Document ID: chunk:federal_register_of_legislation:F2025C00025:clause:2_81125:p5
Version: federal_register_of_legislation:F2025C00025
Segment Type: clause
Provision Reference: sch 2 cl 81125 (pt 5/8)
Character Range: 175728–182858

and disability services course of assessment—reporting requirements
 (1) This clause applies to items 82000, 82005, 82010 and 82030.
 (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.

5.1.5  Limitations on case conference items for complex neurodevelopmental disorders and eligible disabilities
 (1) This clause applies to items 82001, 82002 and 82003.

Eligible patients
 (2) An item mentioned in subclause (1) only applies to a service if the patient:
 (a) is a person under 25 years of age; and
 (b) has been diagnosed with, or is suspected of having:
 (i) a complex neurodevelopmental disorder; or
 (ii) an eligible disability.

Additional requirements on the multidisciplinary case conference team
 (3) An item mentioned in subclause (1) only applies to a service if the patient requires ongoing care from a multidisciplinary case conference team which includes:
 (a) if the patient has been diagnosed with, or is suspected of having:
 (i) a complex neurodevelopmental disorder, a consultant physician in the practice of the consultant physician's specialty of paediatrics or psychiatry; or
 (ii) an eligible disability, a specialist or consultant physician practising in their specialty, or a general practitioner.

Eligible allied health practitioners
 (4) For the purposes of the items mentioned in subclause (1), eligible allied health practitioner means:
 (a) an eligible Aboriginal health worker;
 (b) an eligible Aboriginal and Torres Strait Islander health practitioner;
 (c) an eligible psychologist;
 (d) an eligible speech pathologist;
 (e) an eligible occupational therapist;
 (f) an eligible audiologist;
 (g) an eligible optometrist;
 (h) an eligible mental health nurse;
 (i) an eligible mental health worker;
 (j) an eligible orthoptist; or
 (k) an eligible physiotherapist.

5.1.6  Items in Group M10 for complex neurodevelopmental disorder and disability services
  This clause sets out items in Group M10.

                                                                                          Group M10 – Complex neurodevelopmental disorder and disability services
                                                                                          Item                                                                                                                                                                                                                                                                                                                                     Description                                                                                                                                                                                                                                                                                                            Fee ($)
                                                                                          Subgroup 1 – Complex neurodevelopmental disorder and disability
                                                                                          82000                                                                                                                                                                                                                                                                                                                                    Psychology health service provided to a patient aged under 25 years by an eligible psychologist if:                                                                                                                                                                                                                    109.80
                                                                                                                                                                                                                                                                                                                                                                                                                                      (a) the patient was referred by an eligible medical practitioner, or by an eligible allied health practitioner following referral by an eligible medical practitioner, to:
                                                                                                                                                                                                                                                                                                                                                                                                                                        (i) assist the eligible medical practitioner with diagnostic formulation where the patient has a suspected complex neurodevelopmental disorder or eligible disability; or
                                                                                                                                                                                                                                                                                                                                                                                                                                        (ii) contribute to the patient's treatment and management plan developed by the referring eligible medical practitioner where a complex neurodevelopmental disorder (such as autism spectrum disorder) or eligible disability is confirmed; and
                                                                                                                                                                                                                                                                                                                                                                                                                                      (b) the service is provided to the patient individually and in person; and
                                                                                                                                                                                                                                                                                                                                                                                                                                      (c) the service is at least 50 minutes duration
                                                                                                                                                                                                                                                                                                                                                                                                                                   Up to 4 services to which this item or any of