A number of new temporary Bulk Billing items have been created in response to the COVID-19 pandemic.
· From 13 March 2020 to 30 September 2020 (inclusive), new temporary MBS telehealth items have been
made available to help reduce the risk of community transmission of COVID-19 and provide protection for patients and health care providers.
· The list of telehealth services has continued to expand since 13 March. This is the latest factsheet and provides details on all current telehealth items.
· The new temporary MBS telehealth items are available to GPs, medical practitioners, nurse practitioners, participating midwives and allied health providers.
· A service may only be provided by telehealth where it is safe and clinically appropriate to do so.
· The new temporary MBS telehealth items must be bulk billed and are for non-admitted patients.
· On 30 March 2020, the bulk billing incentive Medicare fees will double for items relating to General Practice, Diagnostic Imaging and Pathology services. These items can be claimed with the new temporary MBS telehealth items where appropriate. The new fees are provided later in the factsheet.
As part of the Australian Government’s response to COVID-19, new temporary MBS telehealth items have been introduced to ensure continued access to essential Medicare rebated consultation services. As of 30 March 2020 these items have become general in nature and have no relation to diagnosing, treating or suspecting COVID-19.
A list of the new telehealth items is provided later in this fact sheet.
Who is eligible?
The new temporary MBS telehealth items are available to providers of bulk billed telehealth services for a wide range of consultations. All Medicare eligible Australians can now receive these services.
All services provided using the new temporary MBS telehealth items must be bulk billed.
The services will be available until 30 September 2020. The continuing availability of these items will be reviewed prior to 30 September 2020.
What telehealth options are available?
Videoconference services are the preferred approach for substituting a face-to-face consultation. However, in response to the COVID-19 pandemic, providers will also be able to offer audio-only services via telephone if video is not available. There are separate items available for the audio-only services.
No specific equipment is required to provide Medicare-compliant telehealth services. Services can be provided through widely available video calling apps and software such as Zoom, Skype, FaceTime, Duo, GoToMeeting and others.
Free versions of these applications (i.e. non-commercial versions) may not meet applicable laws for security and privacy. Practitioners must ensure that their chosen telecommunications solution meets their clinical requirements and satisfies privacy laws.
Why are the changes being made?
The new temporary MBS telehealth items will allow people to access essential Medicare funded health services in their homes and reduce their risk of exposure to COVID-19 within the community.
What does this mean for providers?
The new temporary MBS telehealth items will allow providers to continue to deliver essential health care services to patients within their care.
Providers do not need to be in their regular practice to provide telehealth services. Providers should use their provider number for their primary location, and must provide safe services in accordance with normal professional standards.
The new temporary telehealth MBS items will substitute current face-to-face consultations that are available under the MBS. The new temporary MBS telehealth items will have similar requirements to normal timed consultation items.
The new temporary telehealth items must be bulk billed, meaning MBS rebates are paid to the provider. Rebates for services provided by GPs and non-vocationally registered medical practitioners will be paid at 85% of the new item fees - these fee amounts have been increased so that the Medicare rebates paid for the new GP and medical practitioner telehealth services are at the same level as the rebates paid for the equivalent face-to-face services. (Due to the urgency of the new telehealth arrangements, the Department of Health has not been able to amend the legislation that establishes 100% rebates for GP/medical practitioner services.)
For information regarding the Medicare assignment of benefit, please refer to the Provider Frequently Asked Questions document available on MBSOnline.
How will these changes affect patients?
The new temporary MBS telehealth items will require providers to bulk-bill, so there will be no additional charge to patients. Patients are required to consent to their service being bulk-billed. Eligible patients should ask their service providers about their telehealth options, where clinically appropriate.
Where can I find more information?
COVID-19 National Health Plan resources for the general public, health professionals and industry are available from the Australian Government Department of Health website.
The full item descriptor(s) and information on other changes to the MBS can be found on the MBS Online website at www.mbsonline.gov.au. You can also subscribe to future MBS updates by visiting MBS Online and clicking ‘Subscribe’.
The Department of Health provides an email advice service for providers seeking advice on interpretation of the MBS items and rules and the Health Insurance Act and associated regulations. If you have a query relating to the COVID-19 telehealth MBS items please email COVIDResponse@health.gov.au. For all other queries relating to all other items in the Schedule, please email askMBS@health.gov.au.
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If you are seeking advice in relation to Medicare billing, claiming, payments, or obtaining a provider number, please go to the Health Professionals page on the Services Australia website or contact Services Australia on the Provider Enquiry Line – 13 21 50.