Document ID: chunk:federal_register_of_legislation:F2024C01086:clause:1_4:p4
Version: federal_register_of_legislation:F2024C01086
Segment Type: clause
Provision Reference: sch 1 cl 4 (pt 4/8)
Character Range: 376657–379322

claimed:
 (a) with a service to which any of the following apply:
 (i) items 235 to 240, 279, 735 to 758 and 2713;
 (ii) items 92115, 92121 and 92133 of the Telehealth and Telephone Determination; or
 (b) more than once in a 12 month period from the provision of any of the items for a particular patient; or
 (c) within 3 months following the provision of a service to which item 277 or 2712, or item 92114, 92120, 92126 or 92132 of the Telehealth and Telephone Determination, applies; or
 (d) more than once in a 12 month period from the provision of any of items 92118, 92119, 92122 or 92123 of the Telehealth and Telephone Determination.

Item 277
 (8B) Item 277 applies only if one of the following services has been provided to the patient:
 (a) the preparation of a GP mental health treatment plan under any of the following:
 (i) item 272, 276, 281, 282, 2700, 2701, 2715 or 2717;
 (ii) item 92112, 92113, 92116, 92117, 92118, 92119, 92122 or 92123 of the Telehealth and Telephone Determination;
 (b) a psychiatrist assessment and management plan under item 291, or item 92435 or 92475 of the Telehealth and Telephone Determination.
 (8C) Item 277 does not apply:
 (a) to a service to which any of the following apply:
 (i) item 235, 236, 237, 238, 239 240 or 279;
 (ii) item 735, 739, 743, 747, 750 or 758;
 (iii) item 2713;
 (iv) item 92121, 92133, 92115 or 92127 of the Telehealth and Telephone Determination; or
 (b) unless exceptional circumstances exist for the provision of the service:
 (i) more than once in a 3 month period; or
 (ii) within 4 weeks following the preparation of a GP mental health treatment plan under any of the following:
 (A) item 272, 276, 281, 282, 2700, 2701, 2715 or 2717;
 (B) item 92112, 92113, 92116, 92117, 92118, 92119, 92122 or 92123 of the Telehealth and Telephone Determination.

Item 279
 (8D) Item 279 does not apply in association with a service to which any of the following apply:
 (a)  item 272, 276, 277, 281, 282, 2700, 2701, 2715, 2717 or 2712;
 (b) item 92112, 92113, 92114, 92116, 92117, 92118, 92119, 92120, 92122, 92123 or 92132 of the Telehealth and Telephone Determination.

Items 281 and 282—practitioner training
 (8E) Items 281 and 282 apply only if the prescribed medical practitioner providing the service has successfully completed mental health skills training.

Definition
 (9) In this clause:
exceptional circumstances means a significant 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: