MyMedicare accreditation exemption date extended to 31 December 2026

The accreditation exemption for non-traditional practices choosing to participate in MyMedicare has been extended from 30 June 2025 until 31 December 2026.

The accreditation exemption is available to non-accredited practices (including sole providers) who deliver general practice services through mobile and outreach models in rural settings, residential aged care and disability residential settings, as well as to First Nations Australians and people experiencing homelessness.

The extension is in recognition of the new definition of general practice for the purpose of accreditation, which may allow some non-accredited practices to now become accredited. It aims to support non-accredited practices in considering their accreditation options under the National General Practice Accreditation Scheme.

Practices currently using this MyMedicare exemption will not need to take any action to update the new end date.

Turn on your HPOS mailbox notifications

Health professionals receive a lot of correspondence via their individual and/or organisation Health Professional Online Services (HPOS) mailboxes. While some of these may be statements or everyday notifications, others are important and require action.

Make sure you turn on notifications to receive alerts for new messages and save you having to check for new mail.

Now the first MyMedicare incentive is in place make sure you action any notifications as required, such as failed payments.

Assessment and payment timeframes for January to March 2025 quarter

The MyMedicare General Practice in Aged Care Incentive (GPACI) quarterly assessment for January to March 2025, and reassessment of the previous two quarters, is now in progress.

Payments will be processed by the end of today, Wednesday, 30 April. Notifications will be sent via HPOS mailboxes when payment is made.

You must add your bank account details to HPOS for the MyMedicare program or GPACI payments won’t be able to be received. There are a number of providers who have not yet done this.

Tips on managing GPACI

For GPACI, the relationship between the three participants (practice, patient and responsible provider) is critical. The assessment process looks for this relationship, and anything which can potentially break or remove any of those relationships will impact GPACI payments for eligible services.

If there is a change in the relationship (for example, new responsible provider) it is important the previous relationship is maintained in the patient’s MyMedicare profile. Removing or deleting relationships will impact past payments.

The responsible provider may not be the same practitioner as the patient’s nominated preferred GP. For example, a registrar may be engaged to deliver Residential Aged Care Home services.

Here are some tips on managing GPACI correctly and some precautions on what not to do as using actions incorrectly can impact payments, including reassessment of past payments.

For the incentive period:

• DO select set period and add a start date to add the Incentive to a patient’s MyMedicare profile
• DO NOT add an end date to the Incentive period. When a patient is withdrawn from the MyMedicare program, the system will automatically end the incentive period
• DO NOT amend the start date for the Incentive period, unless it was incorrect and you understand the impact to payments
• DO NOT amend the Incentive period at the start of every new quarter
• DO NOT delete the Incentive unless it was added to the patient’s MyMedicare profile in error

For the responsible provider:

• DO add the responsible provider and add a start date
• DO NOT add an end date for the responsible provider. If a new responsible provider is added, the system will automatically end the previous responsible provider
• DO NOT amend the start date for the responsible provider, unless it was incorrect and you understand the impact to payments
• DO NOT remove the responsible provider unless they were added in error

For the patient:

• DO register the patient for the MyMedicare program as soon as possible and no later than 28 days after receiving the consent form (or they can register themselves online)
• DO add GPACI to the patient’s MyMedicare profile (as above)
• DO add a new responsible provider if required (only add a start date, do not add an end date). Adding a new responsible provider will automatically end the previous one
• DO add an Incentive period end date if the Patient asks to no longer be part of GPACI
• DO withdraw the patient if they ask to no longer be part of the MyMedicare program or are deceased. This will automatically end the incentive
• DO NOT remove a responsible provider. It is important previous relationships are maintained, even if the patient has a new responsible provider added, no longer wants to be involved in GPACI or MyMedicare, or is withdrawn from MyMedicare. Removing responsible providers will impact reassessment of past payments.
• DO NOT move a patient to a new organisation site unless you understand the impact to payments. Moving a patient resets their MyMedicare registration date and restarts them in Quarter 1 for GPACI.
• DO NOT delete GPACI from a patient’s MyMedicare profile unless the Incentive was added in error. If the patient is deceased, withdraw them from MyMedicare but do not delete the incentive

For support on MyMedicare contact your Practice Advancement Officer or Practice Support Officer.