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Advice on the Prostheses List adjusted benefit amounts
This document contains the advice on the Prostheses List adjusted benefit amounts resulting from the public benchmarking undertaken by the Independent Hospital Pricing Authority (IPHA). It lists the benefits on 1 March 2022 and the new benefits that will come into effect on 1 July 2022.
Prostheses List Reform Governance Group meeting communiques
Communiques for the Prostheses List Reform Governance Group meetings.
Private health insurance clinical category and procedure type
This collection is a list of private health insurance information related to clinical categories and procedure type.
Private Health Insurance classification of MBS items 1 July 2022
This spreadsheet classifies MBS items by private health insurance clinical category or procedure type and includes MBS items commencing 1 July 2022.
Part of a collection: Private health insurance clinical category and procedure typePrivate Health Insurance classification of MBS items 11 April 2022
This spreadsheet classifies MBS items by private health insurance clinical category or procedure type and includes MBS items commencing 1 April 2022 and 11 April 2022.
Part of a collection: Private health insurance clinical category and procedure typePrivate health insurance clinical category definitions 1 July 2022
Standard clinical category definitions for private health insurance hospital policies, effective 1 July 2022.
Part of a collection: Private health insurance clinical category and procedure typePrivate health insurance clinical category definitions 11 April 2022
Standard clinical category definitions for private health insurance hospital policies, effective 11 April 2022.
Part of a collection: Private health insurance clinical category and procedure typeProstheses List Grouping Schemes
View the grouping schemes for each product category in the Prostheses List, effective from 1 March 2020. They include suffixes and definitions.
Prostheses List Guide
This guide explains the listing process for the Prostheses List, including how to apply to add a new listing or change an existing listing.
Prostheses List Management System (PLMS)
Sponsors and suppliers can use the PLMS to create, edit and monitor applications for prostheses listings.
Prostheses List Advisory Committee (PLAC) Terms of Reference
This document sets out the purpose, roles, function and composition of PLAC.
Prostheses List Advisory Committee (PLAC) Operational Guidelines
These guidelines set out how PLAC will operate to deliver on its Terms of Reference.
Prostheses List Reform Governance Group Terms of Reference
This document sets out the roles, function, membership, meetings and secretariat of the Governance Group.
Review of the General Miscellaneous Category of the Prostheses List terms of reference
This document is the terms of reference for the review of the General Miscellaneous Category of the Prostheses List.
Options for a revised framework for setting and reviewing benefits for the Prostheses List report
This report describes the proceedings of the Revised Benefit Setting and Review Framework Industry Working Group (BSRIWG) over 8 meetings held between April 2018 and February 2020.
Part of a collection: Prostheses List reforms – reviews, papers and reportsReview of the General Miscellaneous Category of the Prostheses List report
This document reports on the outcomes of the Review of the General Miscellaneous Category of the Prostheses List.
Part of a collection: Prostheses List reforms – reviews, papers and reportsProstheses List Cost Recovery Implementation Statement
This statement describes how the Department of Health recovers the costs of administering the Prostheses List.
Part of a collection: Cost Recovery Implementation Statement (CRIS)Modernising and Improving Private Health Insurance Prostheses List - General Use Items
The Australian Government is investing $22 million over 4 years to modernise and improve the Prostheses List (PL). This includes addressing issues raised by recent reviews of the scope and operation of PL.
Prostheses List purpose definitions and scope – consultation paper
The purpose of this paper is to clarify details of the government’s decision to better define the PL purpose, definitions, and scope and explore how this might be implemented in delegated legislation and the guidance.
Prostheses List purpose definitions and scope – frequently asked questions
This document outlines frequently asked questions regarding the Consultation Paper No 1 – Prostheses List (PL) purpose, definitions and scope.
Cost Recovery Implementation Statement – Administration of the Prostheses List
This statement describes how the Department of Health recovers the costs of administering the Prostheses List.
Part of a collection: Cost Recovery Implementation Statement (CRIS)Memorandum of Understanding for the policy parameters of the Prostheses list reforms
This Memorandum of Understanding (MoU) between the Minister for Health and Aged care and the Medical Technology Association of Australia.
Part of a collection: Prostheses List reforms – reviews, papers and reportsHistorical background of the Prostheses list reform 2021-2025
This fact sheet is a list of the reviews of prostheses list since 1985.
Part of a collection: Prostheses List reforms – reviews, papers and reportsProstheses list reforms – Consultation No. 1 – Executive summary
The executive summary shows the stakeholder views to improvements to the Protheses List (PL) as announced in the 2021- 22 Federal Budget.
Part of a collection: Prostheses List reforms – reviews, papers and reportsHospital Establishment – Type by Prostheses list product group
A list of all the items in the Prostheses list by private hospital type.
Part of a collection: Prostheses List reforms – reviews, papers and reports