New Zealand Gazette – 2002 – No. 40

Page 1125

✨ Maternity Services Payment Rules



24 APRIL NEW ZEALAND GAZETTE 1125

• the Authorised Practitioner claiming the payment has made reasonable
efforts to contact the Lead Maternity Carer prior to the care being
given; and

• the Lead Maternity Carer is not available within the timeframe
necessary to provide the treatment and this is stated on the Claim form;
or

(c) the woman is not registered with a Lead Maternity Carer and a reason for
the woman not being registered is provided and the Ministry of Health
considers this reason to be satisfactory.

4.2.3 These payments cannot be claimed for services provided on the same day as an
Assessment Prior to Termination of Pregnancy, except where a different
Authorised Practitioner has claimed the Assessment Prior to Termination of
Pregnancy.

4.2.4 These payments may be claimed for services provided within fourteen days of a
miscarriage or termination of pregnancy occurring.

See clauses C5.2 & C5.3 for the service specification to which these payment rules apply.

4.3 Threatened Miscarriage Service and Miscarriage Service

4.3.1 A payment for Threatened Miscarriage Service may be claimed more than once in
any pregnancy.

4.3.2 A payment for Miscarriage Service may only be claimed once per pregnancy.

See clauses C5.4 & C5.5 for the service specification applying to these payment rules.

4.4 Exceptional Circumstances

4.4.1 There may be more than one Claim for this fee per woman per date of service.

4.4.2 Where there are other exceptional circumstances, an Authorised Practitioner may
make written application to the Ministry of Health for a discretionary decision on
payment.

See clause C5.6 for the service specification to which these payment rules apply.

4.5 Postnatal Consultation by Non-Lead Maternity Carer

A General Practitioner or Midwife who is not the woman’s Lead Maternity Carer can claim
for one consultation per woman in the period up to four weeks after Birth where the Lead
Maternity Carer (or Back-up to Lead Maternity Carer) is not available or not able to
provide the care required.

See clause C5.7 for the service specification to which these payment rules apply.

4.6 Ultrasound Scans

4.6.1 This payment may only be claimed where:

(a) there is a written referral, signed by an Authorised Practitioner, for an
ultrasound scan specifying a clinical reason for the referral that is in
accordance with Appendix V;

(b) when the woman is in the Second Trimester or Third Trimester, the referral
is from the Lead Maternity Carer or an Obstetrician (other than the
Authorised Practitioner who provides the ultrasound scan), except in
emergency circumstances. Emergency circumstances are limited to
occasions where an ultrasound scan is required on the same day as the



Next Page →



Online Sources for this page:

VUW Te Waharoa — PDF NZ Gazette 2002, No 40


Gazette.govt.nz — PDF NZ Gazette 2002, No 40




✨ LLM interpretation of page content

🏥 Service Specifications and Quality Requirements for Maternity Services (continued from previous page)

🏥 Health & Social Welfare
Maternity Services, Payment Rules, Postnatal Care, Lead Maternity Carer, Rural Travel, Home Visits, Pregnancy Care, Termination of Pregnancy