This funding supports the community-based management of positive COVID-19 patients in line with the Ministry of Health guidelines.
No simultaneous claiming against any other funding stream can be made.
View previous claiming criteria.
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.
All practices in the Tairāwhiti region.
Positive COVID-19 patients.
All claiming options require additional eligibility. Please see the claiming criteria outlined below.
All services are provided at no cost to the patient. If the claim cannot be funded by this service, the patient may be liable to the practice for the fees incurred. Prices are GST inclusive.
Please make your claim via Primary Options by selecting Positive COVID-19 Care and then attaching the following invoices as appropriate.
No simultaneous claiming against any other funding stream can be made.
Proactive initial assessments
Proactive initial assessments are only funded for those who are eligible for anti-viral medications.
This funding includes the cost of initiating/prescribing antiviral medications.
Please indicate in your clinical notes which of the eligibility criteria the patient meets.
Please note that while there is additional funding for care provided after hours, most care is intended to be undertaken during business working hours (weekdays) with after hours and weekend assessments based on specified clinical need. Please ensure your notes indicate the date/time of day for any after-hours claims.
Pharmacy anti-viral support
Funding to enable prescribers to support pharmacists with the provision of anti-viral medications. This must be pharmacy initiated.
All of these invoices are packages of care i.e. they include allocation for staff time as well as consumables, they cannot be claimed along with any other claims.
Practices are required to provide sufficiently detailed consultation notes to determine appropriate use of funding.
It has been recommended that in addition to a good assessment and history, the full range of appropriate observations should be documented. It is important to state the time of consultations and interactions with the patient.
Please indicate in your clinical notes which of the eligibility criteria the patient meets, as well as documenting their symptoms/condition.
Please note that while there is additional funding for care provided after hours, most care is intended to be undertaken during business working hours (weekdays) with after hours and weekend assessments based on specified clinical need. Please ensure your notes indicate the date/time of day for any after-hours claims.
There is to be no co-payment charge to the patient.
Once the episode of care is completed and the patient is no longer acutely unwell, they exit the programme.
Once the patient exits the programme, the case requires a clinical outcome to be lodged. No payment can be made for any claims unless the outcome is completed.
The service is funded by Te Whatu Ora.
Primary options team, Pinnacle Midlands Health Network
infoprimaryoptions@pinnacle.health.nz
027 687 7312
View the COVID-19 claiming resources for primary care.
During the COVID-19 lockdown virtual consultations for POAC cases were funded. We are pleased to announce that this will be a permanent change.
Read moreTe Whatu Ora Waikato has noted the wording in their recent newsletter about the new BPAC disease notification eReferral, requires clarification. At this time COVID-19 remains a notifiable disease, but that notification does not need to come via GP practices using the BPAC form as it is generated via result uploading.
Read moreThis funding is available for a GP/NP consultation with patients eligible for an advance prescription for COVID-19 anti-viral medication, prior to them testing positive for COVID-19. There is no obligation for a clinician to issue an advance prescription.
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