The Private Health Insurance Legislation Amendment Rules (No. 12) 2022 (the Amendment Rules) make consequential changes to the Private Health Insurance Rules to reflect changes to Medical Benefit Schedule (MBS) items to the General Medical Services Table (GMST), Pathology Services Table (PST) and Diagnostic Imaging Services Table (DIST) commencing 1 November 2022.
Further information on changes to the MBS for 1 November 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 27 October 2022 and commence on 1 November 2022.
The amendments include re-classification of new and amended MBS items and 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
- Schedule 6 for the Common treatments list
Private Health Insurance (Benefit Requirements) Rules 2011 (the Benefit Requirements Rules)
- Schedule 1 for Type A Surgical procedures
- Schedule 3 for Type B Non-band specific and Type C procedures
Further details on the Amendment Rules 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. 12) 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.
Information on MBS item changes can be found at www.mbsonline.gov.au.