Medicare benefits schedule (MBS) planning for GPs providing Medication Assisted Treatment of Opioid Dependency (MATOD)

MBS items and descriptions

Click on an item number (eg: 2700) to go to the MBS summary of that item in a new web page.

*Details and rebates current at August 2014 for a practice in a defined rural area.
For updates visit the Department of Health MBS Online website.

Note – MBS item numbers and patient flow guides are provided as examples only. Individual prescribers and practices are responsible for deciding the most appropriate treatment for their patients.

1. GP Mental Health Treatment Plan (GPMHTP) & review
MBS item description Item number Rebate ($) Recommended frequency Minimum claiming period*
Preparation of a GPMHTP lasting at least 20 minutes by a GP without mental health skills training 2700 71.70 2 yearly 12 months*
Preparation of a GPMHTP lasting at least 40 minutes by a GP without mental health skills training 2701 105.55 2 yearly 12 months*
Preparation of a GPMHTP lasting at least 20 minutes by a GP with mental health skills training 2715 91.05 2 yearly 12 months*
Preparation of a GPMHTP lasting at least 40 minutes by a GP with mental health skills training 2717 134.10 2 yearly 12 months*
Mental healthcare consultation. 2713 71.70 3 monthly 12 months*
Review of a GPMHTP (minimum 4 weeks after preparation of the plan) 2712 71.70 6 monthly 3 months*
2.GP Management Plan (GPMP) & Review, Team Care Arrangement (TCA) & Review
MBS item description Item number Rebate ($) Recommended frequency Minimum claiming period*
Preparation of a GP management plan 721 144.25 2 yearly 12 months*
Coordinate the development of Team Care Arrangements 723 114.20 2 yearly 12 months*
Review of a GP Management Plan OR of Team Care Arrangements 732 72.05 6 monthly 3 months*
Contribution to a multidisciplinary care plan or Team Care Arrangements prepared by another provider 729 70.40 6 monthly 3 months*
3. Other
MBS item description Item number Rebate ($) Recommended frequency Minimum claiming period*
Aboriginal and Torres Strait Islander Peoples Health Assessment 715 212.25 Annually for under 15 and over 55; once every 18 months for others 9 monthly*
Urine drug test 66626 24.10

*These services can also be provided more frequently in ’exceptional circumstances’—where there has been a significant change in the patient’s clinical condition or care circumstances (such as development of comorbidities or complications, deteriorating condition, illness/ death of carer etc) that require a new GPMHCP or review , a new GPMP, TCA or review service.


An Example of Medicare Items and Rebates first 12 months*

*Details and rebates current at August 2014 for a practice in a defined rural area.
For updates, go to http://www9.health.gov.au/mbs/search.cfm

The Medicare Benefits Schedule book contains all the requirements of a GPMP, TCA and GPMHTP and it is essential you check these details yourself before billing these items.

Patient flow – first six weeks
1st Cons Admission; Needs assessment GP Mental Health Care Consultation Item 2713 +/- 23, 10991 $71.70 +/- $37.05+9.25
2nd Cons GPMHTP GP Mental Health Care Plan 20-40 minutes Item 2717 +/-23, 10991 $134.10 +/- $37.05+9.25
3rd Cons GPMP GP Management Plan Item 721 +/- 23, 10991 $144.25 +/- $37.05+9.25
4th Cons TCA Team Care Arrangement Item 723 +/- 23, 10991 $114.30 +/- $37.05+9.25
5th Cons Continuing care Level B Item 23 $37.05+9.25
6th Consultation Possible Domiciliary Medication Management Review (DMMR) DMMR Item 900 +/- 23, 10991 $154.80 +/- $37.05+9.25
Total $656.20 – $887.70
Patient flow – the next three months
7th Cons Wk 8 Ongoing care Level B Item 23 $37.05+9.25
8th Cons Wk 10 Ongoing Care Level B Item 23 $37.05+9.25
9th Cons Wk 12 Case Conference Case Conference 20-40 minutes Item 739 +/- 23, 10991 $83.75 +/- $37.05+9.25
10th Cons Wk 14 GP Plan Review GP Mental Health Care Plan Review Item 2712 +/- 23, 10991 $71.70 +/- $37.05+9.25
11th Cons Wk 16 GP Management Plan Review GP Management Plan Item 732 +/- 23, 10991 $72.05 +/- $37.05+9.25
12th Cons Wk 16 TCA Review TCA Review Item 732 +/- 23, 10991 $72.05 +/- $37.05+9.25
Total $373.65 – $540.30
Patient flow – ongoing yearly cash flow
Week 0—6 $656.20 – $841.45
Week 7-18 $373.65 – $484.80
Week 19-30 $373.65 – $484.80
Week 30-52 $373.65 – $484.80
Total $1777.15 – $2508.60