Concessional Safety Net (CSN) threshold for Medicare 011-43080010

Identify caller. See Authenticating a Medicare customer.

Log into the Consumer Directory Maintenance System (CDMS).

Select Inquire on Consumer Details.

• Select Medicare Safety Net from the Program drop down list
• In the ID Number, key in the customers:
• Medicare Card number
• Consumer ID, or
• Medicare Personal Identification Number (PIN)
• Select the matching ID Number Type (Medicare card number, consumer ID or Medicare pin) from the drop down list
• Select the relevant Medicare Safety Net year from the drop down list
• Select the Entitlement button

Note: if the consumer’s details (name, date of birth etc.) are used to search for a person and an exact match is not found, the system will display a list of possibilities.

See also: Register a customer for Medicare in the Consumer Directory Maintenance System (CDMS).

Select the radio button next to the individual the inquiry is for.

Select the Continue button.

The Inquiry Medicare Safety Net Details page will be displayed.

If the individual is concessional, conc will display in the threshold type.

Identify provider. See Perform telephone security check for Medicare health professionals.

Key the patient's details quoted by the provider on the RPQN screen. If the patients' concession number is:

• Known
• Key this in the entitlement ID
• Press F9-ELIGIBILITY DETAILS
• Unknown
• Key the patient’s surname, first name and date of birth. Press [Enter]
• Press [F9] - ELIGIBILITY DETAILS
• More than one person comes up on the concession screen
• Key the number next to the person
• Press [F9] - ELIGIBILITY DETAILS

If the patient is concessional, conc will appear in the level code column.

On the row where conc appears, check the concessional reason code under the ENT DESC column.

Check if the concession card type entitles provider to claim:

• Centrelink:
• Commonwealth Seniors Health Card (CSHC)
• Health Care Card (HCC)
• Pensioner Concession Card (PCC)
• Department of Veterans' Affairs (DVA):
• Pensioner Concession Card (PCC)
• Commonwealth Seniors Health Card (CSHC)

Note: Gold or White Cards issued by DVA do not attract the additional bulk bill incentive payment. However, if a Gold or White Card holder also holds a recognised Commonwealth concession card and chooses to be treated under the Medicare arrangements, then that patient is an eligible concession card holder.

Advise the customer a Medicare Safety Net query form will be completed for further investigation.

Complete the Medicare Safety Net query form on the Resources page.

Email the form to MPS Assessing.

Note: incomplete forms or forms missing information will be returned to the Service Officer to complete.

Service Officers must supply the following information to assist with the query:

• date
• Service Officer's details:
• name
• logon ID
• phone number
• service centre
• customer details:
• customer name
• Medicare card number
• address
• phone number
• customer reference number (CRN) and/or reference number
• any additional information to assist with the query

When the form is fully completed with the above details, email to MPS Assessing.