A Dose Administration Aid (DAA) is defined as a well-sealed, tamper-evident device that allows individual medicine doses to be organised according to the dose schedule determined by the Patient’s prescriber. There are a number of Dose Administration Aid systems available on the Australian market.
To be eligible to receive payments under the DAA Program, a Community Pharmacy must:
To be eligible for a DAA service under the Program, a Patient must:
A person is not eligible for a DAA service funded under this Program if they are currently:
Funding of $120 million is available in the 2018/19 financial year. All Approved Providers will be allocated an individual cap based on previous DAA service volumes. Caps will be monitored and may be modified by the Department of Health to ensure expenditure does not exceed the allocated funding.
Approved Providers must submit eligible claims on a monthly basis, subject to the following requirements:
DAA services must be claimed by the end of the calendar month after the service is delivered (e.g. services provided in May must be claimed by 30 June). Claims submitted outside this time frame will not be paid.
For the purposes of claiming, a single DAA service is defined as the provision of any number of packs required by that Patient to adequately assist with their medication for that week. A single claim is made regardless of the number of packs required. For clarity:
The following information must be provided to the Pharmacy Programs Administrator in order to claim a payment:
Pharmacies participating in the DAA Program are required to collect health outcomes data to allow the Australian Government Department of Health and the Pharmacy Programs Administrator to monitor and evaluate the delivery and impact of the Program.
Approved providers must gain consent from Patients to collect this data in accordance with Appendix A of the Program Rules. This information will be used by the Pharmacy Program Administrator and the Australian Government Department of Health to evaluate the DAA Program. Collection of this data entitles the Approved Pharmacy to claim a payment for five Patients at initial Patient Registration and at the six-monthly follow up.
Payments will be made in accordance with the table below:
|$6.08||Provision of weekly DAA service for all eligible Patients who receive a DAA service|
|$31.90||Collection of data at initial Patient Registration for 5 Patients|
|$31.90||Collection of data at six-monthly follow up for 5 Patients|
Participating Pharmacies must keep all relevant records for seven years, including service records, claim records and Patient information for DAA Program evaluation. The records may be electronic or hard copy.
The Pharmacy Programs Administrator is responsible for auditing the DAA Program. If an audit is conducted, the Approved Provider will be required to produce supporting documentation. Providers found to be in breach of the DAA Program Rules may be subject to penalties.
Please refer to the Portal User Guide – DAA that is available from the Downloads section of this page.
No, but you can cut and paste from an Excel spreadsheet into the Portal. You can cut and paste all records at once, you don’t need to do it line by line. If you used to upload a .csv file, you can open this in Excel and cut and paste from there.
The format of the spreadsheet must be correct for the cut and paste to work. Please check that:
If you get this message for all rows, it means you have already successfully submitted your claim. You can check this by navigating to the View Claims tab after you’ve selected the DAA Program, then selecting Service Claim from the Claim Type drop-down on the left side of the screen. This will show you all of your previous claims. If you click on the View Claims icon on the right of the screen for each claim, it will show you all the patients you claimed for on that date.
Please see the Program Rules available from the Downloads section of this page.
In some instances, yes. Please refer to the Program Rules available from the Downloads section of this page, or contact the Support Centre for additional information.
Each Pharmacy has an individual cap. Pharmacies new to the Program have a cap of 30 DAAs per week. Pharmacies that previously participated in the Program have caps that are based upon their claims during the 2016/17 financial year, with an increase after Department of Health review in 2018. For more information please see the Program Rules.
The Pharmacy Programs Administrator does not have the ability to review caps. The Department of Health may conduct a review of all caps if it believes this is warranted.
Each provision of a DAA Service for eligible Patients is paid $6.08. For further information about what constitutes an eligible service, please refer to the Program Rules, available from the Downloads section of this page. For the collection of the Patient registration and six-month follow up service data, a further $31.90 is available for up to five Patients.
No sooner than six months since the initial service – the Pharmacy Programs Administrator Portal will not accept a follow-up service date less than six months after the initial service.
No, eligible Patients must hold a current government issued concession card.
Yes. Refer to the Portal User Guide – DAA that is available from the Downloads section of this page.
Claims are due at the end of the calendar month after the DAA Service was performed. For example, DAAs provided in March would be required to be submitted on the Pharmacy Programs Administrator Portal by the end of April.
You can collect Patient data for up to five Patients. This includes both an initial Patient registration data and a follow up data after six months.
Yes, the DAA should be claimed by the Pharmacy where the medicines for the DAA were dispensed. Please refer to the Program Rules, available from the Downloads section of this page, for additional information.
If you are currently using an Excel file to manage your DAA claim then yes, you will be able to copy Patient data from previous claims into a new claim. For instructions please see the Portal User Guide – DAA that is available from the Downloads section of this page
If your Pharmacy operated under a previous PBS approval/s90 number (under a previous owner) the cap will be calculated using their data. If the Pharmacy was not open in the calculation period then the Pharmacy will be allocated the base cap of 30 Patients per week.
No, they are not eligible.
The start date of the pack.