Each incentive falls under a payment stream with 3 different types of payments.
The PIP streams are:
The type of payments are:
- Practice payments are made to practices contributing to quality care.
- 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.
- 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 1a: payment to GPs for providing at least 60 eligible Medicare Benefits Schedule services in residential aged care facilities in the financial year | $2,000 per financial year |
| Tier 1b: payment to GPs for providing at least 100 eligible Medicare Benefits Schedule services in residential aged care facilities in the financial year | $2,500 per financial year | |
| Tier 2a: payment to GPs for providing at least 140 eligible Medicare Benefits Schedule services in residential aged care facilities in the financial year | $2,500 per financial year | |
| Tier 2b: payment to GPs for providing at least 180 eligible Medicare Benefits Schedule services in residential aged care facilities in the financial year | $3,000 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 |
| COVID-19 Vaccine General Practice Incentive | Payment to support general practices participating in Australia’s national COVID-19 vaccine roll out to provide 2 doses of a COVID-19 vaccine to their patients | $10 per eligible patient |
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 |