The questions1. What are the items?
2. Who is eligible for treatment?
3. Who can claim these items?
4. Is a referral necessary?
5. May consultant physicians refer patients to allied health?
6. What information should a referring practitioner provide to a consultant physician?
7. What information should be included in a consultant physician treatment and management plan?
8. What happens to care plans that are already developed?
9. Where can I get more information?
132 and 133) provide for consultation by a consultant physician (specialist hospital doctors with the exception of those specialising in psychiatry), for the assessment and review of a patient with at least two diseases (that may or may not include congenital, developmental and behavioural disorders).
|Medicare Item Number||Item explanation|
|Item 132||Initial assessment: including development of a treatment and management plan where the consultation must be 45 minutes or more.|
|Item 133||Review of the treatment and management plan: including modification as necessary. This consultation must be of 20 minutes duration or more.|
item 133), provided that the initial consultation (item 132) is claimed within the preceding 12 months.
To be eligible for Medicare benefits for allied health treatment of chronic disease, a patient must be being managed by a GPMP and/or a TCA) and must be referred by that same GP. This does not prevent the consultant physician from identifying the need for allied health services in the preparation of his or her treatment and management plan, but it does necessitate the GP review the consultant physicians recommendations carefully. In this way, he or she is able to make an allied health referral that meets Medicare requirements.
- presenting symptoms and current difficulties
- patient’s history
- relevant pathology results
- medications details (including interactions)
- relevant care plans
- assessments by other health professionals.
- an opinion on diagnosis and a risk assessment
- treatment options and decisions
- medication recommendations.
- For patients phone Medicare on 132 011
- For practitioners phone Medicare on 132 150
- MBS online.