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AUSTRALIAN GOVERNMENT
DEPARTMENT OF HEALTH AND AGED CARE

HEALTH INSURANCE ACT 1973
Health Insurance (Medicare Benefits Payable in Respect of Professional Services – Commonwealth Medicare Urgent Care Clinic Program – New South Wales Urgent Care Services) Direction (No. 4) 2024
I, Nigel Murray, Assistant Secretary, MBS Policy and Specialist Programs Branch, Medicare Benefits and Digital Health Division, Health Resourcing Group, delegate for the Minister for Health and Aged Care, acting under subsection 19(2) of the Health Insurance Act 1973 (the Act), hereby:
     1.      REPEAL the Health Insurance (Medicare Benefits Payable in Respect of Professional Services – Commonwealth Urgent Care Clinic Program – New South Wales Urgent Care Services) Direction (No. 3) 2024; and
     2.      DIRECT that Medicare Benefits shall be payable in respect of:
      1.      A professional service (as defined in section 3 of the Act) which has been agreed to be provided:
             1.        between the Commonwealth (represented by the Department of Health and Aged Care, ABN: 83 605 426 759) and the State of New South Wales (represented by the New South Wales Department of Health, ABN: 92 697 899 630) by New South Wales Urgent Care Services that have been assessed as meeting the requirements of the Commonwealth Urgent Care Clinic program; and
             2.      for which items specified in Schedules A, B and C of this Direction and of the general medical services table (means the table prescribed under subsection 4(1) of the Act) and pathology service table (means the table prescribed under section 4A of the Act) relates; and
      2.      Where the professional service is provided to:
         1.        an eligible person (as defined in section 3 of the Act);
         2.      a patient who is not receiving the service as part of an episode of hospital treatment (as defined in section 121-5 of the Private Health Insurance Act 2007); and
         3.    a patient who also is not receiving a service which attracts a payment through the 2020-2025 Addendum to the National Health Reform Agreement for a service rendered to a public patient; and
      1.      The professional services referred to in paragraph (2)(a) must be provided:
             1.        if the service is specified in Schedule A:
                    1.    at a practice location specified in Schedule D or E of this Direction; and
                    2.     by a general practitioner, prescribed medical practitioner or participating nurse practitioner who is registered to provide services with Services Australia under the Commonwealth Urgent Care Clinic program mentioned in paragraph (2)(a).
             2.      if the service is specified in Schedule B:
                    1.    at a practice location specified in Schedule D of this Direction; and
                    2.     by a prescribed medical practitioner who is registered to provide services with Services Australia under the Commonwealth Urgent Care Clinic program mentioned in paragraph