Procedural GP Payment and requirements

The Procedural GP Payment has 4 tiers of payments.

The tiers are not cumulative and each individual GP can only qualify for 1 tier per reference period.

Tier Activity required for payment

Tier 1

$1,000 per procedural GP per 6 month reference period

A GP must provide at least 1 of the following procedural services in the 6 month reference period:

  • obstetric delivery
  • general anaesthetic
  • major regional blocks
  • abdominal surgery
  • gynaecological surgery requiring general anaesthetic, and
  • endoscopy

Tier 2

$2,000 per procedural GP per 6 month reference period

A GP must:

  • meet the Tier 1 requirements, and
  • provide after hours procedural services on a regular or rostered basis - 15 hours per week on average, either on call or on a roster, throughout the entire 6 month reference period, except for the first reference period when they apply.

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Tier 3

$5,000 per procedural GP per 6 month reference period

A GP must:

  • meet the Tier 2 requirements, and
  • provide 25 or more eligible surgical, anaesthetic, or obstetric services in the 6 month reference period

Tier 4

$8,500 per procedural GP per 6 month reference period

A GP must:

  • meet the Tier 2 requirements, and
  • deliver 10 or more babies in the 6 month reference period

If a sole GP in a community delivers less than 10 babies, but meets the obstetric needs of the community, the practice may qualify for a Tier 4 payment.

The practice will need to show that it is delivering all the babies in the community to be eligible for this payment.

Practices with more than 1 GP can’t combine the number of deliveries in the practice to qualify for this tier.

Practices with exceptional circumstances should contact us. We will consider their circumstances on a case by case basis.

Limits

There is no limit to the number of procedural GPs who can generate payments for a practice. However, to be eligible for a payment, GPs must:

  •  individually meet the requirements of the tier, and
  •  be at the practice at the point in time date before the payment month

Practices with more than 1 GP performing procedural services can’t combine the number of services to receive a payment.

GP’s who perform procedural services at more than 1 PIP practice must tell us which practice the payment should go to, they can’t claim procedural services for more than 1 practice at a time.

Read more about the PIP payment types.

Page last updated: 5 July 2018