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Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026

Australia (Commonwealth)
vAllied Health and other Primary Health Care Services Determination 2024, Compilation No. 8 (F2026C00608, in force 1 July 2026); MBS Online 1 August 2026 release (fees indexed 1 July 2026)
6 domains
23 controls

Medicare Benefits Schedule rules for allied health assessment and treatment of under-25s with autism or another complex neurodevelopmental disorder or an eligible disability (items 82000 to 82035 and telehealth equivalents), from the provider's side.

Verified

Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 is a compliance framework from Australia (Commonwealth) with 6 domains and 23 controls. The largest domains are Billing, claiming and records – Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 (6 controls), Referral requirements – Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 (5 controls), Assessment services (items 82000, 82005, 82010, 82030) – Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 (4 controls). Every control below carries what it requires and what an assessor expects to see.

Maintained by Gerard Blokdyk

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Framework Domains (6)

Assessment services (items 82000, 82005, 82010, 82030) – Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026

4 controls
Controls in the Assessment services (items 82000, 82005, 82010, 82030) – Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 domain of Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 — 4 controls
CodeTitle
australia-mbs-complex-neurodevelopmental-disorder-and-disability-allied-health-items-2026::A-1Deliver assessment services individually, in person, for at least 50 minutes
australia-mbs-complex-neurodevelopmental-disorder-and-disability-allied-health-items-2026::A-2Observe the lifetime and same-day limits for assessment services
australia-mbs-complex-neurodevelopmental-disorder-and-disability-allied-health-items-2026::A-3Obtain the referring doctor's review and agreement before a fifth assessment service
australia-mbs-complex-neurodevelopmental-disorder-and-disability-allied-health-items-2026::A-4Send a written assessment report at the end of the course

Billing, claiming and records – Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026

6 controls
Controls in the Billing, claiming and records – Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 domain of Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 — 6 controls
CodeTitle
australia-mbs-complex-neurodevelopmental-disorder-and-disability-allied-health-items-2026::B-1Claim only clinically relevant services for non-admitted patients without private insurance benefit
australia-mbs-complex-neurodevelopmental-disorder-and-disability-allied-health-items-2026::B-2Issue accurate accounts and never bill non-MBS goods under the item
australia-mbs-complex-neurodevelopmental-disorder-and-disability-allied-health-items-2026::B-3When bulk billing, accept the benefit as full payment
australia-mbs-complex-neurodevelopmental-disorder-and-disability-allied-health-items-2026::B-4Tell the patient before a service when no Medicare benefit applies
australia-mbs-complex-neurodevelopmental-disorder-and-disability-allied-health-items-2026::B-5Keep adequate and contemporaneous clinical records
australia-mbs-complex-neurodevelopmental-disorder-and-disability-allied-health-items-2026::B-6Keep provider numbers current and respond to compliance reviews

Provider and patient eligibility – Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026

3 controls
Controls in the Provider and patient eligibility – Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 domain of Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 — 3 controls
CodeTitle
australia-mbs-complex-neurodevelopmental-disorder-and-disability-allied-health-items-2026::E-1Provide the items only as an eligible, Medicare-registered allied health professional
australia-mbs-complex-neurodevelopmental-disorder-and-disability-allied-health-items-2026::E-2Meet the credentialing requirement and self-select for this work
australia-mbs-complex-neurodevelopmental-disorder-and-disability-allied-health-items-2026::E-3Confirm patient age and eligible condition before billing

Referral requirements – Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026

5 controls
Controls in the Referral requirements – Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 domain of Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 — 5 controls
CodeTitle
australia-mbs-complex-neurodevelopmental-disorder-and-disability-allied-health-items-2026::R-1Hold a valid referral from an eligible medical practitioner for assessment services
australia-mbs-complex-neurodevelopmental-disorder-and-disability-allied-health-items-2026::R-2Make interdisciplinary referrals only with the referring doctor's agreement
australia-mbs-complex-neurodevelopmental-disorder-and-disability-allied-health-items-2026::R-3Hold a treatment referral issued after the treatment and management plan
australia-mbs-complex-neurodevelopmental-disorder-and-disability-allied-health-items-2026::R-4Check the referral carries the prescribed particulars
australia-mbs-complex-neurodevelopmental-disorder-and-disability-allied-health-items-2026::R-5Retain referrals and item documents

Telehealth and case conference items – Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026

2 controls
Controls in the Telehealth and case conference items – Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 domain of Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 — 2 controls
CodeTitle
australia-mbs-complex-neurodevelopmental-disorder-and-disability-allied-health-items-2026::V-1Telehealth equivalents: same conditions, same caps
australia-mbs-complex-neurodevelopmental-disorder-and-disability-allied-health-items-2026::V-2Case conference items 82001 to 82003 only within their conditions

Treatment services (items 82015, 82020, 82025, 82035) – Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026

3 controls
Controls in the Treatment services (items 82015, 82020, 82025, 82035) – Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 domain of Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 — 3 controls
CodeTitle
australia-mbs-complex-neurodevelopmental-disorder-and-disability-allied-health-items-2026::T-1Deliver treatment services individually, in person, for at least 30 minutes under the plan
australia-mbs-complex-neurodevelopmental-disorder-and-disability-allied-health-items-2026::T-2Observe the lifetime, course and same-day limits for treatment services
australia-mbs-complex-neurodevelopmental-disorder-and-disability-allied-health-items-2026::T-3Send a written treatment report after each course

What is Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 and who does it apply to?

Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 is a compliance framework from Australia (Commonwealth) with 6 domains and 23 controls. Medicare Benefits Schedule rules for allied health assessment and treatment of under-25s with autism or another complex neurodevelopmental disorder or an eligible disability (items 82000 to 82035 and telehealth equivalents), from the provider's side. It is used by organisations to establish and maintain compliance with industry standards and regulatory requirements.

What does Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 actually require?

Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 has 23 controls organised across 6 domains. The largest domains are Billing, claiming and records – Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 (6 controls), Referral requirements – Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 (5 controls), Assessment services (items 82000, 82005, 82010, 82030) – Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 (4 controls). Each control defines specific requirements that organisations must implement to achieve compliance.

If I already comply with another framework, how much of Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 do I already cover?

Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 does not currently have cross-framework mappings in our system. Check back as we continuously expand our mapping database.

How do I implement Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026?

Start your Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 compliance journey by running a self-assessment on our platform to identify your current compliance posture. Our AI advisory can answer specific questions about Australia MBS Complex Neurodevelopmental Disorder and Disability Allied Health Items 2026 requirements, and cross-framework mapping helps you leverage existing controls from other frameworks you may already comply with. Create a free account to access all 23 controls and track your progress.

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