Victoria's Single Employer Model trial for Rural Generalist Trainees – for primary care providers

Is your practice located in a Modified Monash Model 2-7 area of Victoria? *

YesNo

TIP: You can find your practice’s Modified Monash Model classification here: https://www.health.gov.au/resources/apps-and-tools/health-workforce-locator

Are you accredited for GP training with Australian College Rural and Remote Medicine (ACRRM) or Royal Australian College of General Practitioner (RACGP) to be a GP Registrar Training Practice and GP Supervisor? *

YesNo

How interested are you in participating in Victoria's SEM trial by hosting a SEM trainee *

I would like to register my details and apply for a Section 19(2) exemption nowI’m interested and would like to learn moreI'm not interested at this time

Please enter your details to apply for the Section 19(2) exemption, allowing you to continue to bill the Medicare Benefits Schedule (MBS) via the revenue generated from the SEM trainee

Your business name

Your current legal entity name

Modified Monash Model (MMM) location

ABN

Practice Address

Street address

Town

State

Postcode

I agree to the Victorian Department of Health submitting my practice name, legal entity name, ABN, MMM location and street address to the Australian Government Department of Health and Aged Care to process a Section 19 (2) exemption.

AgreeDo not Agree

Your agreement is required to submit an application for 19(2) exemption.

Please enter your contact details.

Email Address

Phone Number

I agree to be contacted by the Victorian Rural Generalist Program team regarding the outcome of my 19(2) application and with information I need to participate in the SEM trial.

AgreeDo not Agree

Your agreement is required to submit an application for 19(2) exemption.

Enter your email address below to receive updates from the Victorian Department of Health regarding the SEM trial and how you can register for a Section 19(2) exemption.

Practice Name

Email Address

Click the box to register your interest in attending a free webinar about Victoria’s SEM trial. This webinar will provide more details about the SEM and answer any questions you may have.

Please contact me regarding the webinar

Thank you for your interest, but this opportunity is limited to accredited practices in rural and regional Victoria.

Thank you for your time. Further information is available on the Department of Health website if you are interested in participating in the future.

Thank you for your interest .

A member of the Victorian Rural Generalist Team will be in touch with updates.

If you have any questions or need to update your application, please don't hesitate to contact us at singleemployermodel@health.vic.gov.au