Information for MyMedicare general practices and healthcare providers

Benefits

MyMedicare practices can access:

• more information about regular patients, making it easier to tailor services to fit the patient’s needs
• the new longer telehealth items linked to MyMedicare, including:
  • longer MBS-funded telephone calls (Levels C and D) with their usual general practice
  • triple bulk billing incentive for longer MBS telehealth consultations (Levels C, D and E) for children under 16, pensioners, and concession card holders.

From 2024–2025, MyMedicare practices can access:

• the General Practice in Aged Care Incentive from 1 July 2024, which will support regular health assessments, care plans and regular GP visits for people in residential aged care homes
• Chronic Condition Management items linked to a patient’s registration in MyMedicare from 1 July 2025, to support continuity of care for people with chronic and complex conditions. Patients who are not registered in MyMedicare will still be able to receive Chronic Condition Management items from their usual GP.

Practices that provide services to patients who would benefit from the new MyMedicare-linked MBS longer telehealth services or provide care to people in residential aged care are encouraged to register those patients in MyMedicare as priority cohorts.

Eligibility

General practices

To be eligible for MyMedicare, general practices must:

• provide Medicare-funded services
• be registered in the following Services Australia systems:
  • Provider Digital Access (PRODA)
  • Health Professional Online Services (HPOS)
  • the Organisation Register
• have at least one eligible GP linked to the practice in the Organisation Register. Eligible GPs can be a vocationally registered GP, non-vocationally registered GP or a GP registrar.
• be accredited against the National General Practice Accreditation Scheme – non-accredited practices will have 12 months to gain accreditation through a registered accreditation agency from the date they register in MyMedicare as a practice.

An accreditation exemption is available until 30 June 2025. This is available to non-accredited practices (including sole providers) who deliver general practice services entirely through mobile and outreach models:

• in rural settings
• in residential aged care
• in disability residential settings
• to First Nations Australians
• to people experiencing homelessness.

For more information and support on accreditation processes, see the Australian Commission on Safety and Quality in Health Care (for general practice) or contact your local Primary Health Network.

Healthcare providers

To be eligible for MyMedicare, providers must:

• work at a MyMedicare eligible practice
• be linked to the practice on the Organisation Register
• have a valid provider number and be eligible to deliver Medicare Benefits Schedule (MBS) or Department of Veterans’ Affairs equivalent services.

Vocationally registered GPs, non-vocationally registered GPs and GP registrars are all eligible to be selected as a patient’s preferred GP.

If you have questions about your participation in MyMedicare you should talk to your practice or go to the Services Australia Health Professional Education website.

How to register

General practices

To register in MyMedicare as a general practice, you must:

• make sure you’re eligible
• link an organisation in Provider Digital Access (PRODA) to Health Professional Online Services (HPOS)
• access the Organisation Register in HPOS to register your practice and link your eligible providers.

If your practice is already registered and all participating providers are linked in the Organisation Register, you don’t need to complete a second registration process.

Once these steps are complete, you can add the MyMedicare program to your Organisation Site Record in the Program Registration tab.

To complete your registration and enable patient registrations you need to have completed the following:

• started your practice registration
• linked your individual providers in PRODA and the Organisation Register
• add the MyMedicare program.

For patients to select a practice and a general practitioner (GP) as their preferred GP in MyMedicare, the practice must:

• have the MyMedicare program added on the Organisation Register
• have GPs linked to the practice on the Organisation Register
• make sure GPs have a valid provider number and are eligible to deliver Medicare Benefits Schedule or Department of Veterans’ Affairs (DVA) equivalent services.

For more information on registering your practice, visit the Services Australia Health Professional Education website.

To learn about patient registration, see information for MyMedicare patients.

Privacy

When patients register in MyMedicare, we keep their personal information secure to maintain their privacy. To learn more about how we manage personal information, see the MyMedicare Privacy Notice.

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