Primary Health Care Blended Funding ModelBlended funding is a combination of population based and fee for service funding. Individual patients that live in the catchment area and receive core primary care services from the site are registered to the blended funding site. Registered patients generate daily revenue based upon their health status. All other services provided by the practice; services to non-registered patients, patients out of the catchment area, or for non-core services generate fee for service revenue. Blended funding sites thrive on their ability to deliver health care services efficiently and in a manner that promotes the health of their patient population. The following resources assist in the management of blended funding practices in British Columbia:
Blended Funding Operations Manual Blended Funding Operations Manual This operations manual is for the use of blended funding sites and health authorities and provides detailed policy for the management of blended funding sites. 
Johns Hopkins ACG Case-Mix System The Johns Hopkins University Adjusted Clinical Groups Case-Mix System is the most widely used and tested, population-based, risk-adjustment tool in the United States. More about the Johns Hopkins ACG Case-Mix System. Core and Extended Service Codes Diagnostic Coding Guidelines (PDF 1M) Core and Extended Service Codes (PDF 169K) Extended Service Code Definitions (PDF 142K) Teleplan Codes and Specifications Teleplan Explanatory Codes - PHC Specific (PDF 188K)
The MSP website includes the complete set of specifications for billing software vendors interested in upgrading their software to support the Primary Health Care data submission requirements. The complete MSP Teleplan Specifications are available online. Primary Health Care specific requirements are included as Appendix C (PDF 170K) of the Teleplan Specifications.
Practitioner Registration Forms
Practitioner (non-physician) Registration Form (PDF 90K) Practitioner (non-physician) Registration Instructions (PDF 148K)
Visit the MSP website, Medical Services Plan (MSP) Forms for Practitioners for complete information on registering physicians with MSP. For most PHCOs, all that is required to setup a new physician is to complete the MSP "Assignment of Payment" Form (PDF [an error occurred while processing this directive]) to assign the physician's practitioner number to the PHCO's MSP Payee Number.
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