Document ID: chunk:federal_register_of_legislation:F2024C01105:schedule:3:p3
Version: federal_register_of_legislation:F2024C01105
Segment Type: schedule
Provision Reference: sch 3 (pt 3/8)
Character Range: 304031–307140

applies.

    3.1.4  Complex neurodevelopmental disorder and disability services course of assessment—reporting requirements

    (1) This section applies to items 93032, 93033, 93040 and 93041.

    (2) At the completion of a course of assessment, the allied health professional must provide a written report to the medical practitioner who initially referred the patient.

     3.1.4A  Application of items for complex neurodevelopmental disorder and disability services

    (1) This section applies to items 93032, 93033, 93035, 93036, 93040, 93041, 93043 and 93044.
    (2) For the purposes of an item mentioned in subsection (1) of this section, eligible medical practitioner means:
      (a) for a patient with a confirmed, or suspected, complex neurodevelopmental disorder (such as autism spectrum disorder), a consultant physician specialising in the practice of their field of psychiatry or paediatrics; or
      (b) for a patient with a confirmed, or suspected, eligible disability, a specialist or consultant physician practising in their specialty, or a general practitioner.
     (3) For the purposes of an item mentioned in subsection (1) of this section, treatment and management plan means:
       (a) for a patient with a confirmed complex neurodevelopmental disorder (such as autism spectrum disorder), a plan for the treatment and management of the patient's complex neurodevelopmental disorder to which item 135 or 289 of the general medical services table, or item 92140 or 92434 applies; or
       (b) for a patient with a confirmed eligible disability, a plan for the treatment and management of the patient's eligible disability to which any of items 137 or 139 of the general medical services table or items 92141 or 92142 applies.
     (4) An item mentioned in subsection (1) will only apply to a service if the eligible allied health practitioner providing the service meets the credentialing requirements for the provision of a complex neurodevelopmental or disability service.
     (5) For a service to which item 93032, 93033, 93040 or 93041 applies, the patient must be referred to the eligible allied health practitioner (the providing allied health practitioner) by:
         (a) an eligible medical practitioner; or
         (b) an eligible allied health practitioner (the referring allied health practitioner), if:
             (i) the patient was referred to the referring allied health practitioner by an eligible medical practitioner;
             (ii) the referral from the medical practitioner to the referring allied health practitioner is valid;
             (iii) the eligible medical practitioner has been consulted and agreed to the referral of the patient to the providing allied health practitioner; and
             (iv) the referring allied health practitioner has documented the eligible medical practitioner's agreement in the patient's notes.
     (6) A service described in item 93032, 93033, 93040 or 93041 will only apply to a service provided to a patient if in the patient's lifetime the patient has been provided less than 8 other services to which