Professional Services Review Scheme

Regulator function

Protects patients and the community from the risks associated with inappropriate practice, and protects the Commonwealth from having to meet the cost of medical / health services provided as a result of inappropriate practice


  • Part VAA of the Health Insurance Act 1973
  • Health Insurance (Professional Services Review Scheme) Regulations 2019
  • Health Insurance (Professional Services Review – Sampling Methodology) Determination 2017
  • Health Insurance (Professional Services Review – Allied Health, Primary Health Care and Others) Determination 2023

Regulated community

Persons providing services under Medicare, the PBS, and the Child Dental Benefits Scheme. 


Health and Aged Care

Internal to department / external entity


Ministerial Statement of Expectations date

3 August 2023

Regulator Statement of Intent date

16 October 2023