Health Benefits Compliance

Regulator function

Support the integrity of Australia's Medicare programs by identifying and treating incorrect claiming, inappropriate practice and fraud by health providers. 


  • Human Services (Medicare) Act 1973
  • Health Insurance Act 1973 
  • National Health Act 1953 
  • Dental Benefits Act 2008 
  • and associated subordinate legislation 

Regulated community

Health and medical services providers receiving funding through Medicare programs. 


Health and Aged Care

Internal to department / external entity


Ministerial Statement of Expectations date

15 August 2023

Regulator Statement of Intent date

15 August 2023