New and improved GP ACI MBS User Guide

September 25, 2024

The latest version of the General Practice in Aged Care (GPACI) User Guide includes after-hours MBS item numbers and an example of triple bulk-billing benefits.

PHNs across the country have collaborated to design this user guide and continue to work as a connected network to support local change management for MyMedicare. 

This resource provides a quick reference guide for General Practices with examples of how to use MBS items to meet quarterly and annual service delivery requirements for GP ACI and is available here.

How to use the guide 

To use the guide in your practice, simply select the Sample Schedule and Example Annual Cycle billing scenario that best suits your practice team and setting. 

There are three main general practice Sample schedules (pages 3-8) reflected in this user guide: 

  1. Responsible Provider Only- where a single GP delivers all care to the resident
  2. Responsible Provider + Alternative Provider- where other members of the practice team also deliver care to the resident including other GPs, Prescribed medical practitioners and Nurse practitioners
  3. Responsible Provider + Other care team members – where other members of the practice team also include visits delivered by practice nurses or Aboriginal Health Workers, in addition to other GPs, Prescribed medical practitioners and Nurse practitioners. 

The guide incorporates a variation of sample schedules that describes how telehealth items could be billed for practices in MMM 4 – 7. The guide also includes Example Annual Cycle including estimated billings (pages 11 -14) to support your practice to deliver the proactive and regular planned care required to meet the General Practice in Aged Care Incentive. On page 15 there is an example of triple bulk billing incentives. 

There are a range of ways your practice could use the guide including: 

  1. Identify the Sample Schedule and Example Annual Cycle billing scenario that best suits your practice team and setting. Print these or share them with your practice team to inform care planning for the General Practice in Aged Care Incentive. 
  2. Review your historical billing practices for Residential Aged Care Home patients and use the guide to develop a quick PDSA (Plan – Do – Study – Act) to identify any improvements you could make to billing and care practices. 
  3. Plan care for your residential aged care patients 3 – 6 months ahead by booking appointments for residential aged care visits each month using the Example Annual Cycle as a guide. Consider how you can group visits to a residential aged care home in your practice booking system to maximize efficiency of clinician time. 
  4. Meet with your practice team to reflect on the guide, and identify opportunities for practice nurses, Aboriginal health workers and other doctors to support or deliver care. For example, could practice nurses work alongside doctors at aged care visits to work up care planning and make the visit more efficient for your practice, residential aged care homes, and patients you care for that are residents of aged care homes?   
Download guide here

Latest news

August 8, 2025
South Eastern Melbourne Primary Health Network (SEMPHN) will soon seek to commission general practice providers to establish four new Medicare Urgent Care Clinics servicing residents in and around the following Local Government Areas (LGAs) and locations: Bayside Stonnington - with a focus on the eastern area and bordering suburbs Mornington Peninsula - with a focus on Hastings Cardinia - with a focus on Pakenham  Please note: locations are subject to change. The upcoming Request for Tender (RfT) will outline the final eligible locations. This tender opportunity is part of the Commonwealth Department of Health, Disability and Ageing's commitment to expand UCCs across the country, opening 50 new clinics nationwide, including 12 in Victoria. SEMPHN expects to open a RfT in mid-late August 2025. Background information Medicare Urgent Care Clinics (UCCs) reduce demand on hospital emergency departments by providing a primary care service for urgent conditions that do not require an emergency response. UCCs are GP-led services that increase access to primary care, providing treatment to people with conditions such as mild infections, sprains, broken bones and minor burns. They also offer pathology and imaging services. UCCs are expected to be open for 14 hours a day, 7 days a week (including public holidays), and are free for people of all ages (with or without a Medicare card). Visit health.gov.au and refer to the Medicare UCC Operational Guidance for more information. Eligibility requirements Detailed eligibility criteria will be available in the RfT documentation. Tender documentation and process SEMPHN will use eProcure as its portal for this RfT opportunity. To apply, interested providers must be registered for eProcure. Once registered, you will receive email notifications when the tender is published. Additionally, we publish a commissioning newsletter that shares tender opportunities and announcements. You can sign up to receive SEMaphore here . Communication and enquiries Once the RfT opens, interested parties will be able to submit questions via eProcure .The team is currently unable to answer any questions about this opportunity. We look forward to sharing more details about this exciting opportunity in the coming weeks and expanding these critically important services within the south east Melbourne region.
July 31, 2025
New data and insights to inform health service planning for south east Melbourne are now available in the latest South Eastern Melbourne Primary Health Network (SEMPHN) health needs assessment.
July 30, 2025
South Eastern Melbourne Primary Health Network (SEMPHN) is pleased to announce the successful applicants of the General Practice Multidisciplinary Teams (MDT) initiative.