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.