Medicare Items, Care Plans and Resources

Click here to download a printable version (pdf) of Medicare's flipchart -  Summary of new Medicare Benefits Schedule (MBS) item numbers: general practice and allied health.

 MBS Enhanced Primary Care Chronic Disease Management Item Numbers

Type of item and name	Document Type	Notes
Healthy Kids Check (Items 709 & 711)
Healthy Kids Check - Fact Sheet	Info sheet	An overview of the new item numbers. Includes the components of the Health Assessment: Information Collection, Assessment, Interventions and Health Advice.
Healthy Kids Check -  Questions & Answers Sheet	Info sheet	Who is eligible for this item? What is the purpose of the Healthy Kids Check? Who can provide the Healthy Kids Check? ... plus more.
Healthy Kids Check -  Checklist	Commonwealth Proforma	Use of a specific form to record the results of the health assessment is not mandatory but the health assessment should cover specific criteria. This form can be used as a report of the health assessment.
Healthy Kids Check -  Get Set For Life - Habits for Healthy Kids	Info guide	Easy-to-read guide about how you can help your child set up healthy habits. (51 page document - may be slow to download on some computers)
Four Year Old Health Assessment - Medicare Healthy Kids Item No.'s 709 & 711	Template	Template (developed by NEVDGP).
Type 2 Diabetes Risk Evaluation (Item 713)
Risk Assessment Tool	Commonwealth Proforma	Completion of this assessment will determine whether a patient is 'high risk' for developing Type 2 diabetes. Prerequisite to performing item 713 - Diabetes Risk Evaluation.  If patient is high risk, proceed with item 713.
Diabetes Risk Evaluation - Fact Sheet	Info sheet	Overview of the item number. Includes information on: Subsidised Lifestyle Modification Programs, Components of the Type 2 Diabetes Risk Evaluation and The Role of the GP.
Diabetes Risk Assessment - Questions & Answers sheet	Info sheet	Who is eligible for this item? What is the Australian type 2 diabetes risk assessment tool? Who should administer the Australian type 2 diabetes risk assessment tool? What is a lifestyle modification program? ... plus more.
Type 2 Diabetes Risk Evaluation	Referral Form (MD Template)	Template (developed by NEVDGP).
ATSI Health Item Numbers
Making the Most of Medicare: ATSI Health Check items and Aboriginal Health Worker Service Provision items	Information sheet - GPV	A guide to using the Medicare Aboriginal Health Check items and their relationship to services provided by Aboriginal Health Workers and practice nurses.
ATSI Medicare item 10987	Info sheet - item number description	Practice Nurse/Aboriginal Health Worker item for the provision of follow up services to recipients of an Indigenous Health Check.
ATSI Medicare item 10987	Fact sheet - DoHA	Who is eleiible for this item?  What is a practice nurse or registered Aboriginal Health Worker?  When an item 10987 can be applied. Who can claim item 10987? What qualifications and training are required for a practice nurse or registered Aboriginal Health Worker to provide follow-up services to a patient who has received an Indigenous health check?
ATSI Medicare Item numbers 81300 to 81360	Info sheet - item number descriptors  and explanatory notes	Aboriginal or Torres Strait Islander people who have had a health assessment may be referred by a GP for allied health services under items 81300 to 81360. It is expected that the GP will undertake a health check consistent with the Aboriginal and Torres Strait Islander Medicare health checks (item 704, 706, 708 or 710) and, if a need for follow-up allied health services is identified, will refer the patient to an eligible allied health professional. Includes eligible patients and eligible  Allied Health Services.
Chronic Disease Management (CDM) items: Allied Health Services	Previously Enhanced Primary Care (EPC)
EPC Referral Form for Allied Health Services under Medicare	MD referral form	Import into Medical Director or print out and refer your client to an allied health professional
Medicare Items for allied health services for people with chronic conditions and complex care needs	Info sheet
EPC Referral Form for Dental Care under Medicare	MD referral form	Import into Medical Director or print out and refer your client for dental care
Medicare Items for dental care for people with chronic conditions and complex care needs	Info sheet
Allied Health Services: Dental Care
Allied Health Professionals criteria for providing Medicare Services	Eligibility Criteria
Frequently Asked Questions about the Medicare allied health and dental care initiative	Info sheet
Information about the Allied Health and Dental care initiative	Info sheet	Including fee changes, changes to referral forms etc.
Mental Health
Mental Treatment Plan  MBS item 2710	Template	Commonwealth Proforma
Mental Health Treatment Plan (MBS item 2710) & Review (MBS item 2712) - combined	Template	Link to NEVDGPs  combined plan and review which can be used for Better Access and/or Better Outcomes. (Includes a field for Voucher number entry).
GP Fees Patient Rebates	Info sheet	GP Fees & Patient Rebates for Better Access GP Mental Health Care Plan & Review & Consultation
GP Mental Health care flowchart	Flowchart	Provides a structured approach for the management of patients with mental disorders
Pathway for Patients with mental disorder	Flowchart
Northern Area Decision Making Tree For Mental Health and Psychological Disorders	Flowchart	Link to Northern mental health decision making tree regarding referrals

 MBS Enhanced Primary Care Chronic Disease Management Item Numbers

Click here to download (pdf) a poster resource (developed by WMDGP) of item numbers and descriptors for each of the Division's programs for chronic disease.

If you require a practice visit or information about the use of EPC and chronic disease item numbers please contact Anna Wood at the Division on Tel 9416 7689.

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