PHI circulars

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.

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.