Document ID: chunk:federal_register_of_legislation:F2024C01086:clause:1_4:p5
Version: federal_register_of_legislation:F2024C01086
Segment Type: clause
Provision Reference: sch 1 cl 4 (pt 5/8)
Character Range: 379069–381781

change in:
 (a) the patient's clinical condition; or
 (b) the patient's care circumstances.

2.20.7  Restrictions on items in Subgroup 2 of Group A20 (focussed psychological strategies)
 (1) An item in Subgroup 2 of Group A20 applies to a service which:
 (a) is clinically indicated under a GP mental health treatment plan or a psychiatrist assessment and management plan; and
 (b) is provided by a general practitioner:
 (i) whose name is entered in the register maintained by the Chief Executive Medicare under section 33 of the Human Services (Medicare) Regulations 2017; and
 (ii) who is identified in the register as a medical practitioner who can provide services to which Subgroup 2 of Group A20 applies; and
 (iii) who meets any training and skills requirements, as determined by the General Practice Mental Health Standards Collaboration for providing services to which Subgroup 2 of Group A20 applies.
 (2) An item in Subgroup 2 of Group A20 does not apply to:
 (a) a service which:
 (i) 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, 6 other services to which any of the items in Subgroup 2 of Group A20 apply have already been provided to or in relation to the patient; and
 (ii) is provided before the 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 an item in Subgroup 2 of Group A20, or 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, apply, have already been provided to or in relation to the patient.
 (3) In addition to the restrictions in subclauses (1) and (2) of this clause, item 2739, 2741, 2743 or 2745 applies to a service provided by a general practitioner to a person other than the patient only if:
 (a) the general practitioner determines it is clinically appropriate to provide focussed psychological strategies services to a person other than the patient, and makes