Private Health Insurance Accreditation Rules of 2008

The Private Health Insurance Accreditation Rules of 2008 apply to Western Australians and addresses treatment covered by health insurance policies. These rules aim to assure Australians are receiving the best treatment by authorized health care providers, although the rules do not apply to ambulance services or the provision of goods. If more than one type of treatment is specified, every treatment must meet standards relevant to that particular treatment.

Hospitals

Under the Private Health Insurance Accreditation Rules, hospitals are authorized to provide treatment under health care provider management and must meet permission standards. Hospitals must meet with the appropriate accrediting body for certification to gain permission to provide treatment.

Health Care Organizations

The same standards that apply to hospitals also apply to health care organizations. Any health care organization seeking approval to provide treatment must meet standards under the Private Health Insurance Accreditation Rules relevant to that treatment. An appropriate accrediting body must grant certification to provide treatment. In the certification process, an applicant must meet the requirements in the necessary time frames, and the appropriate accrediting agency must verify and approve a valid application.

Podiatric Surgeons

Only a certified podiatric surgeon can provide podiatry treatment. The podiatric surgeon must meet standards for accreditation under Section 3AAA of the Health Insurance Act. Under the Health Insurance Act, the Minister of Health and Ageing will review applications for accreditation to determine certification, which can be revoked if the health provider does not meet necessary guidelines.