Could you please confirm whether there are any incentive payments available for after-hours and unsociable-hours MBS item numbers (e.g. 585, 594, 599) when used for patients presenting to an approved COAG s19(2) emergency department, where:

a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and
b) the patient is not an admitted patient of a hospital; and
c) the attendance service is bulk-billed; and
d) the attendance service is provided at, or from, a practice location in a Modified Monash 5 area.

In addition, could you please advise whether there are any changes to incentive arrangements from 1 November 2025, and how such changes may affect COAG s19(2) approved facilities located in MMM5–7 areas?

Your advice on the applicable bulk-billing incentive items and whether they can be co-claimed under these circumstances would be greatly appreciated.