PHI circulars

IHACPA bundling tool and Consultation Paper No. 5 on bundling arrangements for general use items are now available to stakeholders.

Announcement of the 2023 rebate adjustment factor (RAF) and private health insurance rebate amounts effective from 1 April 2023.

This circular provides information on the Private Health Insurance Premium Round Announcement by the Minister for Health and Aged Care, the Hon Mark Butler MP.

Notice of new private hospital declaration and second-tier categorisation

We have engaged 2 external consultants to review the governance structure of the Prostheses List and provide advice for new governance arrangements. These reviews, which informed the modernised committee process for prostheses list applications, are now available to the public.

Notice of new or amended hospital and second-tier default benefit eligibility.

Notice of new or amended hospital declaration status and/or second-tier default benefit eligibility

List of Private hospital declaration and hospital updates.

The Hospital Casemix Protocol (HCP) and Private Hospital Data Bureau (PHDB) 2021–22 preliminary annual reports are now available. These reports summarise data collected from hospitals.

Hospital update and second-tier benefits eligibility announcement.

Notice of new or amended hospital declaration status and/or second-tier default benefit eligibility.

Hospital update and second-tier benefits eligibility announcement.

Prosthesis List applications are transitioning to the Health Products Portal from 11 September 2023. To allow for this transition, the March 2024 PL Update will be bypassed.

Notice of new or amended hospital declaration status and/or second-tier default benefit eligibility

New funding arrangements will mandate default benefits for the General Use Bundles. These arrangements will be informed by the advice provided by the Independent Health and Aged Care Pricing Authority (IHACPA).

Hospital update and second-tier benefits eligibility announcement.

Notice of new or amended hospital declaration status and/or second-tier default benefit eligibility.

Invoices are now being sent to sponsors for the National Joint Replacement Register (NJRR) levy for the levy imposition date of 30 November 2022.

Hospital update and second-tier benefits eligibility announcement.

Notice of new or amended hospital declaration status and/or second-tier default benefit eligibility.

This announcement looks at the stakeholder feedback on the proposed new Listing Pathways for Applications to the Prostheses List (PL) and on the cost recovery proposals. We have analysed each submission and have published a summary of the analysis detailing the key findings from the consultation.

The Private Health Insurance (Prostheses) Amendment Rules (No. 3) 2022 will commence on 1 December 2022.

Private health insurance clinical category and procedure type updates following Medicare Benefits Schedule (MBS) item changes from 1 November 2022.

Notice of new or amended hospital declaration status and/or second-tier default benefit eligibility.

Private health insurance clinical category and procedure type updates following Medicare Benefits Schedule (MBS) item changes from 1 November 2022.