Practice Incentive Program

The intention of the Practice Incentive Program (PIP) is to recognise general practices that provide comprehensive, quality care. To qualify for the PIP practices must be accredited, or working towards accreditation, against the Royal Australian College of General Practitioners' (RACGP) Standards for General Practices.

The PIP is part of a blended payment approach for general practice. Payments made through the program are in addition to fee for service income. Payments are calculated according to various formulae that take into account factors, such as practice size and patient demographics.

All PIP payments (excluding teaching and procedural gp) are paid according to the Standardised Whole Patient Equivalent (SWPE) for the practice. The SWPE is essentially the proportion of care provided by the practice to patients attending the practice during the reference period.

Medicare Australia will automatically calculate a practice's entitlement for payments based on information provided in the application form and subsequent amendments. In some cases (such as teaching of medical students) practices need to supply additional information as it becomes available. PIP payments occur in February, May, August and November of each year.

PIP payments are made to the whole practice, in contrast to Service Incentive Payments (SIP), which are made to the individual provider of the service. SIP payments are associated with the completion of the diabetes annual cycle of care, completion of the asthma cycle of care, and with cervical screening performed on under screened women (no pap smear in the previous 4 years).

SIPs are paid in addition to the normal Medicare benefit for the particular items and require specific trigger MBS item numbers to be billed. SIPs are paid quarterly in February, May, August and November.

More information and a complete list of PIP payments available can be found on the Department of Human Services website.