What is MyMedicare?
MyMedicare is a new voluntary scheme that allows patients to register with their usual General Practitioner to strengthen the connection between patients and their primary care teams. MyMedicare supports quality continuity of care through blended funding payments. The scheme is voluntary for general practices, providers, and patients. In addition to patients opting in, general practices and providers will also need to sign up for MyMedicare. General practices have been able to register for MyMedicare since 1st July 2023.
MyMedicare will continue to expand upon the existing services available:
- From 1st October 2023, all Australians with a Medicare card or Department of Veteran’s Affairs Veteran card will have the option to register online or via their practice.
- From 1st November 2023, registered patients will have access to MBS level C and D telehealth items. Eligible patients who are registered with a practice, can benefit from the triple bulk billing incentive for MBS level C, D, and E telehealth items.
- From 1st August 2024, practices and providers who regularly visit registered patients in residential aged care homes, can also benefit from the General Practice in Aged Care Incentive.
- From 1st November 2024, registered patients will be eligible for MBS chronic disease management plans only at the practice at which they are registered. This will reduce opportunistic claiming of these items by providers other than the patient’s usual doctor.
For general practices and providers:
- More information about regular patients, making it easier to tailor services to fit the patient’s needs.
- Triple bulk billing incentive for longer MBS telehealth consultations (Levels C, D and E) for children under 16, pensioners, and concession card holders.
- 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.
To ensure a smooth registration process, eligible 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 prioritise registration for MyMedicare in HPOS Organisation Register tile.
- Greater continuity of care with their registered practice, improving health outcomes
- Longer telehealth calls with their usual GP.
General Practice eligibility:
- General practices must provide Medicare-funded services.
- Be registered in PRODA, HPOS and Organisation Register
- All staff registered for individual PRODA account and link to the practice in HPOS, and Organisation Register
- Must have at least one eligible provider linked to the practice in the Organisation Register
- Must be accredited or working towards accreditation
- 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 for those providers that deliver general practice services through mobile and outreach models in rural settings, in residential aged care facilities, in disability residential settings, to First Nations Australians or to people experiencing homelessness.
- Provider must be a GP (vocationally registered GP, non-vocationally registered GPs, GP registrars) or nurse practitioner
- Provider must work at a MyMedicare eligible practice
- Must be linked to the practice on the Organisation Register in HPOS
- Must have a valid provider number and be eligible to deliver MBS or DVA equivalent services.
- Patients will need to have had two (2) face to face visits recorded at the same practice in the previous 24 months.
- Reduced registration applies for certain patients such as:
- One face to face visit recorded in the previous 24 months for patients registered with practices in MM6 and 7 locations.
- A parent/child can be registered at the same practice without meeting the minimum visits requirements provided one of them has an existing registration.
- Exemptions from face-to-face visit requirements, will apply for people who may be disadvantaged, including people experiencing domestic and family violence and/or homelessness.
How to get involved
Eligible general practices can begin the MyMedicare registration process.
Please note: if your practice is already registered and all participating providers are linked in the Organisation Register, you do not need to complete a second registration process.
Once registered, practices are not required to complete any further steps until patient registration becomes available from 1 October 2023.
Patients will be able to register by completing a paper form at their regular general practice or online through their Medicare account.
For further general practice registration details, please visit the Department of Health and Aged Care or download our step-by-step registration guide.
Watch the recordings from the RACGP's MyMedicare webinar series:
- MyMedicare: First steps: What is it, What do I need to know? (webinar recording, RACGP)
- MyMedicare: A Deeper Dive including PRODA (webinar recording, RACGP)
Find out the details of how to get your practice registered through Services Australia:
- MyMedicare: Who can get it (Services Australia)
- MyMedicare: How to register (Services Australia)
- Healthcare professionals portal: MyMedicare information (Services Australia)
- Set up an organisation in the Organisation Register for MyMedicare (Services Australia)
Learn about MyMedicare through Department of Health and Aged Care:
- About MyMedicare (DoHAC)
Stay updated through our Darling Downs and West Moreton PHN communications. We will continue to distribute information as it becomes available through our newsletters, so subscribe below:
Provider Digital Access (PRODA)
Department of Health and Aged Care – Medicare provider enquiry line