Australian Government - Department of Health - Office of Hearing Services
Hearing Services Program

Compliance Monitoring and Support

The Australian Government Hearing Services Program (the program) is delivered by over 270 contracted service providers (providers). Providers are expected to comply with the program requirements as set out in legislation, including the Hearing Services Administration Act 1997 (the Act), the Service Provider Contract (the Contract) and program standards. These requirements are outlined under legislation and contracts.

Legislative Authority for Compliance Monitoring

The obligations to monitor compliance with the program requirements are guided by a range of legislative and best practice documentation including

Compliance Monitoring and Support Framework

A risk-based approach to monitoring program compliance is used. The principles and processes are outlined in the Compliance Monitoring and Support Framework (the Framework). The Framework is a plan for monitoring and supporting providers to achieve and maintain compliance with the program requirements.

Find out more about the Compliance Monitoring and Support Framework.

Read the compliance monitoring and audit outcomes report 2016-2017.

Provider Self-Assessment

All providers must complete an annual self-assessment. The Self Assessment Tool (SAT) is an online questionnaire that gives providers an opportunity to review their compliance with the program requirements. New providers are also encouraged to complete the previous year’s SAT as part of their orientation to the program.

Find out more about the Self-Assessment process.

Provider Audits

Risk-based audits are undertaken to assess providers’ compliance with program requirements. Audits are undertaken by qualified auditors. Provider audits may be undertaken based on the results of claiming data analysis, claims audits, complaints and other risk signals. Some providers are also randomly selected for audit to complement the risk-based audits and support quality assurance.

Find out more about Provider Audits.

Compliance Support

The program has a range of supports available to assist providers to maintain compliance with program requirements. These include the program website, program fact sheets, Contracted Service Provider Notices (CSPN's), user guides, online eligibility checking, lessons learnt reports, self-assessment and annual reports. Guidance is also provided during follow-up actions resulting from audits, complaints or other compliance monitoring.

Find out more about compliance support.

Reimbursements

Both the Act and the Contract require any claims for services that are not provided in accordance with legislation, the Contract or program standards to be reimbursed to the Commonwealth.

Find out more about reimbursements.

Feedback

Providers are given the opportunity to provide feedback on the audit process at the time their audit is closed.

Feedback about any other element of the program’s compliance monitoring approach can be provided by contacting the Department of Health (the Department). Information on how to contact the Department is available on our contacts page. 

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Program Compliance Monitoring and Support (PDF 84 KB)

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