MyMedicare

What is MyMedicare? 

What are the benefits of MyMedicare?

MyMedicare Timeline

Is my Organisation eligible? 

Registering for MyMedicare 

MyMedicare Resources

 

What is MyMedicare? 

MyMedicare is a new voluntary registration program that aims to strengthen the relationship between patients, their GP, and primary care teams.  

Registration is voluntary for all patients, providers and organisations. Patients will be able to register with a practice if they have visited at least twice in the past 24 months
Reduced registration requirements may apply to certain patients. These include: 

  • 1 visit in the past 12 months for patients registered with Aboriginal Community Controlled Health Services and practices in MMM 6 & 7 locations 

  • A parent/ child can be registered at the same practice, provided one of them has an existing registration 

  • Exemptions from any requirements apply to people who may be disadvantaged including people experiencing domestic and family violence, and homeless people.  

What are the benefits of MyMedicare?

  • Increased MBS billing 
    • registered practices will have access to longer MBS funded telephone consultations (Levels C & D) to registered patients 
    • triple bulk billing incentive for longer MBS telehealth consultations (Levels C, D, & E) for children under 16, pensioners, and concession card holders 
    • Chronic Disease Management items linked to a patient’s registration in MyMedicare from November 2024, in order to support continuity of care for people with chronic and complex conditions.  (Patients who are not registered for MyMedicare will still be able to receive chronic disease management items from their usual GP.) 
  • Improving health outcomes for patients  
    • Patient empowerment 
    • Access and equity 
    • greater continuity of care with their registered practice 
    • New blended funding payments to support better care through various incentives 
    • Practices who have signed up to MyMedicare will also have access to the General Practice in Aged Care Incentive from 1 August 2024. This incentive will support regular health assessments, care plans, and regular GP visits for those in aged care homes. 
    • Shift to long term and preventative care 

MyMedicare Timeline

 

Is my organisation eligible for MyMedicare?

Eligibility for General Practice

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

  • In rural areas 
  • In residential aged care 
  • In disability residential settings 
  • To First Nations Australians 
  • To those 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 PHN.  

Eligibility for Healthcare Providers

  • 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 MBS or Department of Veterans’ Affairs equivalent services 

The provider must be a GP or Nurse Practitioner. Eligible GPs include- 

  • Vocationally registered GPs 
  • Non-vocationally registered GPs 
  • GP registrars 

Registering for MyMedicare 

General practices can register in the Organisation Register from 1 July 2023.  

To register, you must; 

  • Ensure your eligibility 

  • Create your organisation in PRODA

  • Link your PRODA organisation to HPOS

  • Access the Organisation Register in HPOS to- 

    • Create your Organisation record 

    • Create your Organisation site record 

  • Link your eligible providers 

On 1 October 2023, you will then need to: 

  • Add the MyMedicare program code 

  • Start registering your patients 

Use this Checklist and steps to register for MyMedicare in PRODA, HPOS and the Organisation Register to guide you through the process. 

Add the MyMedicare program code in the Organisation Register 

From 1 October 2023, you can return to the Organisation Register and add the MyMedicare Program to the Organisation Site Record:  

  • Select MyMedicare from the New Program drop down box in the Program Registration tab. (You will need to log out of PRODA and log back in to receive the MyMedicare tile under My Programs).