February 20, 2019

The GPSC has made changes to some of its fees to enable delegation, simplify billing, and clarify requirements.

These changes are part of the GPSC’s continued efforts to support full-service family doctors to improve access to care and services.

Enabling delegation

As part of the service requirements for the GPSC planning fees, doctors may now delegate non-face-to-face planning tasks to College-certified allied care providers (ACP) working within a GP practice.

This change affects the following four GPSC incentives:

  • G14033: GP Complex Care Planning and Management Fee
  • G14043: GP Mental Health Planning Fee
  • G14063: GP Palliative Care Planning Fee
  • G14075: GP Frailty Complex Care Planning and Management Fee

Further information about fees that enable delegation, including eligibility requirements and links to updated billing guides.

Simplifying billing

The Personal Health Risk Assessment (Prevention) (G14066) has been amended to align with the GPSC planning fees. Physicians are no longer required to bill a visit fee in addition to the G14066 fee. A visit fee may still be billed in addition if medically required and does not take place concurrently with the face-to-face planning included under G14066. This change is effective January 1, 2019.

Further information about billing simplification, including a link to the updated billing guide.

Clarifying documentation

To reflect a recent change to MSP’s counselling fee 0120, the GPSC added a clarifying note to some of its mental health fees:

  • G14044: GP Mental Health Management Fee age 2-49
  • G14045: GP Mental Health Management Fee age 50–59
  • G14046: GP Mental Health Management Fee age 60–69
  • G14047: GP Mental Health Management Fee age 70–79
  • G14048: GP Mental Health Management Fee age 80+

It is recommended that GPs ensure that clinical notes for any 0120 or GPSC mental health management fee billing include the required documentation as of December 1, 2018.

Clarification about required documentation, including the note and a link to the updated billing guide.