Medicare eligibility for customers with permanent resident status 011-44040000

Customers must provide the following documents for each person listed on the Medicare enrolment form (MS004) or digital Medicare application:

• Current passport or ImmiCard, and
• Proof they have been granted permanent residency from the Department of Home Affairs

Service Officers can use Visa Entitlement Verification Online (VEVO) as proof of permanent residency if:

• the customer has not provided supporting documentation with the application, and
• VEVO confirms that permanent residency has been granted

A customer that has been granted a permanent residency visa 12 months before lodging an application with Medicare, requires 2 residency documents.

Note: only 2 residency documents are needed for the family application if:

• a family was granted permanent residency visas 12 months before lodging an application with Medicare and
• all family members are enrolling at the same time

Service Officers must request details from the customer if relevant information on the MS004 form is incomplete or documents are missing. See Medicare eligibility and enrolments request for information.

If the documents submitted with a digital Medicare application are incorrect or missing, Service Officers must request information. See Digital Medicare enrolments and extensions in the MEE Portal.

Do not save customer documents and letters to desktops or personal H: drives.

To verify documents for enrolments, see Identity verification for Medicare enrolments and re-enrolments in the Medicare Document Verification Service (DVS) Portal.

If a customer submits a digital Medicare application, complete DVS in the MEE Portal. See Digital Medicare enrolments and extensions in the MEE Portal.

Service Officers must complete a VEVO check for all customers listed on the MS004 form.

If the customer submits a digital Medicare application, see Digital Medicare enrolments and extensions in the MEE Portal.

Does the VEVO check confirm the customer is onshore?

• Yes, proceed with the enrolment, go to Step 4
• No, customer is offshore:
• reject the application, and
• send Applicant Still Overseas letter. Procedure ends here

Register the customer using the entitlement details:

• Entitlement Type - Migrant
• Country of Relevance - previous country of residence before arriving in Australia
• Start Date:
• Visa granted in Australia - date granted
• Visa granted outside Australia - date of arrival
• End Date - not applicable (open Medicare card)

Service Officers must record all required eligibility documents provided under each customer's Entitlement tab in CDMS.

• Select Documents tab
• Record the details of each of the customer's eligibility documents:
• Eligibility Document (mandatory)
• Residency Document (if applicable)
• Reference Text (mandatory) (number or text of the document)
• Reference Date (mandatory)
• Select Add
• Repeat above to record all documents provided separately

For eligibility and residency document details to record in CDMS, see:

• Register a customer for Medicare in the Consumer Directory Maintenance System (CDMS), and
• Document types for Medicare eligibility and enrolment

Note: if this is part of a digital Medicare application, Service Officers can record document details in CDMS from the MEE Portal. See Digital Medicare enrolments and extensions in the MEE Portal.

After the entitlement has updated, confirm the Group Eligibility Start is correct and issue a new card to the correct address.

• Select Group tab
• Go to Amend Medicare Card Details
• Select Card Request tab
• Select Validate, Update to finalise the enrolment transaction

See Medicare cards.

Customers must provide documents for each person listed on/in:

• the Medicare enrolment form (MS004), or
• their digital Medicare application, or
• their Claim form for persons granted a Refugee, Humanitarian or Protection Visa (SS415)

The documents include:

• Current passport or ImmiCard, and
• Proof they have been granted an 866 visa from the Department of Home Affairs

Service Officers can use Visa Entitlement Verification Online (VEVO) as proof of permanent residency if:

• the customer has not provided supporting documentation with the application, and
• VEVO confirms that permanent residency has been granted

The customer can use the SS415 form to enrol in Medicare, including registering in Medicare Safety Net and the Australian Immunisation Register. The Refugee Servicing team process these forms for Centrelink and Medicare. Where the Refugee Servicing team cannot complete the Medicare enrolment, it is referred to a Medicare trained Service Officer to complete following the standard enrolment process.

Service Officers must request details from the customer if relevant information on the MS004 form is incomplete or documents are missing. See Medicare eligibility and enrolments request for information.

If the documents submitted with a digital Medicare application are incorrect or missing, Service Officers must request information. See Digital Medicare enrolments and extensions in the MEE Portal.

Do not save customer documents and letters to desktops or personal H: drives.

To verify documents for enrolments, see Identity verification for Medicare enrolments and re-enrolments in the Medicare Document Verification Service (DVS) Portal.

For Medicare eligibility, Service Officers can accept some expired identity documents if they can be successfully verified through the Medicare DVS Portal.

If customers cannot provide a travel document which can be verified through DVS, they can use an expired travel document with a current Driver's Licence card.

If a customer submits:

• a digital Medicare application, complete DVS in the MEE Portal. See Digital Medicare enrolments and extensions in the MEE Portal
• an SS415, get verbal DVS consent before confirming identity in the Medicare DVS Portal. See Table 1, Step 3 in Identity verification for Medicare enrolments and re-enrolments in the Medicare Document Verification Service (DVS) Portal

Service Officers must complete a VEVO check for all customers listed on the MS004 form.

If the customer submits a digital Medicare application, see Digital Medicare enrolments and extensions in the MEE Portal.

Does the VEVO check confirm the customer is onshore?

• Yes, proceed with the enrolment, go to Step 4
• No, customer is offshore:
• reject the application, and
• send Applicant Still Overseas letter. Procedure ends here

Register the customer using the entitlement details:

• Entitlement Type - Migrant
• Country of relevance - previous country of residence before arriving in Australia
• Start Date:
• Visa granted in Australia - date granted
• Visa granted outside Australia - date of arrival
• End Date - not applicable (open Medicare card)

Service Officers must record all required eligibility documents provided under each customer's Entitlement tab in CDMS.

• Select Documents tab
• Record the details of each of the customer's eligibility documents:
• Eligibility Document (mandatory)
• Residency Document (if applicable)
• Reference Text (mandatory) (number or text of the document)
• Reference Date (mandatory)
• Select Add
• Repeat above to record all documents provided separately

For eligibility and residency document details to record in CDMS, see:

• Register a customer for Medicare in the Consumer Directory Maintenance System (CDMS), and
• Document types for Medicare eligibility and enrolment

Note: if this is part of a digital Medicare application, Service Officers can record document details in CDMS from the MEE Portal. See Digital Medicare enrolments and extensions in the MEE Portal.

After the entitlement has updated, confirm the Group Eligibility Start is correct and issue a new card to the correct address.

• Select Group tab
• Go to Amend Medicare Card Details
• Select Card Request tab
• Select Validate, Update to finalise the enrolment transaction

See Medicare cards.

Customers must provide the following documents for each person listed on the Medicare enrolment form (MS004) or digital Medicare application:

• Current passport or ImmiCard, and
• Proof they have been granted permanent residency from the Department of Home Affairs

Service Officers can use Visa Entitlement Verification Online (VEVO) as proof of permanent residency if:

• the customer has not provided supporting documentation with the application, and
• VEVO confirms that permanent residency has been granted

A customer that has been granted a permanent residency visa 12 months before lodging an application with Medicare, requires 2 residency documents.

Note: only 2 residency documents are needed for the family application if:

• a family was granted permanent residency visas 12 months before lodging an application with Medicare and
• all family members are enrolling at the same time

Service Officers must request details from the customer if relevant information on the MS004 form is incomplete or documents are missing. See Medicare eligibility and enrolments request for information.

If the documents submitted with a digital Medicare application are incorrect or missing, Service Officers must request information. See Digital Medicare enrolments and extensions in the MEE Portal.

Do not save customer documents and letters to desktops or personal H: drives.

To verify documents for enrolments, see Identity verification for Medicare enrolments and re-enrolments in the Medicare Document Verification Service (DVS) Portal

If a customer submits a digital Medicare application, complete DVS in the MEE Portal. See Digital Medicare enrolments and extensions in the MEE Portal.

Service Officers must complete a VEVO check for all customers listed on the MS004 form.

If the customer submits a digital Medicare application, see Digital Medicare enrolments and extensions in the MEE Portal.

Does the VEVO check confirm the customer is onshore?

• Yes, proceed with the enrolment, go to Step 4
• No, customer is offshore:
• reject the application, and
• send Applicant Still Overseas letter. Procedure ends here

Register the customer using the entitlement details:

• Entitlement Type - Migrant
• Country of relevance - previous country of residence before arriving in Australia
• Start Date:
• Visa granted in Australia - date granted
• Visa granted outside Australia - date of arrival
• End Date - not applicable (open Medicare card)

Service Officers must record all required eligibility documents provided under each customer's Entitlement tab in CDMS.

• Select Documents tab
• Record the details of each of the customer's eligibility documents:
• Eligibility Document (mandatory)
• Residency Document (if applicable)
• Reference Text (mandatory) (number or text of the document)
• Reference Date (mandatory)
• Select Add
• Repeat above to record all documents separately

For eligibility and residency document details to record in CDMS, see:

• Register a customer for Medicare in the Consumer Directory Maintenance System (CDMS), and
• Document types for Medicare eligibility and enrolment

Note: if this is part of a digital Medicare application, Service Officers can record document details in CDMS from the MEE Portal. See Digital Medicare enrolments and extensions in the MEE Portal.

After the entitlement has updated, confirm the Group Eligibility Start is correct and issue a new card to the correct address.

• Select Group tab
• Go to Amend Medicare Card Details
• Select Card Request tab
• Select Validate, Update to finalise the enrolment transaction

See Medicare cards.

Customers must provide the following documents for each person listed on the Medicare enrolment form (MS004) or digital Medicare application:

• One of the following Identity documents:
• Current passport
• ImmiCard
• Titre De Voyage, or
• Certificate of Identity, and
• Proof they have been granted permanent residency from the Department of Home Affairs

Service Officers can use Visa Entitlement Verification Online (VEVO) as proof of permanent residency if:

• the customer has not provided supporting documentation with the application, and
• VEVO confirms that permanent residency has been granted

Service Officers must request details from the customer if relevant information on the MS004 form is incomplete or documents are missing. See Medicare eligibility and enrolments request for information.

If the documents submitted with a digital Medicare application are incorrect or missing, Service Officers must request information, see Digital Medicare enrolments and extensions in the MEE Portal.

Do not save customer documents and letters to desktops or personal H: drives.

To verify documents for enrolments, see Identity verification for Medicare enrolments and re-enrolments in the Medicare Document Verification Service (DVS) Portal.

For Medicare eligibility, Service Officers can accept some expired identity documents if they can be successfully verified through the Medicare DVS Portal.

If customers cannot provide an ImmiCard which can be verified through DVS, they can use an expired ImmiCard with a current Driver's Licence card.

If a customer submits a digital Medicare application, complete DVS in the MEE Portal. See Digital Medicare enrolments and extensions in the MEE Portal.

Service Officers must complete a VEVO check for all customers listed on the MS004 form.

If the customer submits a digital Medicare application, see Digital Medicare enrolments and extensions in the MEE Portal.

Does the VEVO check confirm the customer is onshore?

• Yes, proceed with the enrolment, go to Step 4
• No, customer is offshore:
• reject the application, and
• send Applicant Still Overseas letter. Procedure ends here

Register the customer using the below entitlement details:

• Entitlement Type - Migrant
• Country of relevance - previous country of residence before arriving in Australia
• Start Date:
• Visa granted in Australia - date granted
• Visa granted outside Australia - date of arrival
• End Date - not applicable (open Medicare card)

Service Officers must record all required eligibility documents provided under each customer's Entitlement tab in CDMS. See the Resources page in Register a customer for Medicare in the Consumer Directory Maintenance System (CDMS).

• Select Documents tab
• Record the details of each of the customer's eligibility documents:
• Eligibility Document (mandatory)
• Residency Document (if applicable)
• Reference Text (mandatory) (number or text of the document)
• Reference Date (mandatory)
• Select Add
• Repeat above to record all documents separately

For eligibility and residency document details to record in CDMS, see:

• Register a customer for Medicare in the Consumer Directory Maintenance System (CDMS), and
• Document types for Medicare eligibility and enrolment

Note: if this is part of a digital Medicare application, Service Officers can record document details in CDMS from the MEE Portal. See Digital Medicare enrolments and extensions in the MEE Portal.

After the entitlement has updated, confirm the Group Eligibility Start is correct and issue a new card to the correct address.

• Select Group tab
• Go to Amend Medicare Card Details
• Select Card Request tab
• Select Validate, Update to finalise the enrolment transaction

See Medicare cards.

Customers must provide the following documents for each person listed on the Medicare enrolment form (MS004) or digital Medicare application:

• Current passport or ImmiCard, and
• Proof they have been granted permanent residency from the Department of Home Affairs

Service Officers can use Visa Entitlement Verification Online (VEVO) as proof of permanent residency if:

• the customer has not provided supporting documentation with the application, and
• VEVO confirms that permanent residency has been granted

Service Officers must request details from the customer if relevant information on the MS004 form is incomplete or documents are missing. See Medicare eligibility and enrolments request for information.

If the documents submitted with a digital Medicare application are incorrect or missing, Service Officers must request information. See Digital Medicare enrolments and extensions in the MEE Portal.

Do not save customer documents and letters to desktops or personal H: drives.

To verify documents for enrolments, see Identity verification for Medicare enrolments and re-enrolments in the Medicare Document Verification Service (DVS) Portal.

For Medicare eligibility, Service Officers can accept some expired identity documents if they can be successfully verified through the Medicare DVS Portal.

If customers cannot provide a travel document which can be verified through DVS, they can use an expired travel document with a current Driver's Licence card.

If a customer submits a digital Medicare application, complete DVS in the MEE Portal. See Digital Medicare enrolments and extensions in the MEE Portal.

Service Officers must complete a VEVO check for all customers listed on the MS004 form.

If the customer submits a digital Medicare application, see Digital Medicare enrolments and extensions in the MEE Portal.

Does the VEVO check confirm the customer is onshore?

• Yes, proceed with the enrolment, go to Step 4
• No, customer is offshore:
• reject the application, and
• send Applicant Still Overseas letter. Procedure ends here

Register the customer using the entitlement details:

• Entitlement Type - Migrant
• Country of relevance - previous country of residence before arriving in Australia
• Start Date:
• Visa granted in Australia - date granted
• Visa granted outside Australia - date of arrival
• End Date - not applicable (open Medicare card)

Service Officers must record all required eligibility documents provided under each customer's Entitlement tab in CDMS. See the Resources page in Register a customer for Medicare in the Consumer Directory Maintenance System (CDMS).

• Select Documents tab
• Record the details of each of the customer's eligibility documents:
• Eligibility Document (mandatory)
• Residency Document (if applicable)
• Reference Text (mandatory) (number or text of the document)
• Reference Date (mandatory)
• Select Add
• Repeat above to record all documents separately

For eligibility and residency document details to record in CDMS, see:

• Register a customer for Medicare in the Consumer Directory Maintenance System (CDMS), and
• Document types for Medicare eligibility and enrolment

New arrivals may change their address often in their first few months in Australia. It is acceptable for this group of customers to have their Medicare card forwarded to their case worker's PO Box address.

After the entitlement has updated, confirm the Group Eligibility Start is correct and issue a new card to the correct address.

• Select Group tab
• Go to Amend Medicare Card Details
• Select Card Request tab
• Select Validate, Update to finalise the enrolment transaction

See Medicare cards.

Customers must provide the following documents for each person listed on the Medicare enrolment form (MS004) or digital Medicare application:

• a completed MS004, or
• their Digital Medicare Enrolment (DME) application, or
• their Digital Medicare Extension (DMX) application, and
• Current passport or ImmiCard, and
• Proof they have been granted permanent residency from the Department of Home Affairs

Service Officers can use Visa Entitlement Verification Online (VEVO) as proof of permanent residency if:

• the customer has not provided supporting documentation with the application, and
• VEVO confirms that permanent residency has been granted

A customer that has been granted a permanent residency visa 12 months before lodging an application with Medicare, requires 2 residency documents.

Note: only 2 residency documents are needed for the family application if:

• a family was granted permanent residency visas 12 months before lodging an application with Medicare and
• all family members are enrolling at the same time

Service Officers must request details from the customer if relevant information on the MS004 form is incomplete or documents are missing. See Medicare eligibility and enrolments request for information.

If the documents submitted with a digital Medicare application are incorrect or missing, Service Officers must request information. See Digital Medicare enrolments and extensions in the MEE Portal.

Do not save customer documents and letters to desktops or personal H: drives.

To verify documents for enrolments, see Identity verification for Medicare enrolments and re-enrolments in the Medicare Document Verification Service (DVS) Portal.

If a customer submits a digital Medicare application, complete DVS the MEE Portal. See Digital Medicare enrolments and extensions in the MEE Portal.

Service Officers must complete a VEVO check for all customers listed on the MS004 form.

If the customer submits a digital Medicare application, see Digital Medicare enrolments and extensions in the MEE Portal.

Does the VEVO check confirm the customer is onshore?

• Yes, proceed with the enrolment, go to Step 4
• No, customer is offshore:
• reject the application, and
• send Applicant Still Overseas letter. Procedure ends here

Register the customer using the entitlement details:

• Entitlement Type - Migrant
• Country of relevance - previous country of residence before arriving in Australia
• Start Date:
• Visa granted in Australia - date granted
• Visa granted outside Australia - date of arrival
• End Date - Not applicable (open Medicare card)

For more details on persons who hold a temporary Contributory visa 173 or 884, see Ministerial orders and Medicare eligibility.

Service Officers must record all required eligibility documents provided under each customer's Entitlement tab in CDMS. See the Resources page in Register a customer for Medicare in the Consumer Directory Maintenance System (CDMS).

• Select Documents tab
• Record the details of each of the customer's eligibility documents:
• Eligibility Document (mandatory)
• Residency Document (if applicable)
• Reference Text (mandatory) (number or text of the document)
• Reference Date (mandatory)
• Select Add
• Repeat above to record all documents separately

For eligibility and residency document details to record in CDMS, see:

• Register a customer for Medicare in the Consumer Directory Maintenance System (CDMS), and

Document types for Medicare eligibility and enrolment

Note: if this is part of a digital Medicare application, Service Officers can record document details in CDMS from the MEE Portal. See Digital Medicare enrolments and extensions in the MEE Portal.

After the entitlement has updated, confirm the Group Eligibility Start is correct and issue a new card to the correct address.

• Select Group tab
• Go to Amend Medicare Card Details
• Select Card Request tab
• Select Validate, Update to finalise the enrolment transaction

See Medicare cards.

Customers must provide the following documents for each person listed on the Medicare enrolment form (MS004) or digital Medicare application:

• Current passport, and
• 2 residency documents, or
• Commonwealth Statutory Declaration

Note: only 2 residency documents are needed for the family application if:

• a family has returned to reside in Australia and
• all family members are enrolling at the same time

Acceptance of a Statutory Declaration only occurs where a permanent resident cannot provide any supporting residency evidence to reinstate their Medicare entitlements after residing in Australia for 6 months. See Escalation process for Medicare Eligibility.

If the customer was previously enrolled on a Medicare card with other family members, and those members have not returned to reside in Australia, the customer needs to be transferred to a new Medicare card. The customer does not need to complete an Application to copy or transfer from one Medicare card to another (MS011) form.

Service Officers must request information from the customer if relevant information on the MS004 is incomplete or documents are missing. See Medicare eligibility and enrolments request for information.

If the documents submitted with a digital Medicare application are incorrect or missing, Service Officers must request information. See Digital Medicare enrolments and extensions in the MEE Portal.

Do not save customer documents and letters to desktops or personal H: drives.

To verify documents for enrolments, see Identity verification for Medicare enrolments and re-enrolments in the Medicare Document Verification Service (DVS) Portal

If a customer submits a digital Medicare application, complete DVS the MEE Portal. See Digital Medicare enrolments and extensions in the MEE Portal.

Service Officers must complete a VEVO check for all customers listed on the MS004 form.

If the customer submits a digital Medicare application, see Digital Medicare enrolments and extensions in the MEE Portal.

Does the VEVO check confirm the customer is onshore?

• Yes, proceed with the enrolment, go to Step 4
• No, customer is offshore:
• reject the application, and
• send Applicant Still Overseas letter. Procedure ends here

If a permanent resident has been absent from Australia for more than 12 months:

• the previous entitlement must be end dated 12 months after the date of departure (if known), or
• if the exact date of departure is not known, the end date is 12 months from the end of the known departure year (12 months from 31 December of the advised year of departure)

After establishing eligibility, add the new entitlement details.

On CDMS Home page:

• Select Amend Consumer Details
• Key the Medicare card number in the ID Number field
• Select Entitlement tab

In Consumers, select the radio button against the customer to be changed.

In Eligibility Status, select the radio button against the Entitlement Type to be changed.

• Select Amend
• Key Entitlement End Date XX/XX/XXXX. For example, customer advises on MS004 form they have been overseas for 4 years and arrived back in Australia on 1 May 2024. Allowable stay overseas is 12 months. End Date is 1 May 2021.
• Select Entitlement End Reason - Entitlement Ceased from dropdown box
• Action any warning messages and select Validate:
• If the details are correct, select Update

Re-enrol the customer and key the New/Additional Medicare Entitlement details:

• Entitlement Type - Migrant
• Country of Relevance - previous country of residence before arriving in Australia
• Start Date - date of arrival in Australia
• End Date - not applicable (open Medicare card)

Service Officers must record all required eligibility documents provided under each customer's Entitlement tab in CDMS.

• Select Documents tab
• Record the details of each of the customer's eligibility documents:
• Eligibility Document (mandatory)
• Residency Document (if applicable)
• Reference Text (mandatory) (number or text of the document)
• Reference Date (mandatory)
• Select Add
• Repeat above to record all documents separately

For eligibility and residency document details to record in CDMS, see:

• Register a customer for Medicare in the Consumer Directory Maintenance System (CDMS), and
• Document types for Medicare eligibility and enrolment

Note: if this is part of a digital Medicare application, Service Officers can record document details in CDMS from the MEE Portal. See Digital Medicare enrolments and extensions in the MEE Portal.

After the entitlement has updated, confirm the Group Eligibility Start is correct and issue a new card to the correct address.

The customer's group eligibility start date is their most recent entitlement start date.

• Select Group tab
• Go to Amend Medicare Card Details
• Select Card Request tab
• Update Group Eligibility Start Date, if required
• Request new Medicare card/s, if required
• Select Validate, Update to finalise the enrolment transaction

See Medicare cards.

Where a customer is a Conditional Migrant and their entitlement is updated to Migrant through the Department of Home Affairs immigration (DIAC) link, the customer's entitlement type in CDMS automatically updates and issues a new Medicare card.

Where a customer has not been linked to the DIAC link, an update needs to be done manually.

Customers must provide the following documents for each person listed on the Medicare enrolment form (MS004) or digital Medicare application:

• Current passport or ImmiCard, and
• Proof they have been granted permanent residency from the Department of Home Affairs

Service Officers can use Visa Entitlement Verification Online (VEVO) as proof of permanent residency if:

• the customer has not provided supporting documentation with the application, and
• VEVO confirms that permanent residency has been granted

Service Officers must request details from the customer if relevant information on the MS004 form is incomplete or documents are missing. See Medicare eligibility and enrolments request for information.

If the documents submitted with a digital Medicare application are incorrect or missing, Service Officers must request information. See Digital Medicare enrolments and extensions in the MEE Portal.

Do not save customer documents and letters to desktops or personal H: drives.

To verify documents for enrolments, see Identity verification for Medicare enrolments and re-enrolments in the Medicare Document Verification Service (DVS) Portal

If a customer submits a digital Medicare application, complete DVS in the MEE Portal. See Digital Medicare enrolments and extensions in the MEE Portal.

Service Officers must complete a VEVO check for all customers listed on the MS004 form.

If the customer submits a digital Medicare application, see Digital Medicare enrolments and extensions in the MEE Portal.

Does the VEVO check confirm the customer is onshore?

• Yes, proceed with the enrolment, go to Step 5
• No, customer is offshore:
• reject the application, and
• send Applicant Still Overseas letter. Procedure ends here

Amend the entitlement using the entitlement details:

• Entitlement Type - Migrant
• Country of Relevance - previous country of residence before arriving in Australia
• Start Date:
• Visa granted in Australia - date granted
• Visa granted outside Australia - date of arrival
• End Date - not applicable (open Medicare card)

Note: customers eligibility may change from Conditional Migrant to Migrant and can have an entitlement gap. For help to determine end dates and entitlement start dates, contact Medicare and Aged Care - Local Peer Support (LPS).

Service Officers must record all required eligibility documents provided under each customer's Entitlement tab in CDMS.

• Select Documents tab
• Record the details of each of the customer's eligibility documents:
• Eligibility Document (mandatory)
• Residency Document (if applicable)
• Reference Text (mandatory) (number or text of the document)
• Reference Date (mandatory)
• Select Add
• Repeat above to record all documents separately

For eligibility and residency document details to record in CDMS, see:

• Register a customer for Medicare in the Consumer Directory Maintenance System (CDMS), and
• Document types for Medicare eligibility and enrolment

After the entitlement has updated, confirm the Group Eligibility Start is correct and issue a new card to the correct address.

• Select Group tab
• Go to Amend Medicare Card Details
• Select Card Request tab
• Select Validate, Update to finalise the enrolment transaction

See Medicare cards.

On CDMS Home page:

• select Amend Consumer Details
• key the Medicare card number, in the ID Number field
• select Personal

Note: a Medicare Payment Integrity (MPI) restriction may be present preventing amendment. If this happens, contact Medicare and Aged Care - Local Peer Support (LPS). See Escalation process for Medicare Eligibility.

In Consumers, select the radio button against the customer to change.

In Personal Details:

• Add a new customer end date:
• Key the date in Consumer End Date field
• Select the reason from Consumer End Reason field
• Select the source from Consumer End Notification Source field
• Amend a customer end date:
• Over key the date in Consumer End Date field
• If the reason for the end date notification does not show, select the source from Consumer End Reason field
• If the source that supplied the customer end date notification does not show, select the source from Consumer End Notification Source field
• Note: Service Officers must read the following information before deleting a customer end date:
• If the Consumer End Reason is 'Linked to Another Consumer Record', do not delete the end date. Check the individual customer's Comments tab for details about the primary record. Continue to amend the primary record as required. If there are any issues amending the primary record, stop processing and contact the Medicare Consumer Data Integrity Unit
• Delete a customer end date:
• Delete the date in the Consumer End Date field
• Select a blank value in the Consumer End Reason field
• Select a blank value in the Consumer End Notification Source field

CDMS reinstates previous personal details values and entitlements to Medicare when a customer end date is removed. Service Officers must update the Group information.

• Select Validate, an information message will show to inform if the details were acceptable or not
• Select OK to acknowledge the message
• Select Validate, the Confirm Amended Medicare Card Details screen will show the changes
• Select Change to change any details
• Select Update once the details are corrected