The decision to engage in patient enrollment is significant for both the patient and the clinic. Physicians and clinics are expected to take enrollment seriously and professionally. 

Manitoba Health has asked us to remind family physicians and clinics to approach enrollment appropriately.

What to know about enrollment:

• The Most Responsible Provider (MRP), along with the clinic, are responsible for providing ongoing, continuous, comprehensive care;
• All relevant labs and information related to the patient will be sent to the patient’s Home Clinic for action and follow up;
• An enrollment conversation should include asking if the patient already has a family physician and should confirm they no longer wish to receive care from their existing provider. The Home Clinic team can provide resources to address these discussions.

What to know about billing for enrolled patients:

• Patients on your panel are eligible for FM+ tariffs immediately following successful enrollment.
• There is no enrollment history requirement, backdating is disallowed. 

FM+ provides prospective payment, therefore, there are no circumstances in which physicians should be ​“backdating” a patient’s enrollment. This could inadvertently interfere with a colleague’s CDM, CCM, or FM+ payments.

We have been made aware of some isolated instances of inappropriately backdating enrollment for patients added to a panel, causing issues for the physicians for whom the patient was previously enrolled under. We are working with Manitoba Health to resolve these issues quickly. No action is required, but if you have experienced any issues and have concerns, please contact your Home Clinic Liaison or email our team at practiceadvice@​doctorsmanitoba.​ca.

Clinics who have been inadvertently following this practice will be contacted to ensure an understanding of proper enrollment etiquette.

Read more about appropriate enrollment on Manitoba Health’s Family Medicine Plus FAQ Guide.