MBS Primary Care Items – Allied Health Individual Services for patients with a chronic
medical condition and complex care needs under Medicare
Medicare rebates for certain allied health services are available for patients with chronic conditions and complex care
needs on referral from their GP.
Allied Health Services under Medicare - Fact Sheet
Information regarding the Medicare items for individual allied health services for people with chronic conditions and
complex care needs.
PDF printable version of Fact Sheet: People with chronic conditions and complex care needs – items 10950 to 10970
(PDF 299 KB) If you have any difficulty accessing the PDF, please contact mbd.web@health.gov.au
People with chronic conditions and complex care needs – items 10950 to 10970
This fact sheet must be read in conjunction with the item descriptors and explanatory notes for items 10950
to 10970 (as set out in the Medicare Benefits Schedule - Allied Health Services book).
In summary:
 A Medicare rebate is available for a maximum of five (5) services per patient each calendar year. (Note,
however, that allied health providers may set their own fees)
 Patients must have a GP Management Plan and Team Care Arrangements prepared by their GP, or be
Commonwealth-funded residents of an aged care facility who are managed under a multidisciplinary care plan.
 GP refers to allied health professional.
 Allied health professionals must report back to the referring GP.
Eligible Patients
Patients may be eligible if their GP has provided the following MBS Chronic Disease Management services:
 A GP Management Plan (GPMP) - item 721 (or review item 732); and
 Team Care Arrangements (TCAs) - item 723 (or review item 732)
For patients who are permanent residents of an aged care facility and Commonwealth funded, their GP must have
contributed to a multidisciplinary care plan prepared for them by the aged care facility or to a review of the
multidisciplinary care plan (item 731).
A chronic medical condition is one that has been (or is likely to be) present for six months or longer. It includes
conditions such as asthma, cancer, cardiovascular disease, diabetes, musculoskeletal conditions and stroke.
Patients have complex care needs if they need ongoing care from a multidisciplinary team consisting of their GP and
at least two other health or care providers.
Referral arrangements
GPs determine whether the patient’s chronic medical condition would benefit from allied health services.
Patients need to be referred by their GP for services recommended in their care plan, using the referral form issued by
the Department that can be found at www.health.gov.au/mbsprimarycareitems or a form that contains all of the
components of the Department's form.
NOTE: Allied health services provided through these referrals must be directly related to the management of the
patient’s chronic condition/s, and the need for allied health services must be identified in the patient’s care plan.
It is not appropriate for allied health professionals to provide part-completed referral forms to GPs for signature, or to
pre-empt the GP's decision about the services required by the patient.
Referral validity
A referral is valid for the stated number of services. If all services are not used during the calendar year in which the
patient was referred, the unused services can be used in the next calendar year.
However, those services will be counted as part of the five rebates for allied health services available to the patient
during that calendar year.
When all referred services have been used, or a referral to a different allied health professional is required, patients
need to obtain a new referral.
GPs may undertake a review of the patient's GPMP and TCAs or, where appropriate, manage the referral process
using a GP consultation item.
NOTE: It is not necessary to have a new GPMP or TCAs prepared each calendar year in order to access a new
referral(s) for eligible allied health services. Patients continue to be eligible for rebates for allied health services while
they are being managed under a GPMP and TCAs as long as the need for eligible services continues to be
recommended in their plan.
The review item (732) is used to assess and manage the patient’s progress once a GPMP and TCAs have been
prepared. It is expected that a GPMP and TCAs be reviewed at least once during a two-year period.
Service length and type
Services must be of at least 20 minutes duration and be provided to an individual patient. The allied health
professional must personally attend the patient.
Eligible allied health professionals
Aboriginal Health Worker - item 10950
Audiologist - item 10952
Chiropractor - item 10964
Diabetes Educator- item 10951
Dietitian- item 10954
Exercise Physiologist - item 10953
Mental Health Worker* - item 10956
Occupational Therapist - item 10958
Osteopath - item 10966
Physiotherapist - item 10960
Podiatrist - Item 10962
Psychologist - item 10968
Speech Pathologist - item 10970
*includes Aboriginal health workers, mental health nurses, occupational therapists, psychologists and some social
workers
Allied health professionals need to meet specific eligibility requirements, be in private practice and register with
Medicare Australia. Registration forms are available from Medicare Australia at: www.medicareaustralia.gov.au or can
be obtained by phoning 132 150.
Allied health services funded by other Commonwealth or State programs are not eligible for Medicare rebates, except
where a subsection 19(2) exemption has been granted.
Reporting requirements - allied health professionals to GP
A written report is required after the first and last service, or more often if clinically necessary.
Written reports should include any investigations, tests, and/or assessments carried out on the patient, any treatment
provided and future management of the patient’s condition or problem.
Receipt requirements
For a Medicare payment to be made the account/receipt must include the following information:
 patient’s name;
 date of service;
 MBS item number;
 allied health professional’s name and provider number, or name and practice address;
 referring medical practitioner’s name and provider number, or name and practice address;
 date of referral; and
 amount charged, total amount paid, and any amount outstanding in relation to the service.
Other services
Patients who have private health insurance will need to decide whether to use Medicare or their private health
insurance to pay for these services. Private health insurance ancillary cover cannot be used to ‘top up’ the rebate.
Information about Medicare rebates for group allied health services for people with type 2 diabetes is available at
www.health.gov.au/mbsprimarycareitems.
Information about allied mental health services is available at www.health.gov.au (follow the A-Z links to ‘M’ mental
health).
Information about allied health services for a child with autism or any other pervasive developmental disorder
is available at www.health.gov.au/autism.
Further information
Internet: www.health.gov.au/mbsprimarycareitems or www.medicareaustralia.gov.au
MBS Online: www.health.gov.au/mbsonline
Eligibility criteria for allied health professionals providing Chronic Disease Allied Health (Individual
& Group) Medicare services
Eligibility criteria for allied health professionals providing Medicare services for patients with chronic conditions.
PDF printable version of Eligibility Criteria (PDF 256 KB) If you have difficulty accessing the PDF, please contact
mbd.web@health.gov.au
Aboriginal Health Workers practising in the Northern Territory (NT) must be registered under the Health
Practitioners Act (NT); in other States and the Australian Capital Territory they must have been awarded a Certificate
Level III in Aboriginal and Torres Strait Islander Health (or an equivalent or higher qualification) by a registered training
organisation that meets training standards set by the Australian National Training Authority’s Australian Quality
Training Framework.
Audiologists must be either a ‘Full Member’ of the Audiological Society of Australia Inc (ASA) and the holder of a
‘Certificate of Clinical Practice’ issued by the ASA; or an ‘Ordinary Member – Audiologist’ or a ‘Fellow Audiologist’ of
the Australian College of Audiology (ACAud).
Chiropractors must be registered with the Chiropractors Board of Australia.
Diabetes Educators must be a Credentialled Diabetes Educator (CDE) as credentialled by the Australian Diabetes
Educators Association (ADEA).
Dietitians must be an ‘Accredited Practising Dietitian’ as recognised by the Dietitians Association of Australia (DAA).
Exercise Physiologists must be an ‘Accredited Exercise Physiologist’ as accredited by the Exercise & Sports
Science Australia (ESSA).
Mental Health Workers ‘Mental health’ can include services provided by members of five different allied health
professional groups. ‘Mental health workers’ are drawn from the following:
 psychologists;
 mental health nurses;
 occupational therapists;
 social workers; and
 Aboriginal health workers.
Psychologists, occupational therapists and Aboriginal health workers are eligible in separate categories for
these items.
A mental health nurse must be a credentialled mental health nurse, as certified by the Australian College of Mental
Health Nurses.
Mental health nurses who were registered in the ACT or Tasmania prior to the introduction of the National Registration
and Accreditation Scheme (NRAS) on 1 July 2010, will have until 31 December 2010 to be certified by the Australian
College of Mental Health Nurses.
To be eligible to provide mental health services for the purposes of this item, a social worker must be a member of
the Australian Association of Social Workers (AASW) and certified by AASW as meeting the standards for mental
health set out in the document published by AASW titled ‘Practice Standards for Mental Health Social Workers’, as in
force on 8 November 2008.
Occupational Therapists in Queensland, Western Australia, South Australia and the Northern Territory must be
registered with the Occupational Therapists Board in the State or Territory in which they are practising; in other States
and the Australian Capital Territory, they must be a ‘Full-time Member’ or ‘Part-time Member’ of OT AUSTRALIA, the
national body of the Australian Association of Occupational Therapists.
Osteopaths must be registered with the Osteopathy Board of Australia.
Physiotherapists must be registered with the Physiotherapy Board of Australia.
Podiatrists must be registered with the Podiatry Board of Australia.
Psychologists must hold General Registration with the Psychology Board of Australia.
Speech Pathologists practising in Queensland must be registered with the Speech Pathologist Board of Queensland.
In all other States, the Australian Capital Territory and the Northern Territory, they must be a ‘Practising Member’ of
Speech Pathology Australia.
Referral Form for Chronic Disease Allied Health (Individual) Services under Medicare issued by the
Department
GPs can use this form or a referral form that contains all the components of the form issued by the Department.
 Referral Form for Allied Health Services under Medicare (PDF 41 KB)
 Referral Form for Allied Health Services under Medicare (RTF 3259 KB)
If you have any difficulty accessing the documents, please contact mbd.web@health.gov.au
Medicare Rebates for Individual Allied Health Services - For Patients with a Chronic Medical
Condition and Complex Care Needs
Patient Information
In this section:
PDF printable version of Chronic and Complex Patient Information Brochure (PDF 563 KB)
PDF printable version of Chronic and Complex Patient Brochure A4 size (PDF 122 KB)
If you have any difficulty accessing the PDFs, please contact mbd.web@health.gov.au
In summary:
 Medicare rebate for a maximum of five services per patient each calendar year, with out-of-pocket costs counting
towards the extended Medicare safety net
 A patient must have a GP Management Plan (GPMP) and Team Care Arrangements (TCAs) (or a multidisciplinary
care plan for residents of an aged care facility).
 Your GP will decide whether you would benefit from these services and, if so, will refer you for appropriate allied
health services.
 Allied health professionals must be registered with Medicare Australia
Who is eligible?
You may be able to claim Medicare rebates for allied health services if you have a chronic (or terminal) medical
condition that is being managed by your GP under
both of these Medicare Chronic Disease Management (CDM) items: a GP Management Plan (GPMP) and Team Care
Arrangements (TCAs).
Residents of aged care facilities may also be eligible for Medicare rebates for allied health services if their GP has
contributed to a multidisciplinary care plan prepared by the facility.
Chronic medical conditions
A chronic medical condition is one that has been (or is likely to be) present for six months or longer. It includes, but is
not limited to, conditions such as asthma, cancer, cardiovascular disease, diabetes, musculoskeletal conditions and
stroke.
Management of your condition
Care planning can help you and your GP manage your condition by identifying your needs and the action required.
If you have a chronic (or terminal) condition, with or without complex care needs, a GPMP will enable your GP to
provide a structured approach to your care. It is a plan of action in which you agree management goals with your GP.
If you also have complex care needs, TCAs will enable your GP to collaborate with at least two other care providers
involved in your treatment. TCAs will identify who needs to be involved in your care and help coordinate the teambased arrangements.
Individual allied health services
Once you have a GPMP and TCAs in place, you can be referred for up to five allied health services each calendar
year. It is important to understand that only your GP will decide whether you should be referred for these services.
The five services can be provided by a single allied health professional or shared across different professionals.
You can request that your GP refer you to an allied health professional you already know, or your GP can recommend
one.
Allied health professionals need to meet specific eligibility criteria and be registered with Medicare Australia.
Eligible allied health professionals
 Aboriginal health workers
 audiologists
 chiropractors
 diabetes educators
 dietitians
 exercise physiologists
 mental health workers
 occupational therapists
 osteopaths
 physiotherapists
 podiatrists
 psychologists
 speech pathologists
Other allied health services available under Medicare
Medicare benefits are also available for a range of other allied health services for certain patients. You may be eligible
if you:
 are of Aboriginal or Torres Strait Islander descent;
 have type 2 diabetes;
 have an assessed mental disorder;
 are a child with autism or any other pervasive developmental disorder;
 are a women who is concerned about either a current pregnancy or one that occurred in the previous 12 months.
Private health insurance
If you have private health insurance, you will need to decide if you wish to use Medicare or your private health
insurance to pay for these services. You cannot use private health insurance ancillary cover to ‘top up’ your Medicare
rebate.
Claiming
Allied health professionals, like doctors, are free to set the level of their fees. If your allied health provider bulk bills,
there will be no charge for these services. If not, you will be charged a fee and you can claim the rebate from
Medicare.
Out-of-pocket expenses for these services count towards the extended Medicare safety net.
If you are unsure, or lose track of how many allied health services you have claimed in a calendar year, you can check
with Medicare Australia on 132 011.
More information
More information is available at www.health.gov.au/mbsprimarycareitems.
If you have any questions, ask your doctor or practice nurse.
Simpler Administrative Arrangements for Allied Health
Allied health Medicare items for people with chronic and complex medical conditions (MBS items 10950 – 10970 and
81100 - 81125).
Simpler Administrative Arrangements for Allied Health (PDF 24 KB) If you have any difficulty accessing the PDF,
please contact mbd.web@health.gov.au
On 1 January 2009, the requirement that a Medicare rebate for the prerequisite Chronic Disease Management (CDM)
care planning items must be claimed before associated allied health services can be provided and claimed was
removed.
These new arrangements were implemented to overcome delays experienced by patients and allied health providers
when they claim the Medicare rebate for an allied health service where they have a valid referral, but where a claim for
the CDM item(s) has/have not been processed.
It is important to note, however, that the eligibility requirements for these allied health services have not changed.
Patients must still have a chronic medical condition and complex care needs and be managed by their GP under a GP
Management Plan (MBS item 721) and Team Care Arrangements (MBS item 723). Where the patient is a resident of
an aged care facility, the GP must have provided MBS item 731 by contributing to a care plan developed by the
facility.
The Health Insurance (Allied Health Services) Determination 2008 still requires that:
 Medicare benefits for allied health services be available only to eligible patients on referral from a GP;
 the GP must first complete the necessary care planning services;
 allied health services must be recommended in the patient’s care plans; and
 allied health providers must have a signed referral form from a GP before they are legally able to provide allied
health services that are eligible for a Medicare benefit. This form requires the GP to indicate the number and type
of allied health services required. (Note that a specific referral form is prescribed by the Determination).
Allied health professionals cannot pre-empt the GP’s decision about the services required by the patient.
Medicare Australia audit and compliance activities will continue to ensure that GPs meet the requirements of these
items before making referrals to allied health providers.
If there are any further questions about these changes, please contact Medicare Australia on 132 150 or the Department of Health and Ageing on
(02) 6289 4297.
Chronic Disease Allied Health Services in Residential Aged Care Facilities - Eligibility for Medicare
Rebates
All Commonwealth-funded residents of aged care facilities, regardless of their classification as high or low care, are
eligible for Medicare rebates for up to five (5) allied health services (MBS items 10950 – 10970) each calendar year,
where their GP has contributed to a multidisciplinary care plan prepared by the aged care facility and referred them for
services.
Chronic Disease Allied Health Services in Residential Aged Care Facilities - Eligibility for Medicare Rebates (PDF 242
KB) If you have any difficulty accessing the PDF, please contact mbd.web@health.gov.au
However, while Medicare does not discriminate between high- and low-care residents, approved providers of
residential aged care have different service obligations depending on the resident’s classification. Medicare allied
health services should not replace services already expected to be provided to residents by the facility as a
requirement under the Aged Care Act (1997).
High-care residents
High-care residents should not be routinely referred for allied health services under Medicare.
Under the Aged Care Act (1997), approved providers of residential aged care have an obligation, where an assessed
care need has been identified, to provide allied health services to high-care residents at no additional cost to the
resident:
 except for intensive long term rehabilitation services following serious injury, surgery or trauma (see Schedule 1 to
the Quality of Care Principles 1997 and Residential Aged Care Manual 2005).
High-care residents should therefore be already receiving allied health services, at no cost to them, through the aged
care facility. It is important that approved providers of residential aged care continue to meet their obligations under
the Act.
Low-care residents
Aged care facilities are required to assist low-care residents to access health practitioner and therapy services,
including arranging for the practitioner or therapist to visit the home if necessary. While this level of assistance must
be provided at no cost to the resident, the resident may be asked to bear the actual cost of the service. Therefore,
low-care residents are most suited for referral to chronic disease allied health services under Medicare, where their
GP has contributed to a multidisciplinary care plan using MBS item 731 and identified the need for these services.
Referrals
The GP and the aged care facility should work together to assess and plan the care and service needs of the resident,
and the GP is responsible for making referrals. Allied health providers should not partially complete referral forms for
GPs to sign in a way that pre-empts the GP’s decision about the allocation of these Medicare referred services.
Further information can be found at www.health.gov.au/mbsprimarycareitems or by calling (02) 6289 4297.
Allied Health MBS Item Numbers by Profession
A table outlining all the items on the Medicare Benefits Schedule (including those of mental health care) that can be
provided by eligible allied health professionals
Allied Health MBS Item Numbers by Profession (PDF 28 KB) If you have any difficulty accessing the PDF, please
contact mbd.web@health.gov.au
AHP Group*
Aboriginal Health Worker
Item Number
10950
Service Provided
Aboriginal health worker
service
Eligible Patients
Patients who have a
chronic condition and
complex care needs
Prerequisite for Claiming
 GP must have claimed GP
Management Plan (item 721 or
review item 732) AND Team
Care Arrangement (item 723 or
review item 732) in past 2 years.
 GPs must refer using an
approved referral form.
81300
Aboriginal health worker
service
Indigenous Australians
who have had a health
check
 GP must have completed a
health check.
 GPs must refer using an
approved referral form.
Audiologist
10952
Audiology service
Patients who have a
chronic condition and
complex care needs
 GP must have claimed GP
Management Plan (item 721 or
review item 732) AND Team
Care Arrangement (item 723 or
review item 732) in past 2 years.
 GPs must refer using an
approved referral form.
81310
Audiology service
Indigenous Australians
who have had a health
check
 GP must have completed a
health check.
 GPs must refer using an
approved referral form.
Chiropractor
10964
Chiropractic service
Patients who have a
chronic condition and
complex care needs
 GP must have claimed GP
Management Plan (item 721 or
review item 732) AND Team
Care Arrangement (item 723 or
review item 732) in past 2 years.
 GPs must refer using an
approved referral form.
81345
Chiropractic service
Indigenous Australians
who have had a health
check
 GP must have completed a
health check.
 GPs must refer using an
approved referral form.
Clinical Psychologist
(see also Psychologist)
80000
80005
Psychological therapy
service
Patients with an assessed
mental disorder
 GP Mental Health Care Plan
80010
80015
80020

Diabetes Educator
10951
Diabetes education
service
Patients who have a
chronic condition and
complex care needs
(items 2710), referred psychiatrist
assessment management plan
(items 291 or 293), and/or
relevant psychiatrist or
paediatrician item must have
been claimed.
No specific referral form, just a
note or a letter.
 GP must have claimed GP
Management Plan (item 721 or
review item 732) AND Team
Care Arrangement (item 723 or
review item 732) in past 2 years.
 GPs must refer using an
approved referral form.
81305
Diabetes education
service
Indigenous Australians
who have had a health
check
 GP must have completed a
health check.
 GPs must refer using an
approved referral form.
81100
Diabetes education
service - assessment
Patients with type 2
diabetes
 GP must have claimed GP
Management Plan (item 721 or
review item 732).
 GPs must refer using an
approved referral form.
81105
Dietitian
10954
 Assessed as suitable by
Diabetes education
service - group service
Dietetics service
Assessment for Group Services
(item 81100, 81110 or 81120).
Patients who have a
chronic condition and
complex care needs
 GP must have claimed GP
Management Plan (item 721 or
review item 732) AND Team
Care Arrangement (item 723 or
review item 732) in past 2 years.
 GPs must refer using an
approved referral form.
81320
Dietetics service
Indigenous Australians
who have had a health
check
 GP must have completed a
health check.
 GPs must refer using an
approved referral form.
81120
Dietetics service assessment
Patients with type 2
diabetes
 GP must have claimed GP
Management Plan (item 721 or
review item 732).
 GPs must refer using an
approved referral form.
81125
Exercise Physiologist
10953
 Assessed as suitable by
Dietetics service - group
service
Exercise physiology
service
Assessment for Group Services
(item 81100, 81110 or 81120).
Patients who have a
chronic condition and
complex care needs
 GP must have claimed GP
Management Plan (item 721 or
review item 732) AND Team
Care Arrangement (item 723 or
review item 732) in past 2 years.
 GPs must refer using an
approved referral form.
81315
Exercise physiology
service
Indigenous Australians
who have had a health
check
 GP must have completed a
health check.
 GPs must refer using an
approved referral form.
81110
Exercise physiology
service - assessment
Patients with type 2
diabetes
 GP must have claimed GP
Management Plan (item 721 or
review item 732).
 GPs must refer using an
approved referral form.
81115
Mental Health Nurse
81010
Mental Health Workers
10956
(psychologist, mental health nurse,
occupational therapist, social
worker and Aboriginal health
worker)
 Assessed as suitable by
Exercise physiology
service - group service
Assessment for Group Services
(item 81100, 81110 or 81120).
Non-directive pregnancy
support counselling
Women who are
concerned about a
pregnancy
 A referral (no specific form, just
Mental health service
Patients who have a
chronic condition and
complex care needs
 GP must have claimed GP
note or letter) from GP.
Management Plan (item 721 or
review item 732) AND Team
Care Arrangement (item 723 or
review item 732) in past 2 years.
 GPs must refer using an
approved referral form.
81325
Mental health service
Indigenous Australians
who have had a health
check
 GP must have completed a
health check.
 GPs must refer using an
approved referral form.
Occupational Therapist
10958
Occupational therapy
service
Patients who have a
chronic condition and
complex care needs
 GP must have claimed GP
Management Plan (item 721 or
review item 732) AND Team
Care Arrangement (item 723 or
review item 732) in past 2 years.
 GPs must refer using an
approved referral form.
81330
Occupational therapy
service
Indigenous Australians
who have had a health
 GP must have completed a
health check.
check
 GPs must refer using an
approved referral form.
82010
Pervasive developmental
disorder service
82025
80125
80130
Focussed psychological
strategies - allied mental
health service
Children under 13
 The child must have been
referred by a consultant
paediatrician or psychiatrist for
assessment, contribution to a
treatment plan or early
intervention treatment.
Children under 15 who
have a PDD treatment and
management plan
 The referring consultant
Patients with an assessed
mental disorder
 GP Mental Health Care Plan
paediatrician or psychiatrist must
have claimed item 135 or 289.
80135
80140
80145

Osteopath
10966
Osteopathy service
Patients who have a
chronic condition and
complex care needs
(items 2710), referred psychiatrist
assessment management plan
(items 291 or 293), and/or
relevant psychiatrist or
paediatrician item must have
been claimed.
No specific referral form, just a
note or a letter.
 GP must have claimed GP
Management Plan (item 721 or
review item 732) AND Team
Care Arrangement (item 723 or
review item 732) in past 2 years.
 GPs must refer using an
approved referral form.
81350
Osteopathy Service
Indigenous Australians
who have had a health
check
 GP must have completed a
health check.
 GPs must refer using an
approved referral form.
Physiotherapist
10960
Physiotherapy service
Patients who have a
chronic condition and
complex care needs
 GP must have claimed GP
Management Plan (item 721 or
review item 732) AND Team
Care Arrangement (item 723 or
review item 732) in past 2 years.
 GPs must refer using an
approved referral form.
81335
Physiotherapy service
Indigenous Australians
who have had a health
check
 GP must have completed a
health check.
 GPs must refer using an
approved referral form.
Psychologist
(see also Clinical Psychologist)
10968
Psychology service
Patients who have a
chronic condition and
complex care needs
 GP must have claimed GP
Management Plan (item 721 or
review item 732) AND Team
Care Arrangement (item 723 or
review item 732) in past 2 years.
 GPs must refer using an
approved referral form.
81355
Psychology service
Indigenous Australians
who have had a health
check
 GP must have completed a
health check.
 GPs must refer using an
approved referral form.
80100
80105
Focussed psychological
strategies - allied mental
health service
Patients with an assessed
mental disorder
 GP Mental Health Care Plan
80110
80115
80120

81000
82000
(items 2710), referred psychiatrist
assessment management plan
(items 291 or 293), and/or
relevant psychiatrist or
paediatrician item must have
been claimed.
No specific referral form, just a
note or a letter.
Non-directive pregnancy
support counselling
Women who are
concerned about a
pregnancy
 A referral (no specific form, just
Pervasive developmental
disorder service
Children under 13
 The child must have been
note or letter) from GP.
referred by a consultant
paediatrician or psychiatrist for
assessment, contribution to a
treatment plan or early
intervention treatment.
82015
Podiatrist
10962
Podiatry service
Children under 15 who
have a PDD treatment and
management plan
 The referring consultant
Patients who have a
chronic condition and
complex care needs
 GP must have claimed GP
paediatrician or psychiatrist must
have claimed item 135 or 289.

81340
Podiatry service
Indigenous Australians
who have had a health
check
Management Plan (item 721 or
review item 732) AND Team
Care Arrangement (item 723 or
review item 732) in past 2 years.
GPs must refer using an
approved referral form.
 GP must have completed a
health check.
 GPs must refer using an
approved referral form.
Social Worker
80150
80155
Focussed psychological
strategies - allied mental
health service
Patients with an assessed
mental disorder
 GP Mental Health Care Plan
80160
80165
80170

81005
Speech Pathologist
10970
Non-directive pregnancy
support counselling
Women who are
concerned about a
pregnancy
Speech pathology service Patients who have a
chronic condition and
complex care needs
 A referral (no specific form, just
note or letter) from GP.
 GP must have claimed GP

81360
Speech pathology service Indigenous Australians
who have had a health
check
(items 2710), referred psychiatrist
assessment management plan
(items 291 or 293), and/or
relevant psychiatrist or
paediatrician item must have
been claimed.
No specific referral form, just a
note or a letter.
Management Plan (item 721 or
review item 732) AND Team
Care Arrangement (item 723 or
review item 732) in past 2 years.
GPs must refer using an
approved referral form.
 GP must have completed a
health check.
 GPs must refer using an
approved referral form.
82005
82020
Pervasive developmental
disorder services
Children under 13
 The child must have been
referred by a consultant
paediatrician or psychiatrist for
assessment, contribution to a
treatment plan or early
intervention treatment.
Children under 15 who
have a PDD treatment and
management plan
 The referring consultant
paediatrician or psychiatrist must
have claimed item 135 or 289.
* All allied health providers must be registered with Medicare Australia as meeting eligibility for relevant service prior to providing services.
Medicare Australia Quick Reference Guide for allied health professionals
Information about how allied health professionals can register to provide these services is available on 132 150.
Further information
Telephone: (02) 6289 4297
Email: mbsonline@health.gov.au
Internet: www.health.gov.au/mbsprimarycareitems or www.medicareaustralia.gov.au
MBS Online: www.health.gov.au/mbsonline