Health provider compliance priorities
Date published:
27 Mar 2026
The Department of Health, Disability and Ageing is responsible for ensuring compliant health provider claiming for Australian Government health program payments.
It has released its compliance priorities (PDF), which reflect its commitment to act to protect Medicare integrity. The document also entails its enduring priorities, which present a persistent risk to the integrity and sustainability of Australian Government health programs.
The Department is committing ongoing, dedicated resources to prevent and address these issues.
Find out more about the 2026 focus areas, which are:
- telehealth
- care and management plans
- claiming MBS services while overseas
- open and uncertified PBS claims
- inappropriate claiming of PBS medicines.
Read now (PDF)