Changes to Medicare Claims Review Panel MBS items

7 June 2018

From 1 November 2018 there’ll be changes to the Medicare Claims Review Panel (MCRP) and related MBS items.

The changes were announced in the 2018-19 Budget. The MCRP will be dissolved, and changes will be made to related MBS items.

To claim for services requiring approval by the MCRP, you’ll need to submit MCRP applications by 1 September 2018 where possible.

You must perform any service for an MBS item the MCRP has approved for a Medicare benefit, no later than 31 October 2018.

After 31 October 2018 services are subject to the new rules.

Assessment and monitoring of compliance risks will continue.

Compliance audits may be undertaken to verify details of services when there is a concern that payments are incorrect. Prosecution is considered where fraud is identified.

Next steps

Page last updated: 20 July 2018