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.

Page last updated: 22 February 2019

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