DoHA's page on healthy kids check

New govt. program with parent payment: Healthy Start for School

Brief health assessment lasting less than 30 minutes, including:

1. Collection of relevant information, including taking a patient history;
2. A basic physical examination;
3. Initiating interventions and referrals as indicated; and
4. Providing the patient with preventive health care advice and information.

Account must be annotated with service type delivered, e.g. "Risk of Type 2 Diabetes check"

Medicare descriptor

Standard Health Assessment lasting between 30 and 45 minutes, including:

1. Detailed information collection, including taking a patient history;
2. An extensive physical examination;
3. Initiating interventions and referrals as indicated; and
4. Providing a preventive health care strategy for the patient.

Medicare descriptor

Account must be annotated with the service type delivered, e.g. "40-49 YO health check"

Long Health Assessment lasting between 45 and 60 minutes, including:

1. Comprehensive information collection, including taking a patient history;
2. An extensive physical examination of the patients medical condition and function;
3. Initiating interventions and referrals as indicated; and
4. Providing a basic preventive health care management plan for the patient.

Medicare descriptor

Account must be annotated with the service type delivered, e.g. "75+ health assessment or GP management plan"

Prolonged Health Assessment lasting more than 60 minutes, including:

1. Comprehensive information collection, including taking a patient history;
2. An extensive physical examination of the patients medical condition and and physical, psychological and social function;
3. Initiating interventions and referrals as indicated; and
4. Providing a comprehensive preventive health care management plan for the patient.

Medicare descriptor

Account must be annotated with the service type delivered, e.g. "CMA RACF"