Education guide - Aboriginal health worker MBS items

Information explaining the key Medicare Benefits Schedule (MBS) requirements for claiming services provided by an Aboriginal health worker.

Medicare Benefits Schedule (MBS) items 10950, 10983, 10984, 13105 and 81300

These items do not apply for admitted patients of a hospital.

You can bill the following items using your Medicare provider number.

Item Service MBS requirements
10950 Individual allied health service for chronic disease management

In person, only available to patients with a GP Management Plan (GPMP), Team Care Arrangements (TCAs) or Multidisciplinary Care Plan in place (MBS items 229, 721, 230, 723, 231, 729, 232, 731, 233, 732).

The medical practitioner using a referral form refers the patient and the service is of at least 20 minutes duration.

You can claim up to 5 services per patient in a calendar year.

81300 Follow-up allied health service for people of Aboriginal or Torres Strait Islander descent

Service provided to a patient after a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services.

The medical practitioner using a referral form refers the patient and the service is of at least 20 minutes duration.

You can claim up to 5 services per patient in a calendar year.

The annual limit of 5 allied health services per patient under items 81300 to 81360 is in addition to the annual limit of 5 individual allied health services for patients with a chronic or terminal medical condition and complex care needs (items 10950 to 10970).

You can perform these services on behalf of a supervising medical practitioner. You can bill these items using the medical practitioner’s provider number.

Item Service MBS requirements
10983 Telehealth support service

Clinical support service to a patient participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist.

The patient, at the time of the consultation, must be either:

  • located in an eligible Telehealth area at least 15 kms by road from the treating specialist, physician or psychiatrist
  • getting a service from an Aboriginal Medical Service, or Aboriginal Community Controlled Health Service to which direction made under subsection 19(2) of the Health Insurance Act 1973 applies.
10984 Telehealth support service at a residential aged care facility

Clinical support service to a patient participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist.

The patient, at the time of the consultation, must be either:

  • a care recipient receiving care in a residential aged care service other than a self-contained unit
  • in a consulting room in a residential aged care service complex other than a self-contained unit.
13105 Haemodialysis management for patients in very remote areas

Haemodialysis management for patients with end-stage renal disease.

Haemodialysis is provided in a Modified Monash Model 7 area (very remote).

Patient’s care is managed by a nephrologist and reviewed every 3 to 6 months.

The nephrologist can review the patient and supervise haemodialysis in person or remotely.

More information

Read more about:

Contact us for Medicare provider enquiries.

Provide your feedback on our education resources.

Page last updated: 9 January 2020