Document ID: chunk:federal_register_of_legislation:F2025C00025:clause:2_82332:p2
Version: federal_register_of_legislation:F2025C00025
Segment Type: clause
Provision Reference: sch 2 cl 82332 (pt 2/4)
Character Range: 251447–254223

is given that additional services should be provided under the plan; or
 (d) the service is provided after the patient has already been provided with 20 services under the plan but before recommendations that additional services should be provided under the plan are given by each of the following:
 (i) a medical practitioner (other than a specialist or consultant physician);
 (ii) a consultant physician practising in the specialty of psychiatry or paediatrics; or
 (e) the service is provided after the patient has already been provided with 30 services under the plan but before a recommendation is given by a reviewing practitioner that additional services should be provided.
        (3) A reviewing practitioner may recommend that additional services be provided under a plan only if:
 (a) the recommendation is made as part of a service to which an item in Subgroup 3 of Group A36 of the general medical services table or Subgroup 25 or 26 of Group A40 of the Telehealth and Telephone Determination applies; and
 (b) the service is provided:
 (i) for the purposes of paragraph (2)(c)—after the patient has been provided with 10 services under the plan; and
 (ii) for the purposes of paragraph (2)(d)—after the patient has been provided with 20 services under the plan; and
 (iii) for the purposes of paragraph (2)(e)—after the patient has been provided with 30 services under the plan; and
 (c) the practitioner records the recommendation in the patient's records.
        (4) For the purposes of this clause, in counting the services providing treatments under a plan, only count the services to which any of the following apply:
 (a) items 283, 285, 286, 287, 309, 311, 313, 315, 371 and 372;
 (b) items 2721, 2723, 2725, 2727, 2739, 2741, 2743 and 2745;
 (c) items in Groups M6, M7 and M16 other than item 82350;
 (d) items 90271, 90272, 90273, 90274, 90275, 90276, 90277 and 90278;
 (e) items 91166, 91167, 91168, 91169, 91170, 91171, 91172, 91173, 91174, 91175, 91176, 91177, 91181 to 91188, 91194, 91195, 91196, 91197, 91198, 91199, 91200, 91201, 91202, 91203, 91204, 91205, 91818, 91819, 91820, 91821, 91842, 91843, 91844, 91845, 91859, 91861, 91862, 91863, 91864, 91865, 91866, 91867, 92182, 92184, 92186, 92188, 92194, 92196, 92198, 92200, 93076, 93079, 93084. 93087, 93092, 93095, 93100, 93103, 93110, 93113, 93118, 93121, 93126, 93129, 93134 and 93137.
        (5) For any particular patient, an item in Subgroup 1 of Group M16 does not apply to a service if the patient has had 20 eating disorder dietetic treatment services in a 12 month period commencing from the provision of an eating disorder treatment and management plan.
        (6)     For an item in Subgroup 2 of Group M16, a patient is an eligible patient if the patient meets the requirements