PPI 120 Day Rule 

Frequently Asked Questions

What is the new PPI rule?

To be eligible to receive annual incentive payments for Staged Supply, Primary Health Care, Community Services Support and /or Working with Others, Eligible Community Pharmacies must complete their QCPP accreditation or anniversary year requirements, and submit a valid PPI Declaration, no later than 120 days after the pharmacy’s accreditation or anniversary date each year.
Return to top

What does this mean?

In summary the PPI rule amendment requires pharmacies to successfully complete the requirements of accreditation and submit the PPI Annual Payment Eligibility Declaration, within 120 days (approximately 4 months) of the pharmacy’s accreditation date or anniversary date. 

Therefore to be eligible for payment, the pharmacy must ensure that in the accreditation year that they have fulfilled the following three criteria:
  • QCPP accreditation assessment completed with all remedial actions successfully closed by the assessor;
  • PPI declaration (page 3 of T1A) lodged with QCPP Member Services by fax 02 6270 1885, emailed to help@qcpp.com or mailed to PO Box 7036, Canberra Business Centre, ACT 2610; and
  • Payment of the QCPP assessment invoice is made in full.
Therefore to be eligible for payment the pharmacy must ensure that in the anniversary year (none assessment year) that they have fulfilled the following two criteria:
  • PPI declaration (page 3 of T1A) lodged with QCPP Member Services by fax 02 6270 1885, emailed to help@qcpp.com or mailed to PO Box 7036, Canberra Business Centre, ACT 2610; and
  • Payment of the QCPP anniversary invoice is made in full.
Return to top

Does this affect my QCPP accreditation?

This rule is a PPI eligibility for payment rule and does not affect your QCPP accreditation status.
Return to top

Does this change the QCPP Rules?

This rule is a PPI eligibility requirement. The existing QCPP Rules, documented in the QCPP Requirements Manual and available on the QCPP website at www.qcpp.com/accreditation/rules, will continue to be upheld for QCPP accreditation. 
Return to top

When does the new rule come into effect?

At the release of the PPI Program Specific Guidelines on 1 November 2013.
Return to top

What happens if I have an accreditation assessment extension already approved?

Only Pharmacies that have successfully applied and been granted a QCPP assessment extension prior to this new PPI eligibility requirement (prior to 1 November 2013) will be provided 120 days from the QCPP assessment to successfully complete all requirements of QCPP accreditation and lodgment of the PPI declaration. This is a once off ‘grandfather clause’ and will not be available for subsequent extension requests.

Return to top

What if my accreditation date is on or before 31 October 2013?

Pharmacies with accreditation dates on or before 31 October will have at least 120 days (until 28 February 2014) to complete their accreditation requirements. This is a once off ‘grandfather clause’ and will not be available for accreditation dates from 1 November 2013 onwards.

Return to top

I have not yet completed all my remedial actions, what do I need to do?

All pharmacies will need to ensure they have successfully completed all requirements of QCPP accreditation from their last QCPP assessment and lodged a PPI declaration by 1 March 2014 to continue to remain eligible for PPI payments.

Return to top

Can I still request either an accreditation assessment extension or remedial action extension?

Yes, pharmacies can still request consideration for an extension for QCPP assessment or remedial action, although the QCPP team will make sure the pharmacy is aware the decision to proceed with an extension request may impact on the pharmacies PPI payment eligibility. Extensions will only be considered after the pharmacy has confirmed they are aware of the potential impact on their PPI annual payments.

Return to top

What is the difference between my accreditation date, anniversary date and assessment date?

Accreditation Date: This is the date your QCPP accreditation is due for renewal via a re-accreditation assessment.
Anniversary Date: This is the date your annual PPI declaration and annual QCPP invoice is due. The date is 12 months from your accreditation date.
Assessment: The pharmacy, in consultation with a QCPP assessor, confirms the most suitable date to complete their QCPP accreditation assessment. Ideally your QCPP assessment should be completed prior to your accreditation date.

What is required to obtain accreditation and be eligible for PPI payments?

If your pharmacy is currently undergoing QCPP accreditation, you will need to complete the following three requirements within 120 days of your accreditation date:

  • QCPP accreditation assessment completed with all remedial actions successfully closed by the assessor;
  • PPI declaration (page 3 of T1A) lodged with QCPP Member Services by fax 02 6270 1885, emailed to help@qcpp.com or mailed to PO Box 7036, Canberra Business Centre, ACT 2610; and
  • Payment of the QCPP assessment invoice is made in full.

To remain eligible in the QCPP anniversary year (non-assessment year), the pharmacy must complete the following two requirements:

  • PPI declaration (page 3 of T1A) lodged with QCPP Member Services by fax 02 6270 1885, emailed to help@qcpp.com or mailed to PO Box 7036, Canberra Business Centre, ACT 2610; and
  • Payment of the QCPP anniversary invoice is made in full.
Return to top

What do I need to do?

To ensure pharmacies do not impact their PPI payment eligibility we would encourage pharmacies to ensure:

  1. The pharmacy’s quality management system is maintained and QCPP ready;
  2. The pharmacy is ready for QCPP assessment and evidence is available for QCPP assessment;
  3. QCPP assessment is scheduled and completed prior to the accreditation date;
  4. Complete any remedial actions within three months of QCPP assessment; 
  5. All QCPP invoices are paid; and
  6. PPI declaration is lodged.
Return to top

How do I find out my QCPP accreditation or anniversary date?

There are three ways you can check your QCCP accreditation or anniversary date:

  • Your accreditation date is written on your Certificate of Accreditation;
  • You could contact your local QCPP State Manager; or
  • Contact the QCPP Member Services team on 1300 363 340.
Return to top

Will I still be prompted by QCPP when I am due to complete requirements?

Yes, all regular communication from QCPP including letters and invoices will be continued. 
Return to top

Case Studies

Case Study 1 - In this example the pharmacy potentially may request some additional time to complete remedial actions without impacting on PPI payment eligibility. 



The pharmacy's accreditation date is 1 October 2013. A QCPP assessment has been scheduled and is completed before the accreditation date on 20 September 2013. Within QCPP rules the pharmacy is allocated 3 months to successfully complete remedial actions – due 20 December 2013. To be eligible for PPI payments, the pharmacy must close all remedial actions, pay QCPP invoice and lodge PPI declaration by 28 January 2014.

Case Study 2 - In this example as the pharmacy has delayed the QCPP assessment. Remedial actions, QCPP accreditation requirements and lodgment of PPI declaration must be completed within 18 days of the QCPP assessment.



The pharmacy's accreditation date is 1 October 2013. A QCPP assessment is delayed at the request of the pharmacy for 3 months via an extension request, and assessment undertaken on 10 January 2014. To remain eligible for PPI payments, the pharmacy must close all remedial actions, pay QCPP invoice and lodge PPI declaration by 28 January 2014. Therefore the pharmacy must successfully complete all remedial actions prior to the 3 months provided by QCPP. Within QCPP rules the pharmacy is allocated 3 months to successfully complete remedial actions – due 10 April 2014. 

Advertisement


© The Pharmacy Guild of Australia | Disclaimer | Privacy Policy | Contact Us