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Medicare Australia - Australian Government
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September 2008
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Medicare Forms

The application forms in this category cover some aspects of provider, patient and equipment eligibility. Lodgment details are listed on each form.

For enquiries about provider eligibility please call 132 150 (local call rates).

For enquiries about patient eligibility, please call 132 011 (local call rates).

For general PBS and stationery enquiries please call 132 290 (local call rates).

Application for prescriber number for a registered medical practitioner

Pay Group Link

A pay group link enables a practitioner to have Medicare benefit cheques, which would have been issued payable to that practitioner at his/her practice address, made payable to another payee associated with the practice and/or another address.

Where the payee is a third party, the payee (or person properly authorised in the case of a body corporate or other entity) must agree to the arrangement by counter-signing the application form.

Medicare Allied Health and Dental Care Initiative

The new Medicare allied health and dental care initiative allows chronically ill people who are being managed by their GP under an Enhanced Primary Care (EPC) plan access to Medicare rebates for allied health services.

Referral Forms

Referral forms are available on the Department of Health and AgeingExternal link website or by faxing a request to (02) 6289 7120.

Eligibility

Stationery Orders

MRI Statutory Declaration

Pathology Laboratory Application

Approved Pathology Practitioner Application

Remote Area Exemption

EFT Payments for Claims

Certification of Cleft Condition Form

After-Hours Other Medical Practitioners (OMPs) Program

The After-Hours Other Medical Practitioners (OMPs) Program provides access to the higher Medicare rebate for services provided through accredited Medical Deputising Services and accredited general practices by eligible non-vocationally recognised medical practitioners. Please refer to the following Guidelines and Application Form for more information:

Positron Emission Tomography (PET) Statutory Declaration

Application for Late Lodgment of a claim for Assigned Medicare Benefits

Electronic referral requests

If you would like to transmit, scan and/or store Referrals or Requests electronically, please refer to the following Medicare Australia IT standards.

Transitional support package for electronic Medicare claiming

The transitional support package is available to general practitioners, specialists (excluding pathologists) and software vendors to support the take up of electronic Medicare claiming. The package includes a practice payment and a transaction payment per claim.

Some documents on this page may require the free Adobe PDF reader.

Last updated: 28 August, 2008

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