MyMedicare

MyMedicare is a new voluntary patient registration model. It aims to formalise the relationship between patients, their general practice, general practitioner (GP) and primary care teams.

Seeing your GP regularly and formalising the relationship you have with your GP and practice through MyMedicare can lead to better health outcomes.

It’s voluntary and free to register in MyMedicare, and registration is open to Australians with a
Medicare card or Department of Veterans’ Affairs (DVA) Veteran Card.

Evidence shows that seeing the same GP and healthcare team regularly leads to better health outcomes. Seeing your GP regularly and formalising the relationship you have with your GP and general practice through MyMedicare may lead to better health outcomes.

Registering with MyMedicare provides benefits to patients, general practices, and healthcare providers. To learn about these benefits, see:

MyMedicare practices can access:

  • more information about regular patients, making it easier to tailor services to fit the patient’s needs
  • the new longer telehealth items linked to MyMedicare outlined above, including:
    • longer MBS-funded telephone calls (Levels C and D) with their usual general practice
    • triple bulk billing incentive for longer MBS telehealth consultations (Levels C, D and E) for children under 16, pensioners, and concession card holders.

From 2024–2025, MyMedicare practices can access:

  • 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 the 2024–25 financial year
  • 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 longer telehealth services or provide care to people in residential aged care are encouraged to register those patients in MyMedicare as priority cohorts over the next 3 months.

 

More information: 

Updates from Jan 2024 ahead of public awareness campaign beginning in Feb 2024:

  1. Public awareness campaign in February

Ensure your whole practice team is aware of the MyMedicare Program and are ready to answer patient enquiries. Recently published MyMedicare patient resources are available on the MyMedicare website  and include translated patient information in ArabicSimplified ChineseTraditional ChineseGreekItalianKorean and Vietnamese, and patient animation videos. Tailored First Nations people communications are currently in development.

 

  1. Accreditation and MyMedicare

To access MyMedicare and other Australian Government incentive programs such as Practice Incentives and Workforce Incentives, General Practices must be accredited through the National General Practice Accreditation Scheme.

Non-accredited practices registered to My Medicare eligible to be accredited against the National General Practice Accreditation Scheme have 12 months to gain accreditation from the date they register. Further information on MyMedicare eligibility can be found here.

Practices are encouraged to engage with the requirements of the National General Practice Accreditation Scheme early, by initiating practice accreditation in contacting an accreditation agency:

 

  1. Software Integration

The Department of Health and Aged Care is working with Services Australia and the software industry on integration of MyMedicare in Practice Management Software (PMS): to make it easier for practices and providers to manage patient registrations, receive notifications, and use the reporting capabilities in MyMedicare to support their patients.

The department is aware of the increasing practice calls for this integration in PMS and is working towards the availability of initial functionality from June 2024.

Some software vendors may have created a workaround MyMedicare registration form to integrate with their PMS. Modification of the downloadable patient registration form is discouraged as this may directly impact patient consent, patient information security and linkages to the department’s privacy and data management policies. There are likely to be future modifications to the registration form which may impact the data fields required to complete a patient’s MyMedicare registration.

 

  1. Patient Initiated Registration

When practices register for MyMedicare they have an option to set a preference on how registrations initiated by patients through the Medicare Online App (MOA) are accepted. Some practices have elected to manually accept each registration, this means when a patient completes a registration in MOA it is sent to the MyMedicare system at the practice as a pending registration (not complete). The practice needs to then go in and accept or decline each registration.

Services Australia advises there are a significant number of pending registrations which have not been accepted by practices. If a pending registration is dormant awaiting acceptance from the practice for more than 30 days, it will expire, and the patient will need to re-register in MyMedicare.

Please review and accept or decline patient registrations within 30 days, if the preference settings are manual accept/decline. More information on preference settings in MyMedicare can be found on page 27 of the MYMEDM02-Managing patient registrations (servicesaustralia.gov.au) module.

 

  1. MyMedicare Patient Registration Form

A minor change has been made to the patient registration form to clarify eligibility for Residential Aged Care Home (RACH) residents.  Under eligibility criteria the form now reads “you’ve had 2 or more face-to-face appointments with your regular general practice or health service in the past two years”.

RACH residents are eligible for MyMedicare if they have a Medicare or DVA card and received two in person appointments with their regular practice in the preceding 24 months, or one appointment in rural and remote areas. These in person appointments can be provided at the practice’s clinic, the patient’s home, or at a residential aged care home.

The updated patient registration form can be found here: MyMedicare Registration Form | Australian Government Department of Health and Aged Care

 

  1. MyMedicare Patient Registration Form Process

Services Australia advises that they are receiving small numbers of hardcopies of MyMedicare patient registration forms via email, mail and at offices. Services Australia is unable to process hardcopy registration forms and are unable to register patients in the system if they receive hardcopy forms.

To complete the patient registration in the MyMedicare system, practices are required to enter the patient information collected on the form into Health Professional Online Services (HPOS).  The practice must keep a copy of the signed form with the patient’s clinical records.

If a practice has questions regarding the registration process, they can access education materials via the Services Australia Health Professional Education website. Practices can also contact Services Australia on 132 150 (select option 2) and a Medicare Engagement Officer (MEO) will assist them.

 

  1. MyMedicare Terms and Conditions

The MyMedicare Terms and Conditions are now available via the MyMedicare website and have been integrated into the Medicare Online App (MOA). Terms and Conditions can be found here: MyMedicare Terms and Conditions | Australian Government Department of Health and Aged Care

It is voluntary and free to register in MyMedicare.

When you register in MyMedicare, it will notify your general practice that you have chosen them as your regular care team.  Additional funding will be available from the government to help them provide the care you need.

MyMedicare patients will have access to:

  • 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, from 1 November 2023
  • 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.

If you choose not to register, you’ll still be able to access the same quality of care from your healthcare providers.

 

More information: 

Enquiries: Practices seeking support with MyMedicare can contact their PCAIT representative or email pcait@snhn.org.au.