Document ID: chunk:federal_register_of_legislation:F2024L00144:reg:65:p31
Version: federal_register_of_legislation:F2024L00144
Segment Type: reg
Provision Reference: reg 65 (pt 31/38)
Character Range: 130974–135228

patient's condition and the agreed goals for the program. A plan is then made of the services or goods required and the frequency and duration of the services. Typically, a medical practitioner would undertake the assessment and formulate the plan. The plan should include arrangements to review the program in order to assess whether the intended clinical outcomes are being achieved and that the patient is complying with the plan.

                                           Services provided as part of a CDMP must be planned as described in the Private Health Insurance (Health Insurance Business) Rules 2018.

Risk Factors for chronic disease           Means, but is not limited to:

                                              (a)        lifestyle risk factors, including, but not limited to, smoking, physical inactivity, poor nutrition or alcohol misuse;
                                              (b)       biomedical risk factors, such as high cholesterol, high blood pressure, impaired glucose metabolism or excess weight; and
                                              (c)        family history of a chronic disease.

                                           (Private Health Insurance (Health Insurance Business) Rules 2018)

Types of Allied Health Professionals

The eligibility criteria for allied health professionals providing new Medicare services provides definitions of each type of allied health professional eligible to claim a Medicare rebate for their services.

The definitions below are taken from: Eligibility criteria for allied health professionals providing new Medicare services. This document is published by the Department of Health and Ageing and is available at: http://www.health.gov.au/internet/wcms/publishing.nsf/content/health-medicare-health_pro-gp-pdf-eligibility-cnt.htm.

Aboriginal Health Workers                                              Practising in the Northern Territory (NT) must be registered with the Aboriginal Health Workers Board of the NT; in other States and the Australian Capital Territory they must have been awarded a Certificate Level III (or higher) in Aboriginal and Torres Strait Islander Health from a Registered Training Organisation that meets training standards set by the Australian National Training Authority's Australian Quality Training Framework.

Audiologists                                                           Must be either a 'Full Member' of the Audiological Society of Australia Inc (ASA), who holds a 'Certificate of Clinical Practice' issued by the ASA; or an 'Ordinary Member – Audiologist' or 'Fellow Audiologist' of the Australian College of Audiology (ACAud).

Chiropractors                                                          Must be registered with the Chiropractors (or Chiropractors and Osteopaths) Registration Board in the State or Territory in which they are practising.

Diabetes Educators                                                     Must be a Credentialled Diabetes Educator (CDE) as credentialled by the Australian Diabetes Educators Association (ADEA).

Dietitians                                                             Must be an 'Accredited Practising Dietitian' as recognised by the Dietitians Association of Australia (DAA).

Exercise Physiologists                                                 Must be an 'Accredited Exercise Physiologist' as accredited by the Australian Association for Exercise and Sports Science (AAESS).

Mental Health Workers                                                  'Mental health' can include services provided by members of five different allied health professional groups. 'Mental health workers' are drawn from the following:

                                                                            * psychologists;
                                                                            * mental health nurses;
                                                                            * occupational therapists;
                                                                            * social workers; and
                                                                            * Aboriginal health workers.

Psychologists, occupational