MBS item

249
===

Prescribed medical practitioner's participation in a residential medication management review for aged care residents, not within 12 months of a previous review unless significant clinical or medication changes warrant a new review.

Category 1 · Professional attendances[Group A7 · subgroup 7](/groups/A7)

Schedule fee$101.45

100% benefitGP, out of hospital$101.45

85% benefitOut of hospital—

75% benefitIn hospital—

The schedule fee for MBS item 249 is $101.45. Medicare pays $101.45 (100%) out of hospital. Fee effective 1 July 2026.

Gap for what you charge
-----------------------

Your fee$

Out of hospital

Medicare pays$101.45

Patient gap$0.00

Bulk billing means accepting $101.45 as full payment, with no gap and no extra charges. [Add incentives](/bulk-billing?item=249)

Extended Medicare Safety Net cap: $304.35 (300% of the schedule fee, up to $500.00). Once a patient reaches the EMSN threshold, the extra benefit for this item is 80% of their out-of-pocket cost, but no more than this cap. [How safety nets work](/guides/medicare-safety-nets)

Item descriptor
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Participation by a prescribed medical practitioner in a residential medication management review (RMMR) for a patient who is a care recipient in a residential aged care facility—other than an RMMR for a resident in relation to whom, in the preceding 12 months, this item or item 903 has applied, unless there has been a significant change in the resident’s medical condition or medication management plan requiring a new RMMR

[Explanatory notes and rules on MBS Online ↗](https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=249)

Guides
------

- [How Medicare benefits work: schedule fees, 75%, 85% and 100%](/guides/how-medicare-benefits-work)
- [Medicare safety nets explained: original and extended (EMSN) thresholds for 2026](/guides/medicare-safety-nets)
- [In-hospital billing: the 75% benefit, the 25% fund benefit, and no-gap and known-gap schemes](/guides/in-hospital-billing-and-gap-cover)
- [Bulk billing incentives and BBPIP explained: 2026 amounts by MM area](/guides/bulk-billing-incentives)
- [The MBS multiple operation rule and surgical assistant fees](/guides/multiple-operation-rule)
- [Assignment of benefit for bulk billing: the changes from 1 July 2026](/guides/assignment-of-benefit-2026)
- [MBS telehealth rules: the eligible telehealth practitioner and phone items](/guides/mbs-telehealth-rules)
- [GP chronic condition management plans: items 965 and 967 explained](/guides/chronic-condition-management-plans)
- [Medicare billing compliance: claim time limits, records and the 80/20 rule](/guides/medicare-billing-compliance)

Data source: [Australian Government Medicare Benefits Schedule](https://www.mbsonline.gov.au/) · Record updated 1 September 2026. Health fund rates come from each fund's published schedule. Verify item descriptors, rules and fees on [MBS Online](https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=249) before billing. This is a reference tool, not billing or financial advice.