This programme is a collaboration between Te Runanga o Kirikiriroa (Facilitation Service) and general practices.
Funding is specifically targeted to people who are in emergency or transitional housing or homeless within inner city Hamilton and are engaged with Te Runanga o Kirikiriroa. The aim is to re/engage these people with general practice when they are unwell rather than them presenting to the emergency department. The secondary aim is for this population to then enrol with a practice.
Te Runanga o Kirikiriroa will employ a facilitator to work with social agencies and their clients. If the client needs a GP appointment, the facilitator works with the client and the practice to arrange an appointment.
Your Pinnacle Services Contract applies to this service. By claiming for this service, you have indicated that you have read and agreed to the business rules set out here.
This is NOT a clinical guideline.
Any practice in the Hamilton City area that has agreed to partner with Te Runanga o Kirikiriroa (Facilitation Service), can offer and claim for this service.
Practices wishing to participate in this programme can contact either the practice system support team or the primary options team.
Funding is available for GP/NP consultatio, follow up and prescription renewal. All appointments will be pre-arranged by the Te Runanga o Kirikiriroa facilitator.
Patients funded under this service will not be charged a prescription fee for any publicly funded medications, provided the prescription is annotated with the code TKMP
Patients engaged with Te Runanga o Kirikiriroa facilitator who have had an appointment pre-arranged
Unenrolled patients self-presenting to general practice.
Please note if a claim is made for a patient not pre-approved by the Te Runanga o Kirikiriroa facilitator, it will be declined.
Please note if a claim is made for a patient not pre-approved by the Te Runanga o Kirikiriroa facilitator, it will be declined.
The prices listed below are GST inclusive.
Emergency Housing Programme: Initial GP/NP consultation (unenrolled) (one only): $148.35
Emergency Housing Programme: Initial GP/NP consultation (enrolled) (one only): $92.71
Emergency Housing Programme: Follow-up (unenrolled) (two only): $74.75
Emergency Housing Programme: Follow-up (enrolled) (two only): $57.50
Note follow up cannot be claimed for patients aged under 14 years.
Emergency Housing Programme: Renewal of prescription $23
These consultations cover all time and consumables and there can be no extra charge to the patient.
Submit your referral via Primary Options using the initial condition coding: Emergency Housing Programme
When invoicing for the service please lodge an ‘outcome and invoice’ form and select the appropriate invoice(s).
If the patient meets POAC criteria, please initiate a separate referral for any invoices claimed under that POAC pathway.
Patients funded under this service will not be charged a prescription fee for any publicly funded medications, provided the prescription is annotated with the code TKMP
Practices are required to provide sufficiently detailed consultation notes to determine appropriate use of funding.
Yes, please claim as usual for cases where a patient presents acutely unwell, and the treatment provided in general practice is preventing an admission to the emergency department.
If the patient meets POAC criteria, please initiate a separate referral for any invoices claimed under that POAC pathway.
No. A patient co-payment cannot be charged.
Patients funded under this service will not be charged a prescription fee for any publicly funded medications, provided the prescription is annotated with the code TKMP
The episode of care ends when the outcome and claim are submitted.
Payment will be made once an outcome has been lodged for the case.
The service is funded by Te Whatu Ora.
Primary options team, Pinnacle Midlands Health Network
infoprimaryoptions@pinnacle.health.nz
027 687 7312
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