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

Development of a Health Management Plan

Page last updated: 05 December 2011

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.

Items for Aboriginal and Torres Strait Islander children:

  • 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).

Items for children with mental health condition

General Practitioners

  • MBS Item 2702 and 2710 Preparation of a GP Mental Health Treatment Plan.

Consultant psychiatrists

  • MBS Item 291 (Long) referred Patient Assessment and Management by Consultant Psychiatrists.
  • MBS Item 296, 297 and 299 initial consultation in rooms, in hospital or at home, provided by Consultant Psychiatrist.
  • MBS Items 300 - 319 for subsequent consultation in consulting rooms, provided by Consultant Psychiatrist.
  • MBS Items 320 - 328 for consultation in hospital provided by Consultant Psychiatrist.
  • MBS Item 330 - 338 for referred consultation at home, provided by Consultant Psychiatrist.

Items for children with autism or other pervasive developmental disorder

Assessment

  • MBS Items 135 and 289 Consultant physicians (paediatrician or psychiatrists) - for assessment, diagnosis and development of a treatment and management plan for autism or any other pervasive developmental disorder on referral from a GP.
  • MBS Item 82000, 82005 and 82010 - Allied health items for psychologists, speech pathologists and occupational therapists to assist consultant physicians with the assessment and diagnosis and development of a treatment and management plan for autism or any other pervasive developmental disorder.
The allied health professionals must be referred by a consultant physician for up to four services in any combination for children aged less than 15 years.

Items for children with asthma

Items for the completion of the asthma cycle of care:

  • MBS Items 2546, 2552 and 2558 Consultation at consulting rooms.
  • MBS Items 2547, 2553, 2559 and Consultation at a place other than consulting rooms.

Items for children with diabetes mellitus

  • MBS Items 2517, 2521 and 2525 Consultation at consulting rooms.
  • MBS Items 2518, 2522 and 2526 Consultation at a place other than consulting rooms.

Items for children with a chronic (or terminal) medical condition with or without complex care needs

  • MBS Item 721 Preparation of a GP Management Plan.
  • MBS Item 723 Coordination of Team Care Arrangements.

Items for children with complex and at least two morbidities, including paediatricians

Consultant physician

  • MBS Items 132 for referred attendance of at least 45 minutes for an initial assessment and development of a treatment and management plan of significant complexity.
  • MBS Items 133 for professional attendance of at least 20 minutes for subsequent visits and review of the treatment and management plan.

Items for children with binocular or accommodative dysfunction

Optometrist

  • MBS Item 10943 for a patient ages 3 – 14 years (inclusive) to confirm diagnosis of, or establish a treatment regime for a significant binocular or accommodative dysfunction, including ocular motility, vergences or fusional reserves.