Pediatricians who provide comprehensive primary care services are eligible to be core providers in one Primary Care Network. The following outlines how pediatricians can get involved.
WHO CAN BE IN A PEDIATRICIAN’S PANEL?
Only patients who have not seen a family physician within a 36-month look back period are eligible to be part of the panel of a pediatrician who is being recognized as a provider of primary care services.
Pediatricians have been included because they are considered to provide all primary care services to some pediatric patients in a continuous and comprehensive manner. Other specialists are not included.
HOW WILL THIS BE DONE?
Only patients who have been seen by a pediatrician registered as a core provider with a PCN, and have not been seen by another family physician in Alberta, will be assigned as part of the enrollee count for that particular pediatrician. The amount of per capita funding to the PCN is the same as that for a general practitioner. All physicians, including family physicians, are registered as core providers in only one PCN.
WHEN IS THIS EFFECTIVE?
For those PCNs who already had pediatricians registered under the previous funding model this change was effective April 1, 2009.
For new pediatricians joining a PCN, their enrollees will be counted for the next pay period.
WHAT WAS THE RATIONALE USED IN MAKING THIS DECISION?
Questions? Contact the PCI Program Management Office at 780.488.4350 or toll-free at 1.866.714.5724 or email firstname.lastname@example.org.
Pediatrics - Just the Facts