Medicare benefits for health professionals

Nurse and midwife eligibility requirements

To claim a Medicare benefit for a service, nurses and midwives must:

  • meet the qualification requirements set out in the Health Insurance (Midwife and Nurse Practitioner) Determination 2011
  • be registered and authorised by the Nursing and Midwifery Board of Australia (NMBA)
  • be in private practice. Nurses and midwives who are employed by a public hospital or health services aren’t eligible to claim Medicare benefits
  • have a collaborative care arrangement in place.

Section 84AAF/84AAJ of the National Health Act 1953 has more information about:

claiming Medicare benefits, and applying for prescriber number as a nurse or midwife.

Collaborative arrangements must include at least one medical practitioner. Collaborative arrangements can’t include entities such as health services.

You can demonstrate collaborative arrangements by:

being employed or engaged by a medical practitioner or an entity that provides medical services seeing patients who have a written referral from a medical practitioner having a signed written agreement with a medical practitioner.

This information was printed Sunday 19 May 2019 from It may not include all of the relevant information on this topic. Please consider any relevant site notices at when using this material.

Page last updated: 22 February 2019