The hospital declaration process
The Minister for Health and Aged Care declares facilities to be hospitals for health insurance business under section 121–5(6) of the Private Health Insurance Act 2007. The declaration takes effect on the date the minister signs it – we cannot backdate it.
State and territory governments license and regulate all facilities that have been declared as hospitals for health insurance business.
Hospitals must also meet the National Safety and Quality Health Service (NSQHS) Standards. This process is known as accreditation.
When granting or revoking a hospital declaration, the minister must consider:
- whether the relevant state or territory authority has approved the facility
- the nature of the facility
- the range and scope of services the facility provides, or plans to provide
- whether the facility has met accreditation requirements
- any issues the facility has providing information to private health insurers, as specified in the Private Health Insurance (Health Insurance Business) Rules (PHI Rules)
- when deciding to revoke a declaration, any failure to meet required conditions
- any other matters specified in the PHI Rules.
It takes about 10 business days to process a fully completed and correct hospital declaration request.
How to apply
To receive private health insurance benefits the Minister for Health and Aged Care must declare a facility (public or private) as a hospital:
- before it starts to operate
- when it joins with one or more existing hospitals.
Facilities must supply supporting evidence to help the minister decide whether to declare them a hospital for private health insurance business.
Facilities applying for declaration as a public hospital for private health insurance business must:
- complete the public hospital declaration form
- provide a letter or email from their state or territory health department advising of a new public hospital, or any updates
- provide a copy of an accreditation certificate, or evidence that they have applied for accreditation.
Facilities applying for declaration as a private hospital for private health insurance business must:
- complete the private hospital declaration form
- provide a copy of their state or territory hospital licence, or any updates
- provide a copy of their accreditation certificate, or evidence that they have applied for accreditation, or any updates.
What it means when a hospital is declared
Once the minister declares a facility to be a hospital for health insurance business it:
- can receive health benefit payments from health insurers, for treating insured patients
- must submit data about hospital treatments and patients
- must keep contact details up to date
- must email us when closing down.
Updating hospital details
Hospitals must email us with updated details including:
- bed numbers
- new or amended licence
- new or amended accreditation.
List of declared hospitals
View the current list of declared hospitals for health insurance business.
See all our hospital announcements.