This companion document (FAQs) is not a legal document, nor is it legally binding. This document is intended to help you understand the clinical ARP framework, but the language in the Clinical ARP Program Parameters and the Conditions of Payment Ministerial Orders (MOs) ultimately speaks for itself. In the event there is a discrepancy between this document and the provisions in the signed MOs, the signed MOs shall be paramount.
Can facilities and/or sites be added to an existing clinical ARP?
Yes, the authorized representative can submit a request to Alberta Health for a new site (or sites) to be added to a clinical ARP. Consensus is expected from all participating physicians and community leaders that all physicians providing service at the proposed site will join the ARP if the site is added. A full expansion application may be required to add new sites to an ARP if there is a need to expand the program funding.
Can physicians withdraw from the clinical ARP and go back to billing fee-for-service?
Rarely do individual physicians terminate participation in a clinical ARP and request a return to the fee-for-service payment model. However, a physician may leave a clinical ARP program by providing the Minister with a Letter of Termination with 30 days’ notice of the effective withdrawal date.
How are clinical ARPs governed?
Ministerial Order; the MO has two parts that comprise the Clinical ARP Framework: the Clinical ARP Program Parameters sets out the general rules for all clinical ARPs, and the Conditions of Payment, set out the particular details for each specific clinical ARP. The Clinical ARP Framework supports transparency, equity, and consistency across the clinical ARP Program in Alberta.
What are Conditions of Payment?
The Conditions of Payment include payment details, the goals of the clinical ARP, the program services its participating physicians will provide, a description of the patients to whom those program services will be provided, the service delivery model, and details on the reporting requirements.
What are the objectives of a clinical ARP?
They encourage innovation in the health care system and for some physicians, the way they are paid and the flexibility in the way they provide care enables them to deliver services that suit both themselves and their patients.
What is ARP PSS?
The ARP PMO has been renamed “ARP Physician Support Services” (ARP PSS) and will be part of the AMA. The mandate of the program has changed to the following: to support physicians in the exploration, development and implementation of alternative relationship plans. Previously, the ARP PMO was a neutral, independent organization supporting all clinical ARP stakeholders. This change to a physician-focused support program will allow the ARP PSS to serve current and prospective clinical ARP physicians more effectively.
Who are the stakeholders in a clinical ARP?
The stakeholders are Alberta Health, Alberta Health Services, the Alberta Medical Association, and physician groups exploring or participating in a clinical ARP.
Who is a Participating Physician in a clinical ARP?
After a physician signs a Letter of Participation that is approved by the Minister, the physician becomes a participating physician in the clinical ARP and may be compensated for the provision of program services under the clinical ARP.
Who is the Authorized Representative in a clinical ARP?
An authorized representative (AR) is a participating physician who represents the voice of the participating physicians and acts as their agent with respect to liaising with Alberta Health and the administrative duties of the clinical ARP. Having at least one AR in place is required for the operation of the ARP. The AR is the communication link between Alberta Health and the participating physicians.