Australian Childhood Immunisation Register for health professionals
Information for vaccination providers about the Australian Childhood Immunisation Register.
We administer the Australian Childhood Immunisation Register (ACIR) on behalf of the Department of Health. The ACIR is a national register that records details of vaccinations given to children and young individuals under 20 years of age who live in Australia. Recognised vaccination providers send immunisation details of their patients to the ACIR which pays them for this information. This is referred to as an ‘information payment’.
- is used to monitor immunisation coverage levels and service delivery, and to identify regions at risk during disease outbreaks
- can provide reports to you upon request to help identify children and young individuals who are due or overdue for immunisation, and
- makes an information payment to vaccination providers who administer and notify the ACIR of an eligible vaccination
Data from the ACIR:
- enables you, as a vaccination provider, to check on the immunisation status of a child or young individual, regardless of where the child or young individual was immunised
- forms the basis of an Immunisation History Statement that advises parents and guardians of their child's or young individual’s recorded immunisation history
- provides information about a child's or young individual’s immunisation status to help determine eligibility for Child Care Benefit, Child Care Rebate and Family Tax Benefit Part A supplement, and
- provides a measure of coverage at a national, state, territory and local level
An information payment is made to you if you administer and notify the ACIR of a vaccination that completes one of the age based immunisation schedules funded under the National Immunisation Program. You can view the National Immunisation Program Schedule on the Department of Health Immunise Australia Program website.
- The information payment amount is up to $6 per completed schedule for children under 7 years of age
- Information payments to providers are made by Electronic Funds Transfer at the end of each calendar month
- To receive payment, you need to complete a Bank Account Details for Vaccination Providers form (IM005) advising ACIR of your bank account or credit union details. You can also supply these details when you register as a vaccination provider with the ACIR
- You can amend your bank account details on the ACIR:
- using Health Professionals Online Services (HPOS), or
- by completing the Bank Account Details for Vaccination Providers form (IM005) form
- You will receive a Statement of Payment listing the payments made for the information received by the ACIR. The statement also includes the details of any services where the ACIR requires additional information. You can make any required changes on the applicable page of your statement and send it to the ACIR by fax, email or post.
Catch up incentive payments for vaccination providers
From 1 January 2016, we will pay an additional $6 incentive payment to vaccination providers who follow up and vaccinate children under 7 years of age who are more than 2 months overdue for their childhood vaccinations.
This payment recognises the time spent identifying children in your practice who are overdue for vaccinations and calling the child in to receive the catch up vaccines.
This is in addition to the existing $6 payment for notifying information to the ACIR.
The catch up payment will start for vaccinations administered from 1 January 2016, with the first payments made to providers in March 2016. You will be eligible to receive a catch up payment if:
- you administer catch up vaccines to a child under 7 years of age who is more than
- 2 months overdue for a National Immunisation Program scheduled vaccination
- the child has received all the relevant vaccines due at each age related schedule point, and
- you notify the ACIR of this information
Identifying overdue children
We will pay the catch up incentive payment monthly, at the same time as the standard ACIR notification payments. It will also be included on the monthly ACIR statement of payment.
There are a number of reports available from the ACIR secure website to help you identify children who are overdue for immunisation, including:
- ACIR010A - ACIR Due/Overdue Practice Report
- ACIR011A - Due/Overdue report by locality
- ACIR011B - Due/overdue report by vaccination provider
You can get these reports by accessing the ACIR using HPOS.
The Department of Health is responsible for the Immunise Australia Program. The program aims to increase national immunisation rates by funding free vaccination programs and communicating information about immunisation to the public and health professionals. The National Immunisation Program Schedule specifies at what ages children in Australia should receive certain vaccinations.
For a complete list of the recommended childhood vaccination milestones, view the National Immunisation Program Schedule on the Department of Health Immunise Australia Program website.
Each state and territory health department provides specific jurisdictional information about immunisation. For more information about immunisation specific to your state or territory, visit your state health department website:
If there is a medical reason why a child or young individual cannot be immunised, you can assist parents and guardians to obtain a medical exemption. This can help them meet the immunisation requirements for Child Care Benefit, Child Care Rebate and Family Tax Benefit Part A supplement.
The available immunisation exemptions are:
- medical contraindication: you make the decision that the child or young individual cannot be immunised due to a medical condition, and
- natural immunity to a disease: in your professional opinion, the child or young individual does not require a vaccine because they have a natural immunity to the disease
You can complete the ACIR Immunisation Medical Exemption form (IM011) to identify which vaccines the child or young individual cannot receive, whether the contraindication is temporary or permanent, or identify which vaccines the child or young individual is immune to. The ACIR can only accept this form from general practitioners.
Notifications of medical contraindication and natural immunity will not be accepted on practice or general practitioner letterheads and must be provided on the new approved ACIR Immunisation Medical Exemption form (IM011). The ACIR Immunisation Medical Exemption form has recently been updated to include:
- guidance for general practitioners on what is and is not considered a valid medical contraindication to immunisation, and
- a section to notify a natural immunity
All children and young individuals under 20 years of age enrolled in Medicare are automatically included on the ACIR. Children and young individuals who are not eligible to enrol in Medicare can be added to the ACIR when details of a vaccination are received from you, as the vaccination provider.
To ensure the accuracy of our data, it is important to remind parents to notify Medicare of any change to their address.
If you are a general practitioner, you are automatically recognised as a vaccination provider and are authorised to send or receive immunisation data from the ACIR. When sending information to the ACIR, supply your Medicare provider number for the location where the vaccination is given.
If you are not a general practitioner, you may still be recognised as a vaccination provider. You need to complete the ACIR Application to Register as a Vaccination Provider form (IM004) and send it to your state or territory health department for approval. When ACIR receives the approved form, a unique ACIR registration number is allocated to identify you as a vaccination provider.
You will receive a letter detailing your ACIR registration number. Use this number when you send immunisation details to the ACIR.
You can submit the details to the ACIR of vaccinations given to children and young individuals under 20 years of age. The ACIR cannot accept immunisation details from parents or guardians. Only you, as a recognised vaccination provider, can submit immunisation data to the ACIR. Vaccinations given to a child while overseas can only be recorded on the ACIR if they are submitted by a vaccination provider practicing in Australia.
The accuracy of the ACIR depends on how quickly we receive the correct information from vaccination providers. We request you submit information to the ACIR at least on a weekly basis.
Delays in submitting data can result in incomplete Immunisation History Statements being sent to parents, and the loss of a family's eligibility for Child Care Benefit, Child Care Rebate or Family Tax Benefit Part A supplement.
Only vaccinations given after 1 January 1996, when the ACIR started operation, can be recorded. When submitting vaccination information to the ACIR, supply the child's Medicare card number and reference number, as well as the child's name and date of birth.
If the child is not enrolled in Medicare, supply the child's full name, date of birth, gender and address so that an accurate record can be created on the ACIR.
How to submit information
When a vaccination is given to a child or young individual, details should be submitted promptly to be included on the ACIR.
Information can be submitted to the ACIR using:
- Medicare Online: a software application that allows the transmission of ACIR data via the vaccination provider's desktop software. You can phone Medicare Online for more information
- Health Professionals Online Services (HPOS): approved vaccination providers can submit immunisation details using the Identify Child and Record Encounter function through the ACIR secure area within HPOS
- Manually: by completing either an Immunisation encounter form (IM002) or an Immunisation History form (IM013) and sending it to us
HPOS enables ACIR users to submit immunisation encounters which are records of immunisations, view immunisation history, request reports and update provider contact details.
The Australian Childhood Immunisation Register (ACIR) produces a series of statistical, identified and access reports for vaccination providers registered to use the ACIR secure website.
The National due and overdue rules for childhood immunisation provides information on the ACIR’s rules, based on the Australian Immunisation Handbook, to help you better understand the operations of the ACIR.
Order form for Queensland and Northern Territory vaccination providers to order ACIR immunisation stationery:
Order form for New South Wales, Victoria, South Australia, Western Australia, Tasmania and Australian Capital Territory vaccination providers to order ACIR immunisation stationery:
Vaccine codes are available to use in software products that can send claims to ACIR through Medicare online claiming.