Publications

This fact sheet provides advice on preparing a submission.

Frequently asked questions about the Practitioner Review Program.

This guideline is particularly for diabetes educators, exercise physiologists or dietitians. It MBS items 81100 to 81125 and can help you substantiate that the requirements for an assessment service or group allied health service for a patient with type 2 diabetes have been met.

Information on the common compliance issues associated with inappropriate practice based on Professional Services Review outcomes.

This guideline outlines what you can do to substantiate valid general ears, nose and throat surgical services were provided such as Medicare Benefits Schedule (MBS) items 41846, 41764 and 30473.

This guideline outlines what you can do to substantiate optometry services for Medicare Benefits Schedule (MBS) items 10912, 10913, 10914, 10915, 10942 and 10943.

Information about the Practitioner Review Program (PRP) 6-month period of review.

This guideline outlines what you can do to substantiate that you as a consultant physician or specialist personally performed a referred consultation service on a private patient in a public hospital claimed under the Medicare Benefits Schedule (MBS).

This guideline outlines what you can do to substantiate the preparation of a valid GP Mental Health Treatment Plan rendered by eligible medical practitioners for Medicare Benefits Schedule (MBS) items 2700, 2701, 2715 and 2717.

Under the Health Insurance Act 1973 (Health Insurance Act), a person (including a practitioner) engages in inappropriate practice if they knowingly, recklessly or negligently cause or permit a practitioner who they employ or otherwise engage to engage in inappropriate practice.

Information about the purpose of the Practitioner Review Program (PRP), how inappropriate practice is identified, how a PRP case is conducted, and participating in the PRP process.

Information on the department’s role in identifying and intervening with practitioners and corporate entities where potential inappropriate is found.

Information on how to avoid practicing inappropriately, your responsibilities and sources of information to meet Medicare requirements.

From 1 November 2025, under the Aged Care Act 2024 (the new Act), registered providers will have to meet certain conditions of registration, obligations and statutory duties when delivering funded aged care services.

The Aged Care Act 2024 (the new Act) sets out a condition of registration for registered aged care providers delivering meals, snacks and drinks to an older person’s home or as part of community, centre-based and cottage respite

The new Aged Care Act starts from 1 November 2025 and will help to make aged care better for Aboriginal and Torres Strait Islander people.

Our Corporate Plan outlines how we will deliver the health system for all Australians throughout 2025–26.

This document provides answers to some frequently asked questions raised during the Commonwealth Home Support Program sector readiness webinar held on 12 June 2025.

Information on the new prescribed pattern of service 30/20 telephone rule, including relevant telephone attendance services. From 1 October 2022, GPs, Other Medical Practitioners and consultant physicians that claim relevant Medicare telephone items will be subject to the new rule.

The following spreadsheets provide quarterly data on childhood immunisation coverage by Primary Health Network (PHN), for all children and Aboriginal and Torres Strait Islander children.

This toolkit provides information and materials to help peak bodies, advocacy organisations and community groups inform older people, their families and carers about the Statement of Rights under the new Aged Care Act starting from 1 November 2025.

A list of current providers delivering the Elder Care Support program.

The Aged Care Act 2024 is the main law that covers government-funded aged care. It sets out the legal requirements for accessing aged care, who can provide services and how, funding, and regulation.

This plain language fact sheet provides a summary of what rights older people have when accessing aged care services.

This handbook is a plain English guide that details the fundamental elements and principles of Medicare. It provides core guidance for healthcare professionals and others navigating the Medicare system.