Types of payments

There are 3 payment streams under the Practice Incentives Program (PIP).

Each incentive falls under a payment stream with 3 different types of payments.

The PIP streams are:

The type of payments are:

  1. Practice payments are made to practices contributing to quality care.
  2. Service incentive payments are made to GPs to recognise and encourage them to provide specified services to individual patients. The Aged Care Access Incentive is a service incentive payment, paid to the GP's nominated account.
  3. Rural loading payments are made to practices whose main practice location is outside a capital city or other major metropolitan centre.

PIP Quality stream

Incentive Aspect or Activity Payment amount
Indigenous Health Incentive Sign on payment: once only payment to practices that agree to undertake specified activities to improve the provision of care to their Aboriginal and/or Torres Strait Islander patients with a chronic disease $1,000 per practice
Patient registration payment: payment to practices for each Aboriginal and/or Torres Strait Islander patient aged 15 years and over who is registered with the practice for chronic disease management $250 per eligible patient per calendar year
Outcomes payment Tier 1: payment to practices for each registered patient for whom a target level of care is provided by the practice in a calendar year $100 per eligible patient per calendar year
Outcomes payment Tier 2: payment to practices for providing the majority of care for a registered patient in a calendar year $150 per eligible patient per calendar year
Quality Improvement Incentive A payment to practices to undertake continuous quality improvement through the collection and review of practice data $5.00 per SWPE capped at $12,500 per quarter

PIP Capacity stream

Incentive Aspect or Activity Payment amount
After Hours Incentive Level 1: Participation
Practices must meet the requirements of Level 1 to qualify for payment at this level
$1 per SWPE
Level 2: Sociable after hours cooperative coverage
Practices must meet the requirements of Level 2 to qualify for payment at this level
$4 per SWPE
Level 3: Sociable after hours practice coverage
Practices must meet the requirements of Level 3 to qualify for payment at this level

$5.50 per SWPE

Level 4: Complete after hours cooperative coverage
Practices must meet the requirements of Level 4 to qualify for payment at this level
$5.50 per SWPE
Level 5: Complete after hours practice coverage
Practices must meet the requirements of Level 5 to qualify for payment at this level
$11 per SWPE
Aged Care Access Incentive Tier 1: payment to GPs for providing at least 60 eligible Medicare Benefits Schedule services in residential aged care facilities in the financial year $1,500 per financial year
Tier 2: payment to GPs for providing at least 140 eligible Medicare Benefits Schedule services in residential aged care facilities in the financial year $3,500 per financial year
eHealth Incentive Practices must meet each of the requirements to qualify for payments through this incentive $6.50 per SWPE capped at $12,500 per practice per quarter
Teaching Payment Payment for teaching medical students to a maximum of 2 sessions per GP per day $200 per session

PIP Rural support stream

Incentive Aspect or activity Payment amount
Procedural GP Payment Tier 1: Payment for a GP in a rural or remote practice who provides at least 1 procedural service, which meets the definition of a procedural service, in the 6-month reference period $1,000 per procedural GP per 6 month reference period
Tier 2: Payment for a GP in a rural or remote practice who meets the Tier 1 requirement and provides after-hours procedural services on a regular or rostered basis (15 hours per week on average) throughout the 6-month reference period $2,000 per procedural GP per 6 month reference period
Tier 3: Payment for a GP in a rural or remote practice who meets the Tier 2 requirements and provides 25 or more eligible surgical, anaesthetic or obstetric services in the 6-month reference period $5,000 per procedural GP per 6 month reference period
Tier 4: Payment for a GP in a rural or remote practice who meets the Tier 2 requirements and delivers 10 or more babies in the 6 month reference period or meets the obstetric needs of the community $8,500 per procedural GP per 6 month reference period
Rural loading Incentive Payment for a practice whose main location is outside a metropolitan area, based on the Rural, Remote and Metropolitan Area (RRMA) Classification. Once all incentive payments are added the rural loading amount is applied. RRMA 3 - 15% loading
RRMA 4 - 20% loading
RRMA 5 - 40% loading
RRMA 6 - 25% loading
RRMA 7 - 50% loading

Page last updated: 28 May 2020