This section includes information about the:
2017-18 Mid-Year Economic and Fiscal Outlook – ROHPG Scheme
ROHPG Scheme administrative arrangements effective 1 July 2017
ROHPG Transitional Arrangements
ROHPG Administrative Guidelines (effective 1 January 2020
Assessment of Priority Areas (Areas of Need)
2016-17 Mid-Year Economic and Fiscal Outlook – ROHPG Scheme
Review of ROHPG Scheme
ROHPG SchemeThe Scheme was introduced in 1988 as an alternative mechanism for the Commonwealth Government to fund radiotherapy services outside the Medicare arrangements. The Scheme provides a contribution towards the capital cost of eligible radiation therapy equipment. Payments are in addition to Medicare rebates that patients receive for radiotherapy services. Medicare benefits are for the professional and operating costs of services and do not include funding for the cost of equipment used in providing these services.
ROHPG Radiation Treatment Facility Locations
The ROHPG Scheme is established and administered under Part IV of the Health Insurance Act 1973 (the Act) and is open to public and private providers who are recognised as an ‘approved health service’ (at a specific location) under the Act.
2017-18 Mid-Year Economic and Fiscal Outlook – ROHPG SchemeThe Government announced in the 2017-18 Mid-Year Economic and Fiscal Outlook that it will realign funding provided by the ROHPG Scheme for private sector linear accelerators. The measure is estimated to cost $4.5 million over four years.
Private radiotherapy providers will receive the $3 million capital contribution for linear accelerators over an eight year period. This funding arrangement will apply for all private sector linear accelerators approved under the post 1 July 2017 ROHPG arrangements until 30 June 2021, when the Scheme’s funding arrangements will be reviewed.
ROHPG Scheme administrative arrangements effective 1 July 2017Following a review of the ROHPG Scheme in 2016, the Australian Government made changes to the ROPHG Scheme as part of its 2016-17 Mid-Year Economic and Fiscal Outlook. The new arrangements link funding towards high-cost linear accelerators and direct these funds to priority areas as agreed to by states and territories. The new Scheme arrangements will keep the Commonwealth capital contribution for radiation oncology sustainable into the future.
The key elements of the ROHPG Scheme for equipment approved under the new arrangements are:
- The Commonwealth will provide a set capital contribution value of $3 million for linear accelerators.
- The new capital contribution amount of $300,000 per year (for up to 10 years or $375,000 per year for up to 8 years for private providers, as announced in the 2017-18 MYEFO), will apply to linear accelerators for which applications were submitted and approved after 1 July 2017.
- Capital payments will be made annually for a 10 year period (or an 8 year period for private providers, as announced in the 2017-18 MYEFO). This compares to the previous arrangement where monthly capital payments were made based on the volume of Medicare services up to a capital balance amount. ROHPG funding is no longer linked to MBS items.
- Providers with capital equipment that was approved prior to 1 July 2017 will continue to receive capital contribution payments based on the equipment’s remaining capital balance. Further information is provided under the ROHPG Transitional Arrangements section below.
ROHPG Transitional ArrangementsRadiotherapy capital equipment, approved under the pre 1 July 2017 arrangements, excluding networked information systems, will continue to be funded under the old ROHPG arrangements post 1 July 2017. This means:
- Payments for existing capital equipment will continue up to each equipment’s remaining capital balance.
- The new post 1 July 2017 ROHPG arrangements only apply to new or replacement equipment for which ROHPG funding is sought after 1 July 2017.
ROHPG Administrative Guidelines (effective 1 January 2020)The ROHPG Administrative Guidelines have been updated to reflect the new arrangements. The revised ROHPG Guidelines (effective 1 January 2020) are below:
PDF Version: ROHPG Administrative Guidelines (PDF 207 KB)
Word Version: ROHPG Administrative Guidelines (Word 437 KB)
Application ProcessApplications are assessed on an individual basis against the ROHPG Guidelines.
Applications must be made using the appropriate ROHPG prescribed application form.
To apply for approval of an organisation under section 40 of the Health Insurance Act 1973 please use the following form:
Application Form Section 40 ROHPG SCHEME effective 1 January 2020 (Word 118 KB)
To apply for approval of a new health service under section 41 of the Health Insurance Act 1973 or for a variation to an approved health service (i.e. an additional linear accelerator, replacement of a linear accelerator relocation of a health service), please use this form:
ROHPG Scheme application form (new, expansion, relocation and replacement) effective 1 January 2020 (Word 131 KB)
To apply for approval of an organisation under section 40 of the Health Insurance Act 1973 due to a transfer of ownership or control of an existing facility, please use this form:
Transfer of Ownership application form effective 1 January 2020 (Word 118 KB)
All ROHPG applications can be mailed to:
Radiation Therapy and Medical Indemnity Section
MBS Policy and Specialist Services Branch
Medical Benefits Division
Department of Health
MDP 861, GPO Box 9848
CANBERRA ACT 2601
Alternatively, applications can be emailed to email@example.com.
Assessment of Priority AreasUnder the Health Insurance Act 1973, the Commonwealth is obliged to consider all applications received for ROHPG funding.
All providers applying for ROHPG funding for new facilities and linear accelerators submitted from 1 January 2020 will need to demonstrate that they have notified the relevant state or territory of their ROHPG application. This is to assist States and Territories in the planning of radiation oncology services.
Where significant cross-border flows of patients are expected, the applicant should also advise the other relevant States or Territories and provide information showing that this has occurred.
The Department will update identified priority areas and publish timelines for applications for new priority areas on it’s website in February of each year.
Assessment of Priority Areas within Australia for 2020-21