PHI circulars

Hospital update and second-tier benefits eligibility announcement.

Notice of new private hospital declaration and second-tier categorisation.

Hospital update and second-tier benefits eligibility announcement.

Release of the finalised Prostheses List Compliance Strategy and stakeholder feedback report.

For administration of the Prescribed List of Benefits for Medical Devices and Human Tissue Products and the National Joint Replacement Registry.

Cardiac electronic implantable devices on the Prostheses List will have a proportion of their benefits reduced by 40% of the gap on 1 July 2023.

Release of the Independent Health and Aged Care Pricing Authority (IHACPA)’s supplementary advice on bundling arrangements for General Use Items.

Notice of new private hospital declaration and second-tier categorisation.

Notice of new private hospital declaration and second-tier categorisation.

Notice of new private hospital declaration and second-tier categorisation

Private health insurance clinical category and procedure type updates following Medicare Benefits Schedule (MBS) item changes from 1 March 2023.

Hospital update and second-tier benefits eligibility announcement.

This circular provides information for stakeholders about incoming changes to Part C of the Prostheses List concerning cardiac and vascular drug eluting balloon catheters, and deletion of 3 billing codes for human tissue items from Part B.

Notice of new private hospital declaration and second-tier categorisation.

Notice of new private hospital declaration and second-tier categorisation.

We have commenced consultation on the proposed legislation for listing criteria and cost recovery arrangements.

Hospital update and second-tier benefits eligibility announcement.

Notice of new private hospital declaration and second-tier categorisation

Private health insurance clinical category and procedure type updates following Medicare Benefits Schedule (MBS) item changes from 1 March 2023.

Notice of new private hospital declaration and second-tier categorisation.

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

The Private Health Insurance (Prostheses) Rules (No. 1) 2023 will commence on 1 March 2023.

Release of the Prostheses List reform consultation paper 4(a) and 4(b) – Stakeholder feedback report.

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.