PHI 43/16 - Critical dates for submitting applications for the February 2017 Prostheses List

Guidelines for Recognition of Private Hospital-Based Rehabilitation Services

Page last updated: 15 June 2016

PDF version: PHI 43/16 – Prostheses List (February 2017) (PDF 57 KB)

Critical dates for submitting applications for the February 2017 Prostheses List

Panel of Clinical Experts

Applications to list prostheses that are considered by the Panel of Clinical Experts (Panel) can be submitted at any time. There are no meetings of the Panel, so applications are sent to clinicians for assessment as they are received and processed.

To provide sufficient time for applications to be assessed for consideration for the next Prostheses List, applications need to be submitted at least eight weeks before the last Prostheses List Advisory Committee (PLAC) meeting before the Prostheses List is made. This timeframe will allow for applications to be prepared and sent to clinicians, clinicians to assess the applications and return their assessments and for the assessments to be prepared for the PLAC to consider. If a sponsor applies to list a prosthesis in a grouping that is not currently listed on the Prostheses List, extra time should be allowed for the application to be submitted to the Health Economics Sub-Committee of PLAC.

The dates for PLAC meetings in 2016 and early 2017 are planned at this stage, but not confirmed. On the basis of the planned dates, applications to list new Panel prostheses in current groupings should be submitted no later than 24 November 2016* for the February 2017 Prostheses List.

*THIS DATE ALLOWS EXTRA TIME FOR PROCESSING OVER THE CHRISTMAS/NEW YEAR PERIOD.

Clinical Advisory Groups

The Clinical Advisory Groups (CAGs) of the PLAC will meet twice to consider applications and to provide expert clinical advice to the PLAC for the 2017 Prostheses List. Meeting dates for the CAGs and the applicable cut-off dates for applications to list a new product on the February 2017 Prostheses List are outlined in the following tables.

Please note, requests to change, expand or compress existing billing codes should be submitted no later than three weeks prior to second meeting of the applicable CAG in order to be assessed for the February 2017 Prostheses List.

February 2017 Prostheses List

CAGsDate of 1st meetingCut-off for 1st meetingDate of 2nd meetingCut-off for 2nd meeting
IP
12 August
17 June
7 October
12 August
Knee
20 August
24 June
22 October
26 August
Spinal
19 August
24 June
14 October
19 August
Specialist Orthopaedic
2 September
8 July
28 October
16 September
Ophthalmic
5 September
8 July
7 November
16 September
Urogenital
16 September
22 July
18 November
23 September
Cardiothoracic
12 August
17 June
7 October
12 August
Cardiac
17 September
22 July
19 November
23 September
Vascular
22 August
1 July
24 October
2 September
These dates are correct at the time of publishing this circular, but may change due to unforeseen circumstances.