Department of Health and Aged Care Outcome 2

Entity

Description

Ensuring improved access for all Australians to cost-effective and affordable medicines, medical, dental and hearing services; improved choice in healthcare services, through guaranteeing Medicare and the Pharmaceutical Benefits Scheme; supporting targeted assistance strategies and private health insurance

#	Program	Body	Contribution
2.1	Department of Health and Aged Care Program 2.1	Department of Health and Aged Care	Deliver a modern, sustainable Medicare program that supports all Australians to access high quality and cost-effective professional services. Work with consumers, health professionals, private health insurers, and states and territories to continue strengthening Medicare
2.2	Department of Health and Aged Care Program 2.2	Department of Health and Aged Care	Provide hearing services, including devices, to eligible people to help manage their hearing loss and improve engagement with the community. Continue support for hearing research, with a focus on ways to reduce the impact of hearing loss and the incidence and consequence of avoidable hearing loss
2.3	Department of Health and Aged Care Program 2.3	Department of Health and Aged Care	Provide all eligible Australians with reliable, timely, and affordable access to high quality, cost-effective, innovative, clinically effective medicines, and sustainable pharmaceutical services by subsidising the cost of medicines through the Pharmaceutical Benefits Scheme (PBS) and the Life Saving Drugs Program (LSDP)
2.4	Department of Health and Aged Care Program 2.4	Department of Health and Aged Care	Promote affordable, quality private health insurance (PHI) and greater choice for consumers
2.5	Department of Health and Aged Care Program 2.5	Department of Health and Aged Care	Support eligible children to access essential dental health services through the Child Dental Benefits Schedule (CDBS)
2.6	Department of Health and Aged Care Program 2.6	Department of Health and Aged Care	Support the integrity of health benefit claims through prevention, early identification and treatment of incorrect claiming, inappropriate practice and fraud
2.7	Department of Health and Aged Care Program 2.7	Department of Health and Aged Care	Improve health outcomes for the Australian community through the provision of targeted assistance for aids and appliances

#	Program	Body	Contribution
1.2	Australian Taxation Office Program 1.2	Australian Taxation Office	The ATO contributes to the administration of the Government's Private Health Insurance Rebate program. The ATO also works with the Department of Health and Aged Care to deliver the Multi-Agency Data Integration Project (2.4).
1.1	Department of Social Services Program 1.1 - Family Assistance	Department of Social Services	DSS contributes to providing access to cost-effective medicines, medical, dental, and hearing services by determining income support recipient eligibility for Pensioner Concession Cards, Health Care Cards and Commonwealth Seniors Health Cards, which attract concessions under this Outcome (2.1, 2.2, 2.3, 2.5 and 2.6).
1.2	Department of Social Services Program 1.2 - Support for Seniors	Department of Social Services	DSS contributes to providing access to cost-effective medicines, medical, dental, and hearing services by determining income support recipient eligibility for Pensioner Concession Cards, Health Care Cards and Commonwealth Seniors Health Cards, which attract concessions under this Outcome (2.1, 2.2, 2.3, 2.5 and 2.6).
1.3	Department of Social Services Program 1.3 - Financial Support for People with Disability	Department of Social Services	DSS contributes to providing access to cost-effective medicines, medical, dental, and hearing services by determining income support recipient eligibility for Pensioner Concession Cards, Health Care Cards and Commonwealth Seniors Health Cards, which attract concessions under this Outcome (2.1, 2.2, 2.3, 2.5 and 2.6).
1.4	Department of Social Services Program 1.4 - Financial Support for Carers	Department of Social Services	DSS contributes to providing access to cost-effective medicines, medical, dental, and hearing services by determining income support recipient eligibility for Pensioner Concession Cards, Health Care Cards and Commonwealth Seniors Health Cards, which attract concessions under this Outcome (2.1, 2.2, 2.3, 2.5 and 2.6).
1.5	Department of Social Services Program 1.5 - Working Age Payments	Department of Social Services	DSS contributes to providing access to cost-effective medicines, medical, dental, and hearing services by determining income support recipient eligibility for Pensioner Concession Cards, Health Care Cards and Commonwealth Seniors Health Cards, which attract concessions under this Outcome (2.1, 2.2, 2.3, 2.5 and 2.6).
1.6	Department of Social Services Program 1.6 - Student Payments	Department of Social Services	DSS contributes to providing access to cost-effective medicines, medical, dental, and hearing services by determining income support recipient eligibility for Pensioner Concession Cards, Health Care Cards and Commonwealth Seniors Health Cards, which attract concessions under this Outcome (2.1, 2.2, 2.3, 2.5 and 2.6).
2.1	Department of Veterans' Affairs Program 2.1	Department of Veterans' Affairs	DVA provides access to general and specialist medical and dental services for its clients (2.1 and 2.5). DVA's Repatriation Pharmaceutical Benefits Scheme provides clients access to a comprehensive range of pharmaceuticals and wound dressings for the treatment of their health care needs (2.3).
2.3	Department of Veterans' Affairs Program 2.3	Department of Veterans' Affairs	DVA provides access to general and specialist medical and dental services for its clients (2.1 and 2.5). DVA's Repatriation Pharmaceutical Benefits Scheme provides clients access to a comprehensive range of pharmaceuticals and wound dressings for the treatment of their health care needs (2.3).
1.9	Department of the Treasury Program 1.9	Department of the Treasury	Treasury provides financial assistance through National Partnership payments to state and territory governments as part of the Federal Financial Relations Framework1, which includes funding for the Federation Funding Agreement on Public Dental Services for Adults (2.5).
1.1	National Health Funding Body Program 1.1	National Health Funding Body (NHFB)	The Department of Health and Aged Care has lead responsibility for the integrity of health benefits claims and associated compliance activities. The NHFB Administrator and the NHFB work with the Commonwealth, states and territories on data matching and the identification of potential duplicate payments through other Commonwealth funded programs to ensure the same public hospital service is not funded twice (2.6).
1.1	Professional Services Review Program 1.1	Professional Services Review	The PSR contributes to the integrity of the Medicare program, the Pharmaceutical Benefits Scheme and the Child Dental Benefits Schedule by investigating health practitioners suspected of inappropriate practice on request from the Chief Executive Medicare and determining any sanctions to be applied (2.1, 2.5 and 2.6).
1.2	Services Australia Program 1.2 - Services to the Community - Health	Services Australia	Services Australia administers payments to eligible recipients under the following programs: - Medicare services and benefit payments, and related Medicare Benefits Schedule items (2.1) - external breast prostheses reimbursements (2.1) - ex-gratia payments for the Disaster Health Care Assistance Scheme (2.1) - Hearing Services Program payments for voucher services and devices (2.2) - the Pharmaceutical Benefits Scheme (2.3) - Lifetime Health Cover mail out and the private health insurance rebate (2.4) - the Child Dental Benefits Schedule (2.5) - payment of claims from stoma associations for stoma-related products (2.7).
1.3	Services Australia 1.3	Services Australia
1.3	Services Australia Program 1.3 - Child Support	Services Australia	Services Australia administers payments to eligible recipients under the following programs: - Medicare services and benefit payments, and related Medicare Benefits Schedule items (2.1) - external breast prostheses reimbursements (2.1) - ex-gratia payments for the Disaster Health Care Assistance Scheme (2.1) - Hearing Services Program payments for voucher services and devices (2.2) - the Pharmaceutical Benefits Scheme (2.3) - Lifetime Health Cover mail out and the private health insurance rebate (2.4) - the Child Dental Benefits Schedule (2.5) - payment of claims from stoma associations for stoma-related products (2.7).

Contributing programs

Appropriations

Appropriation	Appropriation subtype	2023-24	2022-23
Appropriation	Appropriation subtype	Budget Estimate	Estimated Actual	Budget Estimate
	Special Accounts	0.00	0.00	0.00
Administered	Non-operating	0.00	0.00	0.00
Administered	Operating	1,720,973,000.00	1,633,143,000.00	1,633,143,000.00
Administered	Special Appropriation	7,730,030,000.00	7,570,969,000.00	7,492,318,000.00
Administered	Special Purpose Payments	0.00	0.00	0.00
Administered	Assets and Liabilities	0.00	0.00	0.00
Administered	Subtotal	9,451,003,000.00	9,204,112,000.00	9,125,461,000.00
Departmental	External Revenue	0.00	0.00	0.00
Departmental	Non-operating	0.00	0.00	0.00
Departmental	Operating	220,018,000.00	150,289,000.00	193,133,000.00
Departmental	Special Appropriation	0.00	0.00	0.00
Departmental	Equity Injections	0.00	0.00	0.00
Departmental	Subtotal	220,018,000.00	150,289,000.00	193,133,000.00
	Total	9,671,021,000.00	9,354,401,000.00	9,318,594,000.00

	Body	Outcome	Outcome owner	Contribution
Department of Health and Aged Care Program 2.1	Department of Health and Aged Care	Australian Taxation Office Outcome 1	Australian Taxation Office	The Department of Health and Aged Care contributes to the administrative arrangements for the Government's Private Health Insurance Rebate. Health and Aged Care also works with the ATO to deliver the Multi-agency Data Integration Project.
Department of Health and Aged Care Program 2.1	Department of Health and Aged Care	Department of Veterans' Affairs Outcome 2	Department of Veterans' Affairs	DVA works closely with other Commonwealth entities to ensure that health and community programs for veterans align with the mainstream health system, and to realise effective delivery of health and community services to the veteran community.
Department of Health and Aged Care Program 2.1	Department of Health and Aged Care	Department of Veterans' Affairs Outcome 2	Department of Veterans' Affairs	DVA works closely with other Commonwealth entities to ensure that health and community programs for veterans align with the mainstream health system, and to realise effective delivery of health and community services to the veteran community.
Department of Health and Aged Care Program 2.1	Department of Health and Aged Care	Professional Services Review Outcome 1	Professional Services Review	The Department of Health and Aged Care has policy responsibility for Medicare and the Pharmaceutical Benefits Scheme (PBS). Under the Health Provider Compliance program, the Chief Executive Medicare refers suspected cases of inappropriate practice by health care service providers to the PSR for investigation.
Department of Health and Aged Care Program 2.1	Department of Health and Aged Care	Professional Services Review Outcome 1	Professional Services Review
Department of Health and Aged Care Program 2.1	Department of Health and Aged Care	Services Australia Outcome 1	Services Australia	Outcome 1 contributes to the linked programs above by the provision of a range of information, services and payments on behalf of the entities listed within Australia and where applicable, overseas.
Department of Health and Aged Care Program 2.2	Department of Health and Aged Care	National Disability Insurance Agency Outcome 1	National Disability Insurance Agency	The Department of Health and Aged Care contributes to improving the wellbeing and social and economic participation of people with disability, their families and carers including through the provision of relevant supports to people with disability and NDIS participants.
Department of Health and Aged Care Program 2.2	Department of Health and Aged Care	Services Australia Outcome 1	Services Australia	Outcome 1 contributes to the linked programs above by the provision of a range of information, services and payments on behalf of the entities listed within Australia and where applicable, overseas.
Department of Health and Aged Care Program 2.3	Department of Health and Aged Care	Australian Taxation Office Outcome 1	Australian Taxation Office	The Department of Health and Aged Care contributes to the administrative arrangements for the Government's Private Health Insurance Rebate. Health and Aged Care also works with the ATO to deliver the Multi-agency Data Integration Project.
Department of Health and Aged Care Program 2.3	Department of Health and Aged Care	Department of Veterans' Affairs Outcome 2	Department of Veterans' Affairs	DVA works closely with other Commonwealth entities to ensure that health and community programs for veterans align with the mainstream health system, and to realise effective delivery of health and community services to the veteran community.
Department of Health and Aged Care Program 2.3	Department of Health and Aged Care	Department of Veterans' Affairs Outcome 2	Department of Veterans' Affairs	DVA works closely with other Commonwealth entities to ensure that health and community programs for veterans align with the mainstream health system, and to realise effective delivery of health and community services to the veteran community.
Department of Health and Aged Care Program 2.3	Department of Health and Aged Care	Services Australia Outcome 1	Services Australia	Outcome 1 contributes to the linked programs above by the provision of a range of information, services and payments on behalf of the entities listed within Australia and where applicable, overseas.
Department of Health and Aged Care Program 2.4	Department of Health and Aged Care	Australian Taxation Office Outcome 1	Australian Taxation Office	The Department of Health and Aged Care contributes to the administrative arrangements for the Government's Private Health Insurance Rebate. Health and Aged Care also works with the ATO to deliver the Multi-agency Data Integration Project.
Department of Health and Aged Care Program 2.4	Department of Health and Aged Care	Services Australia Outcome 1	Services Australia	Outcome 1 contributes to the linked programs above by the provision of a range of information, services and payments on behalf of the entities listed within Australia and where applicable, overseas.
Department of Health and Aged Care Program 2.5	Department of Health and Aged Care	Department of the Treasury Outcome 1	Department of the Treasury	Treasury Outcome 1 contributes to the above programs by making payments to the states and territories under National Partnership agreements, National Specific Purpose Payments (SPP) and bilateral agreements that support the delivery of the programs.
Department of Health and Aged Care Program 2.5	Department of Health and Aged Care	Department of Veterans' Affairs Outcome 2	Department of Veterans' Affairs	DVA works closely with other Commonwealth entities to ensure that health and community programs for veterans align with the mainstream health system, and to realise effective delivery of health and community services to the veteran community.
Department of Health and Aged Care Program 2.5	Department of Health and Aged Care	Department of Veterans' Affairs Outcome 2	Department of Veterans' Affairs	DVA works closely with other Commonwealth entities to ensure that health and community programs for veterans align with the mainstream health system, and to realise effective delivery of health and community services to the veteran community.
Department of Health and Aged Care Program 2.5	Department of Health and Aged Care	Professional Services Review Outcome 1	Professional Services Review	The Department of Health and Aged Care has policy responsibility for Medicare and the Pharmaceutical Benefits Scheme (PBS). Under the Health Provider Compliance program, the Chief Executive Medicare refers suspected cases of inappropriate practice by health care service providers to the PSR for investigation.
Department of Health and Aged Care Program 2.5	Department of Health and Aged Care	Professional Services Review Outcome 1	Professional Services Review
Department of Health and Aged Care Program 2.5	Department of Health and Aged Care	Services Australia Outcome 1	Services Australia	Outcome 1 contributes to the linked programs above by the provision of a range of information, services and payments on behalf of the entities listed within Australia and where applicable, overseas.
Department of Health and Aged Care Program 2.6	Department of Health and Aged Care	National Health Funding Body Outcome 1	National Health Funding Body (NHFB)	The Department of Health and Aged Care has policy responsibility for public and private hospital services, including the Commonwealth Government funding contribution for public hospital services. This includes policy responsibility for the Administrator and the NHFB. The Department of Health and Aged Care has lead responsibility for the integrity of health benefits claims and associated compliance activities. The Administrator and the NHFB will work with the Commonwealth, states and territories on data matching and the identification of potential duplicate payments through other Commonwealthfunded programs to ensure the same public hospital service is not funded twice.
Department of Health and Aged Care Program 2.6	Department of Health and Aged Care	Professional Services Review Outcome 1	Professional Services Review	The Department of Health and Aged Care has policy responsibility for Medicare and the Pharmaceutical Benefits Scheme (PBS). Under the Health Provider Compliance program, the Chief Executive Medicare refers suspected cases of inappropriate practice by health care service providers to the PSR for investigation.
Department of Health and Aged Care Program 2.6	Department of Health and Aged Care	Professional Services Review Outcome 1	Professional Services Review
Department of Health and Aged Care Program 2.7	Department of Health and Aged Care	Services Australia Outcome 1	Services Australia	Outcome 1 contributes to the linked programs above by the provision of a range of information, services and payments on behalf of the entities listed within Australia and where applicable, overseas.