To for these additional costs, this Price Guide defines both needs’ and intensity’ line items for some supports, ‘standard ‘high such as assistance with self-care activities and group-based community participation supports. High intensity line items will have price limits that are set at higher price levels than the equivalent needs’ support. ‘standard Regional, Remote and Very Remote Areas Supports delivered in remote and very remote areas may have higher additional service delivery costs, and may require higher price limits in place to accommodate for this. The Modified Monash Model (MMM) is used to determine regional, remote and very remote areas using a scale from 1-7 based on population size and locality. Participants located in MMM4 and MMM5 areas are classified as MMM6 as and MMM7 as Remote’. Further details on the MMM can be found on the ‘Regional’, ‘Remote’, ‘Very Department of Health’s DoctorConnect website. This website also contains a resource to look up the MMM area for particular locations. There are separate Price Guides for Remote and Very Remote areas. Prices are 20% higher in remote areas and 25% higher in very remote areas for some supports. There is no additional loading applied for delivery of supports in regional areas. Providers should refer to support price limits based on where the support is delivered, which is not necessarily where the participant lives. For example, if a participant living in a Remote location visits a therapist in their capital city, the therapist should not attempt to claim a price that is higher than the price limit for the support in that city. On the other hand, if the therapist was to visit the participant in their local area to deliver the support, then the therapist could claim a price that is within the limit set by the ‘Remote’ Price Guide (i.e. 20% higher).
To for these additional costs, this Price Guide defines both ‘standard needs’ and ‘high intensity’ line items for some supports, such as assistance with self-care activities and group-based community participation supports. High intensity line items will have price limits that are set at higher price levels than the equivalent ‘standard needs’ support. Regional, Remote and Very Remote Areas Supports delivered in remote and very remote areas may have higher additional service delivery costs, and may require higher price limits in place to accommodate for this. The Modified Monash Model (MMM) is used to determine regional, remote and very remote areas using a scale from 1-7 based on population size and locality. Participants located in MMM4 and MMM5 areas are classified as ‘Regional’, MMM6 as ‘Remote’, and MMM7 as ‘Very Remote’. Further details on the MMM can be found on the Department of Health’s DoctorConnect website. This website also contains a resource to look up the MMM area for particular locations. There are separate Price Guides for Remote and Very Remote areas. Prices are 20% higher in remote areas and 25% higher in very remote areas for some supports. There is no additional loading applied for delivery of supports in regional areas. Providers should refer to support price limits based on where the support is delivered, which is not necessarily where the participant lives. For example, if a participant living in a Remote location visits a therapist in their capital city, the therapist should not attempt to claim a price that is higher than the price limit for the support in that city. On the other hand, if the therapist was to visit the participant in their local area to deliver the support, then the therapist could claim a price that is within the limit set by the ‘Remote’ Price Guide (i.e. 20% higher).
201819-Price-Guide-Remote.docx