Private Health Insurance (Data Provision) Rules 2016 (Cth)

Private Health Insurance (Data Provision) Rules 2016

I, SHANNON WHITE, delegate of the Minister for Health, make these Rules under item 9 of the table in section 333-20 of the Private Health Insurance Act 2007.

Dated 31 March 2016

____________________________________

Shannon White

Assistant Secretary

Health System Financing Branch

Department of Health

Contents

1.Name of Rules

These Rules are the Private Health Insurance (Data Provision) Rules 2016.

2.Commencement

These Rules commence on 1 July 2016.

3.Revocation

These Rules revoke the Private Health Insurance (Data Provision) Rules 2015.

4.Definitions

In these Rules:

Act means the Private Health Insurance Act 2007.

Private Hospital Data Bureau from Hospital to the Department means the protocol set out in the document approved by the Assistant Secretary of the Health System Financing Branch of the Department of Health on 31 March 2016 which consists of “Data Specifications (Private Hospital Data Bureau)” and “Explanatory Notes (Private Hospital Data Bureau)”.

HCP Data from Hospital to the Insurers means the protocol set out in the document approved by the Assistant Secretary of the Health System Financing Branch of the Department of Health on 31 March 2016 which consists of “Data Specifications (HCP)” and “Explanatory Notes (HCP)”.

HCP1 Data from Insurers to the Department means the protocol set out in the document approved by the Assistant Secretary of the Health System Financing Branch of the Department of Health on 31 March 2016 which consists of “Data Specifications (HCP1)” and “Explanatory Notes (HCP1)”.

Note: Terms used in these Rules have the same meaning as in the Act ―see section 13 of the Legislative Instrument Act 2003. These terms include:

health benefits fund

private health insurer

5.Information to be provided

(1) For section 172-10 of the Act, the kinds of information, relating to the treatment of insured persons, that private health insurers are to give to the Secretary of the Department are the kinds of information specified in:

(a) Private Hospital Data Bureau (from Hospital to the Department);

(b) HCP Data (from Hospital to the Insurers); and

(c) HCP1 Data (from Insurers to the Department).

(2) For the purposes of interpreting the kinds of information to be provided with respect to “Data Specifications (Private Hospital Data Bureau)”, reference must be made to “Explanatory Notes (Private Hospital Data Bureau)”.

(3) For the purposes of interpreting the kinds of information to be provided with respect to “Data Specifications (HCP)”, reference must be made to “Explanatory Notes (HCP)”.

(4) For the purposes of interpreting the kinds of information to be provided with respect to “Data Specifications (HCP1)”, reference must be made to “Explanatory Notes (HCP1)”.