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MBS items – Chronic Disease and Aboriginal and Torres Straight Islander Health

There are a number of chronic disease Medicare Benefit Schedule (MBS) items available to assist medical practices and allied health services in providing appropriate support to clients with a chronic disease.

In addition, measures have been put in place by government in recognition of the greater burden of disease experienced by Aboriginal and Torres Strait Islander peoples (from this point referred to as Aboriginal, as the term is inclusive), as well as of the morbidity almost exclusively seen in this population­.

Click here for a summarised table of foundation MBS items.

These can be used both in early detection and prevention of chronic disease, as well as to provide an optimal level of care for Aboriginal patients currently with a chronic disease and complex healthcare needs.

The information has been drawn from, and should be read in conjunction with, the Medicare Benefit Schedule.

PIP Indigenous Health Incentive (IHI) and CTG Script Annotation

A practice is able to register to participate in the Practice Incentives Program (PIP) which aims to support general practice activities that encourage quality care, and improve access and health outcomes for patients. Once registered for the PIP IHI a practice will receive a $1,000 sign-on payment.

An Indigenous patient attending the practice either with or at risk of a chronic disease is then eligible to complete a PIP IHI patient registration form. For MBS purposes the definition of a chronic disease is “a disease that has been, or is likely to be present for at least six months – inclusive, but not limited to asthma, cancer, cardiovascular illness, diabetes, musculoskeletal conditions and stroke.”

While completed on the same registration form, the PIP IHI and CtG PBS Co-Payment Measure (CtG script annotation) provide the patient with two distinctly separate areas of assistance.

The Comparison of PIP IHI and CTG Script Annotation document provides a summary and comparison of the components for your convenience. It has been drawn from, and should be read in conjunction with, the Practice Incentives Program Indigenous Health Incentive Guidelines (2014), Department of Health.

Additional resources:

For further information or queries contact:

Phone: Practice Incentive Program, Medicare 1800 222 032

Email:  askmbs@humanservices.gov.au

Alternatively, contact your local WAPHA Primary Health Liaison. If you are unsure who this may be, please phone: 08 6272 4945.