Resources

Assessment of Adjustments to the National Pricing Model Policy
PublicationsThe Assessment of Adjustments to the National Pricing Model Policy outlines the considerations underpinning the Independent Health and Aged Care Pricing Authority’s (IHACPA) assessment of proposed adjustments to the national pricing model to address legitimate and unavo...

General List of In-Scope Public Hospital Services Eligibility Policy
PublicationsEach year, the Independent Health and Aged Care Pricing Authority (IHACPA) publishes the General List of In-Scope Public Hospital Services as part of the national efficient price determination. The general list defines the public hospital services eligible for Commonwea...

Tier 2 Non-Admitted Services 2024-25
PublicationsThe key publications that support the Tier 2 Non-Admitted Services Classification (Tier 2) are the Tier 2 Non-Admitted Services Definition Manual and the Tier 2 Non-Admitted Services Compendium.

Consultation Paper on the Pricing Framework for Australian Public Hospital Services 2025–26
ConsultationsThe Independent Health and Aged Care Pricing Authority (IHACPA) released its Consultation Paper on the Pricing Framework for Australian Public Hospital Services 2025–26 for public consultation on Wednesday 8 May 2024.

National Efficient Price Determination 2024–25
PublicationsThe Independent Health and Aged Care Pricing Authority (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 Dete...

National Efficient Cost Determination 2024–25
PublicationsThe Independent Health and Aged Care Pricing Authority (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 Deter...

National Pricing Model Technical Specifications 2024–25
PublicationsThis document provides the technical specifications for how the Independent Health and Aged Care Pricing Authority (IHACPA) developed the activity based funding models for the service streams to be funded for the National Efficient Price and the National Efficient Cost...

Draft IHACPA Work Program and Corporate Plan 2024–25
ConsultationsThe Independent Health and Aged Care Pricing Authority (IHACPA) invited all interested parties to provide comment on the draft IHACPA Work Program and Corporate Plan 2024–25.
Public Interest Disclosures
PublicationsThe Public Interest Disclosure Act 2013 (the Act) is a legislative scheme for the reporting and investigation of allegations of serious wrongdoing in the Commonwealth public sector. Disclosures can be made anonymously.

Development of ICD-10-AM/ACHI/ACS Thirteenth Edition and AR-DRG Version 12.0
ConsultationsThe Independent Health and Aged Care Pricing Authority (IHACPA) released its consultation paper on the development ICD-10-AM/ACHI/ACS Thirteenth Edition and AR-DRG Version 12.0 from Thursday 2 November 2023 to Friday 1 December 2023.

Australian Hospital Patient Costing Standards Version 4.2
VideosThe Australian Hospital Patient Costing Standards (AHPCS) provide direction for costing practitioners to ensure all in-scope costs are allocated to hospital activity to reflect resource utilisation, in a complete and consistent manner.

AMHCC Version 1.1 Final Report
PublicationsThis final report provides the detailed statistical analysis undertaken in the development of Australian Mental Health Care Classification (AMHCC) Version 1.1, including the key changes to the classification and methodology of the refinement