General Practice Aged Care Incentive (GPACI) Patients

These lists contain information about patients who:

• Have previously been billed an RACF item OR if the patient has accomodation type listed in the PMS as Permanent Aged Care Home OR Nursing Home (RACF).
  (Accommodation type can be found in the Family and Social history on a patient's file)
• Have been registered for MyMedicare and the MyMedicare registered date is available in the PMS.

The Sections included in this article are:

• What is the General Practice Aged Care Incentive metric?
• Key components and filters
• Using this metric in your practice
• Key resources

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What is the General Practice Aged Care Incentive Metric?

Starting August 1, 2024, the General Practice Aged Care Incentive (GPACI) became available for Practices and Practitioners who meet the requirements outlined in these guidelines from the Department of Health and Aged Care.

Customers must check the eligibility and servicing requirements of their registered patients on a patient-by-patient basis in HPOS for the General Practice Aged Care Incentive, specifically to understand the date from which a patient was registered for this incentive.

Cubiko assumes one of four available start dates for enrollment in the GPACI, based on the patients MyMedicare registered date. If the MyMedicare registration date falls within a historic 12 month cycle, Cubiko assumes that the patient has been re-enrolled for the GPACI and is still on track to receive the services outlined under the GPACI. The Responsible Provider cannot currently be determined from the data available in the PMS.

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Key components and filters

Potential GPACI Practice incentive for the current quarter

This figure shows the incentive amount the practice will potentially receive for this quarter based on patients that fulfil the quarterly GPACI incentive eligibility criteria. The per patient amount considers the incentive loadings that your practice would recieve if it is in a MMM 3 to MMM 7 region as follows:

• MMM 3: 20% loading
• MMM 4 and MMM 5: 30% loading
• MMM 6 and MMM 7: 50% loading

Potential GPACI incentive eligible patients for the current quarter

This figure shows the number of patients who fulfill the GPACI practice incentive eligiblity criteria for the current quarter.

This depends on the quarter that the patient is in:

• If the patient is in Q1, Q2 or Q3 then they need to have had 2 regular services completed (each in seperate months of the quarter).
• If the patient is in Q4 then they need to have had 8 regular services (each in seperate months) and 2 care plans (each in a seperate month) completed by the end of this quarter.

List of GPACI patients, current quarter information

This list contains information about patients who:

• Have previously been billed an RACF item OR if the patient has accomodation type listed in the PMS as Permanent Aged Care Home OR Nursing Home (RACF).
• Have been registered for MyMedicare and the MyMedicare registered date is available in the PMS.

It provides tracking information for GPACI incentive requirements for the current quarter the patient is in.

This table includes the following columns:

• Internal ID
• Record No
• Patient Name
• Usual Doctor
• Last seen Doctor
• Preferred Practitioner 
• Registered Practitioner
• Next appointment 
• Time
• Appointment with 
• MyMedicare registration date 
• Last F2F visit
• Start of 12 month cycle 
• End of 12 month cycle 
• Patient's quarter of GPACI cycle 
• Patient still requires services during this quarter
• Regular services remaining for this quarter
• Care plans completed this quarter 
• Care plans remaining for this quarter 

List of GPACI patients, current 12 month cycle information

This list contains information about patients who:

• Have previously been billed an RACF item OR if the patient has accomodation type listed in the PMS as Permanent Aged Care Home OR Nursing Home (RACF).
• Have been registered for MyMedicare and the MyMedicare registered date is available in the PMS.

It provides tracking information for GPACI incentive requirements for the current 12 month cycle the patient is in.

This table includes the following columns:

• Internal ID
• Record No
• Patient Name
• Usual Doctor
• Last seen Doctor
• Preferred Practitioner 
• Registered Practitioner
• Next appointment 
• Time
• Appointment with 
• MyMedicare registration date 
• Last F2F visit
• Start of 12 month cycle 
• End of 12 month cycle 
• Care plans completed in this cycle so far
• Care plans remaining for this cycle
• Regular services completed in this cycle so far 
• Regular services remaining for this cycle
• Patient's quarter of GPACI cycle
• Q1, Q2, Q3, Q4 Incentive eligibility 

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Using this metric in your practice

• Use this list to identify what care has been delivered versus what is due, enabling your practice to identify gaps early and schedule any required services.
• Track information for:
  • GPACI incentive requirements for the current quarter.
  • GPACI incentive requirements for the current 12-month cycle the patient is in.
• Review the potential GPACI practice incentive available for the current quarter.

Key resources

• General Practice in Aged Care Incentive Guidelines
• Australian Government Department of health, disability & ageing - General Practice in Aged Care Incentive
• Australian Government Department of health, disability & ageing - Fact sheets and patient journeys