Department of Health – PIP QI Incentive Payment Update

The Department of Health has provided the below information for general practices, Aboriginal Medical Services (AMS) and Aboriginal Community Controlled Health Services (ACCHS) registered with the Practice Incentives Program (PIP) Quality Improvement (QI) Incentive program.

Entities that meet the following specifications will receive their payment for the first quarter (August to October 2019) in November 2019:

  • Registered with the Department of Human Services (DHS) to participate in PIP QI by 15 October 2019 and submitted data to their local Primary Health Network (PHN) prior to their PHN’s data submission cut-off date; o
  • Registered with DHS to participate in PIP QI by 15 October 2019 and submitted nKPI data to the Department of Health as required under the Indigenous Australians’ Health Program (IAHP); oRegistered with DHS to participate and had an exemption granted between 1 August and 15 October 2019.

During the first 12 months of transition, entities that meet the below specifications will receive their payment in December 2019:

  • Registered with DHS to participate in PIP QI between 16 October and 31 October 2019 and submitted data to their local PHN by 31 October 2019; or
  • Registered with DHS to participate in PIP QI between 16 October and 31 October 2019 and submitted nKPI data to the Department of Health as required under the Indigenous Australians’ Health Program (IAHP); or
  • Registered with DHS between 1 August and 31 October and applied and had an exemption granted between 16 October and 31 October 2019; or
  • Have not been able to be included in the first tranche assessments (November 2019) due to further work being required to assess their eligibility (i.e. correction of records, review of decisions and other extenuating circumstances).

For a small number of AMS and ACCHS payments, PIP QI eligibility assessments may be delayed where multiple subsidiary organisations are reporting to a singular ‘umbrella’ organisation for the purposes of nKPI reporting.

General practices may have had their payment delayed or withheld due to:

  • Non-compliance with eHealth Incentive requirements (this can affect all PIP payments for a short time)
  • The practice’s accreditation having expired
  • The annual confirmation statement has not been confirmed.

If a practice has not received a payment and feels that there are extenuating circumstances as to why they should have been considered, they may request a Review of Decision through the DNS.

For more information, contact Practice Assist on 1800 227 747 or email practiceassist@wapha.org.au