Nurse Practitioner MBS Telehealth Services Eligibility Last updated: 23 October 2025
• The Medicare Benefits Schedule (MBS) telehealth (video and phone) items are available to nurse practitioners.
• A service may only be provided by telehealth where it is safe and clinically appropriate to do so.
• The MBS telehealth items listed in this factsheet are for out-of-hospital patients.
• Providers are expected to obtain informed financial consent from patients prior to providing the service, providing details regarding their fees, including any out-of-pocket costs.
What are the changes? From 1 November 2025, eligibility requirements will apply to most nurse practitioner MBS telehealth services (see table). This means patients must receive their MBS nurse practitioner telehealth services from an eligible telehealth practitioner, unless an exemption applies (see MBS Telehealth Eligibility Requirements). The eligible telehealth practitioner requirement set out in the Health Insurance (Section 3C General Medical Services – Telehealth Attendances)
Determination 2021 (the Determination) requires the nurse practitioner performing the telehealth service to either:
• have provided an MBS face-to-face service to the patient in the last 12 months; or
• be located at a practice from which the patient has received an MBS face-to-face service in the last 12 months.
If an exemption applies, providers must document and specify the exemption in the patient's clinical notes at the time of service for post-audit compliance. Please see the Determination and explanatory note MN.0.1 search on MBS Online for more information.
NPMS Fees (Mixed Billing)
Nurse Practitioner Mobile Services (NPMS) is a privately owned, family-run, mixed-billing health service. To provide our best patient care, we need to charge an out-of-pocket payment (gap fee) that we keep to a minimum if you are not eligible for the bulk billing criteria. It is your responsibility to update your bank details with Medicare for prompt reimbursement.
NPMS is moving forward to align with the recommendations of the Strengthening Medicare Task Force and the Nurse Practitioner Workforce Plan, which call for increasing access to nurse practitioners. These changes also enable nurse practitioners to deliver high-quality care by providing longer face-to-face and video consultations (HotDoc), thereby supporting complex, comprehensive patient care. NPMS will reduce telehealth appointments to ensure we meet these best-practice requirements.
To be eligible for Medicare rebates on telehealth fees, you must have had a face-to-face (Home visit) appointment with this service within the last 12 months. Otherwise, the telehealth service will incur a private fee, for example, a phone request for a repeat script ($20).
NPMS Service Fees
NPMS is a mixed billing health, we charge an out of pocket payment (Gap fee).
