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Incentive Payments Draft

Practice Incentives Program (PIP)

The Practice Incentives Program (PIP) aims to support general practices to:

  • continue providing quality care;
  • enhance capacity; and
  • improve access to health outcomes for patients.

The program is administered by Services Australia on behalf of the Australian Government Department of Health. To participate in the PIP, practices must meet the PIP eligibility requirements and apply for approval.

PIP frequently asked questions (FAQs)

What do I need to do to be eligible?

To be eligible to participate in the PIP, you must be:

  • a general practice;
  • an Aboriginal Medical Service (AMS); or
  • an Aboriginal Community Controlled Health Service (ACCHS).

Your organisation must:

  • be a general practice as defined by RACGP;
  • meet the PIP definition of an open practice (where on or more registered medical practitioners provide face-to-face medical or health services to patients at a physical location);
  • maintain at least $10 million in public liability insurance cover for the main location and each additional practice locations. Legal liability is not public liability;
  • make sure all general practitioners and nurse practitioners have the required professional indemnity insurance cover as set out by their respective National Board’s Registration standard: Professional indemnity insurance arrangements;and
  • be accredited, or registered for accreditation, as a general practice against the RACGP Standards for general practices (the Standards). Accreditation must:
    • cover the entire quarter the practice is applying in;
    • continue to be maintained; and
    • if registered for accreditation, be accredited against the RACGP Standards within 12 months of joining the PIP. This is irrespective of any extensions given on the registered for accreditation certificate.

How can I apply for the PIP program?

The easiest way to apply is through the Health Professional Online Services (HPOS) portal.

How do I register for Provider Digital Access (PRODA) and link it to Health Professionals Online Services (HPOS)?

PRODA is like mygov for individuals, but for providers.

Register for Provider Digital Access (PRODA) to access Health Professionals Online Service (HPOS). PRODA is an identity verification and authentication system used to access government online services. PRODA is replacing Public Key Infrastructure (PKI) individual certificates.

Health professionals and their delegated users, such as practice staff can access HPOS with their username, password and verification code after registering for a PRODA account.

Who do I contact if I want more information about the PIP Program?

Contact Services Australia PIP enquiry line on 1800 222 032.
Email: pip@servicesaustralia.gov.au
Visit Services Australia website

How does my practice get accredited?

Visit our Accreditation page for more information.

When are incentives paid?

PIP payments are made quarterly. Practices need to ensure they opt out of individual payment quarters online by the point-in-time date when they determine they won’t meet the requirements. The point in time date correspondents to the last day of the month before next PIP quarterly payment. To view the dates, click here.

Is your practice located in Rural, Remote and Metropolitan Area 3-7 location?

A locator map to identify a medical practice's Rural, Remote and Metropolitan Area (RRMA) location is available at the DoctorConnect website.

Where do I find my PIP ID?

When you apply to participate in the PIP Program your organisation receives a Practice Incentive Program ID (PIP ID). You can find your PIP ID by Logging into your HPOS or you may have received a letter from Services Australia.

What is a Standardised Whole Patient Equivalent (SWPE)?

The SWPE is a measure of practice size. The SWPE value is based on Medicare Benefits Schedule (MBS) billed care provided by all general practitioners in a practice.

The SPE table may provide some guideline on the payments available, based on the practice SWPE. Click here to view the table.

Where do I find out what is my practice SWPE is?

Login into your HPOS to see what your current SWPE is for your practice.

How do I withdraw from the PIP?

Your practice can withdraw from the PIP online through HPOS.

What information does my practice need to provide the PHN for the purpose of PIP QI?

Your practice needs to:

  • provide your PIP ID (this can be obtained through HPOS or by calling the PIP helpline); and
  • discuss your data sharing approach with our Primary Care Liaison Team to ensure compliance.

Workforce Incentive Program (WIP)

The Workforce Incentive Program (WIP) offers financial incentives to encourage medical[AJ1] practices to deliver services in rural and remote areas. The WIP has replaced the Practice Nurse Incentive Program (PNIP) and the General Practice Rural Incentives Program (GPRIP).

Under the WIP:

Practices and medical practitioners participating in GPRIP and PNIP incentives were automatically transitioned to the WIP.

WIP - Practice Stream


Eligible practices in all locations can receive incentive payments based on practice size and the hours worked by the health professionals at the practice. A rural loading is applied on top of WIP – Practice Stream incentive payments in recognition of the difficulties rural and regional areas face attracting and retaining health professionals. A rural loading of 20-50% will be applied to incentive payments to practices located in MM 3-7. Payments are made directly to general practices.

The WIP – Practice Stream includes:

  • quarterly incentive payments to engage eligible health professionals;
  • a rural loading of up to 50%; and
  • an annual loading for practices providing general practitioner services to Veterans’ Affairs (DVA) Gold Card holders.

The amount of incentive payments a practice receives depends on the:

  • practice size;
  • type of eligible health professionals;
  • average hours eligible health professionals work each week; and
  • type of practice and its location.

Eligible practices in all locations can receive incentive payments of up to $125,000 per year.

WIP - Doctors Stream


Medical practitioners located in Modified Monash (MM) categories 3-7 can receive an annual payment based on services provided within eligible locations and the length of time a doctor has been on the program. Payments are made directly to medical practitioners.

Medical practitioners located in MM3-7 categories can receive an annual payment of between $4,500 and $60,000, depending on the location.

WIP frequently asked questions (FAQs)

What is Modified Monash Model and how do I know my practice’s classification?

The Modified Monash Model (MMM) is the classification system used to define whether a location is city, rural, remote, or very remote. The model measures remoteness and population size on a scale of Modified Monash (MM) category MM1 to MM 7, where MM 1 is a major city, and MM 7 is very remote.

Use the DoctorConnect Health Workforce Locator map to determine your practice's classification.

What is included into WIP – Practice Stream?

  • Practices within Modified Monash (MM) 3-7 locations are eligible for a rural loading, with different levels of rural loading applied depending on the rurality of the practice.
  • Practices in all locations are able to engage allied health professionals. The restriction to engage allied health professionals in Urban Areas of Workforce Shortage have been removed.
  • Nurse practitioners and pharmacists (non-dispensing) are included as eligible health professionals.
  • Incentives are paid quarterly and directly to participating practices
  • Registered nurses, enrolled nurses and Aboriginal and Torres Strait Islander health workers and health practitioners are eligible health professionals that can be engaged in all locations.
  • Aboriginal Medical Services and Aboriginal Community Controlled Health Services will continue to receive up to 50% loading on their Standardised Whole Patient Equivalent (SWPE) value.
  • Eligible practices in all locations can receive incentive payments of up to $125,000 per year. The incentive payment amount depends on practice size and the hours worked by the health professionals at the practice.

Which practices will be eligible to receive rural loading?

All practice locations are eligible for WIP - Practice Stream payments. However only those practices located in MM 3 to MM 7 qualify for the following rural loadings:

  • MM3 – 20%
  • MM4 – 30%
  • MM5 – 30%
  • MM6 – 50%
  • MM7 – 50%

How do I join to participate in the WIP – Practice Stream?

You can apply online via HPOS

Read the WIP – Practice Stream HPOS User Guide for more information.

Can I use my PIP profile for WIP- Practice Stream profile?

Your practice needs to be a PIP consenting practice. This means that your practice consents for some PIP information to be used for the WIP – Practice Stream. This information includes:

  • practice name and main address;
  • eligibility details, such as accreditation, public liability insurance, and indemnity insurance;
  • bank account details;
  • contact details;
  • location details;
  • ownership details;
  • general practitioner and nurse practitioner details; and
  • your SWPE for the WIP - Practice Stream calculations.

Your practice IDs are the same, when you are a PIP consenting practice. Practice details only need to be updated in your PIP profile for them to be updated in your WIP - Practice Stream profile.
If your practice is a PIP consenting practice, it must remain eligible in the PIP as part of its eligibility criteria for the WIP - Practice Stream.

Where can I find more information about the WIP?

For further information, visit Department of Health Workforce Incentive Program (WIP) website
OR
Phone: PIP Enquiry Line 1800 222 032
Email: wippractice@servicesaustralia.gov.au

Where do I confirm Quarterly Confirmation Statement (QCS) for the Workforce Incentive Program (WIP) – Practice Stream through HPOS?

Resources

Need support?

Contact our Primary Care Liaison Team via:

Email: practicesupport@ddwmphn.com.au
Phone:
07 3202 4433