Each incentive falls under a payment stream with 3 different types of payments.
The PIP streams are:
The type of payments include any of the following:
- practice payments, made to practices contributing to quality care
- service incentive payments, made to GPs to recognise and encourage them to provide specified services to individual patients
- rural loading payments, 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. This is a once only payment. Practices agree to undertake specified activities to improve the care of their Aboriginal and Torres Strait Islander patients with a chronic disease or mental disorder. | Refer to the PIP IHI Guidelines to find out about the payment amount. |
| Patient registration payment. This is a payment to practices for each eligible Aboriginal and/or Torres Strait Islander patient aged 15 years or over. | ||
| Outcome payment Tier 1. A payment to practices that meet the requirements of the Tier 1 Outcome payment within a 12 month assessment period. | ||
| Outcome payment Tier 2. A payment to practices for providing a target level of care for a registered patient within a 12 month assessment period. | ||
| 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 payment Practices must meet the requirements of Level 1. This includes having formal arrangements in place to ensure patients have access to care in the complete after hours period. |
$1 per SWPE |
| Level 2: Sociable after hours cooperative coverage Practices must meet the requirements of Level 2. This includes participating in a cooperative arrangement and other formal arrangements. This is to make sure patients have access to care in the sociable and unsociable after hours periods. |
$4 per SWPE | |
| Level 3: Sociable after hours practice coverage Practices must meet the requirements of Level 3. This includes providing after hours care directly through the practice and through formal arrangements. |
$5.50 per SWPE | |
| Level 4: Complete after hours cooperative coverage Practices must meet the requirements of Level 4. This includes participating in a cooperative arrangement. This makes sure patients have access to care throughout the complete after hours period. |
$5.50 per SWPE | |
| Level 5: Complete after hours practice coverage Practices must meet the requirements of Level 5. This includes the practice providing after hours care directly to patients throughout the complete after hours period. |
$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 to practices for providing teaching sessions to medical students. Practices can claim payment for up to 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 in the 6 month reference period. The service must meet the definition of a procedural service. | $1,000 per procedural GP per 6 month reference period |
|
Tier 2: Payment for a GP in a rural or remote practice who meets both:
|
$2,000 per procedural GP per 6 month reference period | |
|
Tier 3: Payment for a GP in a rural or remote practice who both:
|
$5,000 per procedural GP per 6 month reference period | |
Tier 4: Payment for a GP in a rural or remote practice who both:
|
$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 |