1. Tariffs 8181 – 8185 are claimable once per three-month time period for a patient enrolled on the physician’s panel. The three-month time periods are defined as: 

a. April 1 to June 30
b. July 1 to September 30
c. October 1 to December 31
d. January 1 to March 31. 

2. A physician may claim one of the following tariffs: 8181, 8182, 8183, 8184, or 8185 per enrolled patient.

1. There is no recent visit requirement to claim the age-based portion of the panel payment. Any enrolled patient on your panel qualifies. 
2. Newborns are also eligible for the panel payments even if you claimed the newborn enrollment in the same quarter.
3. Age-based tariffs do not require an ICD code.
4. PCH patients are also eligible for the panel payment. Ensure you enroll your PCH patients in your Home Clinic and document the visit and care in the Home Clinic EMR, for inclusion in the monthly submission of the Primary Care Data Extract (PCDE).

Tariffs 8186 – 8190 are claimable once per three-month time period for a patient enrolled on the physician’s panel. The three-month time periods are defined as: April 1 to June 30, July 1 to September 30, October 1 to December 31 and January 1 to March 31. 

A physician may claim one of the following tariffs: 8186, 8187, 8188, or 8189 where applicable and additionally may claim tariff 8190 where applicable

For the purpose of claiming tariffs 8186, 8187, 8188, 8189 or 8190, the chronic disease clusters and disease groupings are included in the Chronic Disease Clusters table. Applicable ICD codes for the Chronic Diseases are available for review here .

In order to claim tariff 8186, 8187, 8188, 8189 or 8190 the physician, an allied health member of their clinic, or another physician providing coverage to the physician must provide a medical service to the patient in the preceding twenty-four (24) months.

The physician or member of their team must provide: 

1. Medical services consistent with the applicable indicators in the Manitoba Primary Care Quality Indicators Guide (version 4.0 or such other version(s) as agreed to by the parties). 
   
2. Ongoing coordination with other health care providers respecting management of patient condition(s) and patient care plan; and 
   
3. Ongoing communication with patient, monitoring of patient condition(s) and patient care plan.

Family Medicine Plus tariffs may not be claimed in combination with Chronic Disease Management Tariffs: 8431, 8432, 8433, 8434, or 8435. 

Claims for additional services rendered to a patient on the physician’s enrolled panel (e.g., visits) may be made in addition.
The services must be documented in the EMR and communicated to Manitoba Health via data extracts compatible with Manitoba Health’s information system and delivered securely, either (a) through a secure electronic interface (EMR extract) on a monthly basis, or (b) on an encrypted electronic device (e.g. CD or flash drive), on a quarterly basis (commencing on April 1 of each year), within 15 calendar days of the end of each quarter. 

The physician shall provide care based on current standards and shall maintain competency to manage these patients, or shall be practicing in a multi-disciplinary team based care environment that develops common care plans and collectively cares for a patient population in a primary care setting. 

In addition to medication management, the physician, or a member of their team, where required, must: 

1. Provide ongoing screening and monitoring of the patient’s condition using validated screening/​diagnostic tools including identifying risk status; 
   
2. Make brief interventions, as required, helping patient identify goals and treatment readiness, and identify risky behaviours. Such interventions may require additional visit or services as applicable; 
   
3. Develop, review and manage patient care plans including management of co-morbidities, on an on-going basis; 
   
4. Make appropriate referrals/​consultations.