MyMedicare

About the guide

The General Practice in Aged Care Incentive (GPACI) User Guide includes after-hours MBS item numbers and an example of triple bulk-billing benefits. PHNs across the country have collaborated to design this user guide and continue to work as a connected network to support local change management for MyMedicare.

This resource provides a quick reference guide for General Practices with examples of how to use MBS items to meet quarterly and annual service delivery requirements for GPACI.

View the MBS User Guide

How to use this guide

To use the guide in your practice, simply select the Sample Schedule and Example Annual Cycle billing scenario that best suits your practice team and setting.

There are three main general practice Sample Schedules (pages 3-8) reflected in this user guide:

• Responsible provider only – where a single GP delivers all care to the resident.
• Responsible provider and alternative provider – where other members of the practice team also deliver care to the resident including other GPs, Prescribed medical practitioners and Nurse practitioners.
• Responsible provider and other care team members – where other members of the practice team also include visits delivered by practice nurses or Aboriginal Health Workers, in addition to other GPs, Prescribed medical practitioners and Nurse practitioners.

The guide incorporates a variation of sample schedules that describes how telehealth items could be billed for practices in MMM 4 – 7.

The guide also includes Example Annual Cycle including estimated billings (pages 11 -14) to support your practice to deliver the proactive and regular planned care required to meet the General Practice in Aged Care Incentive. On page 15 there is an example of triple bulk billing incentives.

There are a range of ways your practice could use the guide including:

• Identify the Sample Schedule and Example Annual Cycle billing scenario that best suits your practice team and setting. Print these or share them with your practice team to inform care planning for the General Practice in Aged Care Incentive.
• Review your historical billing practices for Residential Aged Care Home patients and use the guide to develop a quality improvement activity to identify any improvements you could make to billing and care practices.
• Plan care for your residential aged care patients 3 – 6 months ahead by booking appointments for residential aged care visits each month using the Example Annual Cycle as a guide. Consider how you can group visits to a residential aged care home in your practice booking system to maximize efficiency of clinician time.
• Meet with your practice team to reflect on the guide, and identify opportunities for practice nurses, Aboriginal health workers and other doctors to support or deliver care. For example, could practice nurses to work alongside doctors at aged care visits to work up care planning and make the visit more efficient for your practice, residential aged care homes, and patients you care for that are residents of aged care homes?

• Register, setup and maintain PRODA for individuals and organisations
• Step by step guidance to register, setup and maintain PRODA
• Register your organisation and patients to MyMedicare
• Step-by-step guidance My Medicare practice and patient registration
• Register, setup and maintain General Practice Aged Care Incentive program
• Provider steps required for My Medicare GPACI Program
• Step-by-step guidance MyMedicare and GPACI program patient registration

• DoHAC website: About MyMedicare
• DoHAC website: General Practice in Aged Care Incentive
• General Practice in Aged Care Incentive program guidelines 2024
• Fact sheets and patient journeys
• Frequently asked questions and information kits for General Practice in Aged Care Incentive GPs and practices
• General practice communication toolkit

• Services Australia Practice Incentive Program website
• e-learning module regarding how to access detailed payment information in HPOS
• Infographic for practices providing a quick summary of how to search for and view payment information
• Infographic for providers providing a quick summary of how to search for and view payment information
• More resources can be found in the MyMedicare tile on Services Australia’s Health Professional Education page

• RACGP Webinar 13 August
• Video: What is MyMedicare and an the General Practice in Aged Care Incentive (GPACI)?
• Video: GPACI – service and eligibility requirements
• Video: General Practice in Aged Care Incentive (GPACI) and how to register patients

A practical guide to implementing chronic condition management through continuous quality improvement supporting:

• Better continuity of care
• Improved patient outcomes
• More efficient practice workflows

The workbook encourages a shift from volume-based care to structured, regular planning and preventative care. It also links to existing MyMedicare and CCM resources.

View the CCM QI Workbook

This guide explains how to use the new MBS items for chronic condition management, including:

• Step-by-step instructions for proactive care planning
• Clarification on review cycles
• Key considerations for developing plans with patients
• Live links to MBS Online.

View the CCM MBS User Guide