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

Ongoing monitoring, assessment and care

Page last updated: 05 December 2011

Follow-up monitoring should occur in accordance with the clinical needs of individuals to ensure that existing issues are being appropriately addressed and new and emerging issues are identified and addressed.

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 other medical practitioner.
  • MBS Consultation Items 60 (Long) and 65 (Prolonged) provided as a home visit or consultation at an institution (including a hospital), by other 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 Items 300 –319 for subsequent consultation in consulting rooms.
  • MBS Items 320 – 328 for consultation in hospital provided by Consultant Psychiatrist
  • MBS Items 330 – 338 for referred consultation at home, provided by Consultant Psychiatrist.

Items for children with a mental health condition

GPs

  • MBS Item 2702 and 2710 Preparation of a GP Mental Health Treatment Plan.
  • MBS Item 2712 Review of a GP Mental Health Care Plan
  • MBS Item 2713 GP Mental Health Care Consultation (20+ minute consultation).

Consultant Psychiatrist

  • MBS Item 291 Patient Assessment and Management by a Consultant Psychiatrist.
  • MBS Item 293 Review of Referred Patient Assessment and Management consultation by a Consultant Psychiatrist.
  • MBS Item 296, 297 and 299 Initial consultation in rooms, in hospital or at home, provided by Consultant Psychiatrist.
  • MBS Items 855, 857 and 858 to organise and coordinate a community case conference of at least two other formal care providers of different discipline.
  • MBS Items 861, 864 and 866 to organise and coordinate a discharge case conference of at least two other formal care providers of different discipline.

Other Health Professionals

Medicare rebates are available for up to 12 individual (18 in exceptional circumstances) and 12 group allied mental health services per calendar year to patients with an assessed mental disorder who are referred by a GP under mental health treatment plan or under a psychiatrist assessment and management plan or by a psychiatrist or paediatrician.
  • MBS Items 80000 and 80010 Psychological therapy service provided by a clinical psychologist, in rooms.
  • MBS Items 80005 and 80015 Psychological therapy service provided by a clinical psychologist, out of rooms.
  • MBS Item 80020 Psychological therapy group session provided by a clinical psychologist.
  • MBS Items 80100 and 80110 Focussed psychological strategies provided by a general psychologist in rooms.
  • MBS Items 80105 and 80115 Focussed psychological strategies provided by a general psychologist out of rooms.
  • MBS Item 80120 Focussed psychological strategies group session provided by a general psychologist.
  • MBS Items 80125 and 80135 Focussed psychological strategies provided by an occupational therapist, in rooms.
  • MBS Items 80130 and 80140 Focussed psychological strategies provided by an occupational therapist, out of rooms.
  • MBS Items 80145 Focussed psychological strategies group session provided by an occupational therapist.
  • MBS Items 80150 and 80160 Focussed psychological strategies provided by a social worker, in rooms.
  • MBS Items 80155 and 80165 Focussed psychological strategies provided by a social worker, out of rooms.
  • MBS Item 80170 Focussed psychological strategies group session provided by a social worker.
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Items for Aboriginal and Torres Strait Islander children

Assessment

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).

Other health professionals

  • MBS Item 10987 follow up service provided by a practice nurse or registered Aboriginal health worker for an Aboriginal and Torres Strait Islander who has received a health assessment (maximum of 10 services in a calendar year).

Management

Other health professionals

  • MBS Item 81300 follow-up Aboriginal and Torres Strait Islander health service provided by an Aboriginal health worker for Aboriginal and Torres Strait Islanders who have had a health assessment.
  • MBS Item 81305 follow-up diabetes education health service provided by a diabetes educator for Aboriginal and Torres Strait Islanders who have had a health assessment.
  • MBS Item 81310 follow-up audiology health service provided by an audiologist for Aboriginal and Torres Strait Islanders who have had a health assessment.
  • MBS Item 81315 follow-up exercise physiology health service provided by an exercise physiologist for Aboriginal and Torres Strait Islanders who have had a health assessment.
  • MBS Item 81320 follow-up dietetics health service provided by a dietitian for Aboriginal and Torres Strait Islanders who have had a health assessment.
  • MBS Item 81325 follow-up mental health service provided by a mental health worker for Aboriginal and Torres Strait Islanders who have had a health assessment.
  • MBS Item 81330 follow-up occupational therapy health service provided by an occupational therapist for Aboriginal and Torres Strait Islanders who have had a health assessment.
  • MBS Item 81335 follow-up physiotherapy health service provided by a physiotherapist for Aboriginal and Torres Strait Islanders who have had a health assessment.
  • MBS Item 81340 follow-up podiatry health service provided by a podiatrist for Aboriginal and Torres Strait Islanders who have had a health assessment.
  • MBS Item 81345 follow-up chiropractic health service provided by a chiropractor for Aboriginal and Torres Strait Islanders who have had a health assessment.
  • MBS Item 81350 follow-up osteopathy health service provided by an osteopath for Aboriginal and Torres Strait Islanders who have had a health assessment.
  • MBS Item 81355 follow-up psychology health service provided by a psychologist for Aboriginal and Torres Strait Islanders who have had a health assessment.
  • MBS Item 81360 follow-up speech pathology health service provided by a speech pathologist for Aboriginal and Torres Strait Islanders who have had a health assessment.
Note: A total of 5 services may be provided in a calendar year using MBS items 8133-81360. A single service or mix of service types may be provided within this 5 service limit. Patients must have had a health check from their GP before they are eligible to be referred for items 81300-81360
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Items for children with a chronic or terminal medical condition with or without complex care needs

GP

  • MBS item 721 Preparation of a GP Management Plan
  • MBS Item 723 Coordination of Team Care Arrangements.
  • •MBS Item 729 Contribution to a multidisciplinary care plan being prepared by another health or care provider.
  • MBS Item 732 Review of a GP Management Plan and/or Coordination of a Review of Team Care Arrangements.

Consultant physicians

  • MBS Items 820, 822 and 823 to organise and coordinate a community case conference of at least three other formal care providers of different discipline.
  • MBS Items 825, 826 and 828 to participate a community case conference of at least two other formal care providers of different discipline.
  • MBS Items 830, 832 and 834 to organise and coordinate a discharge case conference of at least three other formal care providers of different discipline.
  • MBS Items 835, 837 and 838 to organise and coordinate a discharge case conference of at least two other formal care providers of different discipline.

Other health professionals

  • MBS Item 10950 Aboriginal or Torres Strait Islander health service provided by an Aboriginal health worker to a person who has a chronic condition and complex care needs being managed under both a GP Management Plan and Team Care Arrangements.
  • MBS Item 10951 diabetes education health service provided by a diabetes educator to a person who has a chronic condition and complex care needs being managed under both a GP Management Plan and Team Care Arrangements.
  • MBS Item 10952 audiology health service provided by an audiologist to a person who has a chronic condition and complex care needs being managed under both a GP Management Plan and Team Care Arrangements.
  • MBS Item 10953 exercise physiology health service provided by an exercise physiologist to a person who has a chronic condition and complex care needs being managed under both a GP Management Plan and Team Care Arrangements.
  • MBS Item 10954 dietetics health service provided by a dietitian to a person who has a chronic condition and complex care needs being managed under both a GP Management Plan and Team Care Arrangements.
  • MBS Item 10956 mental health service provided by a mental health worker to a person who has a chronic condition and complex care needs being managed under both a GP Management Plan and Team Care Arrangements.
  • MBS Item 10958 occupational therapy health service provided by an occupational therapist to a person who has a chronic condition and complex care needs being managed under both a GP Management Plan and Team Care Arrangements.
  • MBS Item 10960 physiotherapy health service provided by a physiotherapist to a person who has a chronic condition and complex care needs being managed under both a GP Management Plan and Team Care Arrangements. Top of page
  • MBS Item 10962 podiatry health service provided by a podiatrist to a person who has a chronic condition and complex care needs being managed under both a GP Management Plan and Team Care Arrangements.

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.

Management

  • MBS Item 82015 Psychology health service provided to a child aged under 15 years with a pervasive developmental disorder.
  • MBS Item 82020 Speech pathology health service provided to a child aged under 15 years with a pervasive developmental disorder.
MBS Item 82025 Occupational health service provided to a child aged under 15 years with a pervasive developmental disorder.