Practice Incentives Program

Payments under the PIP Capacity stream

The table explains the payments under the Practice Incentives Program Capacity stream.

eHealth Incentive

The table below shows the requirements and payment amounts for eHealth Incentive.

Aspect or Activity Payment amount
Practices must meet each of the requirements to qualify for payments through this incentive $6.50 per SWPE capped at $12,500 per practice per quarter

For the purpose of eHealth requirement 5 (iii):

  • the SWPE count in your last Payment Advice is the SWPE value for calculating 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%
  • 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. The default SWPE is not used in any PIP payment calculations.

Teaching payment

The table below shows the requirements and payment amounts for the teaching payment.

Aspect or Activity Payment amount
Payment for teaching medical students to a maximum of 2 sessions per GP per day $100 per session provided before 1 January 2015
$200 per session provided after 1 January 2015

Aged Care Access Incentive

The table below shows the requirements and payment amounts for Aged Care Access Incentive.

Aspect or Activity Payment amount
Tier 1: payment to GPs for providing at least 60 eligible Medicare Benefits Schedule services in residential aged care facilities in the financial year $1,500 per financial year
Tier 2: payment to GPs for providing at least 140 eligible Medicare Benefits Schedule services in residential aged care facilities in the financial year $3,500 per financial year

After Hours Incentive

The table below shows the requirements and payment amounts for After Hours Incentive.

Aspect or Activity Payment amount
Level 1: Participation
Practices must meet the requirements of Level 1 to qualify for payment at this level
$1 per SWPE
Level 2: Sociable after hours cooperative coverage
Practices must meet the requirements of Level 2 to qualify for payment at this level
$4 per SWPE
Level 3: Sociable after hours practice coverage
Practices must meet the requirements of Level 3 to qualify for payment at this level
$5.50 per SWPE
Level 4: Complete after hours cooperative coverage
Practices must meet the requirements of Level 4 to qualify for payment at this level
$5.50 per SWPE
Level 5: Complete after hours practice coverage
Practices must meet the requirements of Level 5 to qualify for payment at this level
$11 per SWPE

For the purposes of After Hours:

  • standardised Whole Patient Equivalent (SWPE) is a measure of practice size and includes a weighting factor for the age and gender of patients. As a guide, the average full-time GP has a SWPE value of around 1,000 SWPEs annually
  • payments for each level are capped at a maximum of 20,000 SWPE per eligible practice
This information was printed Monday 20 May 2019 from https://www.humanservices.gov.au/organisations/health-professionals/services/medicare/practice-incentives-program/managing/payments-under-pip-capacity-stream It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.humanservices.gov.au/individuals/site-notices when using this material.

Page last updated: 28 February 2019