Changes to MBS Items – Effective 1st July 2018

This is a special alert for our Non-VR General Practitioners about a release that came through from DoH this afternoon.

 

There will be changes to the MBS items that all Non-VR General Practitioners will have the ability to bill.

 

Medicare are implementing a “A7” rates for non- specialist General Practitioners effective from Jul 1 2018

 

They are abolishing the OMPs Programs

From November 2018 no further applicants will be accepted via any of the OMPs programs. GPs currently approved on the program will be able to continue billing the higher items up until June 30 2023. There will be no extensions after this date and participants will need to continue to comply with the program guidelines.  

 

MOMPs program participants will continue to have access indefinitely to A1 rates indefinitely. The MOMPS Program (MedicarePlus) is for GPs registered prior to 1996.  

 

What are the new item numbers & are there incentives to work rural?

Doctors choosing to work rurally will continue to se incentives although not at the same rate as they did previously via ROMPs.

 

  • Metro (MMM1):
    • continue using A2 rates (currently at 60% of the VR item number)
    • continue using A19 for PIPs(60%)
    • other services can use the new subgroups which are 80% of the VR rate
  • Rural (MMM2-7):
    • All new items under A7

 

The below is a table taken from the release reflecting the MBS group eligibility.

 

Medicare Items

We are gathering as much information as we can and will let you know as we get updates!

 

If you have any queries, please contact our team.