Document ID: chunk:federal_register_of_legislation:F2024C01086:clause:1_90215:p4
Version: federal_register_of_legislation:F2024C01086
Segment Type: clause
Provision Reference: sch 1 cl 90215 (pt 4/6)
Character Range: 543624–546508

by a medical practitioner (other than a specialist or consultant physician), and the practitioner considers that it is appropriate for a consultant physician to review the plan, the practitioner must refer the patient to the consultant physician for the review of the plan.

2.31.5  Eating disorder services—medical practitioners for providing treatments
  For the purposes of clause 2.31.1, a medical practitioner is covered by this clause if:
 (a) the practitioner's name is entered in the register maintained by the Chief Executive Medicare under section 33 of the Human Services (Medicare) Regulations 2017; and
 (b) the practitioner is identified in the register as a medical practitioner who can provide services to which items in Subgroup 2 of Group A20, and items 283, 285, 286 and 287, apply; and
 (c) the practitioner meets any training and skills requirements determined by the General Practice Mental Health Standards Collaboration for providing those services.
Note: Section 33 of the Human Services (Medicare) Regulations 2017 provides for the Chief Executive Medicare to establish and maintain a register of medical practitioners who may provide focused psychological strategies under the initiative known as the Better Access to Psychiatrists, Psychologists and General Practitioners through the MBS (Better Access) Initiative.

2.31.6  Eating disorder services—mental health care management strategies for use in providing treatments
  For the purposes of clause 2.31.1, the following mental health care management strategies are covered by this clause:
 (a) family based treatment (including whole family, parent based, parent only or separated therapy);
 (b) adolescent focused therapy;
 (c) cognitive behavioural therapy;
 (d) specialist supportive clinical management;
 (e) Maudsley model of anorexia treatment in adults;
 (f) interpersonal therapy for bulimia nervosa or binge‑eating disorder;
 (g) dialectical behavioural therapy for bulimia nervosa or binge‑eating disorder;
 (h) focal psychodynamic therapy.

2.31.7  Restrictions on items in Group A36—general

Items do not apply to services provided to admitted patients
 (1) An item in Group A36 does not apply to an attendance on an admitted patient.

Limit on number of plans that can be prepared for a patient each year
 (2) An item in Subgroup 1 or 2 of Group A36 does not apply to a service that is provided to a patient who has already been provided, in the previous 12 months, with:
 (a) another service to which an item in Subgroup 1 or 2 of Group A36 applies; or
 (b) a service to which an item in Subgroup 21 to 24 of Group A40 applies.

Items do not apply to services provided in association with certain other services
 (3) An item in Subgroup 1 of Group A36 does not apply to a service performed in association with a service to which item 279, 235 to 244, 735 to 758, 2713, 92115, 92121, 92127