What claims are eligible

An AH HCCS application can only be made for eligible claims against certain allied health professionals. Applications can only be submitted by a representative of an eligible MII or MDO.

Eligible claims

A claim may be eligible if it is made against a person who is 1 of the following:

  • an allied health professional
  • a midwife engaged as an employee to practise as a midwife.

They must be:

  • registered with the Australian Health Practitioner Regulation Agency (AHPRA)
  • indemnified under an insurance policy with an eligible MII or MDO.

The claim must relate to an incident or series of incidents:

  • in connection with the practice by the practitioner of an allied health profession or the midwife engaged as an employee
  • that occurred on or after 1 July 2020.

Incidents that occurred before 1 July 2020 may be eligible under the High Cost Claim Indemnity Scheme.

The eligible claim value must be more than the AH HCCS threshold of $500,000.00.

If you have an eligible claim, read about how to apply for payment under the AH HCCS.

Page last updated: 10 December 2021