Assessor's Checklist: Procedures for registering and paying for BHP consultations

Action required

Responsible area

Step 1A

Registration form received from person who has never applied for Tier 1, 2 or 3 or Group 1 classification.

• Send letter advising of the need to lodge a tier application in order to determine BHP eligibility. Include Factsheet F111-08 and D9021 Tier classification form.

F-111 Health Care Team

Step 1B

Registration form received from approved Tier 1, 2 or 3 classification or Group 1 classification.

• Send letter informing that eligibility for BHP has been approved and they can access screening through the BHP. Include the BHP information brochures and GP information pack. 
• Enter contact details on BHP spreadsheet.

F-111 Health Care Team

Step 2

If person requests screening, check BHP Payments spreadsheet to see if screening for that condition has been undertaken recently.

• If screening has been undertaken recently, check if it is ongoing treatment or still part of the screening process.  If it is ongoing treatment, check if it can be covered under the SHCS.  If it can't be covered under SHCS, advise participant that the ongoing treatment cannot be covered.

F-111 Health Care Team

Step 3

Check if person is requesting screening through a GP or specialist

• If screening is through a GP, no prior approval is required.
• If screening is through a specialist (Gastroenterologist, General Surgeon,  Dermatologist), Day Procedure Centre or hospital, arrange prior approval for the screening procedure.

F-111 Health Care Team

Step 4

Record payments on Better Health Program spreadsheet.

F-111 Health Care Team