Private Health Insurance (Prostheses) Amendment Rules (No. 2) 2022
This circular provides information for stakeholders about the amendment to the July 2022 Prostheses List.
The delegate of the Minister for Health and Aged Care has made the Private Health Insurance (Prostheses) Amendment Rules (No. 2) 2022 (the Amendment Rules) to amend the Private Health Insurance (Prostheses) Rules (No. 2) 2022.
The Private Health Insurance (Prostheses) Amendment Rules (No. 2) 2022 (the Amendment Rules) were registered on the Federal Register of Legislation on 27 July 2022 and commence on 1 August 2022.
The Amendment Rules effect the changes related to the Prostheses List reforms announced in the 2021-22 Budget, completion of two outstanding new applications and rectifying the incorrectly listed benefit.
Prostheses List part D for the general use items
The PHI 34/22 – Private Health Insurance (Prostheses) Rules (No. 2) 2022, published on 19 June 2022, advised that the Department for Health and Aged Care was working on improving clarity for the stakeholders regarding the products identified as general use items, by creating a new Prostheses List Part D and moving all general use billing codes from Part A to the newly created Part D until these billing codes will be removed from the Prostheses List in July 2023.
This change could not be implemented in the July 2022 Prostheses List due to the work still required to be completed on some developments in the Prostheses List Management System (PLMS). This work has now been complete in the PLMS. Therefore the Amendment Rules give effect to this change.
Other changes effected by the amendment rules
The Amendment Rules also give effect to the completion of the two new outstanding Prostheses List applications and correcting the benefit for one of the billing codes listed on the Prostheses List.