Information for Medical Referrers.

EATING DISORDER MANAGEMENT PLAN (EDMP) INFORMATION FOR MEDICAL REFERRERS:

Referrers, to access an Eating disorder Management Plan referral template, please click here:

Overview of the Eating Disorder Specific Medicare Schedule - The Eating Disorder Management Plan (EDMP):

On November 1st, 2019, a suite of 64 Medicare Benefit Schedule (MBS) item numbers were introduced to support eligible patients with an eating disorder under an Eating Disorder Management Plan (EDMP). 

• Eligible clients are able to access up to 40 sessions of evidence-based eating disorder psychological treatment (within a 12 month period)  under an Eating Disorder Psychological Treatment (EDPT) plan. 

• Eligible clients are able to access up to 20 dietetic services with an Accredited Practising Dietitian (within a 12 month period) under an Eating Disorder Dietetic Treatment (EDDT) plan. 

Who is eligible;

1. All individuals with a clinical diagnosis of Anorexia Nervosa are eligible;

2. Clients with the following clinical diagnoses AND who meet the “severity” criteria below are eligible:

• Binge Eating Disorder

• Bulimia Nervosa

• Other Specified Feeding or Eating Disorders/OSFED

What is considered a “severe”** presentation for conditions other than Anorexia Nervosa?

1. The individual has obtained a score of 3 or more on the Eating Disorder Examination Questionnaire (EDE-Q)

2. The person’s condition is characterised by rapid weigh loss, frequent binge eating, or inappropriate compensatory behaviours (3 or more times per week)

3. The person has AT LEAST TWO of the following indicators:

1. Body weight less than 85% expected weight (where weight loss is directly attributable to the eating disorder);

2. Current or high risk of medical complications due to eating disorder behaviours and symptoms; 

3. Serious co-morbid medical or psychological conditions significantly impacting on medical or psychological health status with impacts on function;

4. The individual has been admitted to hospital for an eating disorder within the past 12 months

5. The individual has experienced inadequate treatment response to evidence-based treatment for an eating disorder over the past 6 months despite consistent treatment 

Naomi Coulter Psychology can provide comprehensive assessment (including administration of the EQE-Q) and provide feedback to GPs, or other medical referrers, in order to assist with clarifying whether individuals will be eligible for an EDMP. 

Understanding the process of referral and ongoing reviews of the EDMP: 

Step 1: Planning - Patient seeks EDMP

The individual attends their GP or ED clinician (e.g. psychologist, dietitian, etc.) for initial assessment to determine if they are eligible for an EDMP (seek eligibility criteria, above)

Step 2: Planning: Patient is referred to practitioners with EDMP

When eligibility criteria are met, a GP, psychiatrist, or paediatrician can prepare the EDMP and refer the patient for psychological and/or dietetic support.  The Medicare item numbers for this step are provided below: 

Preparing the EDTP for psychological and/or dietetic services