Education guide - Mental health services - supporting Indigenous health
An overview of Medicare services for managing and treating patients with mental health care needs. Includes an Indigenous patient case study.
Make sure you read the relevant Medicare Benefits Schedule (MBS) item descriptions and explanatory notes at MBS Online.
A GP mental health treatment plan (GPMHTP) helps people with a mental health disorder access mental health services. It also helps practitioners better manage a patient's treatment by referring them to Medicare-subsidised allied mental health services. Practitioners can use a GPMHTP under the Better Access initiative.
The term ‘GP’ in the item descriptions is a generic reference to medical practitioners eligible to claim these items.
This page covers:
- preparing a GPMHTP
- referring patients to mental health professional
- claiming treatment items
- an Indigenous patient case study.
Preparing a GPMHTP
Before preparing a GPMHTP, practitioners have to assess their patient’s eligibility. They must then follow all steps to complete a GPMHTP.
To be eligible the practitioner has to assess if their patient has a mental disorder. A mental disorder is a clinically diagnosable disorder that significantly interferes with an individual’s cognitive, emotional or social abilities.
A patient doesn’t have to have a chronic medical condition to have a mental disorder.
Practitioners treating in-patients must claim a GPMHTP item as an in-hospital service.
Under this initiative dementia, delirium, tobacco use disorder and mental retardation are not regarded as mental disorders.
Steps in the GPMHTP process
The practitioner must complete all actions of the GPMHTP process.
There are 2 main steps in the process:
1. preparing a GPMHTP
- assessment of a patient - assess and plan
- preparation of the plan - provide or refer the patient for appropriate treatment and services, if required.
2. reviewing a GPMHTP
The table below details steps and requirements of the GPMHTP process.
|Component||Description||Actions by the eligible practitioner|
|Step 1 - Part A||Assessment of a patient||
The practitioner must:
|Step 1 - Part B||Preparation of a GPMHTP||
The practitioner must:
|Step 2||Reviewing a GPMHTP||
The practitioner must:
Practitioners can complete Step 1 for more than 1 consultation, but can only claim 1 GP mental health treatment item.
See below for claiming details for GP mental health treatment items.
Referring for follow-up allied mental health services
Under a GPMHTP, practitioners can refer eligible patients to allied mental health professionals for these services:
- clinical psychologists for psychological therapy services - items 80000-80021
- registered psychologists for focussed psychological strategies (FPS) services - items 80100-80121
- occupational therapists for FPS services - items 80125-80146
- social workers for FPS services - items 80150-80171
- non-VR MP and GPs for FPS services - items 283-287 and 2721-2727
Patient entitlements for follow-up services
Under a GPMHTP, patients can have:
- a maximum of 10 individual allied mental health services per calendar year, and
- a maximum of 10 group therapy services per calendar year
Practitioners can refer a patient for a course of treatment, which can:
- include a maximum of 6 services in any 1 referral
- be for individual services and/or group services
- be a combination of services, such as FPS services and psychological therapy services
Practitioners can refer a patient for multiple courses of treatment within the patient's maximum entitlement in the calendar year. It is up to the referring practitioner to determine whether this is necessary.
Patients need to get a new referral from their practitioner if they:
- use all their referred services, and
- have not reached their maximum entitlements for that calendar year
If patients have unused referred services at the end of the calendar year, they can use them the next year without a new referral. These services count towards their maximum of 10 services for the new calendar year.
Referring practitioners must provide a referral before an allied mental health professional has their first consultation with the patient. The referring practitioner should include similar information to medical practitioner referral requirements in their referral. Practitioners should include a copy of the patient's GPMHTP and the patient's agreement. There are no specific referral forms.
You must keep the referral for 24 months after the date of the first service.
Allied mental health professional reporting
The allied mental health professional must provide a written report to the referring practitioner about the treatment they provided. They should complete this once the patient has completed their course of treatment.
Other referral pathways for allied mental health services
Eligible patients who don't yet have a GPMHTP can access MBS allied mental health services via referrals from:
- psychiatrists - under an assessment and management plan item 291
- specialist psychiatrists or paediatricians - items 104-109
- consultant psychiatrists - items 293-370
- consultant physician paediatricians - items 110-133
- health care home - under a shared care plan.
For more information visit the MBS Online website.
The table below gives details about GP mental health treatment items and claiming them. GPs and non-VR MPs can use these MBS items in general practice. Specialists or consultant physicians can’t use them.
|Description||MBS items||Claiming notes|
|Preparation of a GPMHTP||272, 2700
|Review of GPMHTP or a Psychiatrist Assessment and Management Plan||277, 2712||
|Professional attendance for management of a patient's mental health condition||279, 2713||
There are minimum periods for claiming the items above except when the patient's clinical condition changes significantly.
The practitioner must determine whether the service is clinically relevant when providing these services. A clinically relevant service is one that a relevant professional accepts as necessary for appropriately treating the patient.
You are a medical practitioner with mental health skills training, practising at a remote community health service. You have an 18-year-old Indigenous patient who:
- has a history of good physical health
- has only required minimum medical attention in the past
- recently underwent a health assessment
The patient comes to visit you about a persistent sleep issue, including experiencing frequent occasions of insomnia. During your discussion, your patient becomes very teary and shows signs of mood swings. You assess that they’re not experiencing any other physical health issues requiring treatment for their sleep condition. You are concerned about their mental wellbeing.
To address your patient’s mental health issues, you determine they would benefit from a GPMHTP, items 2715 or 2717. You discuss this plan and they agree. You record their acceptance to proceed.
You collect information about your patient’s past and current conditions and perform a mental health examination. During your discussion, your patient reveals that for the last 6 months they have been:
- experiencing feelings of isolation and low self esteem
- avoiding social contact from friends and family
- having periods of sadness
You assess that your patient is displaying signs and symptoms of depression and may require psychiatric evaluation.
Preparation of the GPMHTP
As part of your strategy to improve your patient’s mental wellbeing, you determine that you should refer them for individual allied mental health services with a psychologist using item 80100.
You discuss your assessment and strategy for managing their mental wellbeing, including the subsidies provided under Medicare. They agree with your plan.
You complete the necessary referral and arrange an appointment for your patient with the psychologist. Finally, you document all required information in their GPMHTP and provide them with a copy.
Review and ongoing support
As part of your strategy to improve your patient’s mental health you:
- schedule an appointment for a GPMHTP review consultation, items 277 or 2712, in 4 weeks’ time
- assign follow-up services, item 10987, with the Aboriginal Health Practitioner to monitor risk of self-harm. The Aboriginal Health Practitioner will review the patient during weekly outreach visits to your patient’s community
- consider the need to refer your patient for a psychiatric assessment
- continue to provide ongoing care and management of their mental health disorder
Read more about:
- the Schedule at MBS Online
- education services for health professionals
- our website disclaimer
- Modified Monash areas at DoctorConnect.
Contact us for MBS item interpretation.
Page last updated: 1 February 2019