The GPSC incentives are changing in response to physician feedback collected during the visioning consultations, and to support the strategic objectives of the patient medical home model. These changes will be in effect as of October 1, 2017.
The following table summarizes the changes to the current GPSC incentives to better support physicians in practices:
|GP with Specialty Training Urgent Telephone Advice Fee G14021|
|Payable to a GP with specialty training for urgent communication regarding assessment and management of a patient. Only eligible for requests initiated by a specialist or a GP.||Effective July 1, 2017: Expand the eligibility for fee G14021 to include requests for urgent telephone advice initiated by an allied care provider.|
|Chronic Disease Management G14050, G14051, G14052, G14053|
|One of the two required visits must be in-person with the FP and one may be a group medical visit or by telephone with the FP or nurse (G14079 and G14076 may be delegated).||Effective October 1, 2017: Allow a telephone or in-person visit with a College Certified AHP to qualify as one of the two required visits.|
|Planning Visits for Complex Care G14033 and G14075, Mental Health G14043, and Palliative Care G14063|
|Varied requirements for whether a same day visit service must or may be billed on the same day as the planning incentives.||Effective October 1, 2017: Allow the option for a same day visit service to be billed on the same day as the planning visit fee for any reason.|
|Varied requirements for whether the 30-minute total planning time must take place all on one day.||Effective October 1, 2017: Allow for the required 30-minute planning time to not all have to take place on one day.|
|Varied requirements for whether all or majority of the 30-minute planning time must be face-to-face.||Effective October 1, 2017: Require the majority of the 30 minutes to be face-to-face.|
|Mental Health Management G14044, G14045, G14046, G14047, G14048|
|Fees do not allow delivery by videoconferencing||Effective October 1, 2017: Allow delivery by videoconferencing to align with the current MSP counselling visits.|
|Telephone/Email Follow Up Management G14079|
|Restricted to patients for whom a GPSC planning fee has been billed. Can be delegated to AHPs, including MOAs.||
Effective October 1, 2017: Replace with a new GP-patient email/text/telephone advice relay fee (G140XX), applicable to all patients and delegable to AHPs, including MOAs.
Set the new G140XX to $7 to better align with comparable Fee for Service INR fee G00043 (value of $6.83).
|GP-Patient Telephone Management G14076|
|Current value is $15.||Effective October 1, 2017: Increase the value to $20 to better reflect relativity to a base office visit.|
|GP with Specialty Training Telephone Patient Management G14023|
|Currently pays $20/15 minutes or portion thereof.||Effective October 1, 2017: Align G14023 with the GP-Patient telephone fee G14076 by making both worth $20 and deleting the per 15 minute component.|
|Frailty Complex Care G14075, Telephone Management G14076, Patient Conference G14077|
|Labeled “attachment” fee codes to support A GP for Me.||Effective October 1, 2017: Delete “attachment” from the fee code names as A GP for Me has completed.|
|Unattached Complex/High Needs Patient Attachment Fee G14074|
|Compensates for the time, intensity and complexity of integrating a new patient with high needs into a family physician’s practice.||Effective October 1, 2017: Fee no longer available. For other GPSC incentive fees that support the care of complex patients, please see the FAQs.|
To download the table, click here.
The GPSC incentives are changing to support physicians in practice to improve access to care and services for their patients. Fees will be simplified and aligned, modified to enable team-based care, and some fees initially connected to the time-limited A GP for Me initiative will be transitioned. Throughout these changes, the overall budget for GPSC incentives will remain the same. For a summary of these changes, please refer to the FAQs.
As of October 1, 2017, the Unattached Complex/High Needs Patient Attachment Fee (G14074) will be unavailable, after receiving a final extension from the GPSC. This fee was provided to family physicians during the A GP for Me initiative, which began on April 1, 2013 and ended March 31, 2016. The GPSC extended the incentive initially to support the duration of A GP for Me and then to support the transition period following the initiative’s end. The committee cannot further extend the incentive beyond September 30, 2017, as the one-time funding has been expended.
The GPSC has several incentives to support the care of complex patients in a family physician's practice. These fall into two categories: incentives to support the time to work with a patient to plan for their care needs and incentives for communications and conferencing. Physicians providing care for complex patients can continue to bill the other three fees that originated in the attachment suite: G14075 Frailty Complex Care Management; G14076 Telephone Management; and G14077 Patient Conferencing. The word “attachment” is no longer in the names of the other three fees that originated in the attachment suite so that they can are applicable to support complex care in general.
These changes are not being made in isolation. The GPSC is working on long-term changes to its incentive fees that will support physicians along their patient medical home journey. The GPSC will continue to consult and engage with physicians about how the incentive program can best support physicians to care for vulnerable patients. Ultimately, these changes will support physicians to provide patients with the right care in the right place at the right time.