Resources Archive
The following is a list of historical 6CPA resources. Please note that many of these resources are no longer current or applicable to the 6CPA Programs or claiming procedures, and are listed here only for historical reference.
All current 6CPA Program Rules and claiming advice are located at the Pharmacy Program Administrator website.
Program Rules
- 6CPA General Terms and Conditions (pdf - 259 KB)
- 6CPA Dose Administration Aids (DAA) Program Rules - 1 July 2018 (pdf - 289 KB)
- 6CPA Dose Administration Aids (DAA) Program Rules - 1 July 2017 (pdf - 269 KB)
- 6CPA Clinical Interventions Program Rules - 1 July 2017 (pdf - 238 KB)
- 6CPA Staged Supply Program Rules - 1 July 2018 (pdf - 282 KB)
- 6CPA Staged Supply Program Rules - 1 July 2017 (pdf - 263 KB)
- 6CPA Home Medicine Review (HMR) Program Rules - 1 July 2017 (pdf - 294 KB)
- 6CPA Home Medicines Review Rural Loading Allowance Program Specific Guidelines (pdf - 248 KB)
- 6CPA MedsCheck and Diabetes MedsCheck Program Rules - 2 October 2018 (pdf - 276 KB)
- 6CPA MedsCheck and Diabetes MedsCheck Program Rules - 1 July 2017 (pdf - 289 KB)
- 6CPA Residential Medication Management Review (RMMR) and Quality Use of Medicines (RMMR-QUM) Program Rules - 1 July 2017 (pdf - 265 KB)
- 6CPA Continuing Professional Education Program Specific Guidelines (pdf - 247 KB)
- 6CPA Emergency Locum Service Program Specific Guidelines (pdf - 247 KB)
- 6CPA Intern Incentive Allowance for Rural Pharmacies Program Specific Guidelines (pdf - 245 KB)
- 6CPA Intern Incentive Allowance for Rural Pharmacies - Extension Program, Program Specific Guidelines (pdf - 243 KB)
- 6CPA Rural Intern Training Allowance Program Specific Guidelines (pdf - 240 KB)
- 6CPA Rural Pharmacy Liaison Officer Program Specific Guidelines (pdf - 240 KB)
- 6CPA Rural Pharmacy Maintenance Allowance Program Specific Guidelines (pdf - 254 KB)
- 6CPA Rural Pharmacy Scholarship Scheme Program Specific Guidelines (pdf - 292 KB)
- 6CPA Rural Pharmacy Scholarship Mentor Scheme Program Specific Guidelines (pdf - 239 KB)
- 6CPA Rural Pharmacy Student Placement Allowance Program Specific Guidelines (pdf - 239 KB)
- 6CPA Administrative Support to Pharmacy Schools Scheme Program Specific Guidelines (pdf - 242 KB)
- 6CPA Aboriginal and Torres Strait Islander Pharmacy Assistant Traineeship Program Specific Guidelines (pdf - 830 KB)
- 6CPA Aboriginal and Torres Strait Islander Scholarship Scheme Program Specific Guidelines (pdf - 936 KB)
- 6CPA QUMAX Program Specific Guidelines (pdf - 842 KB)
- 6CPA S100 Pharmacy Support Allowance Program Specific Guidelines (pdf - 1 MB)
Forms and Templates
6CPA Registration and Claiming Portal
- 6CPA Exceptional Circumstances Request Form (pdf - 1 MB)
- 6CPA Program Registration Form (pdf - 117 KB)
- Claim Template - DAA Basic Service Provision (xlsx - 54 KB)
- Claim Template - HMR Services (xlsx - 19 KB)
- Claim Template - MedsCheck and Diabetes MedsCheck Services (xlsx - 14 KB)
- Claim Template - RMMR Services (xlsx - 18 KB)
- Claim Template - Staged Supply & Patient Registration (xlsx - 19 KB)
- Claim Template - Staged Supply Follow Up (xlsx - 18 KB)
- Excel Template - Patient Medication Profile (xlsx - 11 KB)
Dose Administration Aids
- Calculating your DAA Claim - worksheet (pdf - 100 KB)
- Claim Template - DAA Basic Service Provision (xlsx - 54 KB)
- DAA Patient Registratoin - Initial Interview Form (pdf - 109 KB)
- Dose Administration Aids (DAA) Patient Information and Consent (pdf - 162 KB)
- Excel Template - Patient Medication Profile (xlsx - 11 KB)
Staged Supply
- Claim Template - Staged Supply Services & Patient Registration (xlsx - 19 KB)
- Claim Template - Staged Supply Follow Up (xlsx - 18 KB)
- Staged Supply Patient Information and Consent (pdf - 162 KB)
Home Medicines Review
- 6CPA Patient Privacy Notification (pdf - 141 KB)
- Claim Template - HMR Services (xlsx - 19 KB)
- HMR Rural Loading Allowance Log Book (pdf - 82 KB)
- Prior Approval Request for HMR Interview conducted by Registered Pharmacist (pdf - 157 KB)
- Prior Approval Request for HMR Interview Outside the Patient's Home (pdf - 157 KB)
MedsCheck and Diabetes MedsCheck
- Claim Template - MedsCheck and Diabetes MedsCheck Services (Pre 1 Feb 2018) (xlsx - 18 KB)
- Claim Template - MedsCheck and Diabetes MedsCheck Services (xlsx - 14 KB)
- Diabetes MedsCheck Patient Information and Consent (pdf - 165 KB)
- Excel Template - Patient Medication Profile (xlsx - 11 KB)
- MedsCheck and Diabetes MedsCheck Patient Registration - Initial Interview Form (pdf - 107 KB)
- Regular MedsCheck Patient Information and Consent (pdf - 163 KB)
Residential Medication Management Reviews
- Claim Template - RMMR Services (xlsx - 18 KB)
- RMMR Prior Approval Request for Phamracist Only Review (pdf - 193 KB)
- RMMR QUM Service Agreement example (doc - 120 KB)
- RMMR Service Agreement example (doc - 104 KB)
Continuing Professional Education
Emergency Locum Service
Intern Incentive Allowance for Rural Pharmacies and Extension Program
- IIARP-EP Application Form (pdf - 163 KB)
- IIARP-EP Newly Registered Pharmacists End Placement Report (pdf - 136 KB)
- IIARP-EP Pharmacist End Placement Report (pdf - 140 KB)
- IIARP-EP Pharmacist Mid Placement Report (pdf - 138 KB)
Rural Intern Training Allowance
Rural Pharmacy Scholarship Scheme
- Rural Pharmacy Scholarship Agreement (pdf - 71 KB)
- Rural Pharmacy Scholarship Statutory Declaration (pdf - 65 KB)
- Rural Pharmacy Scholarship Blank Statutory Declaration (pdf - 65 KB)
Aboriginal and Torres Strait Islander Pharmacy Assistant Traineeship Scheme
Aboriginal and Torres Strait Islander Pharmacy Scholarship Scheme
- Aboriginal and Torres Strait Islander Pharmacy Assistant Traineeship Self Identification Form (pdf - 141 KB)
- Application Statutory Declaration (pdf - 111 KB)
- Blank Statutory Declaration (pdf - 111 KB)
- Pharmacy Scholarship Agreement (pdf - 116 KB)
QUMAX – Quality Use of Medicines Maximised for Aboriginal and Torres Strait Islander People
- Form A - QUMAX DAA Agreement (pdf - 223 KB)
- Form B - Banking details and RCTI Agreement (pdf - 230 KB)
- QUMAX Pharmacies Reporting Form (pdf - 204 KB)
S100 Pharmacy Support Allowance
- S100 Form A - Application for Section 100 Support Allowance (New and Renewals) (pdf - 183 KB)
- S100 Form B - Certification of Continued Support Services (pdf - 134 KB)
- S100 Needs Assessment Template (pdf - 735 KB)
- S100 RCTI Agreement for Community Pharmacy (pdf - 142 KB)
- S100 Work Plan Template (pdf - 805 KB)
Guides and Factsheets
6CPA Registration and Claiming Portal
- Explanation of New Program Elements (pdf - 132 KB)
- How to Claim for DAA and MedsCheck Patient Registration on the 6CPA Portal (pdf - 563 KB)
- How to Claim for DAA Staged Supply or MedsCheck Services on the 6CPA Portal (pdf - 424 KB)
- How to Claim for HMR or RMMR on the 6CPA Registration and Claiming Portal (pdf - 563 KB)
- How to claim for PPI-CI on the 6CPA Registration and Claiming Portal (pdf - 602 KB)
- How to Claim for S100 Patient Specific Medicine Supply Fee on 6CPA Registration and Claiming Portal (pdf - 2 MB)
- How to complete the HMR Claim Template (xlsx - 26 KB)
- How to complete the RMMR Claim Template (xlsx - 30 KB)
- How to register on the 6CPA Registration and Claiming Portal (pdf - 612 KB)
- How to resubmit a claim for HMR RMMR and MedCheck and Diabetes MedsCheck (pdf - 685 KB)
Clinical Interventions
- Factsheet - Clinical Interventions (pdf - 84 KB)
- PSA Standards and Guidelines for Pharmacists performing Clinical Interventions (pdf - 3 MB)
Dose Administration Aids
- Factsheet - Dose Administration Aids (DAAs) (pdf - 86 KB)
- Dose Administration Aids Reconciliation Process (pdf - 73 KB)
- Dose Administration Aids FAQs (pdf - 191 KB)
- DAA Patient Registration Guide for Pharmacists (pdf - 1 MB)
- DAA Basic Service Provision Guide for Pharmacists (pdf - 23 KB)
- PSA Standards and guidelines for pharmacists providing a DAA service (pdf - 1 MB)
Staged Supply
- Factsheet - Staged Supply (pdf - 87 KB)
- Staged Supply FAQs (pdf - 218 KB)
- PSA Standards and Guidelines for Pharmacists providing a Staged Supply Service for Prescribed Medicines (pdf - 833 KB)
- Staged Supply 6 Month Follow Up Guide for Pharmacists (pdf - 183 KB)
Home Medicines Review
MedsCheck and Diabetes MedsCheck
- MedsCheck FAQs (pdf - 158 KB)
- PSA Guidelines for Pharmacists providing MedsCheck and Diabetes MedsCheck (pdf - 1 MB)
- MedsCheck and Diabetes MedsCheck Patient Registration Guide for Pharmacists (pdf - 185 KB)
- 6CPA MedsCheck and Diabetes MedsCheck service checklist (pdf - 86 KB)
- MedsCheck and Diabetes MedsCheck consumer report template (pdf - 138 KB)
- MedsCheck and Diabetes MedsCheck eligibility screening tool (pdf - 105 KB)
Residential Medication Management Reviews
Rural Support Programs
- Scholarship Participation Guide (pdf - 501 KB)
- 2016-17 RPMA Payment Matrix (pdf - 37 KB)
- 2017 - 18 RPMA Payment Matrix (pdf - 35 KB)
- 2018-19 RPMA Payment Matrix (pdf - 184 KB)
- Pharmacy Accessibility Remoteness Index of Australia
Aboriginal and Torres Strait Islander Specific Programs
6CPA Registration and Claiming Portal FAQs
- Stakeholder Transition Advice (docx - 94 KB)
- Patient Service History Check Tool (pdf - 102 KB)
- How to Unlock Your Account (pdf - 217 KB)
- How to Resubmit Claims with a Resubmit Button (pdf - 102 KB)
- How to Resubmit Claims where no Resubmit Button exists (pdf - 103 KB)
- How to Register to Participate in a New Program (pdf - 106 KB)
- How to Register a New or Extended RMMR or QUM Contract (pdf - 105 KB)
- How to Lodge a Claim for Exceptional Circumstances (pdf - 108 KB)
- How to know if a Claim has been Submitted Successfully (pdf - 101 KB)
- How to Change the Primary Secondary Contact (pdf - 103 KB)
- How to Amend Pharmacy Business Details (pdf - 111 KB)
- How to Amend or Withdraw a Claim (pdf - 102 KB)
- Declined Claims that are not Eligible for Resubmission (pdf - 103 KB)
Software Vendor Resources
- DAA - Claim and Reporting Requirements for Vendors (pdf - 194 KB)
- DAA - Overview of Health Outcomes Information Requirements (pdf - 296 KB)
- MedsCheck and Diabetes MedsCheck - Claim and Reporting Requirements for Vendors (pdf - 163 KB)
- MedsCheck and Diabetes MedsCheck - Overview of Health Outcome Information Requirements (pdf - 175 KB)
- MedsIndex Excel Calculator Explanation (pdf - 217 KB)
- MedsIndex Excel Calculator (xls - 580 KB)
- MedsIndex Excel File Example (xls - 580 KB)