One of the 19AB exemptions available to overseas trained GPs restricted by their moratorium is a Replacement Exemption. A replacement exemption is given to GPs working in a practice if the practice has lost DWS or DPA status after they started working there. This exemption is specific to the 1 location and cannot be used across multiple practices.
There are 3 different ways to receive a replacement exemption, as detailed below:
For a GP who was already working in the practice prior to the practice losing DWS/DPA, a replacement exemption will be automatically processed by 19AB and they will not need to submit any applications.
If you were in negotiations of a job offer before the practice lost DWS/DPA status. To apply for a replacement exemption in this situation, you will need to provide evidence of these negotiations prior to the date DWS/DPA was lost when applying for Medicare.
If a GP previously held a replacement exemption and leaves the practice, another GP restricted by 19AB can take over this exemption. To be eligible for the exemption in this scenario, the first GP will need to close their Provider Number for the Practice and prepare a Statutory Declaration confirming they will not return to the area to practice. They will need to provide the Statutory Declaration and the confirmation of provider closure to the practice. The new GP will need to apply for a Provider Number within 12 months of the first GPs provider number closing to receive this exemption.
To apply for a Replacement Exemption, you will need to include evidence that the former GP has closed their provider number, provide a Statutory Declaration from the former GP and your Medicare Application and supporting documents and submit this to the Medicare team.
The Statutory Declaration will need to include that the GP does not intend to practice as a GP again in this area.
Once you have submitted this application, Medicare and the Department of Health will consider your application and will inform you of the outcome.
You can continue to pass on a replacement exemption to other GPs restricted by 19AB if you are leaving the area. Even if you have held the exemption until you are outside of your 19AB moratorium, you will still be able to pass this exemption on.
Please be aware, if you have passed your replacement exemption to another GP and return to this area to practice (even if your moratorium has ended) you can face serious consequences from the Department of Health. If you plan to return to this area, we would recommend contacting the 19AB team and confirming your options for practicing in this area.
If you are looking for further guidance on a 19AB Replacement Exemption or would like to ask further questions about the information mentioned, this is something our team can help you with. Contact us directly on firstname.lastname@example.org.
Information for this blog has been taken directly from:
People Medical Consulting are a team of professionals with a passion for guiding those specialising in the Medical industry to find their career pathway and settle into Australia. Working with both Australian trained and Overseas trained professionals, we have extensive experience in Recruitment of General Practitioners and Document Assistance for those requiring support with RACGP, AHPRA, 19AA and 19AB Medicare Exemptions.