New General Practice Aged Care Incentive MBS User Guide + video series

Primary Health Networks (PHNs) have a long-standing history of supporting local general practices. Across Australia, practices have expressed the need for a user guide on Medicare Benefits for the General Practice in Aged Care Incentive (GP ACI).

Download GP ACI User Guide

This new resource will help General Practices plan their delivery of care for the incentive and provide examples of how to use MBS items to meet incentive requirements.

There are three main general practice Sample schedules (pages 3-8) reflected in this user guide:

1) Responsible Provider Only- where a single GP delivers all care to the resident.

2) Responsible Provider + Alternative Provider- where other members of the practice team also deliver care to the resident including other GPs, Prescribed medical practitioners and Nurse practitioners.

3) Responsible Provider + Other care team members – where other members of the practice team also include visits delivered by practice nurses or Aboriginal health workers, in addition to other GPs, prescribed medical practitioners and nurse practitioners.

The guide incorporates a variation of sample schedules that describe how telehealth items could be billed for practices in MMM 4 – 7. The guide also includes Example Annual Cycle including estimated billings (pages 11 -14) to support your practice to deliver the proactive and regular planned care required to meet the General Practice in Aged Care Incentive. PHNs across the country have collaborated to design this user guide and continue to work as a connected network to support local change management in primary care for MyMedicare.

There are a range of ways your practice could use the guide including:

1) Identify the Sample Schedule and Example Annual Cycle billing scenario that best suits your practice team and setting. Print these or share them with your practice team to inform care planning for the General Practice in Aged Care Incentive.

2) Review your historical billing practices for Residential Aged Care Home patients and use the guide to develop a quick PDSA (Plan – Do – Study – Act) to identify any improvements you could make to billing and care practices.

3) Plan care for your residential aged care patients 3 – 6 months ahead by booking appointments for residential aged care visits each month using the Example Annual Cycle as a guide. Consider how you can group visits to a residential aged care home in your practice booking system to maximize efficiency of clinician time.

4) Meet with your practice team to review the guide and identify opportunities for practice nurses, Aboriginal health workers, and other doctors to support or deliver care. For example, could practice nurses collaborate with doctors during aged care visits to enhance care planning, making the visit more efficient for your practice, residential aged care homes, and the patients who reside there?

Like general practice, PHNs are committed to quality improvement, and we welcome feedback on this resource. Please provide all feedback to mymedicaresupport@mphn.org.au by Wednesday 18 September 2024. The National PHN MyMedicare Implementation Program will then review the resource and release an updated version incorporating suggestions and ideas from practices across Australia.

Short video series

The following short (2 - 5 minute) video series produced by South East Melbourne PHN featuring Dr Billy Stoupas quickly explains MyMedicare and the General Practice in Aged Care Incentive from the perspective of a GP.

Patient information about MyMedicare

Patient brochures- mymedicare-dl-brochure.pdf (health.gov.au)

Patient videos- Introducing MyMedicare | Australian Government Department of Health and Aged Care

Registering in MyMedicare | Australian Government Department of Health and Aged Care

Other useful links and information

MyMedicare common errors resource (Brisbane North PHN) -https://practicesupport.org.au/web/assets/images/MyMedicare-common-Errors-Resource.pdf

Step-by-step guidance: MyMedicare and GPACI program and patient registration (Healthy North Coast) - https://hnc.org.au/primary-care-impact-topics/mymedicare-and-gpaci-program-and-patient-registration/

GPACICristy Houghton