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General Practitioner Aged Care Access Incentive (GP ACAI) for Practice Incentives Program (PIP) 012-10150000



FAQs – for providers

In the following table 'I' and ‘you’ refers to the caller making the enquiry.

Table 1

Category title

Description

1

Question: Why has the PIP GP ACAI ended?

Answer: As part of the 2023-24 budget the government announced it would be extending the PIP GP ACAI for 1 year until July 2024.

The government also announced its commitment to increasing access to quality primary care for older Australians. It has invested $112 million over 4 years from 2023-2024 to introduce a new General Practice in Aged Care Incentive payment for services provided to patients living in aged care.

You may be eligible under the General Practice in Aged Care Incentive. More details are available on the Department of Health and Aged Care (DoHAC) website or by calling 132 150 and selecting option 2.

Note: offer to transfer the caller to the GP ACI section. Advise the caller to select option 2 and cold transfer the call to 132 150.

2

Question: When did the PIP GP ACAI end and final ACAI payment?

Answer: The final PIP GP ACAI payment was made in August 2024 and covered services provided in 2023/2024 and July of 2024.

General Practitioners had to 30 April 2025, to finalise outstanding payments. The final payment run was May 2025. After this payment, any outstanding payments are forfeited.

3

Question: I receive PIP GP ACAI payments. Will I be automatically registered for General Practice in Aged Care Incentive?

Answer: Practitioners were not automatically registered for General Practice in Aged Care Incentive.

General Practice in Aged Care Incentive has its own registration and eligibility requirements. More details about GPACI are available on the DoHAC website or by calling 132 150 and selecting option 2.

Note: offer to transfer the caller to the GP ACI section. Advise the caller to select option 2 and cold transfer the call to 132 150.

4

Question: I received a letter and have updated my baking details after the PIP GP ACAI ceased. When will I receive my payment?

Answer: Thank you for contacting Services Australia.

The PIP GP ACAI ended 31 July 2024. GPs had 3 payment quarters from the date GP ACAI ceases, to finalise outstanding payments. This means after the May 2025 quarterly payment any outstanding payments were forfeited.

Services Australia attempted to contact GPs with outstanding payments and no bank details recorded after the:

  • August 2024
  • November 2024, and
  • February 2025 payments

5

Question: I think I am owned a PIP GP ACAI payment, but I did not receive a letter. My bank details have been updated.

Answer: All eligible held payments were released in the November 2024, February 2025 or May 2025 payment quarter.

Payments not released after May 2025 were forfeited.

Services Australia attempted to contact GPs with outstanding payments and no bank details recorded after the:

  • August 2024
  • November 2024, and
  • February 2025 payments

FAQs – for staff

Table 2

Category title

Description

1

Question: When was the final PIP GP ACAI payment?

Answer: The last calculated payment was made in August 2024.

The PIP GP ACAI payment was re-run in:

  • November 2024
  • February 2025
  • May 2025

The additional payment runs picked up GPs:

  • withheld payments who updated their bank details between 1 August 2024 and 30 April 2025, and
  • who met all other eligibility requirements

The final payment run was May 2025. Any payments still held at this time were forfeited.

2

Question: Were all GPs with outstanding payments contacted about them?

Answer: Program Management attempted to contact all GPs with:

  • no SIPACAI bank details recorded in PDS
  • returned payments

GPs were told to update their bank details:

  • through HPOS, or
  • by lodging a General Practitioner Aged Care Access Incentive Payment banking details (IP011) form

Communication timeframe and the type:

  • August/September 2025, letters sent to the preferred mailing address in PDS with HPOS instructions included and IP011 enclosed
  • December2024/January 2025, emails sent to the email address listed in PDS with HPOS instructions included and IP011 attached
  • March 2025, phone calls to the GPs with email follow up. GPs were provided with verbal instructions on updating via HPOS. Where requested, the IP011 was emailed

Note: GPs whose PIP GP ACAI payments were held due to practice payments being on hold were not contacted.

3

Question: If a PIP GP ACAI payment was held due to a PIP payment hold, was the payment released if the PIP hold was removed before 30 April 2025?

Answer: Yes, the normal process continued. The system automatically released ACAI payments held due to a PIP payment hold being removed. This continued for 3 quarters, until May 2025.

Check all held payments, regardless of the reason for it being held.

4

Question: What if a GP had updated their bank details but PIP payments were on hold for the practice. The GP believes they should have received their PIP GP ACAI payment?

Answer: The GP can lodge a review of decision using the Practice Incentives - Review of Decision (IP027) form.

Payment codes (SIP calculation spreadsheets)

Table 3

Payment code

Explanation

Action required

X

ACAI SIP payments are held.

If the practice has their payments On Hold this will also hold the ACAI SIP payments.

Payments could not be released while PIP payments were held.

If there were no other issues, the practitioner received held ACAI SIP payments in the next scheduled ACAI SIP quarterly payment run, after the PIP payment hold was removed.

GP ACAI Payments that could not be released by May 2025 due to PIP payment holds are forfeited.

If the practitioner has any questions, refer them to the Practice Manager for more information (unless the practitioner is an owner or authorised contact person).

N

ACAI SIP payment is calculated but bank details are not registered.

GPs had until 30 April 2025 to register their banking details.

Program Management attempted to contact GPs with no recorded banking details in:

  • August/September 2024
  • December 2024/January 2025
  • March 2025

Payments still held due to no bank details after May 2025 were forfeited.

P

Payment made

Tell the practitioner the payment has been made.

QSL targets and payment levels

GP ACAI payments were based on a GP providing a minimum number of eligible MBS services in residential aged care facilities (RACF) in a financial year. There were 4 payment tiers. The payment tiers were cumulative and the maximum payment for a financial year was $10,000.

Table 4: Qualifying Service Levels (QSL) to meet ACAI payment eligibility.

Tier

Qualifying Service Level (QSL)

Service Incentive Payment (SIP)

Tier 1a

60-99 eligible services

$2,000

Tier 1b

100-139 eligible services

$2,500

Tier 2a

140-179 eligible services

$2,500

Tier 2b

180 or more eligible services

$3,000

Letters and electronic messages

Contacts

Practice Incentives Program (PIP)