AUSTRALIAN GOVERNMENT DEPARTMENT OF HEALTH AND AGED CARE HEALTH INSURANCE ACT 1973 Health Insurance (Medicare Benefits Payable in Respect of Professional Services – Tasmania - Medical Services performed under the Single Employer Model Trial) Direction (No. 2) 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 – Tasmania - Medical Services performed under the Single Employer Model Trial) Direction 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 under the Rural General Practice and Rural Generalist Single Employer Model Trial Memorandum of Understanding between the Department of Health and Aged Care (ABN: 83 605 426 759), the Tasmanian Health Service (ABN: 15 359 196 040) and the Tasmanian Department of Health (ABN: 11 255 872 006) in relation to the Rural General Practice and Rural Generalist Single Employer Model for which: 1. items specified in Schedule A of this Direction; and of the general medical services table (means the table prescribed under subsection 4(1) of the Act), diagnostic imaging services table (means the table prescribed under subsection 4AA(1) of the Act) or pathology services table (means the table prescribed under subsection 4A(1) 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 3. The professional services referred to in paragraph (2)(a) must be provided: 1. at a general practice (as defined in Section 7.1.1 of the general medical services table); and 2. at a rural or remote practice location specified in Schedule B in an eligible area (as defined in the Dictionary of the of the general medical services table); and 3. by a participating rural generalist or rural general practice trainee participating in the program mentioned in paragraph (2)(a): 1. who is formally enrolled in a fellowship training program that meets the training standards of either: 1. the Australian College of Rural and Remote Medicine; and/or; 2. the Royal Australian College of General Practitioners. 2. who is employed by the Tasmanian Health Service for the provision of primary and acute care services; and 3. DECLARE that this Direction commences on 20 January 2025 and ceases to have effect at the end of 31 December 2028 unless earlier revoked. Note, this program covers the eighty rural generalist and rural general practice participants who are eligible to use this Direction at any one time. Date: 18 December 2024 Nigel Murray Assistant Secretary MBS Policy and Specialist Programs Branch Medicare Benefits and Digital Health Division Health Resourcing Group Department of Health and Aged Care SCHEDULE A MEDICARE BENEFITS SCHEDULE ITEMS AS AGREED under the TASMANIAN HEALTH SERVICE rural GENERAL PRACTICE AND RURAL Generalist SINGLE EMPLOYER Model TRIAL For services listed in the below tables, all provisions of the Health Insurance Act 1973 (the Act) and regulations made under the Act, and the National Health Act 1953 and regulations made under the National Health Act 1953, relating to medical services, professional services or items apply. Medical practitioners and health services must ensure they fulfil the MBS requirements for all items. General Medical Services Table Standard Primary Care Services Table For services listed in the below table, this list of items includes MBS items that are commonly claimed by doctors in primary care. Group Group Name Subgroup Subgroup Name A1 General practitioner attendances to which no other item applies A2 Other non‑referred attendances to which no other item applies A5 Prolonged attendances to which no other item applies A6 Group therapy A7 Acupuncture and non‑specialist practitioner items A11 Urgent attendances after—hours A14 Health assessments A15 GP management plans, team care arrangements and multidisciplinary care plans and case conferences 1 GP management plans, team care arrangements and multidisciplinary care plans 2 Case conferences A17 Domiciliary and residential medication management reviews A20 Mental health care A22 General practitioner after‑hours attendances to which no other item applies A23 Other non‑referred after‑hours attendances to which no other item applies A27 Pregnancy support counselling A29 Attendance services for complex neurodevelopmental disorder or disability A35 Non‑referred attendance at a residential aged care facility A36 Eating disorder services 1 Preparation of eating disorder treatment and management plans: general practitioners and non‑specialist medical practitioners 3 Review of eating disorder treatment and management plans 4 Providing treatments under eating disorder treatment and management plans A40 Telehealth and phone attendance services 1 General practice telehealth services 2 General practice phone services 3 Focussed Psychological Strategies telehealth services 10 Focussed Psychological Strategies phone services 11 Health Assessments for Aboriginal and Torres Strait Islander People ‑ Telehealth Service 13 GP management plans, team care arrangements and multidisciplinary care plans via telehealth attendance 15 GP Pregnancy Support Counselling ‑ Telehealth Service 16 GP Pregnancy Support Counselling ‑ Phone Service 17 GP, specialist and consultant physician complex neurodevelopmental disorder or disability service ‑ telehealth service 19 GP Mental Health Treatment Plan ‑ Telehealth Service 20 GP Mental Health Treatment Plan ‑ Phone Service 21 GP Eating Disorder Treatment and Management Plan – Telehealth Service 25 Review of an Eating Disorder Plan ‑ Telehealth Service 26 Review of an Eating Disorder Plan – Phone Service 27 Eating Disorder Psychological Treatment Services – Telehealth Service 28 Eating Disorder Psychological Treatment Strategies – Phone Service 29 GP and Other Medical Practitioner ‑ Urgent After Hours Service in Unsociable Hours ‑ Telehealth Service 37 Specialist, anaesthesia telehealth services 39 GP Blood Borne Viruses, Sexual or Reproductive Health Consultation – Telehealth Service 40 GP Blood Borne Viruses, Sexual or Reproductive Health Consultation – Phone Service A44 General Practice Attendance for Assessing Patient Suitability for a COVID‑19 Vaccine M1 Management of bulk‑billed services M12 Services provided by a practice nurse, an Aboriginal health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner 1 Video conferencing consultation support service provided by a practice nurse, an Aboriginal health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner 3 Services provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner Non-Standard Primary Care Services Table For services listed in the below table, this list of items includes MBS items that are not commonly claimed by doctors in primary care. Group Group Name Subgroup Subgroup Name D1 Miscellaneous diagnostic procedures and investigations 2 Ophthalmology 3 Otolaryngology 4 Respiratory 5 Vascular 6 Cardiovascular 8 Genito‑urinary physiological investigations 9 Allergy testing 10 Other diagnostic procedures and investigations D2 Nuclear medicine (non‑imaging) T1 Miscellaneous therapeutic procedures 2 Dialysis 4 Paediatric and neonatal 5 Cardiovascular 8 Haematology 9 Procedures associated with intensive care and cardiopulmonary support 11 Chemotherapeutic procedures 13 Miscellaneous therapeutic procedures T3 Therapeutic nuclear medicine T4 Obstetrics T6 Examination by anaesthetist T7 Regional or field nerve blocks T8 Surgical operations 1 General 2 Colorectal 3 Vascular 4 Gynaecological 5 Urological 6 Cardio‑thoracic 7 Neurosurgical 8 Ear, nose and throat 9 Ophthalmology 11 Paediatric 12 Amputations 13 Plastic and reconstructive surgery 14 Hand or wrist surgery 15 Orthopaedic T9 Assistance at operations T10 Anaesthesia performed in connection with certain services (Relative Value Guide) Diagnostic Imaging Services Table Group Group Name Subgroup Subgroup Name I1 ultrasound 6 Musculoskeletal ultrasound I3 diagnostic radiology 1 Radiographic examination of extremities 2 Radiographic examination of shoulder or pelvis 3 Radiographic examination of head 4 Radiographic examination of spine 5 Bone age study and skeletal survey 6 Radiographic examination of thoracic region 7 Radiographic examination of urinary tract 8 Radiographic examination of alimentary tract and biliary system 12 Radiographic examination with opaque or contrast media I6 management of bulk‑billed services Pathology Services Table Group Group Name P1 haematology P2 chemical P9 simple basic pathology tests P12 management of bulk‑billed services SCHEDULE B Approved Modified Monash 2-7 rural and remote Practice Locations AS AGREED under the Tasmanian health service rural general practice and rural Generalist SINGLE EMPLOYER Model TRIAL Approved primary care Modified Monash Model (MMM) 2 locations: MM2 Location Practice Name Legal Name Street Address Bellerive Bellerive Doctors Luckman, Paul Lamont 112 Cambridge Road Bellerive TAS 7018 Claremont Ochre Medical Centre Claremont Ochre Health Pty Limited Shop 24-25, 35 Main Road Claremont TAS 7011 Exeter Exeter Medical Centre Exeter Medical Services Pty Ltd 102 Main Road Exeter TAS 7275 Hobart Ochre Medical Centre Hobart Ochre Health Pty Limited 1/242 Liverpool Street Hobart TAS 7000 Howrah GHFP Nurture Ghfp Nurture Pty Ltd Tenancy 1, Glebe Hill Village, 1 Commerce Dr Howrah TAS 7018 Howrah Glebe Hill Family Practice Ghfp Pty Ltd 45 Hance Road Howrah TAS 7018 Invermay Moreton Group Medical Services The Trustee For Moreton Group Trust 2/40 Invermay Road Invermay TAS 7248 Kings Meadows Kings Meadows Medical A.J Fair & T.G Gardner & D.P Kirk 86C Hobart Road Kings Meadows TAS 7250 Launceston Launceston Medical Centre Launceston Central Medical Centre Pty Ltd 247 Wellington Street Launceston TAS 7250 Legana Legana Medical Centre Exeter Medical Services Pty Ltd 16 Freshwater Point Road Legana TAS 7277 Lenah Valley Ochre Medical Centre Augusta Road Ochre Health Pty Limited 120 Augusta Road Lenah Valley TAS 7008 Lindisfarne The Lindisfarne Clinic Lindisfarne Health Hub Pty Ltd 30 Lincoln St Lindisfarne TAS 7015 Longford Northern Midlands Medical Services Northern Midlands Medical Services 28 George Street Longford TAS 7301 Moonah Hopkins Street Medical Centre Ipn Medical Centres Pty Ltd 67 Hopkins Street Moonah TAS 7009 Mowbray Mowbray Medical Mowbray Medical Pty Ltd Shop 3/282 Invermay Road Mowbray TAS 7248 New Norfolk Derwent Valley Medical Centre Derwent Valley Family Practice Pty Ltd 11 Burnett Street New Norfolk TAS 7140 New Town Moreton Group Medical Services The Trustee For Moreton Group Trust 98 New Town Road New Town TAS 7008 Newstead Newstead Medical A.J Fair & T.G Gardner & D.P Kirk 165 Elphin Road Newstead TAS 7250 Prospect Prospect Medical Complex The trustee for PMC Launceston Trust 4 Trotters Lane Prospect TAS 7250 Riverside West Tamar Health L Jones & G.T Orr & B.S Sie 1 Windsor Drive Riverside TAS 7250 Sandy Bay Church Hill Avenue Medical Centre Ipn Medical Centres Pty Ltd 150 Churchill Avenue Sandy Bay TAS 7005 Sorell Sorell Family Practice The Trustee For Sorell Medical Centre Unit Trust Shop 11, 12 Cole Street Sorell TAS 7172 Summerhill Summerdale Medical Practice D.F Rose & J.J Tempone & The Trustee For Dmjh Discretionary Trust & The Trustee For Lucas Family Trust & The Trustee For Mjmm Family Trust Corner Peel and Stanley Streets Summerhill TAS 7250 Approved primary care Modified Monash Model (MMM) 3 locations: MMM 3 location Practice Name Legal Name Street Address Burnie Bass House Surgery D.W Dow & Ian Wild & Associates Pty. Ltd. 83 Wilmont Street Burnie TAS 7320 Burnie Burnie General Practice Ipn Medial Centres Pty Ltd 35-37 Mount Street Burnie TAS, 7320 Devonport Don Medical Clinic The Trustee For Don Medical Service Trust 7/48-54 Oldaker Street Devonport TAS 7310 Ulverstone Patrick Street Clinic S Delitzsch & E Djakic & S Rubasinghe & J Chaffey 6 Patrick Street Ulverstone TAS 7315 Ulverstone Victoria Street Clinic The Trustee For Victoria Street Medical Trust 39 Victoria Street Ulverstone TAS 7315 Wynyard Saunders Street Clinic J And R Berryman Pty. Ltd. 37 Jackson Street Wynyard TAS 7325 Wynyard Wynyard Medical Centre The Trustee For Wynyard Medical Unit Trust 136-138 Goldie Street Wynyard TAS 7325 Approved primary care Modified Monash Model (MMM) 5 locations: MMM 5 location Practice Name Legal Name Street Address Alonnah Ochre Medical Centre Bruny Island Ochre Health Pty Limited 16 School Road Alonnah TAS 7150 Bridport Ochre Medical Centre Bridport Ochre Health Pty Limited 123 Main Street Bridport TAS 7262 Campbell Town Ochre Medical Centre Campbell Town Ochre Health Pty Limited 70 High Street Campbell Town TAS 7210 Cygnet Cygnet Family Practice Cygnet Family Practice Pty Ltd 5 Thorp Street Cygnet TAS 7112 Cygnet Ochre Medical Centre Cygnet Ochre Health Pty Limited 14 George Street Cygnet TAS 7112 Deloraine Deloraine Medical Centre Deloraine & Westbury Medcial Pty Ltd 22 Tower Hill Street Deloraine TAS 7304 Dover Dover Medical Centre Huon Valley Council 15 Chapman Avenue Dover TAS 7117 Geeveston Geeveston Medical Centre Huon Valley Council 19 Arve Road, Geeveston TAS 7116 George Town George Town Medical Centre Anne Street Medical Services Pty. Ltd. 49 Anne Street George Town TAS 7253 Huonville Ochre Medical Centre Huonville Ochre Health Pty Limited 85 Main Street Huonville TAS 7109 Scottsdale Ochre Medical Centre Scottsdale Ochre Health Pty Limited 2 Foster Road Scottsdale TAS 7260 Shearwater Port Sorell Medical Centre The Trustee For PSMC Unit Trust 81 Club Drive Shearwater TAS 7307 St Helens Ochre Medical Centre St Helens Ochre Health Pty Limited 11 Pendrigh Place St Helens TAS 7216 Westbury Westbury Medical Centre Deloraine & Westbury Medcial Pty Ltd 80 Meander Valley Road Westbury TAS 7303 Approved primary care Modified Monash Model (MMM) 6 locations: MM6 Location Practice Name Legal Name Street Address Bicheno Cohealth Bicheno General Practice Cohealth Limited 94 Foster Street Bicheno TAS 7215 Queenstown Ochre Medical Centre Queenstown Ochre Health Pty Limited 60-64 Orr Street Queenstown TAS 7467 Rosebery Ochre Medical Centre Rosebery Ochre Health Pty Limited 1 Hospital Road Rosebery TAS 7470 Strahan Ochre Medical Centre Strahan Ochre Health Pty Limited 3 Bay Street Strahan TAS 7468 Swansea Swansea General Practice Blazing Possums P/L 37 Wellington St Swansea TAS 7190 Zeehan Ochre Medical Centre Zeehan Ochre Health Pty Limited 110 Main Street Zeehan TAS 7469 Approved primary care Modified Monash Model (MMM) 7 locations: MM7 Location Practice Name Legal Name Street Address Currie Ochre Medical Centre King Island Ochre Health Pty Limited 35 Edward Street Currie TAS 7256 Whitemark Ochre Medical Centre Flinders Island Ochre Health Pty Limited 4 James Street Whitemark TAS 7255