National Clinical Assessment Framework for Children and Young People in Out-of-Home Care (OOHC) - March 2011

Comprehensive health and development assessment

Page last updated: 05 December 2011

A Comprehensive Health and Developmental Assessment should be completed within 3 months of a child’s placement.

Items for all children

GPs

  • MBS General Attendance Items 36 (Level C) and 44 (Level D) in consulting rooms, provided by a general practitioner.
  • MBS General Attendance Items 37 (Level C) and 47 (Level D) at a place other than consulting rooms or a residential Aged-Care facility, provided by a general practitioner.

Other Medical Practitioners (not vocationally registered)

  • MBS Consultation Items 54 (Long) and 57 (Prolonged) in consulting rooms, provided by another medical practitioner.
  • MBS Consultation Items 60 (Long) and 65 (Prolonged) provided as a home visit or consultation at an institution (including a hospital), by another medical practitioner.

Consultant Medical Practitioners (including paediatricians)

  • MBS Items 110 and 122 for referred initial consultation– in a single course of treatment.
  • MBS Items 116 and 128 for subsequent attendance – in a single course of treatment
  • MBS Items 119 and 131 for minor subsequent consultation – where limited or no physical examination required.

Consultant Psychiatrists

  • MBS Item 291 for referred attendance of at least 45 minutes for provision of an assessment and development of a management plan.
  • MBS Items 293 for professional attendance of at least 45 minutes for review of management plan provided under item 291.
  • MBS items 296, 297 and 299 for referred initial consultation on a new patient.

Specialist Medical Practitioners

  • MBS Item 104 for referred initial consultation.
  • MBS Item 105 for subsequent attendance.
  • MBS Item 106 for initial specialist ophthalmologist attendance – in a single course of treatment provided for refractive testing for the issue of a prescription for spectacles or contact lenses.
  • MBS Item 109 for initial ophthalmologist paediatric attendance – in a single course of treatment provided to a child aged 8 years or under or to a child aged 14 years or under with developmental delay.

Health assessment items for specific population groups

These items may be available if the child meets one of the following criteria:
  • Aboriginal and/or Torres Strait Islander;
  • Aged at least 3 and less that 5 years;
  • A Child with an intellectual disability;
  • Refugee or humanitarian entrant, and who has been in Australia for less than twelve months

GPs

  • MBS item 715, the health assessment for Aboriginal and Torres Strait Islander people, for Aboriginal and Torres Strait Islander children aged 0-14 years of age inclusive (available annually).
  • MBS time-based health assessment items 703 (Standard), 705 (Long) or 707 (Prolonged) for a child:
    • aged at least 3 years and less than 5 years, who has received or is receiving their 4 year old immunisation who is about to commence school (available once only for each eligible child who has not already received an MBS Item 10986 service);
    • with an intellectual disability (available annually); and
    • who is a refugee or humanitarian entrant, and who has been in Australia for less than 12 months (available once only for each eligible child).