Resources
AR-DRG Version 8.0
The Australian Refined Diagnosis Related Group (AR-DRG) Version 8.0 was implemented from July 1, 2016 and is the Australian Diagnosis Related Group (DRG) patient classification system that provides a clinically meaningful way of relating the types of patients treated in...
National Hospital Cost Data Collection (NHCDC) Public Sector 2024-25
The National Hospital Cost Data Collection (NHCDC) for the public sector, collected through the states and territories, is the primary data collection used to develop the national efficient price
Evidence-based approach for pricing aged care
This resource is a PowerPoint presentation that can be used for educational purposes related to the Independent Health and Aged Care Pricing Authority’s (IHACPA) evidence-based approach to pricing advice for Australian aged care services. The resource is intended for st...
ICD-10-AM/ACHI/ACS Eleventh Edition
ICD-10-AM/ACHI/ACS Eleventh Edition, was implemented between 1 July 2019 and 30 June 2022 for classifying episodes of admitted patient care across Australian hospital services.
Data Compliance Policy
The Data Compliance Policy describes the process and criteria by which the Independent Health and Aged Care Pricing Authority (IHACPA) will publicly report on compliance by jurisdictions with the data requirements and data submission dates specified in the current IHACP...
Three Year Data Plan
The Three Year Data Plan is supported by the Data Compliance Policy, which describes the process and criteria by which IHACPA will publicly report on compliance by jurisdictions with the data requirements and data submission dates specified in the Three Year Data Plan.
Tier 2 Non-Admitted Services 2024–25
The key publications that support the Tier 2 Non-Admitted Services Classification (Tier 2) are the Tier 2 Non-Admitted Services Definition Manual and the Tier 2 Non-Admitted Services Compendium.
IHACPA Work Program and Corporate Plan 2025-26
The IHACPA Work Program and Corporate Plan 2025–26 highlights IHAPCA’s strategic objectives and key programs of work that will be undertaken within the upcoming financial year.
ICD-10-AM/ACHI/ACS Twelfth Edition
ICD-10-AM/ACHI/ACS Twelfth Edition supersedes ICD-10-AM/ACHI/ACS Eleventh Edition and is applicable for separations between 1 July 2022 and 30 June 2025.
National Efficient Cost Determination 2024–25
The Independent Health and Aged Care Pricing Authority (IHACPA) was established under the National Health Reform Act 2011 (the NHR Act) and by virtue of section 131(1) of the NHR Act is invested with the following functions relevant to this National Efficient Cost Deter...
Australian National Subacute and Non-Acute Patient Classification Version 4.0
The Australian National Subacute and Non-Acute Patient Classification (AN-SNAP) is a casemix classification used for activity based funding, clinical management and other purposes.These documents provide background to the development of AN-SNAP Version 4.0, and exp...
Australian National Subacute and Non-Acute Patient Classification Version 5.0
The Australian National Subacute and Non-Acute Patient Classification (AN-SNAP) is a casemix classification used for activity based funding, clinical management and other purposes.
National Hospital Cost Data Collection (NHCDC) Public Sector 2021–22
The National Hospital Cost Data Collection (NHCDC) for the public sector, collected through the states and territories, is the primary data collection used to develop the national efficient price.
Emergency Care (ICD-10-AM Thirteenth Edition) Principal Diagnosis Short List – User Guide
This document details the components and conventions of the Emergency Care International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM) Principal Diagnosis Short List (the EPD Short List) and is ai...
General List of In-Scope Public Hospital Services Eligibility Policy
Each year, the Independent Health and Aged Care Pricing Authority (IHACPA) publishes the General List of In-Scope Public Hospital Services as part of the national efficient price determination. The general list defines the public hospital services eligible for Commonwea...
Implementation of Cluster Coding Fact Sheet
Cluster coding is a mechanism of linking related diagnosis codes through use of a diagnosis cluster identifier (DCID) that will enhance the value of coded data.
Residential Aged Care Supplementary Pricing Advice 2023–24
The Independent Health and Aged Care Pricing Authority (IHACPA) provides annual residential aged care pricing advice to the Australian Government.
Pricing Framework for Australian Public Hospital Services 2025–26
The Pricing Framework for Australian Public Hospital Services 2025–26 is the key strategic document underpinning the National Efficient Price and National Efficient Cost Determinations for the 2025–26 financial year.IHACPA has published the pricing framework prior to re...
Residential Aged Care Pricing Advice 2024–25
IHACPA has released the Residential Aged Care Pricing Advice 2024–25.This advice informs Australian Government decisions on residential aged care funding from 1 October 2024. This is the second year we have provided evidence-based residential aged care pricing advice to...
IHACPA Work Program and Corporate Plan 2024–25
The Independent Health and Aged Care Pricing Authority (IHACPA) Work Program and Corporate Plan 2024–25 has been prepared in accordance with the requirements of section 225 of the National Health Reform Act 2011 and section 35(1)(b) of the Public Governance, Performance...
National Efficient Price Determination 2024–25
The Independent Health and Aged Care Pricing Authority (IHACPA) was established under the National Health Reform Act 2011 (the NHR Act) and by virtue of section 131(1) of the NHR Act is invested with the following functions relevant to this National Efficient Price Dete...
National Pricing Model Technical Specifications 2025–26
This document provides the technical specifications for developing the activity based funding models for the service streams to be funded for the National Efficient Price and the National Efficient Cost Determinations 2025–26 (NEP25 and NEC25).
Virtual Care Project - Final Report
In 2024, IHACPA commenced a project to understand the current state of virtual care, including funding in Australia and internationally. The project also investigated new and emerging trends in virtual care as well as opportunities to adapt the national pricing model. T...
A fresh approach to NDIS pricing: Have your say fact sheet
The Australian Government has asked the Independent Health and Aged Care Pricing Authority (IHACPA) to undertake initial work to identify opportunities for future reforms to National Disability Insurance Scheme (NDIS) pricing. This includes reviewing existing pricing ap...