HEPATITIS C TREATMENT REIMBURSEMENT
Reimbursement for Primary Care Testing and Treatment
Funding has been allocated for the provision of integrated Hepatitis C Services. The POAC service will be the mechanism for distributing the funding to GPs who provide Hepatitis C treatment in a primary care setting.
HOW TO CLAIM FOR GENERAL PRACTICE AND URGENT CARE CLINICS:
A single extended consult per patient can be claimed up to the total amount of $115.00 (including GST). There is to be no patient co-payment charged.
GPs are encouraged to utilise the Chronic Hepatitis C pathway on the Auckland Regional HealthPathways website click here.
Submit a new referral via the POAC PMS using the diagnosis code "Hepatitis C Testing and Treatment"
Claim using the service line "Hep C Treatment (GP)" - $115 (single claim only)
Urgent Care Care Point of Care Testing (Trial)
A short trial with two Urgent Care Clinics (Shorecare and Counties Care) has been developed for opportunistic Point of Care Testing and link to the Regional Liver Nurse Specialist for positive cases.
The following service lines should be used for claiming:
Hep C UCC Testing POCT $24.15
Hep C UCC Positive POCT Result $45
Hep C UCC Link to Liver Nurse Specialist $15
HOW TO CLAIM FOR PHARMACY:
Submit claims via the POAC web claiming form below.
Download the full information, terms and conditions for claiming below.