Document ID: chunk:federal_register_of_legislation:F2024C01086:clause:1_4:p1
Version: federal_register_of_legislation:F2024C01086
Segment Type: clause
Provision Reference: sch 1 cl 4 (pt 1/2)
Character Range: 286218–289140

4                                                                                      731 and 232                                                                               The patient:
                                                                                                                                                                                 (a) requires ongoing care from at least 3 collaborating providers, each of whom provides a different kind of treatment or service to the patient, and at least one of whom is a medical practitioner; and
                                                                                                                                                                                 (b) is a care recipient in a residential aged care facility

 (1A) Despite subclause (1), items 723, 732, 230 and 233 also apply to a service for a patient if:
 (a) the service is provided for the purpose of coordinating the development of team care arrangements, or coordinating a review of team care arrangements, for the patient; and
 (b) the patient:
 (i) is referred for a service to which any of the following items apply:
 (A) an item in Subgroup 2 of Group A20;
 (B) an item in Subgroup 9 of Group A7;
 (C) an item in Subgroup 3 or 10 of Group A40;
 (D) an item in Group M6 or M7;
 (E) an item in Subgroup 1, 2, 3, 4, 6, 7, 8 or 9 of Group M18; or
 (ii) has an eating disorder treatment and management plan; and
 (c) the patient is described in column 2 of an item in table 2.16.9.
 (2) For this clause, a collaborating provider is a person who:
 (a) provides treatment or a service to a patient; and
 (b) is not an unpaid carer of the patient.

2.16.10  Restrictions on items 721, 723, 732, 229, 230 and 233

Items 721, 723 and 732
 (1) Items 721, 723 and 732 apply only to a service provided in the course of personal attendance by a single general practitioner on a single patient.

Items 229, 230 and 233
 (2) Items 229, 230 and 233 apply only to a service provided in the course of personal attendance by a single prescribed medical practitioner on a single patient.

2.16.11  Restrictions on other items—services provided on same day as services in items 721, 723, 732, 229, 230 and 233
  The following items do not apply to a service described in the item that is provided by a medical practitioner or a prescribed medical practitioner, if the service is provided on the same day for the same patient for whom the practitioner provides a service described in item 721, 723, 732, 229, 230 or 233:
 (a) items 3, 4, 23, 24, 36, 37, 44, 47, 52, 53, 54, 57, 58, 59, 60, 65, 123, 124, 151 and 165;
 (b) items 179, 181, 185, 187, 189, 191, 203, 206, 301, 303, 733, 737, 741, 745, 761, 763, 766, 769, 2197 and 2198;
 (c) items 585, 588, 591, 594, 599 and 600;
 (d) items 5000, 5003, 5020, 5023, 5040, 5043, 5060, 5063, 5071 and 5076;
 (e) items 5200, 5203, 5207, 5208,