Access to Medicare for Aboriginal Community Controlled Health Services (ACCHS) under 19(2) and 19(5) Directions

Page last updated: 04 September 2020

Section 19 of the Health Insurance Act 1973 (the Act) sets out various circumstances under which Medicare benefits are not payable for professional services. In some cases, service providers can be exempt from elements of Section 19 where the Minister for Health directs.

Section 19(2) prohibits the payment of Medicare benefits where other government funding is provided for that service. Section 19(5) prohibits payment of Medicare benefits for population screening (where the examination or test is not reasonably required for the management of the patient’s medical condition).

The Minister for Health has issued Directions to ACCHS funded under the Indigenous Australians’ Health Programme (IAHP) to allow Medicare billing. Access to Medicare billing is allowed in recognition of the right of all Australians to access Medicare, and that the cost of providing comprehensive primary health care to Aboriginal and Torres Strait Islander people and communities is substantially higher than for non-Indigenous Australians.

Eligibility

ACCHS that are funded under the IAHP to provide comprehensive primary health care are eligible. The following 123 organisations are listed under the current Directions:

State/Territory

Organisation name

ACT

Winnunga Nimmityjah Aboriginal Health Service

NSW

Aboriginal Medical Service Co-operative Ltd

Albury Wodonga Aboriginal Health Service

Armajun Aboriginal Health Service Inc

Awabakal Ltd

Biripi Aboriginal Corporation Medical Centre

Bourke Aboriginal Health Service

Bulgarr Ngaru Medical Aboriginal Corporation

Bullinah Aboriginal Health Service

Condobolin Aboriginal Health Service Inc

Coomealla Health Aboriginal Corporation

Coonamble Aboriginal Health Service Inc

Cummeragunja Housing & Development Aboriginal Corporation

Durri Aboriginal Corporation Medical Service

Galambila Aboriginal Health Service Inc

Griffith Aboriginal Medical Service Inc

Illawarra Aboriginal Medical Service Aboriginal Corporation

Katungul Aboriginal Corporation Community and Medical Services

Maari Ma Health Aboriginal Corporation

Orange Aboriginal Medical Service Inc

Pius X Aboriginal Corporation

Riverina Medical & Dental Aboriginal Corporation

South Coast Medical Service Aboriginal Corporation

South Coast Women’s Health & Welfare Aboriginal Corporation (Waminda)

Tamworth Aboriginal Health Service

Tharawal Aboriginal Medical Service Co-operative Ltd

Tobwabba Aboriginal Medical Service

Walgett Aboriginal Medical Service Co-operative Ltd

Walhallow Aboriginal Corporation Inc

Weigelli Centre Aboriginal Corporation

Wellington Aboriginal Corporation Health Service

Werin Aboriginal Corporation

Yerin Aboriginal Health Services Inc (Eleanor Duncan Aboriginal Health Centre)

NT

Ampilatwatja Health Centre Aboriginal Corporation

Anyinginyi Health Aboriginal Corporation

Bagot Community Health Centre

Central Australian Aboriginal Congress Aboriginal Corporation

Danila Dilba Health Services

Katherine West Health Board Aboriginal Corporation

Laynhapuy Homelands Aboriginal Corporation

Mala’la Health Service Aboriginal Corporation

Marthakal Homeland and Resource Centre Association

Miwatj Health Aboriginal Corporation

Ngaanyatjarra Health Services

Nganampa Health Council Inc

Pintupi Homelands Health Service

Sunrise Health Service Aboriginal Corporation

Urapuntja Health Service Aboriginal Corporation

Wurli-Wurlinjang Aboriginal Corporation

QLD

Aboriginal and Torres Strait Islander Community Health Service Brisbane Ltd

Aboriginal and Torres Strait Islander Community Health Service Mackay Ltd

Apunipima Cape York Health Council Ltd

Bidgerdii Aboriginal and Torres Strait Islander Community Health Service

Carbal Medical Services

Charleville and Western Areas Aboriginal and Torres Strait Islander Community Health Ltd

Cherbourg Regional Aboriginal and Islander Community Controlled Health Service

Cunnamulla Aboriginal Corporation for Health

Galangoor Duwalami Primary Healthcare Services Ltd

Gindaja Treatment and Healing Indigenous Corporation

Gladstone Region Aboriginal and Islander Community Controlled Health Service

Goolburri Aboriginal  Health Advancement Corporation

Goondir Aboriginal & Torres Strait Islander Corporation for Health Service

Gurriny Yealamucka Health Services Aboriginal Corporation

Indigenous Wellbeing Centre Ltd

Institute for Urban Indigenous Health Ltd

Kalwun Health Service

Kambu Aboriginal and Torres Strait Islander Corporation for Health

Mamu Health Service Ltd

Mookai Rosie-Bi-Bayan (Aboriginal & Torres Strait Islanders Corporation)

Mount Isa Aboriginal Community Controlled Health Services Ltd (Gidgee Healing)

Mulungu Aboriginal Corporation Primary Health Care Service

North Coast Aboriginal Corporation for Community Health

NPA Family and Community Services Aboriginal and Torres Strait Islander Corporation

Townsville Aboriginal and Torres Strait Islander Corporation for Health Services

Wuchopperen Health Service Ltd

Yulu-Burri Ba Aboriginal Corporation for Community Health

SA

Moorundi Aboriginal Community Controlled Health Service Inc

Nunkuwarrin Yunti of South Australia Inc

Nunyara Aboriginal Health Service Inc

Oak Valley (Maralinga) Inc

Pangula Mannamurna Inc

Pika Wiya Health Service Aboriginal Inc

Port Lincoln Aboriginal Health Service Inc

Tullawon Health Service Inc

Umoona Tjutjagku Health Service Aboriginal Corporation

Yadu Health Aboriginal Corporation

TAS

Flinders Island Aboriginal Association Inc

South East Tasmanian Aboriginal Corporation

Tasmanian Aboriginal Centre Inc

VIC

Ballarat & District Aboriginal Co-operative 

Bendigo and District Aboriginal Co-operative

Budja-Budja Aboriginal Co-operative

Dandenong and District Aborigines Co-operative Ltd - Bunurong Health Services

Dhauwurd-Wurrung Elderly & Community Health Service Inc

First Peoples Health and Wellbeing

Gippsland & East Gippsland Aboriginal Co-operative Ltd

Goolum Goolum Aboriginal Co-operative

Gunditjmara Aboriginal Co-operative

Kirrae Health Service Inc

Lake Tyers Health and Children’s Services Association

Mallee District Aboriginal Services Ltd

Moogji Aboriginal Council East Gippsland Inc

Murray Valley Aboriginal Co-operative

Njernda Aboriginal Corporation

Ramahyuck District Aboriginal Corporation

Rumbalara Aboriginal Co-operative Ltd

Victorian Aboriginal Health Service Co-operative

Wathaurong Aboriginal Co-operative

Winda Mara Aboriginal Corporation

WA

Bega Garnbirringu Health Services Inc

Broome Regional Aboriginal Medical Service

Derbarl Yerrigan Health Service Aboriginal Corporation

Derby Aboriginal Health Service Council Aboriginal Corporation

Geraldton Regional Aboriginal Medical Service

Kimberley Aboriginal Medical Services Council Inc

Mawarnkarra Health Service Aboriginal Corporation

Ngangganawili Aboriginal Community Controlled Health and Medical Services

Ord Valley Aboriginal Health Service Aboriginal Corporation

Paupiyala Tjarutja Aboriginal Corporation

Puntukurnu Aboriginal Medical Service Aboriginal Corporation

South-West Aboriginal Medical Service Aboriginal Corporation

Wirraka Maya Health Service Aboriginal Corporation

Yura Yungi Medical Service Aboriginal Corporation

Further information

If you have any questions about this information, please contact mailto:[email protected]">[email protected].