Referral to a Committee

Detailed information on the PSR scheme is published in the document Your Guide to the PSR Process

After reviewing the provision of services by the Person Under Review (PUR), the Director of PSR may set up a Committee and make a referral to it under section 93 of the Health Insurance Act 1973 (Commonwealth).

The Committee's task is to investigate whether the PUR engaged in inappropriate practice in providing the services specified in the referral.

The content and form of the referral must comply with any guidelines made by the Minister (at 15 October 2010, the Minister has not made any guidelines).

The referral must attach a Director's report to the Committee about the services to which the referral relates, giving the reasons why the Director thinks the PUR may have engaged in inappropriate practice.

A copy of the referral and Director's report must be forwarded to the PUR and Medicare Australia within 7 days. The copy provided to the PUR must also set out the terms of the sections dealing with notice of hearings (s102), the Committee's process and its findings (s106H) and sampling (s106K).