Restrictions

Overseas Trained Doctors (OTDs) (referred to as international medical graduates by the Medical Board of Australia) may be eligible to practise, under supervision, in a declared area of need position in Australia. The Medical Board of Australia (MBA) has an approved registration standard for limited registration for area of need. Where an OTD is seeking to work in a general practice area of need position, an assessment of prior general practice experience and a PESCI may be required. Detailed information is available on the MBA website.

Your residency status will determine any restrictions on obtaining a Medicare Provider Number (MPN).

If your residency status changes, you must notify the Department of Human Services (Medicare) as soon as possible, as this will affect your eligibility for a MPN.

What’s an Area of Need?

Area of Need applies to both public and private sector positions. They’re determined by the State and Territory Governments and methods of defining them vary.

Contact the health department in the state or territory you would like to practise in to get more information about AoN positions.

NSW Department of Health
VIC Health
SA Health
Queensland Health AON
NT Department of Health
WA Department of Health
TAS Department of Health and Human Services


Medicare provider number restriction

To treat private patients in Australia, you need to have a Medicare provider number. This number allows your patients to claim Medicare benefits for the services you provide.

Section 19AB of the Health Insurance Act (the Act) restricts OTDs and FGAMS from accessing Medicare benefits arrangements for a period of generally 10 years from the date of their first Australian medical registration. These restrictions are referred to as the ‘the 10 year moratorium’.

Exemptions

In order to access the Medicare Benefits arrangements, OTDs and FGAMS require an exemption under section 19AB of the Act. Exemptions are approved when doctors apply to work in a district of workforce shortage for their specialty.

Medicare Australia is responsible for sending requests to the Department of Health for a section 19AB exemption on behalf of an OTD or FGAMS as part of the Medicare provider number application process. The Department has a statutory timeframe of 28 days to process applications for section 19AB exemptions.

Also, OTDs and FGAMS who are Australian permanent residents or citizens and have yet to gain fellowship of a specialist college or vocational recognition are subject to Section 19AA of the Act. This group of OTDs and FGAMS is required to work under a Section 3GA program.

Section 3GA of the Act allows medical practitioners undertaking postgraduate education or placements on approved workforce programs to provide professional services that attract Medicare benefits.

Exemptions for training programs, therefore, allow doctors to receive access to Medicare benefits while undertaking vocational training to receive a fellowship from one of the medical specialist colleges.

Medical practitioners are considered to have met the vocational recognition requirements of Section 19AA once they obtain a fellowship qualification within their speciality that is recognised within Australia.

District of workforce shortage factsheet
Medicare provider number application form
Medicare provider number legislation