MyMedicare

Expansion of the eligibility criteria now means all Medicare-eligible patients are eligible for bulk billing incentives, not just children and concession card holders, effective 1 November 2025.

• A triple bulk billing incentive can be claimed with face-to-face level B, C, D and E general attendance items, and level B video and phone general attendance.
• A single bulk billing incentive item can be claimed with other bulk billed unreferred general practice services such as antenatal care, mental health services, chronic condition management and health assessment items.  For more information click here.
• Click here to download the factsheet.​
• Information on MBS Online about Bulk Billing Incentives can be found here.

Introduced on 1 November 2025, the BBPIP provides an additional quarterly incentive payment of 12.5% of MBS benefits for eligible services. The payment is split 50/50 between the doctor and the practice.

If your practice is considering or has yet to register for the BBPIP the following resources may be helpful.

• Practices must register for MyMedicare to participate in BBPIP.
• The practice must bulk bill every eligible service for every Medicare-eligible patient. Eligible services are listed here Bulk Billing Practice Incentive Program: Eligible services.
• See newly released Bulk Billing Practice Incentive Program Guidelines.
• Updated BBPIP signage requirements.
• How to register for BBPIP in Health Professional Services Online (HPOS), including how to view your BBPIP payment assessment and details.
• Infographic on key steps for practices to register and participate in BBPIP.
• Download the Frequently Asked Questions for practices and GPs document.
• Download the new BBPIP Planning Kit for general practice, including planning templates and Practice Readiness Checklist.
• Additional resources from the Department of Health, Disability and Ageing.
• RACGP Resources.
• MyMedicare – eLearning – Health Professional Education Resources.
• Providers must submit bank details for BBPIP. See the Adding provider bank account details for BBPIP guide.

If your practice encounters problems with BBPIP registration or backdating, please contact:

• Organisation.register@servicesaustralia.gov.au
• mymedicare@servicesaustralia.gov.au
• Or Use HPOS messages

New Assessment tools for practices and providers enrolled in the BBPIP have now been released.

• The Forecast Assessment tool is now available to check eligibility requirements, monitor bulk billing percentages, and estimate practice payments at any point in the quarter.
• Final Assessments are available to confirm if requirements for BBPIP payments have been met and view the final payment after the end of the quarter. These are accessed through the ‘Search Assessments’ tab within the MyMedicare tile.
• For instructions on how to access these assessment tool see Services Australia Bulk Billing Practice Incentive Program.

If a practice is registered and meets program requirements, its first BBPIP incentive payment will be made in January 2026.

To ensure smooth payment, practices should:

• Check the registration start date.
• Provide bank details for the practice and all linked providers for BBPIP.
• Keep accreditation up to date.
• Link all providers with separate provider numbers for each site.

For more information on payments and assessment tools, visit the Department of Health, Disability and Ageing Information updates for BBPIP or  Services Australia Bulk Billing Practice Incentive Program.

Changes introduced on 1 November 2025 to the Better Access Mental Health Treatment Plans (MHTP) provide streamlining of referrals, support linkage to a patient’s usual GP or MyMedicare registered practice.

• Download the Better Access redesign document.
• The Better Access Mental Health MBS User Guide provides examples of how to use relevant MBS items to meet the requirements of the Better Access Initiative, including links to the MBS items and MBS Online explanatory notes.
• A Medicare benefit will be payable for MHTP preparation, referrals for treatment services and reviews of a MHTP when a patient is seen by the patient’s usual GP, OR by a GP at the patients MyMedicare registered practice.
• GP and PMP MHTP review items (2712, 92114, 92126, 277, 92120, and 92132) and GP and PMP ongoing mental health consultation items (2713, 92115, 92127, 279, 92121 and 92133) will be removed from the MBS.
• Further details can be viewed at MBS Online – Better Access changes from 1 November 2025.

Changes to the MBS items for Long-Acting Reversible Contraceptives come into effect on 1 November 2025, increasing the rebates available.

Ongoing MBS telehealth arrangements remain in place, providing a wide range of telephone and video services by qualified health practitioners to support safe and equitable access to telehealth services.

• For most patients’ eligibility for Telehealth services is now either an established clinical relationship where at least one face to face MBS service has occurred within the preceding 12 months OR the patient is registered with the provider and practice for MyMedicare. Some exceptions to these eligibility requirements apply.
• Further information and factsheets are available here.

From 1 July 2025, major changes to the MBS framework for chronic disease management in primary care will come into effect. These changes implement the recommendations of the MBS Review Taskforce.

What are the changes:

• The changes taking effect on 1 July 2025 apply to new plans for patients with a chronic condition and new referrals written under existing GPMPs and TCAs, or new GPCCMPs.
• For patients that have a GPMP and/or TCA in place prior 1 July 2025 there is no immediate action required.
• Patients can continue to access allied health and other services under their existing plans until 30 June 2027.
• Referrals written prior to 1 July 2025 will continue to be valid until all services under that referral have been provided.
• Patients that require a review of their GPMP and/or TCA after 1 July 2025 can be transitioned to the new GPCCMP at that time.
• From 1 July 2027 patients will require a GPCCMP to continue to access allied health and other services.

Where can I find more information:

• Chronic Conditions Management MBS User Guide 
• Chronic Condition Management QI Workbook
• Upcoming changes to the MBS Chronic Disease Management Framework
• Upcoming changes to MBS Chronic Disease Management Arrangements
• Chronic Disease Management plan – Health professionals
• MBS Changes July 2025 Chronic Condition Management (Fact Sheet)
  ​

Other MBS information:

• Full item descriptors and information about other changes to MBS items can be found on the MBS Online website.
• You can subscribe to future MBS updates by via Subscribe to the MBS on the MBS Online website.
• Health care providers seeking advice on the interpretation of MBS items, explanatory notes and associated legislation can use the department’s email advice service by emailing askMBS@health.gov.au

In preparation for the Chronic Conditions Management (CCM) MBS item changes recommended by the MBS Review Taskforce, WA Primary Health Alliance invites your general practice to participate in our CCM Activation Series.

Join us on a journey of small, manageable changes that aim to maximise the benefits of MyMedicare for your practice and your patients, strengthening the relationships that patients have with your practice and care providers.

If you missed Activity 1, the aim of this activity was to engage patients returning to your practice for chronic disease management plans and team care arrangements in MyMedicare, and regular reviews in the future. You can access this activity here.
 
Activity 2 aims to raise awareness among your practice team of MyMedicare and the CCM changes, while supporting your team members to explore and document their roles for both MyMedicare and CCM.

Activity 3 focuses on MyMedicare patient engagement and registration, aiming to raise patient awareness and help your practice identify what MyMedicare means for your practice team and patient care, so you can communicate this to patients. (please update)

Stay tuned for Activity 4 in an upcoming edition of Practice Connect, which will focus on Preparing practice nurses, and Aboriginal and Torres Strait Islander Health Practitioners for their role in CCM. (please update – change colour to black)

If you would like support from our team to implement any of the activities, call the Practice Assist help desk on 08 6278 7900 or email practiceassist@wapha.org.au

The aim of the General Practice in Aged Care Incentive (GPACI) Quality Improvement (QI) toolkit is to provide a simple and practical guide for implementing GPACI through continuous Quality Improvement (QI) activities. It focuses on enhancing continuity of care, improving patient outcomes, and increasing practice efficiency by shifting from volume-based care towards structured, regular care planning and preventative care model.

The QI toolkit also links to existing resources related to MyMedicare and the General Practice in Aged Care Inventive.

This QI toolkit seeks to enable general practice to determine readiness for participation in the General Practice in Aged Care Incentive, complete the registration process (if needed), and sets out actionable steps to assess and improve your practice’s model of care for residents in aged care homes.

This toolkit has been developed by Primary Health Networks through the PHN Cooperative, National Improvement Network Collaborative, and the National PHN MyMedicare Implementation Program.

• Strengthening Medicare General Practice in Aged Care – Quality Improvement Toolkit

To inform patients and their carers about MyMedicare the resources below can help explain the benefits and what it means for them.

Patient Brochures

• mymedicare-dl-brochure.pdf (health.gov.au)

Patient Videos

• Introducing MyMedicare | Australian Government Department of Health and Aged Care
• Registering in MyMedicare | Australian Government Department of Health and Aged Care

• Full item descriptors and information about other changes to MBS items can be found on the MBS Online website.
• You can subscribe to future MBS updates by via Subscribe to the MBS on the MBS Online website.
• Health care providers seeking advice on the interpretation of MBS items, explanatory notes and associated legislation can use the department’s email advice service by emailing askMBS@health.gov.au
• See the AusDoc MBS quick guides MBS Quick Guide November 2025 and MBS Quick Guide Telehealth for details.
• You can find a full list of the November 2025 changes here.

For further information on all of the above changes, plus resources to help you and your practice see the Practice Assist Medicare Changes November 2025 Factsheet, contact Practice Assist or your Primary Care Navigator on 08 6278 7900 or via email practiceassist@wapha.org.au

The following information outlines the eligibility requirements for general practices to register in MyMedicare.

To be eligible for MyMedicare, general practices must:

• provide Medicare-funded services or Department of Veterans’ Affairs (DVA) equivalent 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 – an eligible GP can be a vocationally registered GP, non-vocationally registered GP or a GP registrar.
• be accredited against the National General Practice Accreditation Scheme (NGPAS) – 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.

A temporary exemption from accreditation is available to mobile and outreach services (including sole providers) who do not meet the current RACGP definition of a general practice until 30 June 2025 if they deliver general practice services:

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

You can find out more about the accreditation process by visiting the Australian Commission on Safety and Quality in Health Care website or by contacting our team through Practice Assist.

General practices will need to be accredited under the National General Practice Accreditation Scheme, including the requirement to meet the RACGP definition of a general practice, to participate in MyMedicare. Unaccredited practices will have 12 months to gain accreditation through a registered accreditation agency from the date they register in MyMedicare as a practice.

General Practices accredited under the National Safety and Quality Primary and Community Healthcare Standards and not accredited against the National General Practice Accreditation Scheme, are ineligible for MyMedicare.

A temporary exemption from accreditation is available to mobile and outreach services (including sole providers) who do not meet the current RACGP definition of a general practice until 30 June 2025 if they deliver general practice services in rural settings, residential aged care, disability residential settings, to First Nations Australians and/or people experiencing homelessness.

View the MyMedicare Updating your accreditation details within your Organisation Register fact sheet for further information.

Services Australia has developed a practice registration checklist to guide practices through the MyMedicare registration process. This can be found here.

Practice Registration

To take part in MyMedicare, general practices need to register their organisation and link their participating providers to the organisation in PRODA.

Information on practice eligibility and registration can be found here.

Organisation Registration resources

• Services Australia Organisation Register eLearning module
• MyMedicare practice registration FAQ
• MyMedicare Registration Steps and Tips – step by step guide on registering your organisation*

*Created by East Melbourne Primary Health Network

Link your organisation to the MyMedicare program

Once the organisation is registered in HPOS and the Organisation Register tile is visible, you will need to link your organisation to the MyMedicare program. This step is essential for patients to be able to register with your practice.

In PRODA:

1. Log in to PRODA and go to ‘services’
2. Choose the practice, go to the green organisation tile, and then associated sites
3. Click on blue link to the chosen practice, then program registration, add program
4. Select new program, drop down box, and choose ‘MyMedicare’
5. Submit and save
6. Choose MyMedicare preferences. These preferences are about how the practice wants to work with patient registrations.

Prompts will assist you with the steps to add the MyMedicare program.

For additional support with practice registration, email ORGANISATION.REGISTER.SUPPORT@servicesaustralia.gov.au or phone 1800 700 199 and select option 1.

For more information on registering your practice, visit the Services Australia Health Professional Education website. This website has a range of eLearning modules to guide you through the registration process.

Patients Registration is now available.

Information on patient eligibility, potential benefits to patients and patient resources can be found on the Information for MyMedicare patients page of the Australian Government Department of Health and Aged Care website.

Patients can be registered in three ways:

• Patients can commence the registration process in their Medicare online services (Medicare Online Account or the Express Plus Medicare mobile application) and then practice staff can then accept or decline the registration in MyMedicare system.
• Practice staff can commence the patient registration process in MyMedicare and patients can then complete the registration and provide consent in their Medicare online services.
• Patients can fill out a registration form at the practice and practice staff will then complete the registration in the MyMedicare system with the patient’s consent captured on the form. Note that DVA patients must use this method of registration.

Australian Government Patient Registration Resources

• Patient Registration FAQs
• Patient Registration Brochures and posters
• Patient Registration Form
• Services Australia MyMedicare – Managing patient registration eLearning module
• Registering in MyMedicare – Factsheet for patients

For additional support with MyMedicare actions in PRODA contact the PRODA helpline 1800 700 199 and select option 1.

You can visit health.gov.au/MyMedicare for more information, including Frequently Asked Questions (FAQs) on registration and the benefits of MyMedicare.

Practices and providers are encouraged to contact their local Primary Health Network if they need further information on eligibility or registration.

Information on patient registration will be made available on the Department of Health and Aged Care website in the coming months.

• Department of Health and Aged Care website – health.gov.au/MyMedicare
• Services Australia Health Professional Education website – hpe.servicesaustralia.gov.au

Information on patient registration, resources for patients and practices
can be found on the Australian Government Department
of Health and Aged Care MyMedicare page.

The Resources for general practices and healthcare providers page includes:

• GP Toolkit
• Patient Registration form
• Brochures and posters
• FAQs
• Fact sheets
• and webinars

For information regarding the changes to Bulk Billing in General Practice from 1 November 2023 please visit our Medicare Benefits Tool Kit page.

The Royal Commission into Aged Care Quality and Safety recommended the development of a new model of primary care to ‘encourage the provision of holistic, coordinated and proactive health care for the growing complexity of the needs of people receiving aged care’ (Recommendation 56).

The General Practice in Aged Care Incentive aims to improve access to quality, proactive general practice care for older people who live in aged care homes by incentivising proactive visits, regular, planned reviews and coordinated care planning.

Primary care providers and practices registered in MyMedicare and participating in MyMedicare GPACI will receive incentive payments for providing their MyMedicare registered patients who live in aged care homes with care planning services and regular visits.

Practices are able to register for the General Practice in Aged Care Incentive through the MyMedicare program, provided they meet the eligibility criteria.

Practice registration requirements

To be eligible to receive the incentive, practices must be:

• a general practice or practice eligible for an exemption under MyMedicare – see MyMedicare eligibility criteria
• registered in the Organisation Register
• registered in the MyMedicare program (with banking details added)
• registered in the General Practice in Aged Care Incentive sub-program

Responsible Providers

A ‘Responsible Provider’ is a provider who is responsible for coordinating the delivery of eligible services to the registered patient as part of the General Practice in Aged Care Incentive. This includes services provided by other health professionals at the practice as part of the servicing requirements of the incentive.

Responsible Providers eligibility

To be eligible for payment, Responsible Providers must:

• an eligible primary care provider as outlined in the Program Guidelines 
• linked to their eligible practices
• declared as the responsible provider of eligible services to the registered patient, including coordinating services provided by the care team or practice.

Care team registration requirements

Other members of a patients care team can deliver services that contribute to the patients’ eligible services. These services must be delivered under the direction of the Responsible Provider and be in line with the quarterly servicing requirements for the patient’s care team.

Eligible care team members include an alternative provider within the same practice, including:

• another GP or GP registrar
• a nurse practitioner, and/or
• practice nurse, Aboriginal and Torres Strait Islander health practitioner or Aboriginal health worker.

Alternative provider eligibility

To be eligible to participate in the General Practice in Aged Care Incentive, an alternative provider must:

• be linked to the same eligible practice as the patient’s Responsible Provider.
• deliver eligible services under the direction of the patient’s Responsible Provider.

Practice nurse, Aboriginal and Torres Strait Islander health practitioner and Aboriginal health worker eligibility

A practice nurse, Aboriginal and Torres Strait Islander health practitioner and Aboriginal health worker can also contribute to the patient’s servicing requirements under the direction of the Responsible Provider. Any services delivered by these care team members must be billed through the eligible practice.

Patients eligibility:

Patients must:

• permanently live in a residential aged care home, not including respite care  or supported living
• register with MyMedicare and link to an eligible practice and responsible provider
• have the General Practice in Aged Care Inentive indicator seleted on their MyMedicare profile by their practice

Note: People who live in a residential aged care home are exempt from the MyMedicare eligibility requirement for one face-to-face visit for practices in remote locations, or two face-to-face visits for practices in other locations in the previous 24 months recorded with the same practice

It is the responsibility of both the provider and practice to ensure a patient is eligible for the General Practice in Aged Care Incentive. The provider and practice must declare their patient meets the eligibility criteria as part of the patient registration process.

Practices need to

• link GPs and thier myMedicare patients to their practice
• select the General Practice in Aged Care Incentive indicator (Shown on slide 27 in the link) on their patients MyMedicare profiles.
• link patients to responsible providers in their practice

Eligible providers and practices are required to meet the servicing requirements to receive the incentive payments, including delivering:

• 2 eligible care planning services over a 12-month period; and
• 2 eligible regular visits per quarter; each in a separate calendar month, delivering at least eight regular services in a 12-month period.

There are several things you may consider prior to registering the GP ACI. The GP and Practice Information Kit provides information to help you understand the General Practice in Aged Care Incentive, eligibility, service requirements and responsibilities, helping you better understand the implications for your practice, GP, and care team.

Instructions on how to register for the GPACI can be found below:

• Services Australia Aged Care Incentive
• MyMedicare eLearning
• New and Improved GPACI MBS User Guide

New resources have been published on the Services Australia page to support providers and practices to forecast payments and eligibility for the General Practice In Aged Care Incentive. There are separate resources for practices and for providers:

Practices

• Forecast eligibility for MyMedicare Incentives for an Organisation site/Practice
• Search for and view eligibility assessments for MyMedicare Incentives for an Organisation site/Provider

Providers

• Forecast eligibility for MyMedicare Incentives as a Provider
• Search for and view eligibility assessments for MyMedicare Incentives as a Provider

There is a range of resources available to assist with implementing the MyMedicare GPACI program in your practice.

• Program Guidelines 
• GP and Practice Information Kit
• Services Australia Aged Care Incentive
• MyMedicare eLearning
• Fact Sheets and Patient journeys
• Patient monitoring and tracking tool – Australian Government Department of Health, Disability and Ageing
• Patient front sheet template
• GPACI Incentive Payment Structure
• Strengthening Medicare General Practice in Aged Care – Quality Improvement Toolkit

This tool will help you create a register of your patients who are eligible for or participating in the General Practice in Aged Care Incentive, and monitor and track whether quarterly and 12-month care planning service requirements have been achieved. We recommend using the monitoring sheet to cross reference with the forecasting tool in PRODA at least once per quarter (Ideally in the second month).

This tool is to be used in conjunction with:

1. The General Practice in Aged Care Incentive Program Guidelines available here.
2. The GP and practice information kit available here.​

• ​WA GPACI patient monitoring and tracking tool (Microsoft Excel)
• Mastering GPACI: Step-by-Step Guide to the Patient Monitoring and Tracking Spreadsheet (tutorial video)

• MyMedicare is a new voluntary patient registration model that aims to build a stronger relationship between patients and their primary care teams.
• MyMedicare will drive improvements in primary health care for all Australians and deliver new funding packages to primary care providers.
• Registration in MyMedicare is voluntary for patients, practices and providers.

• Patients can register with their general practice and nominate their usual doctor.
• MyMedicare patients will have access to greater continuity of care with their registered practice, improving health outcomes.
• Registered patients will be able to access longer MBS-funded telephone calls with their usual general practice.
• Registered patients under 16 years old, pensioners and other Commonwealth concession card holders will have access to triple bulk-billed longer telehealth consultations.
• Patient registration will be available from 1 October 2023 to Australians with a Medicare card or Department of Veterans’ Affairs (DVA) Veteran Card. Patients will be able to register at their practice or online through their Medicare Online Account.

• Registration in MyMedicare is voluntary for patients, practices and providers.
• MyMedicare practices will have access to more information about regular patients, making it easier to tailor services to fit the patient’s needs.
• Registered practices will be able to deliver MBS funded longer telephone consultations (levels C and D) to registered patients.
• Registered practices will have access to the triple bulk-billing incentive for longer MBS telehealth consultations (levels C, D and E) for registered patients under 16, pensioners and Commonwealth concession card holders.
• The following new blended funding payments will be available to registered practices and providers:

• the General Practice in Aged Care Incentive from 1 August 2024, which will support regular health assessments, care plans and regular GP visits for people in residential aged care homes.
• new blended funding payments to support better care in the community for people with complex, chronic disease who frequently attend hospitals. These arrangements will roll out progressively across the country over three years from FY2024–25.
• Chronic Disease Management items linked to a patient’s registration in MyMedicare from November 2024, 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 Disease Management items from their usual GP.

• Practices that provide services to patients who would benefit from the new MyMedicare-linked MBS long telehealth services or provide care to people in residential aged care are encouraged to register in MyMedicare as a priority.
• From 1 October 2023, patients will be able to register with their regular general practice and select their preferred general practitioner (GP).
• Practices will be able to generate and access a list of their registered patients through the MyMedicare system.

• Work is underway to integrate registration information with practice software to reduce administrative burden and allow GPs to access their registered patient lists directly.

Video 1 What should our practices be doing to prepare for the Medicare reform?	Preparing for the Medicare reforms: Insights from Dr. Walid Jammal In preparation for MyMedicare, it’s important for practices to come together as a team to understand why it is important for them and their patients. In a recent interview, Dr Walid Jammal from Hills Family General Practice commented that every practice will have its own response to the reform, but by focusing on patients, practices can prepare for the changes to come. “We’re moving to towards a cohort driven, patient centred model of care that involves in-reach and outreach to our patients and is funded by a blended funding model.” Watch more as Dr Jammal shares his insights into what practices should be doing to prepare for the Medicare reform.
Video 2 What should our practices be considering to prepare for multidisciplinary team care?	Preparing for Multidisciplinary Team Care: Insights from Dr. Walid Jammal Watch part two of our video series with Dr Walid Jammal from Hills Family General Practice as he shares his thoughts on the importance of multidisciplinary team care. Every practice is different and there is no single answer that will work for all, however the need for multidisciplinary care is clear. Working as a team, with a common purpose and vision, can improve the care of patients and the sustainability of the practice. Dr Jammal also highlighted that teamwork can be built across sites, not just under the same roof. Practices should focus on what multidisciplinary team-based care means to them and put enablers in place to build trust and improve workflows. Watch more
Video 3 What’s within our reach with digital health that will transform our further with primary care?	Digital health and transforming primary care: Insights from Dr. Walid Jammal Watch the third part in our video series with Dr Walid Jammal from Hills Family General Practice, as we discuss the potential of digital health to transform primary care. Dr Jammal highlighted the importance of using existing data extraction and decision-making tools such as Primary Sense. He also discussed the potential for My Health Record, which is set to change with the government’s commitment to making it more usable and friendly for both patients and providers. In addition, Dr Jammal mentioned the emergence of tools such as AI, transcription tools, and decision support tools, all of which are part of a big national digital strategy. Watch here
Video 4 Why is it important to be patient centred while we’re introducing these reforms	Health care reforms and patient centred care: Insights from Dr. Walid Jammal Watch the final part of our interview series with Dr Walid Jammal from Hills Family General Practice, as we discuss the importance of being patient centred. Dr Jammal challenges people to think about what patient-centeredness really means to them and their patients, emphasising the importance of understanding what patients want from their GP and general practice. He suggests focusing on three essential elements that patients want when asked: access, high-quality medicine, and convenience. By implementing changes and reforms with these three elements in mind patients can benefit from the convenience of telehealth, communication tools, and apps while receiving holistic high-quality care that is centred around their needs. Watch more

• All general practices providing Medicare-funded services or DVA equivalent services will be able to participate in MyMedicare.
• General practices must be accredited under the National General Practice Accreditation Scheme or have a valid exemption. 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.
• Patients will be able to register with their regular general practice and select their preferred GP linked to that practice.
• General practices can start the MyMedicare registration process by ensuring they are registered in PRODA, HPOS and the Organisation Register and linking all their eligible providers so they are ready for patient registration.

• ACCHS and AMS practices and their providers can participate in MyMedicare if they provide Medicare-funded services or DVA equivalent services.
• Patients will be able to register with their regular ACCHS or AMS practice and select their preferred GP and care team within the practice.
• Additional flexibility is available for ACCHS and AMS practices that operate as a hub and spoke model in their region. They will be able to set up their practice in the MyMedicare system to reflect these arrangements.
• Patients registering at a “hub and spoke” ACCHS/AMS will be able to access linked MBS items and incentives at any of the sites identified as part of the hub and spoke business structure. It will also mean that their eligibility will be calculated from any MBS services rendered by linked providers at any of the identified sites.
• ACCHS and AMS practices can start the MyMedicare registration process by ensuring they are registered in PRODA, HPOS and the Organisation Register and linking all their eligible providers so they are ready for patient registration.
• A temporary exemption from accreditation is available until 30 June 2025 to ACCHS and AMS who do not currently meet the current RACGP definition of a general practice (due to not having a bricks and mortar practice).
• The RACGP is updating its definition of a general practice for the purpose of accreditation. The proposed definition includes mobile and outreach providers and those providing comprehensive, patient-centred, whole-person and continuous care based predominantly of a general practice nature. The RACGP Standards for General Practice Accreditation will be reviewed to enable alignment with the revised definition.
• Practices should ensure that they commence the accreditation process by registering with an accrediting agency approved under the National General Practice Accreditation Scheme with enough time to achieve accreditation before the exemption period ceases.

• Mobile and outreach services and their providers can participate in MyMedicare if they provide Medicare-funded general practice services or DVA equivalent services.
• Patients will be able to register with a mobile or outreach practice in MyMedicare and select their preferred GP and the care team within that service.
• Mobile and outreach services can start the MyMedicare registration process by ensuring they are registered in PRODA, HPOS and the Organisation Register and linking all their eligible providers so they are ready for patient registration.
• A temporary exemption from accreditation is available until 30 June 2025 to mobile and outreach services (including sole providers) who do not meet the current RACGP definition of a general practice, if they deliver general practice services in rural settings, residential aged care, disability residential settings, to First Nations Australians and to people experiencing homelessness.
• The RACGP is updating its definition of a general practice for the purpose of accreditation. The draft definition being considered includes mobile and outreach providers and those providing comprehensive, patient-centred, whole-person and continuous care based predominantly of a general practice nature. If the proposed definition is adopted, the RACGP Standards for General Practice Accreditation (the Standards) will need to be reviewed to ensure alignment with the revised definition.
• If mobile and outreach services are able to be accredited under a revised definition and Standards, practices should ensure that they commence the accreditation process by registering with an accrediting agency approved under the National General Practice Accreditation Scheme with enough time to achieve accreditation before the exemption period ceases.

• State-operated GP practices will be able to participate in MyMedicare if they:
  • provide Medicare-funded services or DVA equivalent services, and
  • are covered under the COAG Section 19(2) Exemption Initiative.

• State-operated GP practices will be required to be accredited under the National General Practice Accreditation Scheme. Non-accredited practices will have 12 months to gain accreditation through a registered accreditation agency.
• State-operated GP practices can start the MyMedicare registration process by ensuring they are registered in PRODA, HPOS and the Organisation Register and linking all their eligible providers so they are ready for patient registration by 1 October 2023.

• Urgent Care Clinics (UCCs) will not be able to participate in MyMedicare as their operating model is not designed for continuity of care.
• General practices that operate as both a general practice and UCC can only register the regular general practice business in MyMedicare.
• Providers linked to a general practice and UCC must not use or link their UCC specific speciality code when providing MyMedicare services through the regular general practice.
• All activities and claiming that occur through the UCC will not count towards MyMedicare patient eligibility, nor will MyMedicare linked items be claimable under the UCC operations.

• Nurse practitioner-led practices will be able to participate in MyMedicare if they have an eligible GP linked to their practice who is providing Medicare services or DVA equivalent services.
• Patients will be able to register with their regular nurse practitioner-led practice and select their preferred provider and care team within the practice.
• Nurse practitioner-led practices with an eligible GP must be accredited under the National General Practice Accreditation Scheme or have a valid exemption. 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.
• Nurse practitioner-led practices can start the MyMedicare registration process by ensuring they are registered in PRODA, HPOS and the Organisation Register and linking all their eligible providers so they are ready for patient registration by 1 October 2023.