Service Incentive Payments (SIP) item numbers

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Overview

SIPs provide financial remuneration for systematic approaches to care for clients with diabetes and asthma, and for prevention of disease through immunisation and Pap tests. They are ‘payments for quality’ and are an important component of Australia’s blended payments system for general practice.

Medicare business rules stipulate that these services must be coordinated by the client’s GP in order for the items to be claimable, though parts of the work can be delegated to an appropriately trained nurse, Aboriginal Health Worker or other allied health worker (such as a podiatrist), and can be coordinated through EPC Care Plans involving the community health sector in a partnership approach to care. Note that only certain types of client are eligible for SIPs. General Practice must be participating in the Practice Incentives Program (PIP) to be eligible to receive SIP payments.

Note that there are additional SIPs when a GP completes immunisation schedules for children aged 0-4 and notifies the Australian Childhood Immunisation Register (ACIR). These payments are not listed in the attachment, because they are not related to claiming MBS item numbers. Further information about immunisation SIP payments can be found at the Medicare website and also by contacting the local Division of General Practice.

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Service Incentive Payments MBS Item Numbers (21kb, pdf)

Service Incentive Payments MBS Web Links and Explanatory Notes (37kb, pdf)