The Private Health Insurance Legislation Amendment Rules (No. 5) 2022 (the Amendment Rules) make consequential changes to the Private Health Insurance Rules to reflect changes to Medicare Benefit Schedule (MBS) items including to the general medical services table (GMST), pathology services table (PST) and diagnostic imaging services table (DIST) commencing 1 July 2022.
Further information on changes to the MBS for 1 July 2022, including fact sheets and quick reference guides is available at MBS Online.
The Amendment Rules were registered on the Federal Register of Legislation on 22 April 2022 and commence on 1 July 2022. The amendments include the assignment of classifications for new items and re-classification of some amended MBS items, as well as the removal of deleted items where appropriate, in the:
- Private Health Insurance (Complying Product) Rules 2015 (the Complying Product Rules)
- Schedule 5 for the Clinical categories
- Private Health Insurance (Benefit Requirements) Rules 2011 (the Benefit Requirements Rules)
- Schedule 1 for Type A Advanced surgical and Surgical procedures
- Schedule 3 for Type B Non-band specific and Type C procedures.
Further details on the Amendment Rules changes are included in the Explanatory Statement accompanying the Amendment Rules available on the Federal Register of Legislation at www.legislation.gov.au or by searching ‘Private Health Insurance Legislation Amendment Rules (No. 5) 2022’.
Information and spreadsheets for MBS items assigned to a clinical category or procedure type are available at Private health insurance clinical category and procedure type. Various filters can be applied to these spreadsheets to allow sorting by clinical category, procedure type and type of MBS change.
Information on MBS item changes can be found at www.mbsonline.gov.au.