Primary Health Care

Capitation Payments: PHO Eligibility Determination

Background

Eligibility workflow is the process to determine whether a PHO is entitled to additional funding for reasons of PHO establishment, focused health initiatives or for reasons of certain population demographics. Examples include Careplus, Services to Increase Access, Health Promotion, and Management Fees etc. This funding is additional to the capitation funding derived from the enrolment registers.

PHO Eligibility Process Workflow Diagram

Eligibility Process Workflow Diagram (PNG, 80 KB)
Eligibility Process Workflow Diagram (PDF, 106 KB)
Eligiblity Process Workflow Diagram (VSD, 133 KB)

PHO Eligibility Process Guidelines

This information pack outlines the process for DHBs and the Ministry for approving/endorsing and logging changes to PHO funding eligibilities. The process was introduced on 1st July 2008 and provides a central audit trail for each PHO eligibility change.

Page last updated: 1 July 2008