Explanations of New Program Elements: DAA and MedsCheck


As of 1 February 2018, the 6CPA Registration and Claiming Portal now contains new Program Elements for the purpose of claiming. This currently only affects two programs: Dose Administration Aids (DAA) and MedsChecks.

Please see a brief explanation of each below.


Dose Administration Aids

The New Program Element choices are:

Name Description
 DAA Pre 1 February 2018 dispensing
 DAA Basic 2018 Post 1 February 2018 dispensing
 DAA Patient Registration 2018

DAA

This option will shortly be removed. It relates to all monthly claims for DAA’s packed BEFORE 1 February 2018. As of 1 March 2018, RESUBMISSIONS would be the only valid use for this element.

DAA Basic 2018

As announced previously, from 1 February 2018 additional data is now required for monthly DAA Service Claims.

You will no longer simply enter in the total number of DAAs packed for eligible patients during the period and then select the Claim Month and Claim Year. Instead, you are now to enter a claim reference and are then required to upload a claim template.

This Claim Template contains two columns; Patient Medicare Number and Date of Service. Date of service should be interpreted as ‘Pack Start Date’ and as such we would expect to see each weekly patient listed in the claim template up to 5 times (as there may be 5 weeks packed in a single month).

From the data contained in the claim form, the month claimed and number of services provided in the month will be obtained. The fee structure has not changed and you will still receive a fee of $6 per patient per week, with the maximum number determined by the pharmacy’s individual cap.

We have informed a number of packing software vendors of this requirement and they may have been able to create a report that can be exported into the required format to prevent the need for this form to be manually completed. Contact your software vendor to find out if this service is available for your pharmacy.

The claim template can be found at http://6cpa.com.au/files/claim-template-daa-basic-service-provision/

DAA Patient Registration 2018

As per Section 4.2 in the Dose Administration Aids Program Rules, we are now collecting Health Outcome Data. This can be completed on a maximum of five (5) patients per pharmacy, in total, and you will receive an addition $31.90 for each patient that this is completed for.

This element will take you to a smart form which will require you manually fill out each section and each patient will need to be claimed separately (in a new claim). We have created a ‘DAA Patient Registration Guide for Pharmacists’ which can be found at http://6cpa.com.au/files/daa-patient-registration-guide-for-pharmacists/.

Additionally, after the completion of all fields required in the smart form, you will then need to complete or upload a Patient Medication Profile for each patient before this claim is successfully submitted.

The excel template for the Patient Medication Profile can be found at http://6cpa.com.au/files/excel-template-patient-medication-profile/.


MedsChecks

The New Program Element choices are:

Name Description
 MedsCheck Service Claim MedsCheck/Diabetes MedsCheck Post Feb 2018
 MedsCheck/Diabetes MedsCheck Registration 2018 MedsCheck/Diabetes MedsCheck Registration 2018, Post Feb 2018

MedsCheck Service Claim

While the description for this program element states “MedsCheck/Diabetes MedsCheck Post Feb 2018” as both services conducted before and after 1 February 2018 required an excel claim template to be attached, you should select this for all Service Claims.

All services conducted before 1 February 2018 should be submitted on the ‘old’ claim template, which can be found at http://6cpa.com.au/files/upload-template-medscheck-and-diabetes-medscheck-claim-items-effective-1-mar-2014/. Please note that as of 1 March 2018, this template should only be used for RESUBMISSIONS.

All services conducted after 1 February 2018 should be submitted on the new claim template, which can be found at http://6cpa.com.au/files/claim-template-medscheck-and-diabetes-medscheck-services-conducted-post-1-feb-2018/.

MedsCheck/Diabetes MedsCheck Registration 2018

As per Section 4.2 in the MedsCheck and Diabetes MedsCheck Program Rules, we are now collecting Health Outcome Data. This can be completed for each patient that has had an APPROVED MedsCheck or Diabetes MedsCheck service (up to 20 per month) and you will receive an addition $31.90 for each patient that this is completed for.

This element will take you to a smart form which will require you manually fill out each section and each patient will need to be claimed separately (in a new claim). We have created a ‘MedsCheck and Diabetes MedsCheck Patient Registration Guide for Pharmacists’ which can be found at http://6cpa.com.au/files/medscheck-and-diabetes-medscheck-patient-registration-guide-for-pharmacists/.

Additionally, after the completion of all fields required in the smart form, you will then need to complete or upload a Patient Medication Profile for each patient before this claim is successfully submitted.

The excel template for the Patient Medication Profile can be found at http://6cpa.com.au/files/excel-template-patient-medication-profile/


Please note a ‘how to claim’ guide for each program element will follow shortly. If you have any further questions, please contact 6CPA Support on 1300 555 262 or at support@6cpa.com.au .