MyMedicare

• Register your practice and link your eligible providers
• Consider practice data cleansing and understand your patient demographics and needs to ensure you are looking at an up-to-date patient cohort.
• MyMedicare will incentivise practices who are providing continuity of care for their patients by doing GP Management Plans (GPMP) and Chronic Disease Management (CDM) so you could consider identifying eligible patients early.
• MyMedicare emphasises team-based care, so use MBS 10997 and 10987 with your eligible patients.
• MyMedicare encourages practices to focus on preventative health. Identify your patients who are eligible for health assessments, such as aged between 40-49 years for diabetes risk, or 45-49 for health assessments.

• Greater continuity of care with your registered practice, improving health outcomes.
• Longer Medicare Benefit Scheme (MBS) funded telehealth consultations with your GP.
• Triple bulk billing incentive for longer MBS telehealth consultations for children under 16, pensioners, and concession card holders.
• More regular visits from your GP and better care planning for people living in a residential aged care home, from August 2024.
• Connections to more appropriate care in general practice for people who visit hospital frequently, from mid-2024.

• Set up your practice as an Organisation in PRODA.
• Link your Organisation to HPOS ORGREGM01 - Linking an Organisation in PRODA to HPOS (servicesaustralia.gov.au).
• Record details in the Organisation Record ORGREGM02 - Creating an Organisation Record (servicesaustralia.gov.au).
• Record details in the Organisation Site Record ORGREGM03 - Creating an Organisation Site Record (servicesaustralia.gov.au).
• Link participating eligible provider and their provider numbers in the Organisation Register.

To complete the MyMedicare registration, dual consent is required. Dual consent for MyMedicare can be achieved during the registration process, as outlined below:

• If a patient is initiating MyMedicare registration through their Medicare online services, or Express Plus Medicare Mobile app, this acts as the patient consent for registration. The patient-initiated registration is only considered to be successful after the practice has accepted this registration request through the MyMedicare tile in HPOS which acts as the practice consent.  
• If a practice is initiating MyMedicare registration on behalf of their patients through the MyMedicare tile in HPOS, this acts as the practice consent for registration. The practice-initiated registration is only considered to be successful after the patient has accepted this registration request in their Medicare Online Services. 
• Patients can also register for MyMedicare by filling out a MyMedicare Patient Registration Form. Completing this form acts as the patient consent to the registration process. Practices are then required to finalise the MyMedicare patient registration process through the MyMedicare tile in HPOS, acting as the practice consent for registration. Note: Practices will be required to retain a copy of this form to comply with record keeping obligations in accordance with Federal, State, or Territory legislation, applicable to their practice.

A parent or guardian can register a child under 14 years of age and provide consent on their behalf, but young people aged 14 to 17 years can register and provide consent without a parent or guardian. If a parent or guardian registers a minor aged between 14 and 17 years, the minor will need to tick a box declaring they have provided informed consent.

• Members of the organisation in Provider Digital Access (PRODA) who are directors or have been assigned the Owner-Access attribute will automatically have the MyMedicare attribute.
• Other members will need to have the HPOS-MyMedicare-Program-Staff attribute assigned to them to access the MyMedicare program. This can only be added by the director or a member with Owner-Access.
• Members will also need to have the HPOS-Access attribute assigned to access Health Professional Online Services (HPOS) on behalf of the organisation in PRODA.

• Access to levels C and D telephone consultations for registered patients.
• Access to triple bulk billing incentive for levels C, D and E (video only) telehealth consultations for registered patients under 16 years and Commonwealth concession card holders.
• Removal of red tape for telehealth: no need to meet the 12-month rule for registered patients.

Visit MBS Online for more information.

New incentives for GPs to provide quality continuity of care to people who frequently attend hospital because of complex chronic disease. The aim is to reduce the likelihood of further admissions through enhanced general practice support.

This initiative will be trialled in nine primary health network catchments – yet to be announced – after which it will be progressively introduced over three years across the country.

• From 1 August 2024, GPs and practices registered in MyMedicare will receive incentives for providing their registered patients who permanently live in a residential aged care home (RACH) with proactive face-to-face visits, regular planned reviews, and coordinated care planning, improving continuity of care and reducing avoidable hospitalisations.
• RACH residents will be required to be registered in MyMedicare and the GP linked to the patient’s registered practice for GPs to access this incentive.
• This incentive, to be known as the General Practice in Aged Care Incentive (GPACI) will replace the GP Aged Care Access Incentive from 1 August 2024.
• The new incentive will be a combined service incentive payment (SIP) and practice incentive payment (PIP), 
• Payments are $300 per patient, per year, paid to the responsible provider and $130 per patient, per year, paid to the practice.
• PHNs will be funded to work with RACHs to match residents with a regular primary care provider in MyMedicare, if they do not already have one.
• For more details, refer to the Department of Health and Aged Care's fact sheet and web page. 

• Chronic disease management items will be linked to a patient’s registration in MyMedicare to support continuity of care.
• Patients who are not registered will still be able to receive these items from their usual GP.
• Removal of item 723
• Removal of red tape (for example, fax back)
• Rebalancing of items 721 and 732 (significant increase in item 732 and slight drop in item 721).

Additional patient cohorts are expected to be incentivised through MyMedicare in 2025 and beyond. For example: patients experiencing mental ill health, and patients in the first 2,000 days of life.