✨ Maternity Services Payment Rules
NEW ZEALAND GAZETTE
No. 40
2.3.2
Where the Authorised Practitioner is an employee of the provider arm of a District Health Board, s/he is not entitled to claim payments under this Notice when the service for which s/he is claiming forms part of the duties for which s/he is employed.
2.3.3
For the purposes of audit, an Authorised Practitioner employed by the provider arm of a District Health Board must keep a record of the hours of employment (including on-call hours).
2.4 Payments by Women
2.4.1
An Authorised Practitioner who is a General Practitioner or Midwife shall not charge any woman for any Maternity Services, except as described in clause D2.2.2(l). This prohibition on charging includes any request for payment that occurs immediately prior to, or following the provision of Maternity Services, and in relation to which no services have been performed at the time of the request.
2.4.2
A Specialist may charge a woman for Maternity Services where:
(a) the Specialist has informed the woman prior to providing the Maternity Service that a payment will be charged and that this payment is an additional payment over and above what the Specialist is paid under the Notice; and
(b) the Specialist gives the woman the option of finding alternative specialist services.
2.4.3
The Lead Maternity Carer will inform the woman, prior to making a referral to a Specialist, that:
(a) the woman is entitled to receive Secondary Maternity services and that Secondary Maternity services includes specialist consultations; and
(b) Secondary Maternity services are available at no cost to the woman whereas a referral to a Specialist claiming under this Notice may result in a charge to the woman.
3.0 PAYMENT RULES FOR LEAD MATERNITY CARE
Payment for a Module of Lead Maternity Care may only be claimed by a General Practitioner, Midwife or Obstetrician who meets the requirements of clause C3 and C4 of this Notice. There can be no Claim under clause D3 where a woman has transferred to Secondary Maternity for an entire Module.
3.1 Registration
3.1.1
Only one Registration payment will be made per woman per pregnancy.
3.1.2
Registration can only occur in the Second Trimester or Third Trimester. Preparation of the woman’s Care Plan must have commenced before the Registration payment is claimed.
3.1.3
Only the Registration may be claimed if a Single Service Episode is provided during the same attendance as the Registration.
3.1.4
Where the woman is already registered and a new Registration is received by Health Benefits, then the Registration will be changed to the new Lead Maternity Carer. There will be no payment on this change in Registration (unless, in the opinion of the Ministry of Health, the conduct of the first Lead Maternity Carer demonstrates an unwillingness or inability to meet the obligations of clause C3 of this Notice).
Next Page →
Online Sources for this page:
VUW Te Waharoa —
NZ Gazette 2002, No 40
Gazette.govt.nz —
NZ Gazette 2002, No 40
✨ LLM interpretation of page content
🏥
Service Specifications and Quality Requirements for Maternity Services
(continued from previous page)
🏥 Health & Social WelfareMaternity Services, Payment Rules, Authorised Practitioners, District Health Board, General Practitioners, Midwives, Specialists, Lead Maternity Carer, Registration