Health Insurance (Allied Health Services) Amendment Determination 2011 (No. 2)

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Health Insurance (Allied Health Services) Amendment Determination 2011 (No. 2)
Health Insurance Act 1973
I, Dr Richard Bartlett, First Assistant Secretary, Medical Benefits Division, Department of Health and Ageing, make this Determination under subsection 3C (1) of the Health Insurance Act 1973.
Dated:  18 October 2011
DR RICHARD BARTLETT
First Assistant Secretary
Medical Benefits Division
Department of Health and Ageing
 
1            Name of Determination
This Determination is the Health Insurance (Allied Health Services)
Amendment Determination 2011 (No. 2).
 
2            Commencement
This Determination commences on 1 November 2011.
 
3            Amendment of Health Insurance (Allied Health Services) Determination 2011
Schedules 1 and 2 amend the Health Insurance (Allied Health Services)
Determination 2011.
 
 
 
 
 
Schedule 1 - Amendments
(section 3)                             
 
 
[1]         Subsection 4(1), definition of CPD year, paragraph (a)
              omit:
              this Determination
              insert:
the Health Insurance (Allied Health Services) Amendment Determination 2011 (No. 1)
 
[2]         Subsection 4(1), definition of GP Mental Health Treatment Plan  
substitute:
GP Mental Health Treatment Plan, for a patient, means:
(a)  a GP Mental Health Treatment Plan for the patient made before 1 November 2011 to which item 2702 or 2710 of the general medical services table as in force on 31 October 2011 applies; or
(b)  a GP Mental Health Treatment Plan for the patient to which item 2700, 2701, 2715 or    2717 of the general medical services table applies.
 
[3]         Section 6, Limitation on certain items
substitute:
6         Limitation on certain individual items
 
(1)          For any particular patient, an item mentioned in subsection (2) applies in a calendar year only if the service described in the item is one of the first 10 relevant services provided to the patient in the calendar year.
 
(2)          The items are items 80000, 80005, 80010, 80015, 80100, 80105, 80110, 80115, 80125, 80130, 80135, 80140, 80150, 80155, 80160 and 80165 in Schedule 2.
 
(3)          In this section, relevant service means a service to which any of items 2721 to 2727 of the general medical services table, or items 80000 to 80015, 80100 to 80115, 80125 to 80140, or 80150 to 80165 in Schedule 2, apply.
 
 
 
 
 
[4]         After Section 6
insert:
6A      Limitation on certain group items
(1)          For any particular patient, an item mentioned in subsection (2) applies in a calendar year only if the service described in the item is one of the first 10 services mentioned in items in subsection (2) provided to the patient in the calendar year.
 
(2)          The items are items 80020, 80120, 80145 and 80170 in Schedule 2.
 
[5]       Schedule 2, Part 2, Services and fees - psychological therapy and focussed psychological strategies, item 80000
omit:
sections 7, 8 and 9
insert:
sections 6, 7 and 9
 
[6]       Schedule 2, Part 2, Services and fees - psychological therapy and focussed psychological strategies, item 80020
omit:
to a maximum of 12 services (including services to which items 80120, 80145 and 80170 apply) in a calendar year
This item is subject to sections 7 and 9
insert:
This item is subject to sections 6A, 7 and 9
 
[7]       Schedule 2, Part 2, Services and fees - psychological therapy and focussed psychological strategies, item 80120
omit:
to a maximum of 12 services (including services to which items 80120, 80145 and 80170 apply) in a calendar year
This item is subject to sections 7 and 9
insert:
This item is subject to sections 6A, 7 and 9
 
 
 
 
[8]       Schedule 2, Part 2, Services and fees - psychological therapy and focussed psychological strategies, item 80145
omit:
to a maximum of 12 services (including services to which items 80120, 80145 and 80170 apply) in a calendar year
This item is subject to sections 7 and 9
insert:
This item is subject to sections 6A, 7 and 9
 
[9]       Schedule 2, Part 2, Services and fees - psychological therapy and focussed psychological strategies, item 80170
omit:
to a maximum of 12 services (including services to which items 80120, 80145 and 80170 apply) in a calendar year
This item is subject to sections 7 and 9
insert:
This item is subject to sections 6A, 7 and 9
 
 
 
 
 
Schedule 2 – Amendments
(section 3)   
 
 
[1]       Schedule 2, Parts 1 – 6, items 10950 to 82035
 
For each item mentioned in column 1 of the table, omit the specified fee and insert the fee in column 2 of the table corresponding to that item.
 
 
Item
Fee

10950
$61.10

10951
$61.10

10952
$61.10

10953
$61.10

10954
$61.10

10956
$61.10

10958
$61.10

10960
$61.10

10962
$61.10

10964
$61.10

10966
$61.10

10968
$61.10

10970
$61.10

80000
$97.90

80005
$122.35

80010
$143.70

80015
$168.15

80020
$36.50

80100
$69.35

80105
$94.35

80110
$97.90

80115
$122.95

80120
$25.00

80125
$61.10

80130
$86.05

80135
$86.30

80140
$111.25

80145
$21.95

80150
$61.10

80155
$86.05

80160
$86.30

80165
$111.25

80170
$21.95

81000
$71.80

81005
$71.80

81010
$71.80

81100
$78.35

81105
$19.55

81110
$78.35

81115
$19.55

81120
$78.35

81125
$19.55

82000
$97.90

82005
$86.30

82010
$86.30

82015
$97.90

82020
$86.30

82025
$86.30

82030
$86.30

82035
$86.30

81300
$61.10

81305
$61.10

81310
$61.10

81315
$61.10

81320
$61.10

81325
$61.10

81330
$61.10

81335
$61.10

81340
$61.10

81345
$61.10

81350
$61.10

81355
$61.10

81360
$61.10

 
 
 
Note
1.         All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003. See http://www.frli.gov.au.

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