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• Indigenous Chronic
  Disease Package
• Tackling Chronic Disease
  Risk Factors
  • National action to reduce Indigenous smoking rate
  • Helping Indigenous Australians to reduce their risk of chronic disease
  • Local Indigenous community campaigns to promote better health
• Improving Chronic Disease
  Management and Follow up
  • Subsidising PBS medicine co-payments
  • Higher utilisation costs for MBS and PBS
  • Supporting primary care providers to coordinate chronic disease management
  • Improving Indigenous participation in health care through chronic disease self management
  • Increasing specialist and allied health follow up care
  • Monitoring and evaluation
• Workforce Expansion,
  Training and Support
  • Workforce education and training
  • Expanding the outreach and service capacity of Indigenous health services
  • Engaging Medicare Locals to improve Indigenous Access to mainstream primary care
  • Attracting more people to work in Indigenous Health
  • Clinical practice and decision support

3. Accessing the Practice Incentives Program (PIP)Indigenous Health Incentive

• General Overview

1. Information for General Practitioners on the Indigenous Chronic Disease Package
2. Patient identification
3. Practice Incentives Program (PIP) Indigenous Health Incentive
4. Aboriginal and Torres Strait Islander health assessment items
5. MBS items overview
6. Chronic disease follow-up services
7. Allied health follow-up services
8. Practice nurses/Registered Aboriginal Health Worker follow-up services
9. Pharmaceuticals Benefit Scheme (PBS) Co-payment measure
10. Care Coordination and Supplementary Services Program (CCSS)

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Who is this document for?

• General practices
• Aboriginal Community Controlled Health Services and other Indigenous Health Services

Background

The PIP Indigenous Health Incentive aims to support general practices and Indigenous Health Services to provide better health care for Aboriginal and Torres Strait Islander patients, including best practice management of chronic disease.

Eligibility¹

To be eligible for the PIP Indigenous Health Incentive sign-on payment, the practice/service must:

• Participate in the PIP; and
• Meet the requirements of the sign-on payment (see reverse side of card).

For more information

Practices/services can phone the PIP Team on 1800 222 032 to confirm whether or not an eligible patient is currently registered with another practice/service. For more information visit http://www.health.gov. au/internet/ctg/publishing.nsf/Content/improvingfrontline- health or http://www.medicareaustralia.gov.au/provider/incentives/pip/index.jsp

Payments and requirements of the PIP Indigenous Health Incentive¹

Component	Payment	Activity required for payment
Sign-on Payment	$1000 per practice/service	One-off payment to practices/services that agree to undertake specified activities to improve the provision of care to their Aboriginal and Torres Strait Islander patients with a chronic disease.
Patient Registration Payment	$250 per eligible patient per calendar year	A payment to practices/services for each Aboriginal and/or Torres Strait Islander patient aged 15 years and over, registered with the practice/service for chronic disease management.
Outcomes Payment Total: up to $250	Tier 1: $100 per eligible patient per calendar year Tier 2: $150 per eligible patient per calendar year	Payment to practices/services for each registered patient for whom a target level of care is provided by the practice/service in a calendar year. Payment to practices/services for providing the majority of care for a registered patient in a calendar year.

Components¹

1. Sign on payment

To sign on for the PIP Indigenous Health Incentive, practices/services are required to:

• Seek consent to register eligible Aboriginal and/or Torres Strait Islander patients for the PIP Indigenous Health Incentive and/or the Pharmaceutical Benefits Scheme (PBS) Co-payment measure with Medicare Australia;
• Establish and use a mechanism to ensure Aboriginal and Torres Strait Islander patients aged 15 and over with chronic diseases are followed up;
• Undertake cultural awareness training by at least two staff (one of whom must be a GP) within 12 months of joining the Incentive (Please note exemptions are outlined in GP Booklet); and
• Annotate PBS prescriptions for Aboriginal and/or Torres Strait Islander patients participating in the PBS Co-payment measure.

2. Patient registration payment

Payable once per patient per year. A payment is made to practices/services for each Aboriginal and/ or Torres Strait Islander patient registered by the practice who:

• is 15 years and over;
• has had, or been offered, a health check;
• has a chronic disease;
• has a current Medicare card; and
• has provided consent to be registered for the PIP Indigenous Health Incentive.

3. Outcome payments

Tier 1 outcome payment – Chronic disease management

$100 per patient paid in the quarter following the provision of required services to practices/services that:

• Prepare GPMP (Item 721) or coordinate the development of TCA (Item 723), and undertake at least one review of the GPMP or TCA (item 732) within the same calendar year; OR
• Undertake two reviews of the patients’ existing GPMP or TCA during the calendar year; OR
• Contribute to the development or review of a multidisciplinary care plan for a patient in a Residential Aged Care Facility (Item 731) on two occasions during the calendar year.

Tier 2 outcome payment – Total patient care

$150 per patient to the practice/service (regardless of where initial registration occurred) that provides the majority of eligible MBS services for the patient (minimum of five MBS item services) during the calendar year (includes Tier 1 services).

More information is available at: http://www. health.gov.au/internet/ctg/publishing.nsf/Content/ improving-frontline-health 1

¹Department of Health and Ageing 2010. Practice Incentives Program: Indigenous Health Incentive Guidelines, March 2010. www.health.gov.au/tackling-chronic-disease

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Page currency, Latest update: 09 December, 2010

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