Document ID: chunk:federal_register_of_legislation:F2024C01086:clause:1_4:p7
Version: federal_register_of_legislation:F2024C01086
Segment Type: clause
Provision Reference: sch 1 cl 4 (pt 7/8)
Character Range: 383958–386683

the patient's treatment, if, in the calendar year, 6 other services to which any of the following items apply have already been provided to the patient or to the person:
 (A) item 283, 285, 286, 287 309, 311, 313 or 315;
 (B) an item in Subgroup 2 of Group A20;
 (C) item 91818, 91819, 91820, 91821, 91842, 91843, 91844, 91845, 91859, 91861, 91862, 91863, 91864, 91865, 91866 or 91867 of the Telehealth and Telephone Determination applies; or
 (ii) is provided before the prescribed medical practitioner managing the GP mental health treatment plan or the psychiatrist assessment and management plan has conducted a patient review and recorded in the patient's records a recommendation that the patient have additional sessions of focussed psychological strategies in the same calendar year; or
 (b) a service which is provided to a patient, or to a person other than the patient as part of the patient's treatment, if, in the calendar year, 10 other services to which any of the following items apply have already been provided to the patient or to the person:
 (i) item 283, 285, 286, 287, 309, 311, 313, 315, 80000 to 80016, 80100 to 80116, 80125 to 80141, 80150 to 80166, 91166, 91167, 91168, 91169, 91170, 91171, 91172, 91173, 91174, 91175, 91176, 91177, 91181, 91182, 91183, 91184, 91185, 91186, 91187, 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 or 91867;
 (ii) an item in Subgroup 2 of Group A20.
 (3) In addition to the restrictions in subclauses (1) and (2) of this clause, item 309, 311, 313 or 315 applies to a service provided by a prescribed medical practitioner to a person other than the patient only if:
 (a) the prescribed medical practitioner determines it is clinically appropriate to provide focussed psychological strategies services to a person other than the patient, and makes a written record of this determination in the patient's records; and
 (b) the prescribed medical practitioner:
 (i) explains the service to the patient; and
 (ii) obtains the patient's consent for the service to be provided to the other person as part of the patient's treatment; and
 (iii) makes a written record of the consent; and
 (c) the service is provided as part of the patient's treatment; and
 (d) the patient is not in attendance during the provision of the service; and
 (e) in the calendar year, no more than one other service to which item 309, 311, 313, 315, 2739, 2741, 2743, 2745, 80002, 80006, 80012, 80016, 80102, 80106, 80112, 80116, 80129, 80131, 80137, 80141, 80154, 80156, 80162, 80166, 91168, 91171, 91174, 91177, 91194, 91195, 91196, 91197, 91198,