AST GVT Section 3C Health Insurance


On Jan. 31, AST GVT issued general medical services determinations.


  • AST GVT registered determinations made under Health insurance act 1973, section 3C.
  • Follows Apr. 2023, AST GVT issued related section 3C determinations, see #134831.
  • Allied Health Services
  • The Health insurance (section 3C general medical services - allied health services) determination 2024 comes in force in accordance with section 2 on Mar. 1, 2024.
  • Repeals and remakes the sunsetting 2014 determination to ensure that medicare benefits continue to be payable for such services performed by those practitioners.
  • Remake incorporates administrative amendments and changes re budgetary measures.
  • Telehealth
  • The Health insurance (section 3C general medical services - telehealth and telephone attendances) amendment (no. 1) determination 2024 comes into force on various dates, linked with the allied health determination above, and fully by Mar. 1, 2024.
  • Makes minor amendments to the 2021 telehealth determination, adds schedule items.
  • Effectiveness
  • These determinations come into force fully on Mar. 1, 2024.
  • Feb. 1, 2024 Cleft and Craniofacial Services
  • On Feb. 1, 2024, AST GVT registered the Health insurance (section 3C general medical services - cleft and craniofacial services) determination 2024, in force on Mar. 1, 2024.
  • Repeals and remakes the equivalent 2020 determination to implement medicare benefits review recommendations and to modernize clinical practice re such conditions.
  • Feb. 16, 2024 Amendment Determination
  • On Feb. 16, 2024, AST GVT registered Health insurance (section 3C general medical services - allied health services) amendment (no. 1) determination 2024 re above, to make administrative amendments to 3 allied health items (10953, 10966 and 82382).
  • It addresses issues identified after registration of Health insurance (section 3C general medical services - allied health services) determination 2024 (principal determination).
  • AST GVT published explanatory statement regarding the amendment determination.
  • Amendment determination in force Mar. 1, immediately after principal determination.
  • May 2024 Amendment Determination
  • On May 21, 2024, AST GVT published Health insurance legislation amendment (2024 measures no. 2) determination 2024, which amends the Health insurance (section 3C general medical services – allied health services) determination 2024.
  • It also amends the Health insurance (section 3C midwife and nurse practitioner services) determination 2022, and the Health insurance (section 3C general medical services – telehealth and telephone attendances) determination 2021.
  • Applies annual medicare benefits schedule (MBS) fee indexation to the relevant determinations, adds schedule items and makes minor administrative amendments.
  • The instrument commences in accordance with section 2, fully on Jul. 1, 2024.
  • Sep. 2024 Telehealth and Telephone Attendance
  • On Sep. 26, 2024, AST GVT registered Health insurance (section 3C general medical services - telehealth and telephone attendances) amendment (inpatient psychiatry attendances) determination 2024, and published the related explanatory statement.
  • This determination amends Health insurance (section 3C general medical services – telehealth and telephone attendances) determination 2021, see #134717 for details.
  • Insert six new temporary telehealth items for in-hospital psychiatry services, from Nov. 1, 2024, and will cease on Oct. 31, 2026 unless earlier revoked.

Regulators AST GVT
Entity Types IB; Ins
Reference RF F2024L01222, 9/26/2024; RF F2024L00558, 5/21/2024; Info, RF F2024L00177, 2/16/2024; RF F2024L00110, 2/1/2024; RF F2024L00112, F2024L00111, 1/31/2024; Citation: Health insurance (section 3C general medical services - allied health services) amendment (no. 1) determination 2024; Health insurance legislation amendment (2024 measures no. 2) determination 2024; Health insurance (section 3C general medical services - telehealth and telephone attendances) amendment (inpatient psychiatry attendances) determination 2024;
Functions Claims/Accelerated Benefits; Compliance; Financial; Legal
Countries Australia
Category
State
Products Critical Illness; Insurance; Insurance-Health; Medicare
Regions AP
Rule Type Final
Rule Date 1/31/2024
Effective Date 11/1/2024
Rule Id 199877
Linked to Rule :134831
Reg. Last Update 9/26/2024
Report Section International

Last substantive update on 10/01/2024