MEDICARE item numbers for General Medical Practitioners (GPs)

The clinical certificate course in Hypnosis-CBT-FPS-Guided Imagery-Counselling-Stress Management conducted by the College of Medical Hypnosis allows general medical practitioners to apply to Medicare to become registered to use an extra seven Medicare item numbers after the course.

Upon completion of the training the general medical practitioner (GP) sends the:
1. copy of the certificate of attendance provided at the conclusion of the course plus
2. the form they complete which we give to them during the course to apply to be registered with Medicare for the mental health item numbers to the General Practice Mental health Standards Collaboration (GPMHSC).

The GPMHSC co-ordinates these forms with the information which we provide to the RACGP and the ACRRM following the course showing that the doctors have completed the training. The GPMHSC then notifies Medicare that the GP is eligible to be registered to use the item numbers. GPs can actually use the item numbers immediately following the training but will probably need to keep the Medicare vouchers and not submit them to Medicare until their Medicare registration has been processed which can take approximately a fortnight.

There are two sets of Medicare item numbers which become available to the medical practitioners following this training course:
1. The mental health skills training (MH-ST) also previously called level one related item numbers, for the production of a mental health treatment plan (MHTP) which has 2 different item numbers, 2715 for consultations more than 20 minutes or 2717 for consultations longer than 40 minutes. The 2712 Item number is for a review of a mental health treatment plan and the review should be conducted between one month and six months following the production of a MHTP. The GP can then refer the patient to themselves or to an allied health professional such as a psychologist, a mental health occupational therapist or a mental health social worker.

After a patient/consumer has a MHTP formulated they have 10 FPS Item numbers in total available for them in the remainder of the calendar year to have appropriate FPS consultations They could have for example 6 FPS consultations supplied by a GP and 4 applied by allied health professionals to whom the GP has referred the patient.

2. The focussed psychological strategies skills training (FPS-ST) item numbers, 2721 for an FPS consultation more than 30 minutes, or 2723 for the same FPS consultation delivered outside of the clinic. 2725 is for an FPS consultation of more than 40 minutes in the clinic or 2727 when applied outside the clinic.

In addition each module of the six-day training courses is approved for focus psychological strategies continuing professional development FPS-CPD. GPs need to acquire an approved FPS-CPD activity Active learning Module (ALM) every triennium following the triennium in which they are initially registered for the FPS item numbers in order to maintain their FPS registration with Medicare. This course is also approved for mental health skills training CPD, but MH-CPD is currently not compulsory with the GPMHSC.

UNRELATED item numbers

When GPs conduct consultations that involve different unrelated consultations within a continuous period of time, such as an FPS consultation of 30 minutes in the clinic, ie a 2721 and they also treat a patient for an unrelated medical condition such as diabetes or hypertension for 20 minutes ie an item 36 for a total of at least 50 minutes, then they can apply to have both of the numbers accepted by Medicare, ie 2721 + 36 with the notation 2721 unrelated to 36. If the patient is on a health care card or pension or child under the age of 16 then the item number 10990 is also applicable to be applied twice.

The mental health Medicare item number available for all GPs for mental health related consultations exceeding 20 minutes is 2713. An item 2713 cannot be used in conjunction with any of the seven mental health Medicare item numbers mentioned above ie the MH numbers 2715, 2717, 2712 or the FPS numbers 2721, 2723, 2725, 2727.

Dr Alan Fahey 4/07/16 Please see the GPMHSC website for further clarification

College of Medical Hypnosis Clinical Courses are accredited by:

Australian Association of Social WorkersAustralian College of Mental Health NursesRACGP QI&CPD PointsANZCA - Australian and New Zealand College of Anaesthetistsacrrm Australian College of Rural and Remote MedicineAustralian College of MidwivesGPMHSC Accredited ActivityThe College of Nursing CPD hoursapna endorsed 2016