Health Insurance (Medicare Benefits Payable in Respect of Professional Services – Primary Health Networks Program: General Practice Incentive Fund) Direction 2024 (Cth)

AUSTRALIAN GOVERNMENT

DEPARTMENT OF HEALTH AND AGED CARE

HEALTH INSURANCE ACT 1973

Health Insurance (Medicare Benefits Payable in Respect of Professional Services – Primary Health Networks Program: General Practice Incentive Fund) Direction 2024

I, Steve Dunlop, Acting 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. 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 in accordance with the Primary Health Networks Program: General Practice Incentive Fund managed by the Department of Health and Aged Care (ABN: 83 605 426 759) and the organisations listed in Schedule B of this Direction, in relation to medical services 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) relate

2. Where the professional service is provided to:

1. an eligible person (as defined in section 3 of the Act) who is:

1. 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

2. 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 (1)(a) must be provided:

1. by a person who is employed or engaged by an organisation listed in Schedule B of this Direction; and