Referral Form for Chronic Disease Allied Health (Individual) Services under Medicare issued by the DepartmentThis page contains a referral form that is a resource for GPs to meet their regulatory requirements when referring a patient for Medicare rebateable allied health services under the Chronic Disease Management (CDM) Medicare items.
Mental Health Care Plans
Once a GP Mental Health Treatment Plan has been completed and claimed on Medicare either through item 2700, 2701, 2715 or 2717 a patient is eligible to be referred for up to ten (up to 16 services from 1 March 2012 to 31 December 2012 where exceptional circumstances apply) Medicare rebateable allied mental health services per calendar year for psychological therapy or focussed psychological strategy services. Patients will also be eligible to claim up to ten separate services for the provision of group therapy (either as part of psychological therapy or focussed psychological strategies). When referring patients GPs should provide similar information as per normal GP referral arrangements. This could include providing a copy of the patient's GP Mental Health Treatment Plan, where appropriate and with the patient's agreement. The necessary referrals should be made after the steps above have been addressed and the patient's GP Mental Health Treatment Plan has been completed. It should be noted that the patient's mental health treatment plan should be treated as a living document for updating as required. In particular, the plan can be updated at any time to incorporate relevant information, such as feedback or advice from other health professionals on the diagnosis or treatment of the patient. On completion of a course of treatment provided through Medicare rebateable services, the service provider must provide a written report on the course of treatment to the GP. For the purposes of the Medicare rebateable allied mental health items, a course of treatment will consist of the number of services stated on the patient's referral (up to a maximum of six in any one referral). There may be two or more courses of treatment within a patient's entitlement of up to ten services per calendar year (up to 16 services from 1 March 2012 to 31 December 2012 where exceptional circumstances apply). The number of services that the patient is being referred for is at the discretion of the referring practitioner (eg. GP). Many patients will not require a new plan after their initial plan has been prepared. A new plan should not be prepared unless clinically required, and generally not within 12 months of a previous plan. Ongoing management can be provided through the GP Mental Health Treatment Consultation and standard consultation items, as required, and reviews of progress through the GP Mental Health Treatment Plan Review item. A rebate for preparation of a GP Mental Health Treatment Plan will not be paid within 12 months of a previous claim for the patient for the same or another Mental Health Treatment Plan item or within three months following a claim for a GP Mental Health Treatment Review (item 2712 or former item 2719), other than in exceptional circumstances
Diabetes type 2 — Allied health Information on the allied health group services provided by eligible diabetes educators, exercise physiologists and dietitians for people with type 2 diabetes, on referral from a GP.