Medicare telehealth items

In 2017, the federal government has announced the introduction of a new Medicare rebate for online videoconferencing consultations with Accredited Mental Health Social Workers. The initiative is the first to be rolled out following the announcement of the Regional Australia Ministerial Taskforce, chaired by the Prime Minister. The AASW has received confirmation from the Office of the Health Minister that social workers who are currently covered under the FPS (focussed psychology strategies) items are also covered under the new arrangements.

What you need to know about Medicare telehealth items

• From November 1 2017, people in rural and regional Australia will be able to claim a Medicare rebate for online videoconferencing consultations with psychologists, AMHSWers and other health professionals.
• Sessions are currently available under Medicare rebatable mental health plans will be available via telehealth.
• We are currently working with government and advocating towards a greater expansion of the scheme to improve access for individuals for whom face-to-face consultations may prove difficult. This is done through several channels including the MBS Review.
• The Medicare rebatable psychological services via telehealth will be available for patients living in Modified Monash Model regions four to seven, which cover smaller country towns and remote and very remote locations.
• This will ensure that the services go to areas with the biggest access challenges, not to larger regional centres that are more likely to have mental health professionals.
• This initiative is part of this year’s Federal Budget will cost $9 million over four years from 2017–18 to 2020–21.

Telehealth MBS Numbers

80151 - 20-50 minutes

80161 - 50+ minutes

80171 - 60 minutes (6-10 people)

Please also read the associated notes at the bottom of each page for more information, including record keeping and technical requirements.

More information

We will continue to update information on this page as it becomes available.

• Telehealth general information and FAQs
• Read the Telehealth Guidelines.
• Telehealth measure to improve access to psychological services for rural and remote patients under the Better Access initiative CONSIDERATIONS FOR PROVIDERS guide, written in consultation and collaboration with the APS
• See below a sample version of the Modified Monash Model region map, regions four to seven are covered by the scheme. Click on the link for more information.
  
  

FREE TRAINING - TELEHEALTH

Webinar for social workers on telehealth. Date produced 18 June 2018

Telehealth: How to make it work

During this webinar our interdisciplinary panel will explore ethical dilemmas for rural and remote mental health patients in the telehealth setting.

Bushfire telehealth items

In response to the 2019 2020 bushfires, the Federal Government has created two new telehealth items for those affected by bushfires.

Medicare Benefits Schedule - Item 91161

and

Medicare Benefits Schedule - Item 91151

Focussed psychological strategies health service provided to a patient (but not as an admitted patient of a hospital) by an eligible social worker if:

(a) the patient is affected by bushfire; and

(b) the service is provided to the patient individually; and

(c) the attendance is by video conference; and

(d) the patient is not an admitted patient

COVID-19 telehealth items

The Australian Government has unveiled a $2.4 billion health package to protect all Australians, including vulnerable groups such as the elderly, those with chronic conditions and Indigenous communities, from the coronavirus (COVID-19). The package provides support across primary care, aged care, hospitals, research and the national medical stockpile.

As part of this package $100 million will fund a new Medicare service for people in home isolation or quarantine, as a result coronavirus, to receive health consultations via the phone or video such as FaceTime or Skype.

The telehealth service will help contain the spread of the virus and it will be bulk-billed at no cost to patients and will be available from Friday 13 March. These telehealth consultation services will be provided by doctors, both GPs and specialists, nurses and mental health allied health workers (including Accredited Mental Health Social Workers) and will also be available under Medicare for people aged over 70, people with chronic diseases, Aboriginal and Torres Strait Islander people aged over 50, people who are immunocompromised, pregnant people and new parents with babies.

Visit the government's webpage for further information

Main points:

New bulk-billed video-conference consultation and services, which can be provided by GPs, specialists, consultant physicians, consultant psychiatrists, nurse practitioners and allied mental health workers (including AMHSWs) for certain vulnerable people

Vulnerable/isolated patients are those where at least one of the following apply:
(a) the person has been diagnosed with COVID-19 virus but who is not a patient of a hospital; or
(b) the person has been required to isolate themselves in quarantine in accordance with home isolation guidance issued by Australian Health Protection Principal Committee (AHPPC); or
(c) the person is considered more susceptible to the COVID-19 virus being a person who is:
(i) at least 70 years old; or
(ii) at least 50 years old and is of Aboriginal or Torres Strait Islander descent; or
(iii) is pregnant; or
(iv) is a parent of a child under 12 months; or
(v) is already under treatment for chronic health conditions or is immune compromised.

A GP, specialist or consultant referral is required.

New items

91175 COVID-19 items - Telehealth attendance lasting more than 20 minutes but less than 50 minutes

91176 COVID-19 items - Telehealth attendance lasting at least 50 minutes

91187 COVID-19 items - Telephone attendance lasting more than 20 minutes but less than 50 minutes (for when video-conferencing is not available)

91188 COVID-19 items - Telephone attendance lasting at least 50 minutes (for when video-conferencing is not available)

Visit MBS online for all the relevant number policies.

If you are seeking advice in relation to Medicare billing, claiming, payments or obtaining a provider number, please contact Services Australia on the Provider Enquiry Line - 13 21 50

New DVA COVID-19 telehealth items

From 13 March 2020 to 30 September 2020 (inclusive), new video conferencing items are available for telehealth services provided to vulnerable people within the community or who are in isolation due to COVID-19.

These items may be claimed for services provided to people:

• who have been diagnosed with COVID-19 virus but are not a patient of a hospital
• required to isolate themselves in quarantine in accordance with home isolation guidance issued by the Australian Health Protection Principal Committee
• aged at least 70 years old
• of Aboriginal and Torres Strait Islander descent and aged at least 50 years old
• with chronic health conditions or who are immune compromised
• who are parents of a child under 12 months
• who are pregnant.

These items may also be provided by Accredited Mental Health Social Workers who have been:

• diagnosed with COVID-19 virus but are not a patient of a hospital
• required to isolate themselves in quarantine in accordance with home isolation guidance issued by the Australian Health Protection Principal Committee.

New items:

US29 COVID-19 items - consultation 20-50 minutes, video conference

US30 COVID-19 items - consultation 50+ minutes, video conference

Visit the DVA website for more information