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View Districts of Workforce Shortage (DWS), Inner/Outer Metro areas, ASGC Remoteness Areas (ASGC-RA 06) and associated information.

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Fact Sheet - Changes to General Practice Rural Incentives Programme

  • From 1 July 2015, GPRIP transitioned to the Modified Monash Model (MMM) classification system to determine eligible locations.
  • The MMM is a new classification system that better categorises metropolitan, regional, rural and remote areas according to both geographical remoteness and population size. The system was developed to recognise the challenges in attracting health workers to more remote and smaller communities.
  • Eligible locations under the new GPRIP arrangements are classified as MMM 3-7.
  • Payments will be made once the required number of active quarters have been met.
  • For new participants, payments will commence after eight active quarters providing Medicare services in MMM 3-5 areas and after four active quarters in MMM 6-7 areas.
  • An ‘active’ quarter is one where the value of Medicare billed items for eligible services provided in eligible locations meets the minimum $6,000. A full payment will be earned where the maximum threshold of $30,000 or more of eligible billing is reached per quarter.
  • Leave periods of up to five years (20 quarters) may be taken without losing year level status.

Payment Amounts

The following table outlines payment amounts for each location and year level:
Year level Service
Modified Monash Category
1
2
3
4
5 plus
2
0
0
0
0
0
3
0
$4,500
$7,500
$7,500
$12,000
4
0
$8,000
$13,000
$13,000
$18,000
5
0
$12,000
$17,000
$17,000
$23,000
6
$16,000
$16,000
$25,000
$25,000
$35,000
7
$25,000
$25,000
$35,000
$35,000
$60,000

Eligible Locations

Locator maps are available at doctorconnect.gov.au

Programme Guidelines

Updated programme guidelines will be available in the near future.

For further information regarding the changes please email gprip@health.gov.au

Frequently Asked Questions – New Programme

1. Why did the Government change GPRIP?

Since the introduction of GPRIP in 2010, rural doctors and communities said consistently that the use of the ASGC-RA classification system was creating perverse incentives for doctors to move to large, coastal towns, and does not recognise the challenges of recruiting and retaining doctors in small rural towns. The Government agreed that a new classification system, the Modified Monash Model (MMM) be introduced to target financial incentives to areas most in need.

The Government transitioned GPRIP to the MMM to improve the distribution of doctors in rural and remote Australia. In addition, as a result of a formal consultation process, the Government made a number of changes to improve GPRIP under the new classification system. These changes include:

  • Eligible locations are MM3 to MM7
  • For new participants, payments will commence after eight active quarters providing eligible services in MM 3-5 and after four active quarters in MM 6-7.
  • An active quarter is one where the value of Medicare billed items for eligible services provided in eligible locations meets a minimum of $6,000 in three months. A full payment will be earned where the maximum threshold of $30,000 or more of eligible billing is reached per quarter.
  • Leave periods of up to five years (20 consecutive quarters) may be taken without losing year level status.

2. Where are the eligible locations?

Eligible locations are those locations in Australia within categories MMM3-7. Locator maps are available at doctorconnect.gov.au

3. What is the Modified Monash Model?

The Modified Monash Model is a new classification system that better categorises metropolitan, regional, rural and remote areas according to both geographical remoteness and population size. The system was developed to recognise the challenges in attracting health workers to more remote and smaller communities.

4. How are the categories different to the Australian Standard Geographical Classification – Remoteness Area (ASGC-RA)

The old classification system was based on data from the Australian Standard Geographical Classification – Remoteness Area (ASGC-RA) system. This data set is now outdated, and the Australian Bureau of Statistics (ABS) has replaced it with the Australian Statistical Geography Standard (ASGS). The ASGS uses the latest residential population data to determine the five base categories. The Modified Monash Model will overlay the ASGS for the purposes of administering some health workforce programmes.

A table identifying the new MMM classification can be found below.
Modified Monash Category
1All areas categorised ASGS-RA1.
2Areas categorised ASGS-RA 2 and ASGS-RA 3 that are in, or within 20km road distance, of a town with population >50,000.
3Areas categorised ASGS-RA 2 and ASGS-RA 3 that are not in MM 2 and are in, or within 15km road distance, of a town with population between 15,000 and 50,000.
4Areas categorised ASGS-RA 2 and ASGS-RA 3 that are not in MM 2 or MM 3, and are in, or within 10km road distance, of a town with population between 5,000 and 15,000.
5All other areas in ASGS-RA 2 and 3.
6All areas categorised ASGS-RA 4 that are not on a populated island that is separated from the mainland in the ABS geography and is more than 5km offshore.
7All other areas – that being ASGS-RA 5 and areas on a populated island that is separated from the mainland in the ABS geography and is more than 5km offshore.

5. Do incentive payments increase if medical practitioners move to a more remote location?

Yes. Retention payments are scaled according to the MM category of the location(s) in which the provider bills eligible Medicare services.

6. What are the incentive payment rates?

The following table outlines payment amounts for each location and year level:
Year level Service
Modified Monash Category
1
2
3
4
5 plus
2
0
0
0
0
0
3
0
$4,500
$7,500
$7,500
$12,000
4
0
$8,000
$13,000
$13,000
$18,000
5
0
$12,000
$17,000
$17,000
$23,000
6
$16,000
$16,000
$25,000
$25,000
$35,000
7
$25,000
$25,000
$35,000
$35,000
$60,000

7. When did the new arrangements start?

The new arrangements commenced on 1 July 2015. First payments using the new system will be made from 30 June 2016.

8. Do I need to lodge my bank account details again?

You must lodge your bank account details with Medicare. Please contact Medicare on 1800 010 550 if you are unsure if you have previously provided your bank account details.

Medical practitioners will have their payment eligibility automatically assessed each quarter while they are working towards their payment. The Department of Human Services will advise and provide payment to medical practitioners when an instalment is due.

9. What if I have further questions?

Please contact the Department of Human Services on 1800 010 550.