Private Health Insurance - policy and guidelines
Legislation
Private Health Insurance (Accreditation) Rules 2011 – made under item 5 of the table in section 333-20 of the Private Health Insurance Act 2007: https://www.legislation.gov.au/Details/F2019C00147
Required Training
ARHG Training module for alternative therapy providers: https://www.qualiphi.com.au/page/show/1390. The module is required training within the first 12 months of joining AARPN unless evidence of previous completion is provided to admin@aarpn.com. This is a highly informative course that is essential knowledge for new graduates and an excellent refresher for experienced practitioners. 2.5 hours of CPD will be accredited on provision of the certificate of completion to AARPN. The cost of the course is $35 which will be deducted from the membership fees due in the following membership year (providing a certificate of completion is received by AARPN and your AARPN membership is continued). Email your certificate of completion to admin@aarpn.com.
Private Health Insurance - ancillary provider requirements
NIB (including AAIMI, Suncorp, APIA, Qantas Insurance, GU Health):
Recognised Provider Terms and Conditions: https://www.nib.com.au/docs/recognised-provider-terms-and-conditions
Telehealth Guidance (not currently recognising Clinical Nutrition): https://www.nib.com.au/docs/telehealth-guidance-for-providers
Sample receipt (as per the example on the NIB website): https://www.nib.com.au/docs/providers-sample-receipt
Criteria to be a recognised Natural Therapies provider with NIB: https://www.nib.com.au/docs/criteria-to-be-a-natural-therapy-provider
Australian Regional Health Group partnered funds (Creditcare Health Fund [CUA], HBF (includes GMF), Mildura Health Fund, Queensland Country Health (includes Territory Health), Westfund, Health Partners).
ARHG Accreditation Criteria Changes – Effective 01 Jul 2020: https://altther.arhg.com.au/AccreditationDocs/1.pdf
Provider accreditation requirements for the ARHG Alternative Therapy Database: https://arhg.com.au/app/uploads/2020/10/Provider-accreditation-requirements.pdf
Minimum education requirements: https://arhg.com.au/app/uploads/2020/10/Provider-accreditation-requirements.pdf
Mode of delivery requirements: https://arhg.com.au/app/uploads/2020/10/Provider-accreditation-requirements.pdf
ARHG Training module for alternative therapy providers: https://www.qualiphi.com.au/page/show/1390
HBF – Approved Provider Terms and Conditions: https://www.hbf.com.au/-/media/files/pdfs/provider-forms/hbf_approved_provider_tcs.pdf?la=en&hash=CB6A97F1BFE1AD1939654485A0D59F9C4AC7FC38
Mildura Health Fund – Terms and Conditions for Mildura Health Fund (MHF) Recognised Providers of General Treatment (Extras) Services: http://www.mildurahealthfund.com.au/Portals/0/PDF/Terms%20and%20Conditions%20for%20Mildura%20Health%20Fund%20Recognised%20Providers.pdf
Westfund Health Insurance – Fund Rules: https://dcug9eellku7n.cloudfront.net/dl/docs/res-fund-rules.pdf
Health Partners – General Treatment Provider Recognition Policy: https://wordpress.healthpartners.com.au/wp-content/uploads/General-Treatment-Provider-Recognition-Policy.pdf
Australian Unity
Australian Unity Health Recognised Ancillary Provider Terms & Conditions: http://www.australianunity.com.au/health-insurance/providers/provider-terms-and-conditions
Recognition requirements for Natural Therapy providers: http://www.australianunity.com.au/health-insurance/providers/recognition-requirements-natural-therapy-providers
Medibank Private and AHM
Provider Recognition Requirements: https://www.medibank.com.au/content/dam/retail/providers/Recognition%20Criteria%20for%20other%20ancillary%20health%20care%20providers.pdf
Ancillary Billing Standards: https://www.medibank.com.au/content/dam/retail/providers/Ancillary%20Billing%20Standards.pdf
Patient Records Standards: https://www.medibank.com.au/content/dam/retail/providers/Patient%20Records%20Standards.pdf
As of 1 April 2021 – all invoices and receipts must be generated electronically for Medibank Private and AHM. The issue of handwritten receipt will result in immediate suspension by the fund of the practitioner’s provider recognition.
health.com.au
(from 1 July 2020 this fund becomes part of Frank insurance and is no longer rebating Nutrition): https://health.com.au/help/frank-plus-healthcomau/overview