Discretionary Bulk Funding (DBF) 

For patients requiring one off assistance

 1.         Introduction

The Discretionary Bulk Funding (DBF) replaces the One-Off Funding Programme and is intended to assist Primary Care Teams to subsidise or fully fund patients requiring additional support, where no other funding stream is available

The DBF Mōhio form contains a drop down claiming guide for services provided to patients under the programme. This allows for consistency, equity, fairness and budget management.  The funding claim guide sets out prices for services agreed by the Auckland PHO Clinical Effectiveness Group.  Each practice will be allocated a budget (based on a formula weighted more for the high needs population) but funding will be available for all patients whom you identify as requiring additional support.

 Examples on how this fund could be used at your practice includes:

  • Ferinject Administration
  • Minor Surgery
  • Punch Biopsy
  • Mirena Consumables
  • Jadelle insertion or removal
  • Vaccination (excl travel vaccine)
  • Influenza vaccination (where clinically indicated but not funded)
  • Subsidised co-payment
  • Prescription Charges
  • Insulin Starts

How it will work

  • Each practice will receive a funding allocation each quarter
  • A Mōhio form will be installed in your PMS that displays your practice’s quarterly budget and the amount remaining.  It will be up to the practice team to decide how the budget is used
  • Any unused funding will roll over into the next quarter, however at the end of the financial year, any remaining funds will be added to the main fund for disbursement the following year.

The Practice Facilitators will provide a mini training session to Practice Managers when the Mōhio form is installed.

 

2.         Patient Eligibility Includes:

 

  • Patient is enrolled at the Practice
  • Patient is “high needs” – Maori, Pacific or living in either Quintile 4 or 5 or has high health needs (determined by the practice)
  • This service will improve the patient’s overall health and assist the GP and Practice team with ongoing care and treatment
  • Not eligible if other funded services are available; e.g. Primary Options (POAC), WINZ, ACC, Access to Diagnostics (A2D), Private Medical Insurance, Chest X-Ray, Primary Mental Health (through M2M Options)

 

3.         Claiming Procedure

Use the Mohio form using the drop down box to select the service required 

 

4.         Payments to Practices

Practices are no longer required to complete an application form in order to receive payment for this programme.  Payment will be made for services selected providing the practice has available unused budget for the quarter.

 

Consultation/Procedure

$ (exc GST)

Minor Surgery (e.g. excision of skin lesion, wedge resection)

Fee includes materials (including instrument sterilisation) and procedure costs – Dr and Nurse time, follow-up wound check and suture removal

150

Mirena consumables (not eligible for PHARMAC SA funding, or WINZ Special Needs Grant) consultations for insertion/review will be paid for either by the patient or at the discretion of the practice, or referred to Family Planning NZ Clinics/ specialist centre

333

Jadelle insertion or removal

90

Punch Biopsy

50

Vaccination (excludes travel and influenza) – $30 nurse to administer + cost of vaccine if clinically indicated but not funded for pneumaccocal or boostrix

 

There is a group of vaccines i.e. pneumaccocal, that may be clinically indicated but not funded for which this criteria can be used.  Each vaccine has its own recommendations for use. Refer Immunisation Handbook.

 

Please note: Since the changes in the New Zealand Immunisation Schedule, more vaccines are funded for people with certain medical conditions. If in doubt discuss with your practice vaccinator or refer to 2018 Immunisation Handbook page 9)

60

Insulin Starts

50

Subsidised co-payment fee

30

Prescription Charges (per item)

5

Patient Consultation Co Pay

30

 

 


 

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