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Last updated 13 May 2016

Changes to the Practice Incentives Program eHealth Incentive

Published 13 May 2016

epip-change

New Practice Incentives Program (PIP) eHealth Incentive Eligibility Requirements

From May 1 2016, the new eligibility requirement for general practices to contribute shared health summaries to the My Health Record system for their patients will be in place for the PIP eHealth Incentive. A minimum upload of 0.5% of the practice’s standardised whole patient equivalent (SWPE) is required to be eligible for the eHealth Incentive payment. All other PIP obligations and requirements and all other existing incentive requirements remain the same.

To continue to participate in the PIP eHealth Incentive, practices will not be required to reapply. A simpler approach of requiring practices to withdraw from the program if they cannot meet the incentive has been adopted. This has been outlined in a letter sent to all participating practices. Please note practices that no longer wish to participate must withdraw (see below) from the Incentive by 31 July 2016.

Calculating your practice’s minimum shared health summary upload target

You need to calculate your practice’s minimum shared health summary upload target for the quarter ending 31 July 2016 using your previous quarter’s Payment Advice.

Existing PIP practices

For an existing PIP practice the minimum shared health summary upload target is calculated using your practice’s SWPE. Every quarter your practice is sent a Payment Advice which advises your current SWPE count. The SWPE count provided in your last Payment Advice is the SWPE value to be used to calculate your shared health summary upload target for the current quarter. To determine your practice’s minimum upload target, multiply the SWPE in your Payment Advice by 0.5%. Please refer to ‘New and small practices’ below if the SWPE of your practice is less than 1,000. For example, to determine your minimum shared health summary upload target for the May to July 2016 quarter, multiply the practice SWPE provided in your May 2016 Payment Advice by 0.5%. The calculation for a practice with a SWPE of 5,000 would be 5,000 x 0.5% = minimum shared health summary upload target of 25.

New and small PIP practices

If your practice is new to PIP or has a SWPE of less than 1,000 your practice will be given a default SWPE level of 1,000 to determine the minimum number of shared health summaries that are required to be uploaded. This equates to a minimum shared health summary upload target of 5 per quarter. If your practice’s SWPE grows to be more than 1,000 (as per your Payment Advice) the actual SWPE will be what you use to calculate your minimum shared health summary upload target for the next quarter. The default SWPE is only used to calculate your minimum shared health summary upload target and is not used to calculate any PIP payments.

Where the specific target calculated is not a whole number, targets will be rounded down.

Remember to withdraw if you no longer wish to participate

Practices that no longer wish to participate in the eHealth Incentive must withdraw online through the Health Professionals Online Services (HPOS) by 31 July 2016, or the point in time for the quarter that they wish to withdraw from (if withdrawing in the future). Practices that withdraw will be able to re-apply for the eHealth Incentive at any time online through HPOS.

Further support and information

For further information including the full list of requirements, you can download the checklist to help practices prepare for the incentive on the My Health Record website.

For additional contact information, help and support can be found on the My Health Record Website You can also email pip@humanservices.gov.au or call the PIP enquiry line on 1800 222 032 (call charges may apply) for further information.

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Last updated 13 May 2016