FAQ - Bulk Billed MBS patient COVID-19 Vaccine Suitability Assessment Service

Information on the MBS COVID-19 Vaccine Suitability Assessment Service

Page last updated: 04 August 2021

The Australian Government is committed to offering every person in Australia access to safe and effective COVID-19 vaccines at no cost. Providers are not to charge out of pocket expenses to Medicare eligible or ineligible patients.

From March 2021, 16 new MBS items (MBS items 93624 to 93656) inclusive were introduced to enable general practitioners (GPs) and Other Medical Practitioners (OMPs) and suitably qualified health professionals to assess patients for their suitability to receive a COVID-19 vaccine.

The MBS COVID-19 vaccine suitability assessment service is free to Medicare eligible patients and the MBS items must be bulk billed.

On 14 June 2021, the Australian Government introduced MBS item 90005 to provide a call-out or flag-fall fee for GPs and OMPs who conduct a COVID-19 vaccine suitability assessment service in a residential aged care facility (RACF), a residential disability facility setting or at a patient’s place of residence.MBS item 90005 provides a flag-fall fee for an initial attendance at a RACF, residential disability facility setting or a patient’s place of residence, on one occasion, applicable only to the first patient seen. The item must be billed in association with a COVID-19 vaccine suitability assessment service.

From 18 June 2021, the Government introduced two new MBS items (10660 and 10661) to support GPs and OMPs to provide in-depth clinical assessments of patients regarding their individual health risks and benefits associated with receiving a COVID-19 vaccine.

MBS items 10660 and 10661 may only be claimed where a General Practitioner (GP) or Other Medical Practitioner (OMP) attends to a patient in person for more than 10 minutes, and must be provided in conjunction with a relevant MBS COVID-19 vaccine suitability assessment item.

Consistent with the other MBS vaccine suitability assessment items, items 10660 and 10661 must be bulk-billed.

To avoid doubt, no fee can be charged to a patient (Medicare eligible or Medicare ineligible) for any reason under this program if receiving the COVID-19 vaccine is contingent on that fee or service.


PDF version Medicare Support for COVID-19 Vaccinations (PDF 526 KB)

Word version Medicare Support for COVID-19 Vaccinations (Word 431 KB)