AUSTRALIAN GOVERNMENT DEPARTMENT OF HEALTH AND AGED CARE HEALTH INSURANCE ACT 1973 Health Insurance (Medicare Benefits Payable in Respect of Professional Services – Queensland - Medical Services performed under the Single Employer Model Trial) Direction 2025 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 – Queensland - 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) and the State of Queensland acting through Queensland Health (ABN: 66 329 169 412) in relation to the Rural General Practice and Rural Generalist Single Employer Model Trial 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) and 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 Health Insurance Act 1973); 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 standards of either the: 1. The Australian College of Rural and Remote Medicine; and/or 2. The Royal Australian College of General Practitioners; and 2. who is employed by Queensland Health for the provision of primary and acute care services; and 3. DECLARE that this Direction commences on the day after registration and ceases to have effect at the end of 31 December 2028 unless earlier revoked. Note, this program covers the sixty rural generalist and rural general practice participants who are eligible to use this Direction at any one time. Date: 20 February 2025 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 (MBS) ITEMS AS AGREED under the QUEENSLAND 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 Queensland rural general practice and rural Generalist SINGLE EMPLOYER Model TRIAL Approved primary care Modified Monash Model (MMM) 4 locations: MMM 4 location Practice Name Legal Name Street Address Ayr Outback Family Medicine WIN Medical Practice Pty Ltd 140 Mackenzie Street Ayr QLD 4807 Dalby Myall Medical Practice The Trustee for Archibald Street Services Trust 37 North Street Dalby QLD 4405 Emerald Emerald Medical Group Central Highlands Healthcare Ltd Lot 1 Pilot Farm Road Emerald QLD 4720 Goondiwindi Goondiwindi Medical Centre GMC Medical Services Pty Ltd 49 Bowen Street Goondiwindi QLD 4390 Innisfail Rankin Street Medical Bayvex Pty Ltd 57 Rankin Street Innisfail QLD 4860 Kingaroy Taabinga Family Practice Taabinga Family Practice Pty Ltd 213 Haly Street Kingaroy QLD 4610 Kingaroy South Burnett Medical Centre The Trustee for Amarula Trust 19 Avoca Street Kingaroy QLD 4610 Kingaroy Bunya Pines Family Practice Dolzan, Glen Alexander 219a Haly Street Kingaroy QLD 4610 Kingaroy Kingaroy General Practice Kingaroy General Practice Pty Ltd 25 Markwell Street Kingaroy QLD 4610 Roma Maranoa Medical Centre MMC Unit Trust 27 Quintin Street Roma QLD 4455 Warwick Condamine Medical Centre Condamine Medical Centre (QLD) Pty Ltd 53 Wood Street Warwick QLD 4370 Approved primary care Modified Monash Model (MMM) 5 locations: MMM 5 location Practice Name Legal Name Street Address Blackbutt Blackbutt Medical Centre Medical First Clinics Pty Ltd 91 Coulson St Blackbutt QLD 4314 Chinchilla Chinchilla Medical Practice The Trustee for Chinchilla Unit Trust and T.P Clarke & K.J Gilmour 58 Middle Street Chinchilla QLD 4413 Inglewood Inglewood Medical Centre Owen, Colin Edward 57 Albert St Inglewood QLD 4387 Killarney Killarney Memorial Medical Centre Killarney Memorial Aged Care Ltd 7 Eucalyptus St Killarney QLD 4373 Maleny Maleny Doctors The Trustee for Hinterland Heath Unit Trust 7/15 Maple Street Maleny QLD 4552 Miles Miles Medical Centre The Trustee for Mandikiza Medical Trust 79 Marian Street Miles QLD 4415 Mission Beach Mission Medical The Trustee for The Radmak Discretionary Trust Shop 9 & 10 Mission Beach Shopping Centre Murgon Murgon Family Medical Practice G.S. McAllister Medical Pty Ltd 43 Stephens Street W Murgon QLD 4605 Ravenshoe Ravenshoe Medical Centre Rural Health Management Services Pty Ltd 62 Grigg Street Ravenshoe QLD 4888 Tara Tara Medical Centre Outback Health and Medical Services Pty LTD 33 Day Street Tara QLD 4421 Tully Tully Medical Centre & Mission Medical The Trustee for The Radmak Discretionary Trust 10 Watkins Steet Tully QLD 4854 Wongaling Beach Mission Medical The Trustee for The Radmak Discretionary Trust 34-40 Dickinson Street Wongaling Beach QLD 4852 Approved primary care Modified Monash Model (MMM) 6 locations: MMM 6 location Practice Name Legal Name Street Address Cloncurry Ramsay Street General Practice Hoarec GP Pty Ltd 27 Ramsay Street Cloncurry QLD 4824 Mount Isa City Mount Isa Medical Centre Mbaogu, Michael 71 Camooweal Street Mount Isa City QLD 4825