Allied and Dental Health item numbers

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*NEW* The Department has become aware that the Commonwealth may discontinue the Medicare dental items detailed in the attachments below. Community Health Services should check this website at regular intervals for updates on these items, or check the Commonwealth site.

For comprehensive information about the end of the items and the transition arrangements, see the Department of Health and Ageing website.

Overview

Note that MBS allied and dental health services can only be provided to clients on an Enhanced Primary Care (EPC) care plan.  Therefore, this section must be read in conjunction with the Care Planning and Case Conferencing section, which outlines EPC care plans.

Primary Health Branch funds patient access to allied and dental health services through the Community Health sector, as outlined in Community Health Services – Creating a Healthier Victoria and Improving Victoria’s Oral Health.

The Medicare Benefits Schedule enhances patient access to private allied and dental health services on referral from a GP when patients are placed on a multidisciplinary Enhanced Primary Care (EPC) care plan. This care plan must be coordinated by the patient’s GP and may involve the community health sector in a partnership approach to care, when a private (non-salaried) allied health or dental provider is working in or co-located with community health services.

Note that only certain types of patients are eligible for multidisciplinary EPC care plans and access to MBS-rebateable allied and dental health.

Clients are being managed under an EPC plan if their GP has prepared and billed the following MBS Chronic Disease Management items in the previous two years:

1. a GP Management Plan - item 721 (or review item 725); AND
2. a Team Care Arrangements - item 723 (or review ite20 July, 2009an aged care facility are managed under an EPC plan if their GP has contributed to or reviewed a multidisciplinary care plan prepared for them by the aged care facility (item 731).

   Download

   Allied health (individual) and dental health MBS item numbers (34kb, pdf)

   Allied health (individual) and dental health MBS web links and explanatory notes (46kb, pdf)

   Allied health (group) services MBS web links and explanatory notes (26kb, pdf)