24 APRIL

NEW ZEALAND GAZETTE

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this Notice in which case the first Registration fee will be reversed and the subsequent Registration regarded as the first Registration).

3.1.5
A change of Registration is not to be completed when clinical responsibility for the woman transfers to Secondary Maternity.

See clause C4.1 for the service specification applying to these payment rules.

3.2
Second Trimester and Third Trimester

3.2.1
Trimester dates will be based upon the first Expected Date of Delivery supplied by an Authorised Practitioner, even though the Expected Date of Delivery may be updated during the pregnancy.

3.2.2
Where a woman changes her Lead Maternity Carer during the first ten days of the Second Trimester or during the first ten days of the Third Trimester, the new Lead Maternity Carer is deemed to be the Lead Maternity Carer for the entire Trimester. In these circumstances, the previous Lead Maternity Carer may not make a Claim for this Module.

3.2.3
Where a woman changes her Lead Maternity Carer on or after the eleventh day of the Second Trimester or on or after the eleventh day of the Third Trimester, the Lead Maternity Carer first registered will receive 40% of the Module fee. The Lead Maternity Carer registered at the end of the trimester will receive 60% of the Module fee.

3.2.4
Where a woman first registers with a Lead Maternity Carer prior to or during the twenty-first week of pregnancy, the Lead Maternity Carer may claim the full Second Trimester fee. Where a woman first registers with a Lead Maternity Carer after the twenty-first week of pregnancy, the Lead Maternity Carer may claim 50% of the Second Trimester fee.

3.2.5
If a woman changes her Lead Maternity Carer at any time during the last ten days of the Second Trimester, the change is deemed to have occurred from the beginning of the Third Trimester and the new Lead Maternity Carer may not claim any payment for the Second Trimester.

3.2.6
The Lead Maternity Carer may claim the full Third Trimester payment where a woman first registers with a Lead Maternity Carer during the Third Trimester.

See clause C4.2 & C4.3 for the service specification applying to these payment rules.

3.3
Labour & Birth

3.3.1
Only one Labour & Birth fee is payable for a Birth (including a multiple birth). The payment to be claimed depends on whether the Birth is a First Birth, VBAC or Subsequent Birth.

3.3.2
If the Lead Maternity Carer did not attend the Birth, this must be documented on the claim form.

3.3.3
Where a Lead Maternity Carer utilises Hospital Midwifery Services, Health Benefits will pay the Hospital Midwifery Services directly and the Lead Maternity Carer will claim the fee for where a General Practitioner or Obstetrician has used Hospital Midwifery Services.

3.3.4
Subject to C3.9, the Lead Maternity Carer can claim the Labour & Birth fee where the Lead Maternity Carer anticipates that clinical responsibility for the Labour & Birth will remain with the Lead Maternity Carer and circumstances change and clinical responsibility transfers after Established Labour to Secondary Maternity.

3.3.5
The payment for Homebirth Supplies & Services may only be claimed once where a Homebirth has occurred.

3.3.6
The payment for Birthing Unit Services may only be claimed once where the Birth occurs in a Birthing Unit.

See clause C4.4 for the service specification applying to these payment rules.