Medicare Benefits Schedule

   

What Legislation covers the MBS

The legislation is the source for payments of Medicare benefits.




The MBS provides information on the arrangements for the payment of Medicare benefits. These arrangements operate under the Health Insurance Act 1973 (as amended). The MBS publications are not legal documents, and, in cases of discrepancy, the legislation is the source for payments of Medicare benefits.

Below is a summary of the current compilations of the major acts, regulations and determinations in operation for the payment of Medicare benefits. Please note that this list is a summary and not an exhaustive list.

Acts

Health Insurance Act 1973
National Health Act 1953

Regulations

Health Insurance Regulations 1975
Health Insurance (Diagnostic Imaging Services Table) Regulations 2009
Health Insurance (General Medical Services Table) Regulations 2009
Health Insurance (Pathology Services Table) Regulations 2009

Determinations

Health Insurance (Allied Health Services) Determination 2009
Health Insurance (Bone Densitometry) Determination 2008
Health Insurance (Dental Services) Determination 2007
Health Insurance (Diabetes Testing in Aboriginal and Torres Strait Islander Primary Health Care Sites) Determination HS/01/2006
Health Insurance (Gippsland and South Eastern New South Wales Mobile MRI Service) Determination 2009
Health Insurance (Home-Based Sleep Studies) Determination 2008
Health Insurance (Management of Bulk-Billed After Hours and Unsociable Hours Services) Determination 2010
Health Insurance (Point of Care Testing in General Practice) Determination HS/03/2005
Health Insurance (Positron Emission Tomography) Facilities Determination 2009
Health Insurance (Radiation Oncology) Determination 2009
Health Insurance (Cataract Surgery) Determination 2009 (No. 2)


If you are having difficulty with the above legislation links please go directly to the comlaw site at www.comlaw.gov.au



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Downloads

The July 2010 Medicare Benefits Schedule


Consultation Paper - Perfusion Services

The Department of Health and Ageing has released a consultation paper and is seeking submissions from interested parties on the current Medicare arrangements for the payment of whole body perfusion (cardiac bypass), using the heart-lung machine or equivalent under the MBS Item 22060 by 1 August 2010.


The May 2010 Medicare Benefits Schedule


The January 2010 Medicare Benefits Schedule

Incorporating 1 February 2010 cataract surgery item fee amendments


The November 2009 Medicare Benefits Schedule

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