Department of Home Affairs

Medical Officer Of The Commonwealth (moc) Advice Pack Dated January 2026 And Related Medical Assessment Documents ​​

FA 26/02/01597 Released 81 pages PDF

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The Department of Home Affairs released a comprehensive Medical Officer of the Commonwealth (MOC) Advice Pack from January 2026, serving as guidance for medical assessments in immigration visa processing. The 61-page document provides detailed protocols for evaluating public health threats, including tuberculosis assessment procedures (utilizing Initial Medical Examination and GeneXpert testing), blood-borne virus screening, and protocols for onshore protection visa applicants and Medical Treatment visa holders. It establishes frameworks for applying the Significant Cost Threshold test to determine financial impacts of visa applicants' medical conditions on Australian health services, prejudice-to-access assessments for services in short supply, and age-milestone medical examination requirements. The pack also covers non-standard assessments including Health Status Assessments (Form 1389), Fitness to Depart evaluations (Form 1148), and Carer Visa medical assessments, alongside procedures for Health Undertakings related to tuberculosis and other conditions. References to provisional visa subclasses including Subclass 491 (Skilled Work Regional) indicate scope across multiple visa categories.

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