1. Medicare - COAG Scheme (Council of Australian Governments)

2. Learning objectives Understand the reasons for the development of the COAG Scheme What needs to occur to progress implementation

3. Background of COAG Meeting in February 2006 of Council of Australian Governments between the Commonwealth & State leaders Discussion on practical initiatives to improve health services

4. Purpose The initiative will provide exemptions under section 19(2) of the Health Insurance Act 1973 to enable Medicare rebates to be claimed for state remunerated primary health care services (non-admitted and non-referred patients) in some Rural and Remote communities

5. Criteria for access to COAG Population Workforce issues Agreed by government as in scope Consent to agree with local plans Funds to be used in the community No threat to private practices

6. Negotiations Extensive negotiations with stakeholders has occurred Local flexibility with arrangements are necessary. Consideration should be given to equity between communities and parties involved.

7. Implementation Process Identify site Information package Negotiate with all stakeholders Support in writing Intended enhancement to services Timeframe Local communication plan

8. Application of Funds Funds generated must be used in communities eg Support for locum cover Employing additional doctors/nurses/allied health and other supporting staff Chronic Disease initiatives Professional development

9. Revenue Raised Not to be considered the most significant benefit Some financial recognition should be given to the person/organisation doing the Medicare billing Mechanisms need to be in place to oversee the use of the funds

10. What items can be billed GP type service items as per the Medicare Benefits Schedule Nurse Practitioner items provided on behalf of the GP Allied Health Professional items provided under Enhanced Primary Care Chronic Disease and Care Planning items

11. Reporting Annually to the Commonwealth to indicate how much revenue was claimed and how the revenue was used to enhance primary health care in the community

12. Learning Activity Please complete the following learning activity