Diabetes Care Improvement Programme v2

Diabetes Care Improvement Programme (DCIP) Key purpose/benefit The funding is for general practice usage to support additional patient consultations which must be free of charge to the patient (via phone and face to face).

Eligibility criteria 

Enrolled & funded in the WBOP PHO

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Diabetes Annual Review (DAR) within the previous 12 months

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Current HbA1c result greater than 75mmol/mol

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Referral to the Diabetes Self-Management Group Education

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1 claim only per patient will be funded across the WBOP PHO every 12 months

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A follow up diabetes assessment is required in 12 months. HbA1c will be monitored over the 12-month period.

Claim Process All PMS’s Claim using the Halcyon form, instructions on “How to Access Halcyon” from all Practice Management Systems are under H in this PHO Guide.  To start a DCIP claim click “New Registration” under ‘Current Programmes’ or ‘Other Options’ tab.  The following tabs are mandatory to complete: Patient, Provider, and Registration Details

Updated October 2021

Medtech, MyPractice, Profile practices An invoice will automatically be created in your PMS and a claim will be electronically sent to the PHO on submission of the Halcyon form.

Houston practices An invoice will need to be manually created in your PMS for internal reconciliation purposes. A claim will be electronically sent to the PHO on submission of the Halcyon form.

Payment $257.12 including GST payable annually, for every Diabetes Care Improvement Programme, to be paid monthly in arrears following the WBOPPHO’s receipt of a claim.

Please Note: No patient co-payment is to be charged Buyer Created Tax Invoices (BCTI) can be accessed from the WBOP PHO Portal, showing a breakdown of payments by invoice number.

Contact Details: Service Claims and Claim Queries can be sent directly to: PracticeClaims@wboppho.org.nz PracticeClaims@wboppho.org.nz is the singular email for sending PHO invoices/claims queries.

While the email is monitored, for faster delivery to the correct PHO Service, please add the name of the service in the subject line of the email.

For all other queries regarding Programme guidance and support, contact your General Practice Liaison directly, or the GPL Team at: GPSAdmin@wboppho.org.nz

Updated October 2021