The MBS is a listing of the Medicare services subsidised by the Australian government. See MBS Online for the latest information and updates.
The Department of Human Services for Health Professionals site provides information about doing business with Medicare for your practice as well as individual health professionals. You can also contact Medicare on 132 150.
Information for the community on Medicare and other Department of Human Services programs can be found here.
The After hours other medical practitioners programme (AHOMPs) provides access to the higher GP Medicare rebates (Group A11 and A22) for after-hours general practice services provided through an accredited general practice or an accredited Medical Deputising Service (MDS) by eligible, non-vocationally recognised general practices.
The intent of the AHOMPs Programme is to recognise the value of after-hours services provided by non-vocationally recognised general practitioners and to provide substantial financial benefits for their patients.
For more information go to Department of Health website.
Chronic disease management (CDM) items assist GPs to plan and coordinate the care of patients with chronic or terminal medical conditions, including patients who require multidisciplinary, team-based care from a GP and at least two other health or care providers.
Your patients who have, or will have, a chronic condition for at least six months are eligible for a GP Management Plan (GPMP) (721). Patients who also have complex care needs are also eligible for Team Care Arrangements (TCA) (723).
Patients who have both a GPMP (item 721) and TCAs (item 723) and residents of aged care facilities may also be eligible for up to five individual allied health services per year (items 10950-10970) and people with a GPMP who have diabetes can access rebates for allied health group services (items 81100 to 81125).
You will find fact sheets and proformas regarding completing GPMP/TCAs and claiming related MBS at the Medicare website. The Frequently Used Desktop Guide to Item Numbers provides a comprehensive summary of the full range of chronic disease items and how they are used.
Information for consumers on chronic disease and CDM items is available here.
Assessment of your patient's health and physical, psychological and social function and a determination on whether preventative health care and education should be considered.
There are Medicare rebates available for these health assessments:
You will find fact sheets, proformas and MBS item numbers for all health assessments at the Medicare website. Information on assessments and other services for refugees, people with a disability, children with autism and people with diabetes are also available.
Aboriginal and Torres Strait Islander patients with a GP Management Plan (GPMP) or Team Care Arrangement (TCA) may also access support provided by practice nurse or Aboriginal and Torres Strait Islander health practitioner on behalf of the GP (item 10997). Click here for information
Our Resources page contains a collection of templates and other resources that will assist your practice in effectively utilising MBS chronic disease items.
The Department of Veterans’ Affairs Coordinated Veterans’ Care Program (CVC) is a planned and coordinated health care model for eligible Gold Card holders who have a chronic condition, complex care needs and are at risk of unplanned hospitalisation. For information including useful assessment and patient self-assessment tools go to the Department of Veterans’ Affairs website.
GP Mental Health Treatment items provide a structured framework for GPs to undertake early intervention, assessment and management of patients with mental disorders, as well as providing referral pathways to clinical psychologists, registered psychologists, and appropriately trained social workers and occupational therapists. They are:
ATAPS (access to allied psychological services) enables GPs to refer consumers to ATAPS mental health professionals who deliver focussed psychological strategies services.
ATAPS mental health professionals include psychologists, social workers, mental health nurses, occupational therapists and Aboriginal and Torres Strait Islander health workers with specific mental health qualifications.
Through ATAPS, patients are eligible for a maximum of 12 individual and/or group therapy sessions per calendar year - six time-limited sessions with an option for a further six sessions following a mental health review by the referring GP. In addition, the referring practitioner may consider that in exceptional circumstances the patient may require an additional six individual focussed psychological strategies services above those already provided (up to a maximum total of 18 individual services per patient per calendar year).
Further ATAPS information can be found here.
The Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule (Better Access) initiative aims to improve outcomes for people with a clinically-diagnosed mental disorder through evidence-based treatment. Under this initiative, Medicare rebates are available to patients for selected mental health services provided by general practitioners (GPs), psychiatrists, psychologists (clinical and registered) and eligible social workers and occupational therapists. A patient fact sheet on Better access can be found here.
For further information on mental health please go to our Mental Health page.
Information about Government-subsidised dental services is available on the Department of Health website.
Information for your patients/clients on how to find health providers can be found on the National Health Service Directory.
HealthPathways provides useful localised information about management and referral options.
Information about the Practice Incentives Program (PIP) including Medicare Service Incentive Payments (SIP) is available on our PIP page.
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