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Ministry of Health

Full Service Family Practice Incentive Program

As of May 2006, the Full Service Family Practice Program (established September 1, 2003) has been expanded. For program details and eligibility criteria, see the Frequently Asked Questions.

Program Summary

As part of the 2006 Working Agreement, the General Practice Services Committee (a joint committee of the BC Ministry of Health, the BC Medical Association, and the Society of General Practitioners of BC) has developed the following initiatives in support of full service family practice.

  1. Expanded Full Service Family Practice Condition Based Payments
    This incentive program is aimed at supporting high quality management of congestive heart failure, diabetes, and hypertension. Physicians will now receive an annual payment of $125 for each patient with diabetes and/or congestive heart failure whose clinical management is consistent with recommendations in the BC Clinical Practice Guidelines. In addition, an annual $50 incentive payment is now available for BC Clinical Practice Guidelines treatment of hypertension where this care is not part of treating diabetes or congestive heart failure.
  2. Family Physician Obstetrical Premium
    This premium has been allocated to encourage and support low to moderate volume delivery practice. General practitioners are eligible to receive a 50% bonus on the current value of the fee-for-service delivery payment. Effective, January 1, 2007, the bonus has been expanded to include a 50% bonus on the current value of the general practitioner elective C-Section and post partum care fee (14108). The bonus payment is payable up to a maximum of 25 deliveries per calendar year.
  3. Maternity Care Network Initiative
    Effective the quarter ending December 31, 2009, eligible practitioners can receive a $2,100 quarterly payment to support a group practice approach to general practitioner provision of obstetrical care. Under the Maternity Care Network Initiative, doctors forming their own shared care networks will work as a team so that at least one physician is always available to deliver their patients. Physicians in the maternity network must register for this incentive payment by completing the Maternity Network Registration Form.
  4. Facility Patient Conferencing Fee
    This fee is available when the general practitioner is requested by a facility to review ongoing management of a patient in that facility or to determine whether a patient in the facility with complex supportive care needs can safely return to the community or transition to a supportive care or long-term care facility.
  5. Community Patient Conferencing Fee
    This fee is available to general practitioners for the creation of a coordinated clinical action plan for the care of a community-based patient with more complex needs. This fee is payable when coordination of care and collaborative planning with other health care providers patients and possibly family members is required due to the severity of the patient's condition.
  6. Complex Patient Care Fee - REVISED
    Care of patients living with more than two chronic illnesses is often complex and demanding. People living with more than two chronic illnesses often have a poor quality of life due to their illness and face significant challenges in navigating the health system to effectively meet their health needs. This fee is intended to better support thoughtful treatment planning based on patient goals and improved care coordination. This fee has been expanded the eligible conditions to include chronic neurogenerative diseases and chronic liver disease.
  7. Prevention Fee: Cardiovascular Risk Assessment
    Approximately half of BC's population is at risk for, and/or have been tested for, a chronic illness. Many diseases, such as diabetes and cardiovascular disease, have common risk factors (unhealthy eating, sedentary lifestyle, tobacco and alcohol use), that if addressed early could prevent the onset of chronic illness. Family physicians want to provide preventative care to their patients, and most can readily identify those individuals in need of intervention. This fee supports general practitioners in conducting a cardiovascular risk assessment and patient follow-up. Men and women between 18 and 69 years, are eligible to receive a cardiovascular risk assessment based on a minimum age, gender, smoking status, fasting blood sugar, blood pressure, and lipid profile.
  8. FPs4BC - Family Physician Recruitment Program
    The Family Physicians for British Columbia (FPs4BC) program is a joint initiative of the Ministry of Health and the BCMA, that encourages physicians to establish a group practice (*consideration given to solo practice in rural or remote areas)* in areas of need by assisting with up to $100,000 in financial support to pay off student debt and set up their practice.
  9. GP Mental Health Initiative
    This mental health initiative (effective January 1, 2008) supports family physician provision of accurate diagnosis, a patient plan and longitudinal follow-up of patients with serious mental illness who are living in the community.
  10. The Palliative Care Incentive (NEW, effective June 1, 2009) is intended to compliment the existing conferencing component of end-of-life care when sharing care with other health care professionals.
  11. The Acute Care Discharge Conference Fee (NEW, effective June 1, 2009) supports community-based GPs attend and participate in the discharge planning process for patients with complex supportive care needs.
  12. Chronic Obstructive Pulmonary Disease (COPD) (PDF 905K)

Programs

Practice Support Program
The Practice Support Program is an initiative sponsored by the BC Ministry of Health and the BC Medical Association through the General Practice Services Committee. The content and material used in the Program has been developed by the General Practice Services Committee (with extensive general practitioner consultation) and is delivered by each of the Health Authorities, by way of Regional Practice Support Teams. For additional information, visit the Practice Support Program website.

COMMUNITY BASED MENTAL HEALTH INITIATIVE

  1. Description and Eligibility
  2. What is the purpose of the Mental Health Initiative Fees?
  3. What is a Mental Health Plan?
  4. How do I bill the Mental Health Fees?
  5. Must I spend a single block of at least 30 minutes with the patient to bill the Mental Health Planning Fee (G14043)?
  6. May I bill the Mental Health Planning Fee (G14043) on every patient I have with a qualifying diagnosis?
  7. When can I bill the Mental Health Management Fees (G14045-G14048)?
  8. When can I bill the Mental Health Telephone/Email Management fee?
  9. How would our group practice arrange to be able to ‘share’ these Mental Health Management Fees?
  10. What is the difference between “assisted living” and “care facilities”?
  11. Why is this incentive limited to patients living in their homes or in assisted living?
  12. Why are there restrictions excluding physicians “who are employed by or who are under contract to a facility and whose duties would otherwise include provision of this care” or to “physicians working under salary, service, or sessional arrangements?”
  13. Am I eligible to bill for the Community Patient Conferencing Fee (G14016) in addition to receiving the Mental Health Care payment(s)?
  14. Am I eligible to bill for the Chronic Disease Management Fee(s) (G14050/G14051/G14052) in addition to these Mental Health Initiative fees?
  15. Why is the Mental Health Telephone/Email Management Fee (G14049) restricted to the GP that has been paid for the Mental Health Planning Fee (G14043)?
  16. If the GP Mental Health Management fees (G14045-G14048) and the GP Mental Health Telephone/Email Management fees (G14049) are restricted to the GP who has been paid for the Mental Health Planning Fee (G14043), what do group practices do when they share the care of the patient?
  17. Can I access the Mental Health Management fees if I have billed for the Mental Health Planning fee but have not yet been paid for it?