POAC Revised Fees and Claiming – Effective 1 July 2025
The Primary Options for Acute Care (POAC) fee schedule has been updated, effective 1 July 2025.
The revised claiming guide can be found here
These changes reflect feedback from key stakeholders and are part of the commitment to improving quality, consistency, and sustainability of acute care delivered in the community.
Key points:
Fees are now live in the POAC claiming system.
Service fees are increasing to better reflect the cost of delivery, and the claiming process is being simplified with fixed fees.
These changes align with both Northern Region and National Extended Primary and Community Care (EPCC) priorities to ensure consistent pricing, eligibility, and access across all Districts.
The administration fee of $15.50 has been removed, and the requirement for reporting the outcome condition and admission status is no longer needed.
Investments in system enhancements and IT infrastructure will further reduce the administrative burden for your teams, making the claiming process clearer and more efficient.
Training is offered for practice team members responsible for claiming to assist with a more efficient process, reduced workload and ensuring optimising of claiming.
Claims for services delivered up to 30 June 2025 must be submitted no later than 31 August 2025. If assistance is required, please contact our team by email as below.
Revised claim rates are applicable only to activity commenced from 1 July 2025.
Any claiming queries should be directed to claims@poac.co.nz