Primary Health Organisation Services Agreement
Health New Zealand | Te Whatu Ora works with the primary care sector each year on Variations to the Agreement.
Pātiki and Waharua Kōpito patterns
Health New Zealand | Te Whatu Ora contracts for primary care services with 30 Primary Health Organisations throughout New Zealand, through the Primary Health Organisation (PHO) Services Agreement.
Agreements - 2023
PHO Services Agreement Compulsory Variation 6.5 (PDF, 429KB)
Last updated 1 July 2023
Memo - Changes to the PHO Services Agreement (PDF, 203KB)
Last updated 1 July 2023
PHO Services Agreement Version 6.5 (PDF, 1.1 MB)
Last updated 1 July 2023
Systems Level Measure payments (PDF, 92KB)
Last updated April 2020
Uplift for Maori and Pacific immunisations (PDF, 326KB)
Last updated September 2022
PHO Back to Back Agreement (PDF, 64KB)
Last updated December 2020
Buddle Findlay guidance about the Back to Back template (PDF, 171KB)
Last updated December 2020
Referenced documents
These documents are identified in Schedule B3 of the PHO Services Agreement.
Technical specifications
Technical specifications
HL7 Messages Standard Definition – Capitation-Based Funding Electronic Registers (PDF, 1.1MB)
Last updated October 2016
General Medical Services & Immunisation Providers Electronic Claiming Specification (PDF, 1.3MB)
Last updated October 2016
Business rules
Business rules
Business Requirements – National Enrolment Service and Capitation-Based Funding Version 1.2 (PDF, 493KB)
Last updated June 2021
Enrolment Requirements for Contracted Providers and Primary Health Organisations Version 4.1 (PDF, 777KB)
Last updated November 2018
Certification of PHO Enrolment register form (DOC, 99KB)
Last updated September 2009
First Level Services Claims and Payments (PDF, 127KB)
Last updated September 2015
Primary Health Care Purchase Codes (PDF, 53KB)
Last updated November 2002
Audit
Audit
PHO Service and Quality Audit Protocol V1.0 (PDF, 125KB)
Last updated January 2010
Primary Health Organisation Audit Protocol – Financial, Claiming & Referred Service V3.1 (PDF, 125KB)
Last updated January 2019
Other documents
Other documents
PHO Services Agreement Amendment Protocol (PDF, 243KB)
Last updated November 2021
Reporting Requirements (PDF, 119KB)
Last updated June 2014
Daily Record Laboratory Imaging and Pharmaceutical Requirements (PDF, 119KB)
Last updated September 2015
Fees Review Process (PDF, 174KB)
Last updated June 2006
Indicator definitions v7.0 (July 2015) Final (PDF, 1.2MB)
Last updated August 2015
Other supporting documents
These documents support the PHO Services Agreement but are not referenced in the Agreement.
Documents
Documents
Capitation-based Funding User Manual V1.0 (PDF, 471KB)
Last updated April 2004
Capitation-based Funding Stabilisation Information Pack (PDF, 303KB)
Last updated September 2009
Code Mappings for Data Transfer Specification and Clinical Performance Indicator Data Format Standard V0.8 (DOCX, 77KB)
Last updated March 2019
Capitation-based Funding External Error Messages (PDF, 402KB)
Last updated February 2007
Clinical Performance Indicators Data Transfer Specification V5.6 (PDF, 697KB)
Last updated March 2019
Data Format Standard: Clinical Performance Indicators V2.3 (PDF, 346KB)
Last updated March 2019
Historical documents
2022
2022
PHO Services Agreement Compulsory Variation 6.4 (PDF, 162KB)
Last updated 1 July 2022
Memo - Changes to the PHO Services Agreement (PDF, 147KB)
Last updated 1 July 2022
PHO Services Agreement Version 6.4 (PDF, 691KB)
Last updated 1 July 2022