New Zealand Gazette – 2002 – No. 40

Page 1126

✨ Maternity Services Payment Rules



1126 NEW ZEALAND GAZETTE No. 40

referral and neither the Lead Maternity Carer nor Secondary Maternity is
available in the necessary timeframe; and

(c) there is only one Claim for an ultrasound scan per woman per date of
service.

4.6.2 Where an Authorised Practitioner is acting as a Back-up to a Lead Maternity
Carer, the referral should be identified as being signed by the Back-up to the Lead
Maternity Carer on behalf of the Lead Maternity Carer.

4.6.3 A Claim for a Subsequent Consultation requires a new referral form from the Lead
Maternity Carer or Obstetrician (other than the Authorised Practitioner who
provides the ultrasound scan).

4.6.4 Where the Ministry of Health wishes to enter into a regional budgetholding or other
funding arrangement for this service, the Ministry of Health will consult with all
Authorised Practitioners in the applicable region. Following the consultation, the
Ministry of Health will give Radiologists in the applicable region at least three
months’ written notice of any restriction on claiming this fee.

See clause C5.8 for the service specification to which these payment rules apply.

4.7 Consulting Obstetrician Services

4.7.1 This payment may only be claimed where:

(a) there is a written referral from the Lead Maternity Carer (other than an
Obstetrician and other than an Authorised Practitioner employed or
subcontracted by the provider arm of a District Health Board) and this
referral specifies a clinical reason for the referral that is in accordance with
the Referral Guidelines;

(b) the Obstetrician has met the requirements of clauses D2.3.3 and D2.4.2;

(c) the Obstetrician attends the woman in person;

(d) the Obstetrician is not the Lead Maternity Carer; and

(e) there is only one Claim per Consulting Obstetrician Services (either First
Consultation or Subsequent Consultation) per woman per date of service.

4.7.2 Payment will be made according to whether it is a First Consultation or a
Subsequent Consultation. A Claim for a Subsequent Consultation requires a new
referral from the Lead Maternity Carer.

4.7.3 Where the Ministry of Health wishes to enter into a regional budgetholding or other
funding arrangement for this service, the Ministry of Health will consult with all
Authorised Practitioners in the applicable region. Following the consultation, the
Ministry of Health will give Obstetricians in the applicable region at least one
month’s written notice of any restriction on claiming this fee.

See clause C5.9 for the service specification to which these payment rules apply.

4.8 Obstetrician – Effecting Delivery

4.8.1 This payment may only be claimed where:

(a) there is a written referral from the Lead Maternity Carer (other than an
Obstetrician and other than an Authorised Practitioner employed or
subcontracted by the provider arm of a District Health Board) and this
referral specifies a clinical reason for the referral that is in accordance with
the Referral Guidelines;

(b) the Obstetrician has met the requirements of clauses D2.3.3 and D2.4.2;

(c) the Obstetrician is not the Lead Maternity Carer;



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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, Referrals, Ultrasound Scans, Consultations, Budgetholding Arrangements