• Sign on payment - $1000 per practice. A once-off sign-on payment.
• Annual Patient registration payment - $250 per eligible patient per year. 
• Outcomes Payment – up to $250

2.  What are the benefits for the ATSI patient?

• Better management of their chronic disease and overall health in a culturally safe environment.  
• Patient has access to 5 extra allied health services (MBS Items 81300-81360) per calendar year and 10 follow-up services (MBS item 10987).
• Must use a specific GP referral form 
• If patient also has a GPMP & TCA – another 5 allied health services per calendar year.
• Cheaper medicines – (with registration under the PBS copayment scheme) concessional price (under $6) or free if patient has a concession card.

3.   Where to start? - A brief guide for General Practice

• Fill in PIP Indigenous Health Incentive application form and fax to medicare on 1300 587 696.
• Agree to seek consent from all ATSI patients with a chronic disease aged 15 and over to register for the Indigenous Health Incentive and/or PBS Co-payment. Consent Form
• The patient must have a medicare card.
• Establish a recall & reminder system for all ATSI patients with a chronic disease.
• Conduct or at least offer an ATSI Health Check – Item 715 annually.  
• Two staff from the Practice to attend cultural safety training within 12 months of registration for IHI PIP incentive. (one of whom must be a GP)
• Links to Online Cultural Safety Training Options RACGP & Centre of Cultural Competence Australia
• Annotate PBS prescriptions for ATSI patients participating in the PBS Co-payment.
• Fact Sheet Information for General Practitioners PBS Copayment Measure
• CTG in Medical Director

• Current evidence suggests there is substantial under-identification of ATSI patients attending general practice.
• Involve Aboriginal outreach worker to encourage patients to provide information on IHI and  provide support to  complete consent forms
• Review the patient registration process, is the national standard identifying question “Are you of Aboriginal and or Torres Strait Islander origin"?
• Staff to be aware of the importance of identifying the ATSI patients in the Practice in order to access the benefits of the incentives available to them to improve their health outcomes.
• ATSI self identification poster for reception staff
• phone the PIP team on 1800 222 032 to find out if an eligible patient is currently registered with another practice.
• The Indigenous Health Incentive registration only lasts for a calendar year. Recall annually to complete a new registration form for $250 payment.
• The PBS Co-payment registration only has to be done once. This payment is intended to benefit ATSI people of any age who are eligible under the criteria.
• Patients can withdraw consent at any stage, they will need to complete a Patient Withdrawal of Consent Form
• The $250 registration payment will be paid to the Practice that registers the patient first.

• GP to fill in and sign patient registration form Registration Form – fax to Medicare on 1300 587 696 to get $250 payment for that year.
• Give patient a copy of the ‘Closing the Gap’ PIP patient  information sheet.
• Conduct an ATSI health check – item 715 - $204.20.
• Extra MBS items for followup provided by Practice Nurses MBS 10987
• Five Allied Health services available after ATSI health check 81300-81360
• Enter recall for annual Health check in 12 months and to reregister for IHI.
• If has chronic disease & indicated, undertake GPMP or TCA and Allied Health Referrals MBS Items 10950-10970
• Extra MBS items for followup by Practice Nurse MBS Items 10997
• If client has complex chronic disease and would benefit from care coordination services refer to Care Coordinator at GP down south 
• If clients are not attending appointments contact  Outreach worker at GP down south  to followup