Government funding update - Extending access to primary care
10 Oct 2018
Several changes will take place from 1 December 2018 to
provide people with greater access to primary care services.
The changes are
part of Budget 2018 and include extending:
- access to low-cost general practice visits to
all CSC holders, including injury-related visits (ACC)
- community services card (CSC) eligibility to all
people receiving the accommodation supplement or who are tenants in social
- zero-fee general practice visits and exemption
from the standard prescription co-payment charge (usually $5 per item) on
subsidised prescription items for children under the age of 14. This includes
after-hours services and injury-related visits (ACC).
These initiatives are included within the PHO Services
Agreement. The changes provide additional subsidies to enable practices to
charge patients no more than $18.50 for enrolled adults and $12.50 for enrolled
youth aged 14-17 for a standard day time nurse or GP consultation.
Countdown to funding changes
There are a number of practical steps that need to be taken to enable the implementation of the Government's primary care initiatives for 1 December. Here's our checklist to help you prepare.
MOH posters and information sheets for the public
MOH funding change bulletins
Non-Very Low Cost Access (VLCA) practices had the option to:
- opting in
to the CSC initiative. The CSC
initiative applies to a standard daytime consultation with a GP or nurse at the
usual practice where the patient is enrolled. After-hours and casual
consultations are excluded from this policy.
out of zero fees for under-14s. Practices that are currently providing zero
fees for under-13s will be automatically included in the under-14s programme.
If a practice wishes to opt out of under-14s, they will also be opting out of the
zero fees programme covering the 0-13 age group.
VLCA practices will be paid capitation for enrolled CSC holders at the same rates as non-VLCA practices. This will be accompanied by other changes to capitation for VLCA practices that are all included in the practice financial modelling. These changes will take place automatically, no action is required.
For more information
It's very likely you will have questions, please contact your
practice support person in the first instance. We'll be working closely with
the MOH implementation team and feeding back all your questions.
updates will be provided via our weekly newsletter and website. We'll also make
all MOH bulletins available as they are released (see above).