Medicare mental health services

Over 2.7 million patients

accessed almost 13.2 million Medicare-subsidised mental health-specific services.

49% of services were provided by psychologists

27% by GPs, 20% by psychiatrists and 5% by other allied health providers.

13% of females accessed services

compared to 8% of males.

Medicare-subsidised mental health‑specific services are delivered by psychiatrists, general practitioners (GPs), psychologists and other allied health professionals. These services are delivered in a range of settings–for example, hospitals, consulting rooms, home visits, and telehealth–as defined in the Medicare Benefits Schedule (MBS). Information is provided on both patient and service provider characteristics and is limited to Medicare-subsidised services only. These data relate only to services claimed under specified mental health care MBS item numbers. Therefore, the reported number of patients is unlikely to represent all patients who receive mental health care as it is unclear how many people receive GP mental health-related care that is billed as a consultation against, for example, a general MBS item number for a short consultation. For further information on the MBS data, refer to the data source section.

Spotlight data

Spotlight figure containing: a) Bar graph showing the rate (per 1,000 population) of patients or services by state and provider types; b) Line graph showing the rate (per 1,000 population) of patients or services by state and provider type from 2013–14 to 2022–23. 

Source: Medicare mental health services 2022–23 data tables.

During 2022–23, the Medicare-subsidised mental health-specific service rate was 501 services per 1,000 population in Australia with the highest rate provided by psychologists (Clinical psychologists and Other psychologists; 244) followed by General practitioners (133).

Who received Medicare mental health services?

In 2022–23, about 2.7 million Australians (10% of the population) received Medicare-subsidised mental health-specific services with Victoria and Queensland having the highest rates of patients (per 1,000 population) receiving services (111 and 105 respectively) and the Northern Territory the lowest (56). Not all services provided through Indigenous health services are included in the MBS.

People aged 18–24 years were most likely to receive services (160 patients per 1,000 population) and young females aged 18–24 had more than double the rate (217) compared with young males of the same age group (107). The rate of patients receiving services decreased with increasing remoteness. In Major cities the rate was 108 patients per 1,000 population, decreasing to 44 in Very remote areas. The rate also decreased with increasing social disadvantage. People in the SEIFA Quintile 5 (least disadvantaged) were the most likely to receive services with a rate of 130 patients per 1,000 population, decreasing to 81 for people in living in SEIFA Quintile 1 (most disadvantaged) (Figure MBS.1).

Figure MBS.1: Rate (per 1,000 population) of people receiving Medicare mental health services, by demographic characteristics, 2022–23

Horizontal bar chart showing the rate of patients (per 1,000 population) who received Medicare-subsidised mental health-specific services during 2022–23, by key demographics. 

Source: Medicare mental health services 2022–23 data tables.

In 2022–23, 8% of people received services from a General practitioner; 5% received services from Clinical psychologists and Other psychologists; 2% services from a Psychiatrist; and <1% received services from Other allied health professionals. Note that an individual may receive services from more than one provider type during the reporting period.

Figure MBS.2: People receiving Medicare mental health services, by provider type, 2013–14 to 2022–23

Line chart showing the number of people who received Medicare mental health services by the type of provider from which they received services, from 2013–14 to 2022–23. General practitioners provided services to the most people, increasing from 1.5 million patients in 2013–14, peaking at 2.4 million in 2020–21 before declining to 2.2 million in 2022–23.

Source: Medicare mental health services 2022–23 data tables.

Mental health services

How many Medicare mental health services were provided?

There were about 13.2 million Medicare-subsidised mental health-specific services provided to 2.7 million Australians in 2022–23. The national rate was 501 services per 1,000 population and Victoria (572) had the highest rate across the jurisdictions (Figure MBS.3).

Figure MBS.3: Rate (per 1,000 population) of Medicare mental health services, by state and territory, provider type, 2013–14 to 2022–23

Line chart showing the rate per 1,000 population of services provided in each state and territory by provider type, from 2013–14 to 2022–23

Source: Medicare-subsidised mental health-related services 2022–23 data tables.

In 2022–23, the 18–24 age group had the highest rate of service use (801 services per 1,000 population), and  females aged 18–24 (1,165 services per 1,000 population) had a higher rate of service use than young males aged 18–24(461). People living in Major cities had the highest rate of service use (547 services per 1,000 population) with rates decreasing with increasing remoteness. Similarly, people in the least disadvantaged SEIFA quantile had the highest rate of service use (754 services per 1,000 population) with rates decreasing with increasing disadvantage (Figure MBS.1).

 Key concepts 
Key conceptDescription
Medicare-subsidised general practitioner (GP) servicesMedicare-subsidised general practitioner (GP) services are services provided by medical practitioners who are vocationally registered under Section 3F of the Health Insurance Act 1973, or are Fellows of the Royal Australian College of General Practitioners or Fellows of the Australian College of Rural and Remote Medicine and meet the requirements for the relevant Quality Assurance and Continuing Medical Education program or trainees for vocational registration (Department of Health and Aged Care 2023: 21). GP mental health services include services provided by medical practitioners, including general practitioners, but excluding psychiatrists (Department of Health and Aged Care 2023: 107–166, 190, 218, 276–278, 456, 782, 1219–1223).
Medicare-subsidised other allied mental health servicesMedicare-subsidised other allied mental health services are services provided by other allied mental health professionals such as occupational therapists, accredited mental health social workers and mental health nurses. These services cover focussed psychological strategies – allied mental health (occupational therapist and social worker items) and enhanced primary care – allied health (mental health worker item). Mental health workers include Aboriginal health workers, mental health nurses, occupational therapists and some social workers as well as psychologists. Although some psychologists are covered by this item, they cannot be readily separated from the other mental health workers covered, so this item is counted under the heading of other allied mental health services. The data source section lists these item groups and MBS item numbers. For Medicare payments to be made on these items the provider (occupational therapist, social worker or other appropriate provider) must be registered with Medicare Australia as meeting the credentialing requirements for provision of the service (Department of Health and Aged Care 2023: 1225–1231, 1294–1299, 1314–1315).
Medicare‑subsidised psychiatrist servicesMedicare-subsidised psychiatrist services are services provided by a psychiatrist (or, for electroconvulsive therapy, by either a psychiatrist or another medical practitioner together with an anaesthetist) on a fee-for-service basis that are partially or fully funded under the Australian Government’s Medicare program. These services cover patient attendances (or consultations) provided in different settings as well as services such as group psychotherapy, telepsychiatry, case conferences and electroconvulsive therapy. These item groups along with the relevant MBS item numbers are listed in the data source section. Note that for items in the range 291 to 370 (MBS Group A8) and 855 to 866 (Case conference – consultant psychiatrist) only medical practitioners who are recognised as psychiatrists for the purposes of the Health Insurance Act 1973 are eligible to provide services attracting an MBS subsidy (Department of Health and Aged Care 2023: 69–72, 117–119, 227–237, 260–261, 323, 456).
Medicare-subsidised psychologist services

Medicare-subsidised psychologist services are services provided by psychologists that are rebatable by Medicare through psychological therapy services, focussed psychological strategies and enhanced primary care items. The data source section lists these item groups with the relevant MBS item numbers. For these items to be eligible for Medicare rebates, the provider must meet the following eligibility requirements and be registered with Services Australia.

Medicare rebates for psychological therapy services are only available for services provided by clinical psychologists who are fully registered in the relevant jurisdiction and are members of, or eligible for membership with, the Australian Psychological Society’s College of Clinical Psychologists. Clinical membership is only available for registered psychologists who have completed the standard 4 years of study in psychology and attained an accredited doctorate degree in clinical psychology or master’s degree in clinical psychology with 1 year of supervised post-masters clinical psychology experience.

Medicare rebates for focussed psychological strategies and enhanced primary care are available for services provided by psychologists who are fully registered in the relevant jurisdiction regardless of any specialist clinical training. Registered psychologists must complete the standard 4 years of study in psychology with an additional 2 years of supervised practice, postgraduate coursework or a research degree, and meet any other jurisdiction-specific requirement for registration (Department of Health and Aged Care 2023: 77–78, 1219–1222, 1288–1291).

Data presented covers the time period 2013–14 to 2022–23. This section was last updated in April 2024.