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 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 homelessness.

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)
- Chronic Condition Management items linked to a patient’s registration in MyMedicare in order to support continuity of care for people with chronic and complex conditions. (Patients who are not registered for MyMedicare can still access a Chronic Condition Management Plan 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
- Shift to long term and preventative care

Is my organisation eligible for MyMedicare?

Eligibility for General Practice

Provide Medicare funded services
Be registered in the following Services Australia systems;
Have at least one eligible provider linked to the practice in the Organisation Register
Be an accredited practice. If your practice is not accredited, you will have 12 months to register with an accreditation body and gain accreditation.

An accreditation exemption is available until 31 December 2026 for non-accredited practices (including sole providers) who deliver general practice services through mobile and outreach models, including:

In rural areas
In residential aged care homes
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 your practice for MyMedicare

General practices can register in the Organisation Register.

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

Add the MyMedicare program code
Set your MyMedicare Preferences
- Choosing Auto-accept will mean that new registrations submitted by a patient will be automatically accepted by your practice (remember patients will need to meet eligibility criteria to register).

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

Registering your patients for MyMedicare

This eLearning module from Services Australia gives a detailed guide to Managing Patient Registrations for MyMedicare.

Patients can register for MyMedicare via the following methods:

By completing a paper registration form at the practice. The practice is then responsible for submitting this information through HPOS to complete the registration.
Through the 1800MEDICARE app, then accessing their My Health Record, selecting 'Health Profile', then 'Medicare Services'.

How to check if a patient is registered for MyMedicare

Patient List for MyMedicare in HPOS

You can view all registered patients and search for specific patients via the Patient List for MyMedicare. This requires specific permissions in PRODA known as “attributes”. Refer to Managing Patient Registrations eLearning for further details.

1800MEDICARE app

Patients can also check their own registration status through the 1800MEDICARE app. Open the app, tap on their name at the top of the screen, select View my details and then look under the MyMedicare section.

Managing patient registrations in clinical software

Best Practice and Medical Director both have features to allow you to record the MyMedicare registration status of patients in their patient record. Contact your software vendor directly for any further support with this.

Best Practice

You can now record the patient’s MyMedicare registrations status in BP Premier Orchid SP1 Revision 1. Visit Best Practice’s knowledge base here to learn more.

You can also update MyMedicare registrations in BP Premier in bulk using the BP Premier Reporting Tool to import the patient list from HPOS.

Medical Director

You can now record a patient’s MyMedicare registration status in MedicalDirector Clinical and Pracsoft with the MyMedicare Enrolment Status field.

You can also update MyMedicare registrations in bulk using the MyMedicare Import Wizard.

Programs associated with MyMedicare

General Practice in Aged Care Incentive (GPACI)

The General Practice in Aged Care Incentive (GPACI) supports better access to proactive, ongoing care for people living permanently in residential aged care. MyMedicare registered practices and eligible GPs can receive incentive payments for providing registered aged care residents with regular visits, health assessments and care planning.

More information on the GPACI can be found here.

Bulk Billing Practice Incentive Program (BBPIP)

The Australian Government supports general practices to bulk bill all patients through the Bulk Billing Practice Incentive Program (BBPIP). Practices that participate can receive additional incentives on eligible MBS benefits, split evenly between the GP and the practice, recognising the contribution of both.

Registration with MyMedicare is a mandatory requirement for BBPIP participation.

Practices previously registered in MyMedicare must meet the standard MyMedicare accreditation requirements (or hold a current exemption).

Practices registering in MyMedicare for the first time specifically to participate in BBPIP are exempt from MyMedicare accreditation requirements. This allows unaccredited practices to join BBPIP, provided they enter MyMedicare and maintain an exemption.

More information on the BBPIP can be found here.