This section includes information about the:
New ROHPG Scheme administrative arrangements effective 1 July 2017
ROHPG Transitional Arrangements
Revised ROHPG Administrative Guidelines
Assessment of Priority Areas (Areas of Need)
2016-17 Mid-Year Economic and Fiscal Outlook – ROHPG Scheme
Review of ROHPG Scheme
ROHPG SchemeThe scheme was introduced in 1988 as an alternative mechanism for the Commonwealth Government to fund health services outside the Medicare arrangements. The Scheme provides a contribution towards the capital cost of eligible radiation therapy equipment. Payments are in addition to Medicare rebates that patients receive for radiotherapy services. Medicare benefits are for the professional and operating costs of services and do not include funding for the cost of equipment used in providing these services.
The ROHPG Scheme is established and administered under Part IV of the Health Insurance Act 1973 (the Act) and is open to public and private providers who are recognised as an ‘approved health service’ (at a specific location) under the Act.
New ROHPG Scheme administrative arrangements effective 1 July 2017Following a review of the ROHPG Scheme in 2016, the Australian Government has made changes to the ROPHG Scheme as part of its 2016-17 Mid-Year Economic and Fiscal Outlook. The new arrangements link funding towards high-cost linear accelerators and direct these funds to priority areas as agreed to by states and territories. The new Scheme arrangements will keep the Commonwealth capital contribution for radiation oncology sustainable into the future.
Key ROHPG Scheme changes relate to the way in which the Minister for Health decides to allocate grant funding to radiation oncology providers for applications for equipment funding received after 1 July 2017.
- The Commonwealth will provide a set capital contribution value of $3 million for linear accelerators, with capital payments made up-front annually for a 10 year period. This compares to the current arrangement where monthly capital payments are made based on the volume of Medicare services up to a capital balance amount. ROHPG funding will be de-linked from MBS items.
- The $3 million set contribution over 10 years will be the same regardless of public or private status or location of facility.
- The new capital contribution amount of $300,000 per year (for up to 10 years) will only apply to linear accelerators approved after 1 July 2017.
- Providers with capital equipment that has been approved prior to 1 July 2017 will continue to receive capital contribution payments based on the equipment’s remaining capital balance. Further information is provided under the ROHPG Transitional Arrangements section below.
ROHPG Transitional ArrangementsExisting radiotherapy capital equipment, excluding networked information systems, will continue to be funded under the old ROHPG arrangements post 1 July 2017. This means:
- Payments for existing capital equipment will continue up to each equipment’s remaining capital balance.
- The new post 1 July 2017 ROHPG arrangements only apply to new or replacement equipment for which ROHPG funding is sought after 1 July 2017.
Revised ROHPG Administrative GuidelinesNew administrative arrangements for the decisions to approve grants under the ROHPG Scheme came into effect on 1 July 2017. The ROHPG Administrative Guidelines have been updated to reflect the new arrangements.
PDF Version: ROHPG Administrative Guidelines (PDF 209 KB)
Word Version: ROHPG Administrative Guidelines (Word 196 KB)
Applications are assessed on an individual basis against the ROHPG Administrative Guidelines. The criteria outlined in the Guidelines are as follows:
- eligibility of equipment
- priority areas and affordability of services
- financial viability
- integration with multidisciplinary and patient-centred care
- adequate staffing
- implementation of the project, including whether it is well developed, well-resourced and implemented within a reasonable timeframe.
Assessment of Priority AreasAll applications for new facilities and linear accelerators submitted from 1 July 2017 will need to demonstrate that the respective state or territory has been consulted prior to submission to the Commonwealth for approval. The Department of Health will then seek advice from the relevant state or territory as part of its assessment. Applications received for areas considered to be a priority will be given preference.
However, it is noted that under the Health Insurance Act 1973, the Commonwealth is obliged to consider the merits of all applications received for ROHPG funding.
Once agreed with states and territories, it is proposed that priority areas will be published on the Australian Government Department of Health website to assist radiotherapy providers to target areas of need when applying for ROHPG funding.