Resources
National Efficient Cost Determination 2025–26
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IHACPA was established under the National Health Reform Act 2011 (the NHR Act) and by virtue of section 131(1) of the NHR Act is invested with the following functions relevant to this National Efficient Cost Determination 2025–26:
National Efficient Price Determination 2025–26
PublicationsFeatured
IHACPA was established under the National Health Reform Act 2011 (the NHR Act) and by virtue of section 131(1) of the NHR Act is invested with the following functions relevant to this National Efficient Price Determination 2025–26:
Residential Aged Care Supplementary Pricing Advice 2024–25
PublicationsFeatured
Each year the Independent Health and Aged Care Pricing Authority (IHACPA) provides evidence-based residential aged care and residential respite care pricing advice to the Australian Government.
Draft IHACPA Work Program and Corporate Plan 2025–26
ConsultationsFeatured
Draft IHACPA Work Program and Corporate Plan 2025–26 is now available for public comment.
National Pricing Model Technical Specifications 2025–26
PublicationsThis document provides the technical specifications for developing the activity based funding models for the service streams to be funded for the National Efficient Price and the National Efficient Cost Determinations 2025–26 (NEP25 and NEC25).
National Coding Advice
PublicationsNational Coding Advice are the Coding Rules and frequently asked questions (FAQs) about the new edition. These are published to facilitate nationally consistent assignment of ICD-10-AM and ACHI codes in the implemented edition of ICD-10-AM/ACHI/ACS. National Coding Advi...
National Hospital Cost Data Collection Private Hospital Report 2023-24
PublicationsThe National Hospital Cost Data Collection (NHCDC) Private Sector is a voluntary collection that produces a range of hospital cost and activity information by the Australian Refined Diagnosis Related Groups.
ICD-10-AM/ACHI/ACS Thirteenth Edition
PublicationsICD-10-AM/ACHI/ACS Thirteenth Edition supersedes ICD‑10‑AM/ACHI/ACS Twelfth Edition and is applicable for separations from 1 July 2025.
Implementation of Cluster Coding Fact Sheet
Fact sheetsCluster coding is a mechanism of linking related diagnosis codes through use of a diagnosis cluster identifier (DCID) that will enhance the value of coded data.
Aged Care Cost Collection Fact Sheet
Fact sheetsThis fact sheet will help residential and in-home aged care providers understand what cost collections are and why it’s important to participate.
Data compliance reports
PublicationsThe Independent Health and Aged Pricing Authority (IHACPA) publishes Data Compliance Reports including a Quarterly Report, as required by the National Health Reform Agreement (B81).
Virtual Care Project - Final Report
PublicationsIn 2024, IHACPA commenced a project to understand the current state of virtual care, including funding in Australia and internationally. The project also investigated new and emerging trends in virtual care as well as opportunities to adapt the national pricing model. T...