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Primary Health Care

Capitation Rates from 1 July 2009


All rates exclude GST and are annualised amounts



First Level Health Services by Access Practices for Enrolled Persons
Access First Contact
HUHC
Age GroupGender NY
00-04F$364.6896$545.1456
M$383.9668$545.1456
05-14F$115.4364$349.5348
M$108.0500$349.5348
15-24F$106.5176$336.7076
M$58.6244$336.7076
25-44 F$93.6012$336.7076
M$60.5056$336.7076
45-64F$128.2044$368.7748
M$95.7548$368.7748
65+F$220.9344$395.4980
M$190.5308$395.4980


First Level Health Services by Non-Access Practices for Enrolled Persons
Non-Access First Contact
HUHC
Age GroupGenderNY
00-04F$355.8980$545.1456
M$378.7244$545.1456
05-14F$91.6292$349.5348
M$86.8424$349.5348
15-24F$106.5176$336.7076
M$58.6244$336.7076
25-44F$93.6012$336.7076
M$60.5056$336.7076
45-64F$128.2044$368.7748
M$95.7548$368.7748
65+F$220.9344$395.4980
M$190.5308$395.4980

Payments to Practices not Signed up to 25-44 Year or 45-64 Year Age Group Roll-outs


Note: If the PHO or practice has not signed up to the 25-44 year age group or the 45-64 year age group roll-outs they will get the previous capitation rates for these age groups plus an additional 2.798%. The adjustment will be via manual adjustment as has been the case for the last 2 years.


Practice not signed to roll-outHUHC
Age GroupGenderCSCNY
25-44FY$91.1672$336.7076
FN$72.3144$336.7076
MY$57.8432$336.7076
MN$47.0868$336.7076
45-64FY$121.7780$368.7748
FN$99.6836$368.7748
MY$91.4396$368.7748
MN$74.5780$368.7748


Health Promotion Services
Health Promotion
Non High Use Health Card Holders
Maori/Pacific
Non Maori/Non Pacific
Deprivation deciles 1-8$2.5684$2.1404
Deprivation deciles 9 -10$2.9964$2.5684


Services to Improve Access for High Need Groups
Non High Use Health Card Holders
Services to Improve Access
Maori/Pacific
Non Maori/Non Pacific
Age GroupGenderDeprivation deciles 1 - 8Deprivation deciles 9 - 10Deprivation deciles 1 - 8Deprivation deciles 9 - 10
00-04F$72.9380$145.8760$0.0000$72.9380
M$76.7928$153.5872$0.0000$76.7928
05-14F$23.0868$46.1740$0.0000$23.0868
M$21.6104$43.2196$0.0000$21.6104
15-24F$21.3032$42.6068$0.0000$21.3032
M$11.7248$23.4500$0.0000$11.7248
25-44F$18.7200$37.4412$0.0000$18.7200
M$12.1012$24.2020$0.0000$12.1012
45-64F$25.6404$51.2816$0.0000$25.6404
M$19.1512$38.3020$0.0000$19.1512
65+F$44.1868$88.3736$0.0000$44.1868
M$38.1068$76.2124$0.0000$38.1068


Care Plus Services

$244.0852

Fees for Administering Vaccine Episodes
Childhood immunisation$18.48
Influenza immunisation$18.48
MeNZB Immunisation$18.48


Rural Workforce Retention
Rural ranking scoreRate per capita
35-40$7.72
45-50$11.60
55-65 $15.46
70+$19.31


Management Services
  1. If the number of Enrolled Persons in the PHO is 40,000 or below and the DHB has approved the PHOs’ Management Services Plan then the rate will be $15.5928 per person up to 20,000 and $0.8992 per person from 20,001 to 40,000.
  2. Otherwise, if the number of Enrolled Persons in the PHO is 75,000 or below the rate will be $11.0960 per person up to 20,000 and $5.3960 per person from 20,001 to 75,000
  3. If the number of Enrolled Persons in the PHO is 75,001 or above then the rate will be $518,700.00 plus $6.0596 per person over 75,000 enrolees.

For more information, contact your District Health Board and/or view your PHO Agreement


Very Low Cost Access Payment

Individual practice component of payment available to each eligible PHO practice – annual rates
Age GroupGender Annual rate
00-04F$87.0571
M$91.6584
05-14F$27.2812
M$25.5356
15-24F$25.1458
M$13.8395
25-44F$22.0965
M$14.2835
45-64F$30.2652
M$22.6049
65 +F$52.1559
M$44.9786




Whole of PHO component of payment available to a PHO when all its practices are eligible – annual rates for 2009 Q3 and Q4
Non-Maori/ Pacific
Maori/Pacific
Age GroupGenderDeprivation Deciles 1 - 8Deprivation Deciles 9 - 10Dep decile 1-8Dep decile 9-10
00-04F$0.0000$15.0983$15.0983$30.1971
M$0.0000$15.8966$15.8966$31.7932
05-14F$0.0000$4.7606$4.7606$9.5212
M$0.0000$4.4559$4.4559$8.9118
15-24F$0.0000$4.3910$4.3910$8.7817
M$0.0000$2.4168$2.4168$4.8333
25-44F$0.0000$3.8584$3.8584$7.7172
M$0.0000$2.4942$2.4942$4.9884
45-64F$0.0000$5.2846$5.2846$10.5697
M$0.0000$3.9471$3.9471$7.8946
65+F$0.0000$9.1076$9.1076$18.2148
M$0.0000$7.8544$7.8544$15.7084

Whole of PHO component of payment available to a PHO when all its practices are eligible – annual rates for 2010 Q1


Annual ratesNon-Maori/PacificMaori/Pacific
Age BandsGenderDep decile 1-8Dep decile 9&10Dep decile 1-8Dep decile 9&10
00-04F$0.0000$7.5492$7.5492$15.0986
M$0.0000$7.9483$7.9483$15.8966
May-14F$0.0000$2.3803$2.3803$4.7606
M$0.0000$2.2280$2.2280$4.4559
15-24F$0.0000$2.1955$2.1955$4.3909
M$0.0000$1.2084$1.2084$2.4167
25-44F$0.0000$1.9292$1.9292$3.8586
M$0.0000$1.2471$1.2471$2.4942
45-64F$0.0000$2.6423$2.6423$5.2849
M$0.0000$1.9736$1.9736$3.9473
Over 65F$0.0000$4.5538$4.5538$9.1074
M$0.0000$3.9272$3.9272$7.8542


Whole of PHO component of payment available to a PHO when all its practices are eligible – annual rates for 2010 Q2


Annual ratesNon-Maori/PacificMaori/Pacific
Age BandsGenderDep decile 1-8Dep decile 9&10Dep decile 1-8Dep decile 9&10
00-04F$0.0000$3.7746$3.7746$7.5493
M$0.0000$3.9742$3.9742$7.9483
May-14F$0.0000$1.1902$1.1902$2.3803
M$0.0000$1.1140$1.1140$2.2280
15-24F$0.0000$1.0978$1.0978$2.1954
M$0.0000$0.6042$0.6042$1.2083
25-44F$0.0000$0.9646$0.9646$1.9293
M$0.0000$0.6236$0.6236$1.2471
45-64F$0.0000$1.3212$1.3212$2.6424
M$0.0000$0.9868$0.9868$1.9737
Over 65F$0.0000$2.2769$2.2769$4.5537
M$0.0000$1.9636$1.9636$3.9271

Zero Fees for Under Six Year Olds Payment

Age BandsGender
Annual Rate
00-04F$65.2926
 M$68.7441
05-14F$2.0462
 M$1.9150
15-24F$0.0000
 M$0.0000
25-44F$0.0000
 M$0.0000
45-64F$0.0000
 M$0.0000
Over 65F$0.0000
 M$0.0000

Page last updated: 14 October 2009


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