Australasian Journal of Natural Medicine (Public Version) Spring 2025 | Page 67

HEALTH FUND NEWS
Acupuncture & Chinese Herbal Medicine overseas qualification( health funds do not accept any other modality completed overseas)
Health Funds do accept overseas Acupuncture and Chinese Herbal Medicine qualifications. The below documents are required:
• VETASSES letter stating the qualification is equivalent / comparable to the Australian BA Health Science TCM / Acupuncture
• IELTS Overall Band Level 7 in English Competency( Bupa only)
Specific requirements for individual health funds Australian Health Management( AHM)
Names and details of eligible ATMS members will be sent to AHM. Provider numbers will be populated in the ATMS member portal.
Hypnotherapy- HBF, RT Health, Nurses and Midwives
Names and details of eligible ATMS members will be sent for this modality each month.
Australian Unity
Names and details of eligible ATMS members will be sent to Australian Unity. ATMS members will need to contact Australian Unity initially on 1800 035 360 to register as a provider and to receive provider numbers.
BUPA
Names and details of eligible ATMS members will be sent to BUPA. Provider numbers will be populated in the ATMS member portal.
CBHS Health Fund Limited
Names and details of eligible ATMS members will be sent to CBHS. Use your ATMS member number as your provider number e. g ATMS23345.
For Acupuncture and Chinese Herbal Medicine services, please use your AHPRA number minus the 0’ s for e. g if your AHPRA number is CMR0001731686 you would use CMR1731686 as your provider number.
Doctors Health Fund
Names and details of eligible ATMS members will be sent to Doctors Health Fund. Use your ATMS member number as your provider number for e. g., ATMS23345. Please note that Doctors Health Fund only covers Remedial Massage.
HCF
Names and details of eligible ATMS members will be sent to HCF. Use your ATMS member number as your provider number e. g., ATMS23345.
Medibank Private
Names and details of eligible ATMS members will be sent to Medibank Private. Provider numbers will be populated in the member portal as well as emailed directly to the practitioner as an attached letter. This letter is required for HICAPS Registration.
NIB including APIA, AAMI Health Insurance, Qantas Health Insurance & GU Health
Names and details of eligible ATMS members will be sent to NIB. Use your ATMS member number as your provider number e. g ATMS23345 except for GU Health. Members are required to contact GU Health directly on 1800 249 966 to register as a provider and to receive a provider number.
Australian Regional Health Group( ARHG) Refer to Health Funds Table for the individual funds listed under ARHG.
Details of eligible members are sent to ARHG.
The ARHG provider number is based on your ATMS number with additional lettering. To work out your ARHG provider number please follow these steps:
1 Add the letters AT to the front of your ATMS member number
2 If your ATMS number has five digits go to step 3. If it has two, three or four digits, you need to add enough zeros to the front to make it a five-digit number( e. g., 123 becomes 00123).
3 Add the letter that corresponds to your accredited modality at the end of the provider number;
A Acupuncture C Chinese Herbal Medicine U Nutrition Y Myotherapy R Remedial Massage M Massage Therapy
For e. g., If your ATMS member number is 123 and accredited for Acupuncture, the ARHG provider number will be AT00123A.
Special condition applies for Remedial
Massage for the below funds under ARHG:
• Defence Health
• GMHBA( Including Frank Health Fund)
• HBF( Including GMF Health)
• AIA Health
ARHG-Chinese Massage
ARHG do not recognise Chinese Massage. They categorise it as Remedial Massage. For members that hold a Govt Accredited HLT Diploma of Chinese Remedial Massage HLT50102, HLT50107 or HLT50112 are required to use the‘ R’ status.
Most Funds recognise the‘ R’ status however there is a couple that prefer the M status, refer to the health funds table.
HICAPS
ATMS members who wish to activate these facilities need to register directly with HICAPS. HICAPS do not cover all health funds and modalities. Please go to www. hicaps. com. au or call 1800 805 780 for further information.
JATMS | Spring 2025 | 187