Additional Referral Pathways

Cards (16)

  • AEP clients
    Access services through a chronic diseases management plan (EPC)
  • Independent of the delivery mode, the rebate amount is the same; independent, face-to-face, telehealth (although item codes may vary slightly)
  • Professionals Medicare rebates are available for T2DM when accessing services (when referred by a GP)

    • Diabetes educators
    • AEPs
    • Accredited practicing dieticians
  • Patients access services
    1. Initial assessment to determine eligibility
    2. Participate in up to 8 group exercise intervention services per year
  • Initial Assessment
    • Comprehensive medical history
    • Identify individual relevant goals
    • Prepare client for group exercise class
  • Initial Assessment should be of at least 45 mins duration - 81110 item code
  • Once determined to be suitable, then client is able to participate in group classes - 81105 item code
  • Group classes
    • 2-12 clients per session (with attendance recorded)
    • Max. 8 classes with Medicare (min 60 min session with 1 allied health professional)
  • Group class content
    • Blood glucose monitoring
    • Food labels and recipe modification
    • Exercise strategies
    • Associated health care concerns
    • Strategies for change
  • Aboriginal and Torres Strait Islander population are eligible for 5 additional allied health services per year under 81315 (and additional 5 EP sessions if undertaken a health assessment by GP and completion of referral form)
  • Main causes of death in Aboriginal and Torres Strait Islander population

    Diseases with modifiable risk factors (particularly diabetes and coronary heart disease)
  • Largest contributor to the health gap is socioeconomic factors coupled with behavioural and biomedical risk factors = almost 50% total
  • By providing these services, we hope to impact this factor and barrier towards improved health
  • Mental Healthcare Plan
    Made by a physician (psychologist) and GP, must use outcome measures such as Kessler Psychological Distress Scale, Sort FORM hEALTH SURVEY, OR the health of the Nation outcome scales
  • Rebates for 12 sessions with a psychologist
  • Max 5 sessions for allied health services (min. 20 mins 1:1 session per calendar year) - report to treating team after first and last session (min.)