Resources

This guideline outlines how you can substantiate services provided under rights of private practice at public hospital outpatient departments.

This guideline outlines what you can do to substantiate that a patient attended a service and relates to Medicare Benefits Schedule (MBS) items such as 23, 36, 104, 5020, 10960 and 8553 that require the patient to be present.

This guideline outlines what you can do to substantiate that a specific treatment or action was performed as part of the requirements for Medicare Benefits Schedule (MBS) items e.g. 10960, 13757, 30189, 47600 and 85533.

This guideline relates to the MBS item numbers 80000 to 80170, rendered by allied health professionals under the Better Access program.

This guideline outlines what you can do to substantiate a service to be requested by another medical practitioner for Medicare Benefits Schedule (MBS) items 57521 and 65070.

This guideline outlines what you can do to substantiate Medicare Benefits Schedule (MBS) items 104, 105, 110, 116, 122, 132, 133, 135, 141, 143, 145 and 147 that require receipt of a valid referral before the service is provided.

This guideline outlines what you can do to substantiate valid individual Allied Health services were provided for Medicare Benefits Schedule (MBS) items 10950 to 10970.

This fact sheet provides advice on preparing a submission.

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.

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.

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.

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 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.