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 https://www.humanservices.gov.au/organisations/health-professionals/services/medicare/medicare-benefits-health-professionals/eligibility-access-medicare-benefits/nurse-and-midwife-eligibility-requirements It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.humanservices.gov.au/individuals/site-notices when using this material.

Page last updated: 22 February 2019