ADELAIDE INSOMNIA CLINIC
PSYCHOLOGICAL SERVICES

Information for referring GP's

We typically ask all patients for a GP referral, as this ensures that we are provided with any relevant medical history as well as ensuring that the GP is aware of the patient's treatment here at the clinic.  As part of our communication process we:


Allied Health Provider Medicare Referrals

The relevant Medicare item numbers for our treatment are: Medicare Items 80000-80020

Better Access to Mental Health

Where appropriate (eligibility is determined by GP assessment), patients may claim a rebate for their consults under the Medicare "Better Access to Mental Health" scheme.  Information links on this scheme are included below.

Referrals under this scheme require a patient to have (recorded with Medicare) a:

An information link to the Medicare Item Numbers for GP Mental Health Treatment Plans is included below.

Note 1. Chronic Disease Management (CDM) and Enhanced Primary Care (EPC) schemes

Please note that referrals under these schemes are not suitable as our standard treatment requires 60 minute psychological consultations which are not covered under these initiatives.

Note 2. Team Care Arrangements (TCA)

We are often included with TCA plans (including GP Management Plans), however please note that we still require a GP Mental Health Treatment Plan (GPMHTP) to be in place with the patient (and noted on the referral) so that we can claim the relevant item numbers for our treatment.

For eligible patients without a new GP Mental Health Treatment Plan (GPMHTP)

For auditing compliance we require a copy of the GPMHTP and, where possible, an accompanying referral letter from the GP.  If there is no referral letter then the GPMHTP needs to include Dr Kemp's name.

For eligible patients with an existing GP Mental Health Treatment Plan (GPMHTP)

At the time of the referral a GP can determine whether it is appropriate to conduct a Medicare review of the patient's GPMHTP, however a review is not required for a referral to the clinic.

For auditing compliance we require a copy of the GPMHTP and, where possible, an accompanying referral letter from the GP.  If there is no referral letter then the GPMHTP needs to include Dr Kemp's name.

Under this Medicare scheme patients have an annual claim limit (10 sessions in 2013) across all providers.  Therefore patients who make claims from more than one provider in each calendar year need to be aware of this limit and share their sessions accordingly.

Psychiatrist Referrals

If the referring psychiatrist consult was claimed under Medicare, then in most cases the patient will be eligible to continue to claim a rebate from Medicare for our treatment.  For auditing compliance we require a referral letter noting that treatment is to continue under Medicare.

If the referral is as a private patient then we would appreciate it if this was noted.



Private Patient Referrals

A referral letter is all that is required, however we appreciate it when it is noted that this is a private patient referral.
We can then advise them to contact their Private Health Insurer prior to attending the clinic to confirm if they are eligible for a rebate for their psychological consultation.

Typically each health fund has their own unique (i.e. different) item numbers or codes, so patients should enquire about rebates for:

In our experience most health funds have an annual limit of 6 psychological consultations.

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Est: 2004  |  Phone: 0402 826 968  |  Fax: 8357 7337  |  Address: 296 Goodwood Road, Clarence Park, SA 5034