About MyMedicare

Key dates:

• 1 July 2023 - health professionals can get ready for MyMedicare by asking their practice to link them in the Organisation Register in Health Professional Online Services (HPOS).
• 1 October 2023 - health professionals can start patient registrations in HPOS under My programs by selecting the MyMedicare tile.
• November 2023 - new Medicare Benefits Schedule (MBS) items will be available for patients who are registered in MyMedicare.

Read more about MyMedicare on the Department of Health and Aged Care website.

Eligibility for general practices

To be eligible for MyMedicare, general practices must:

• provide Medicare-funded services
• be registered in Provider Digital Access (PRODA)
• be registered with Health Professional Online Services (HPOS)
• be registered on the Organisation Register in HPOS
• have at least one eligible provider linked to the practice in the Organisation Register - eligible providers can be a registered general practitioner (GP), prescribed medical practitioner or a GP registrar
• be accredited against the National General Practice Accreditation Scheme - non-accredited practices will have 12 months to register with an accreditation agency and gain accreditation.

Read more about National General Practice Accreditation Scheme on the Australian Commission on Safety and Quality in Healthcare website.

An accreditation exemption is available until 30 June 2025. This is available to non-accredited practices, including sole providers, who deliver general practice services to:

• Aboriginal Community Controlled Health Services (ACCHS)
• Aboriginal Medical Services (AMS).

This also includes mobile and outreach models:

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

For more information and support on accreditation processes, visit the Australian Commission on Safety and Quality in Health Care website or the Primary Health Networks website.

Eligibility for health care 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 (DVA) equivalent services.

The provider must be an eligible GP or nurse practitioner.

Eligible GPs include:

• registered GPs
• prescribed medical practitioners
• GP registrars.

Eligibility for patients

Patients can register for MyMedicare.

Patients must have a Medicare or DVA Veteran card to register in MyMedicare. There will be options for patients to register online and or in-person at their registered practice.

Read about patient eligibility on the Department of Health and Aged Care website.