Source: https://www.legislation.gov.au/Details/F2010L02640
Timestamp: 2019-11-20 04:39:02
Document Index: 165173937

Matched Legal Cases: ['art 2', 'art 3', 'art 1', 'art 2', 'art 1', 'art 1', 'art 1', 'art 1', 'art 1', 'art 1', 'art 1', 'art 1', 'art 1', 'art 1', 'art 2', 'art 2', 'art 2', 'art 2', 'art 2', 'art 2', 'art 1', 'art 2']

Health Insurance (Midwife and Nurse Practitioner) Determination 2010
Details: F2010L02640
- F2010L02640
This Determination continues the implementation of the new arrangements to enhance and expand the role of midwives and nurse practitioners working in collaboration with medical practitioners, to allow them to take a greater role in providing quality health care by creating new Medicare items for services provided by participating midwives and participating nurse practitioners.
Registered 07 Oct 2010
Date of repeal 01 Nov 2011
Repealed by Health Insurance (Midwife and Nurse Practitioner) Determination 2011
Part 2 Midwifery services
5 Treatment of midwifery services 4
6 Requirements — collaborative arrangements 4
7 Other requirements 4
8 Labour and delivery 6
Part 3 Nurse practitioner services
9 Treatment of nurse practitioner services 7
10 Requirements — collaborative arrangements and scope of practice 7
11 Other requirements 7
Schedule 1 Services and fees 9
Part 1 Midwifery services and fees 9
Part 2 Nurse practitioner services and fees 12
This Determination is the Health Insurance (Midwife and Nurse Practitioner) Determination 2010.
This Determination commences on 1 November 2010.
· participating nurse practitioner.
5 Treatment of midwifery services
For subsection 3C (1) of the Act, a midwifery service provided in accordance with this Determination is to be treated, for the relevant provisions, as if:
(ii) mentioned, for the service, a fee in relation to each State, being the fee mentioned in the item in Part 1 of Schedule 1 for the service.
6 Requirements — collaborative arrangements
For a patient, an item in Part 1 of Schedule 1 applies only if the service mentioned in that item is provided to the patient in accordance with a collaborative arrangement applying to that patient.
(1) Items 82100 to 82140 in Part 1 of Schedule 1 apply to a service only if:
(a) the service is provided in the course of a personal attendance on a single patient on a single occasion by a single participating midwife; and
(3) Items 82100 to 82140 in Part 1 of Schedule 1 do not apply to a service provided for a patient if the patient is not in attendance.
Examples — patient not in attendance
1 Completing patient records.
2 Issuing repeat prescriptions.
3 Telephone attendances.
(4) In items 82100 to 82115 and 82130 to 82140 in Part 1 of Schedule 1:
professional attendance includes the provision, for a patient, of any of the following services:
(5) However, a professional attendance does not include the supply of a vaccine to a patient if:
(a) the vaccine is supplied to the patient in connection with a professional attendance mentioned in any of items 82100 to 82115 and 82130 to 82140 in Part 1 of Schedule 1; and
(b) the cost of the vaccine is not subsidised by the Commonwealth or a State.
8 Labour and delivery
(1) Items 82120 and 82125 in Part 1 of Schedule 1 apply only to a service provided by a participating midwife during a period of exclusive and continuous care of a patient in labour.
(2) Items 82120 and 82125 in Part 1 of Schedule 1 do not apply if, before labour, the patient’s care is transferred to an obstetrician or medical practitioner who provides obstetric services, for the obstetrician or practitioner to manage the labour and delivery.
(3) Item 82120 in Part 1 of Schedule 1 applies to a service provided by a participating midwife (the first midwife) who manages a patient’s confinement, but does not undertake the delivery, only if:
(a) the patient’s care was transferred from the first midwife to another midwife because labour had exceeded 12 hours; or
(b) there was a clinical need to transfer the patient’s care to an obstetrician or medical practitioner who provides obstetric services.
(4) Item 82125 in Part 1 of Schedule 1 applies to services provided by a participating midwife (the second midwife) who manages a patient’s confinement, but does not undertake the delivery, only if:
(a) the patient’s care was transferred from the second midwife to another midwife because labour had exceeded 24 hours; or
9 Treatment of nurse practitioner services
For subsection 3C (1) of the Act, a nurse practitioner service provided in accordance with this Determination is to be treated, for the relevant provisions, as if:
(ii) mentioned, for the service, a fee in relation to each State, being the fee mentioned in the item in Part 2 of Schedule 1 relating to the service.
10 Requirements — collaborative arrangements and scope of practice
(1) For a patient, an item in Part 2 of Schedule 1 applies only if the service mentioned in that item is:
(a) provided to the patient in accordance with a collaborative arrangement applying to that patient; and
(b) within the scope of practice of the participating nurse practitioner who provides the service.
collaborative arrangement, for a participating nurse practitioner’s patient, means a collaborative arrangement mentioned in regulation 2F of the Health Insurance Regulations 1975.
(1) Items 82200 to 82215 in Part 2 of Schedule 1 apply to a service only if:
(a) the service is provided in the course of a personal attendance on a single patient on a single occasion by a single participating nurse practitioner; and
(b) the nurse practitioner:
(3) Items 82200 to 82215 in Part 2 of Schedule 1 do not apply to a service provided for a patient if the patient is not in attendance.
(4) In items 82200 to 82215 in Part 2 of Schedule 1:
(a) the vaccine is supplied to the patient in connection with a professional attendance mentioned in any of items 82200 to 82215 in Part 2 of Schedule 1; and
(sections 5 and 9)
Part 1 Midwifery services and fees
Initial antenatal professional attendance by a participating midwife, lasting at least 40 minutes, including all of the following:
Short antenatal professional attendance by a participating midwife, lasting up to 40 minutes
Long antenatal professional attendance by a participating midwife, lasting at least 40 minutes
Professional attendance by a participating midwife, lasting at least 90 minutes, for assessment and preparation of a maternity care plan for a patient whose pregnancy has progressed beyond 20 weeks, if:
(a) the patient is not an admitted patient of a hospital; and
(b) the participating midwife undertakes a comprehensive assessment of the patient; and
(c) the participating midwife develops a written maternity care plan that contains:
(i) outcomes of the assessment; and
(ii) details of agreed expectations for care during pregnancy, labour and delivery; and
(iii) details of any health problems or care needs; and
(iv) details of collaborative arrangements that apply to the patient; and
(v) details of any medication taken by the patient during the pregnancy, and any additional medication that may be required by the patient; and
(vi) details of any referrals or requests for pathology services or diagnostic imaging services for the patient during the pregnancy, and any additional referrals or requests that may be required for the patient; and
(d) the maternity care plan is explained and agreed with the patient; and
(e) the fee does not include any amount for the management of labour and delivery
(Includes any antenatal attendance provided on the same occasion)
Management of confinement, including delivery (if undertaken), when care is transferred from 1 participating midwife to another participating midwife (the second participating midwife), if:
(c) the second participating midwife:
(Includes all attendances related to the confinement by the second participating midwife)
Payable only once for any pregnancy (H)
Long postnatal professional attendance by a participating midwife, lasting at least 40 minutes, within 6 weeks after delivery
Postnatal professional attendance by a participating midwife on a patient, not less than 6 weeks but not more than 7 weeks after delivery of a baby, including:
(a) a comprehensive examination of the patient and baby to ensure normal postnatal recovery; and
Part 2 Nurse practitioner services and fees
Professional attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management
(a) taking a history;
(b) undertaking clinical examination;
for 1 or more health related issues, with appropriate documentation
Professional attendance by a participating nurse practitioner lasting at least 20 minutes and including any of the following:
(a) taking a detailed history;
(a) taking an extensive history;